Condition Frameworks

Leads the framework clinically. Sets the escalation triggers for care staff and checks the content against NICE guidance and the NHS ten-year cancer plan.

Turns the escalation triggers into daily observation checklists and a one-page guide to who to call at each stage of treatment. Runs staff sessions on spotting side effects and signs of infection.

Teaches staff to recognise anxiety, low mood and treatment fatigue, and guides conversations about prognosis and advance care planning. Supports residents to stay engaged with their appointments.

Designs fortified menus and plans for appetite loss, taste change and nausea. Sets the weight-loss triggers that tell staff a resident is losing strength during treatment.

Builds a gentle activity plan that protects strength and manages fatigue.

Holds clinical oversight. Signs off the delirium-versus-progression rule and the behavioural support guidance before they reach a home, and keeps the framework within social care scope: no diagnosis and no prescribing.

Shapes daily routine and engagement to sustain function. Writes behavioural support guidance for staff and families on distress.

Trains staff that sudden change may be delirium (infection, medication, dehydration) and not progression, so it is flagged early. Advises on falls, frailty and blood pressure.

Designs eating and drinking support, including finger foods, the mealtime environment and hydration prompts, with weight monitoring.

Sets mobility and falls-prevention plans, with activity doing double duty as engagement.

Holds clinical oversight. Signs off the monitoring routine, the escalation pathway and the medication checklist.

Designs meals and snacks that steady glucose, working with the home's chef.

Reviews the daily check routine, the hypo warning signs and the route to the GP. Reviews the medication checklist for safety without changing prescribing.

Guides staff on the psychological side of a lifelong condition, including fear of hypos, restriction fatigue and distress around meals and checks. Gives staff ways to handle a refused meal or check without conflict.

Sets an activity plan that supports glucose control and flags mobility changes that affect foot care.

Holds clinical oversight. Signs off the thresholds for reporting weight gain, breathlessness and swelling.

Designs sodium-aware menus and fluid guidance.

Sets a paced activity programme and a breathlessness monitoring routine, drawing on her respiratory background.

Sets the thresholds for reporting weight gain, breathlessness and swelling to the GP.

Guides staff on the anxiety that comes with breathlessness and palpitations, adjustment after a cardiac event, and the low mood common in heart failure. Coaches staff to reassure a resident while pacing activity.

Holds clinical oversight. Signs off the red flags and the rehabilitation routine, and owns the clinical review points built into the framework.

Defines the red flags (new weakness, speech change, a suspected TIA) and the secondary prevention routine of blood pressure checks and medicines adherence. Stroke Clinical Governance Lead at the National Hospital for Neurology and Neurosurgery.

Writes a daily rehabilitation routine that care staff can carry out between therapy sessions, covering safe transfers and falls, and builds the outcome tracking tool.

Plans texture-modified menus and mealtime set-up around speech and language therapy guidance.

Guides staff on post-stroke low mood, anxiety and identity change.