Portia Bigger is is an Expert Witness Registered Nurse with over thirteen years of clinical experience across intensive care, acute hospital services, community nursing, home intravenous therapy and NHS Continuing Healthcare. She has extensive expertise in the assessment and management of adults with complex neurological, physical and cognitive conditions, combining broad clinical experience with a detailed understanding of rehabilitation, long-term care planning and multidisciplinary service delivery.

Quantum reporting

Portia has extensive experience assessing rehabilitation, nursing and long-term care needs for individuals with complex health conditions and disabilities. She has coordinated, commissioned and reviewed comprehensive packages of care, undertaking detailed assessment of clinical, functional, psychological and social needs to determine appropriate levels of support and funding. Working closely with multidisciplinary teams, patients and families, she has extensive experience reviewing rehabilitation progress, coordinating community services, facilitating complex discharge planning and evaluating ongoing care requirements to ensure care remains safe, effective and responsive to changing needs. This breadth of clinical experience enables her to provide well-reasoned opinion regarding future care needs, rehabilitation pathways and long-term nursing support following serious injury or illness.

Specialisms

• NHS Continuing Healthcare (CHC) assessments
• Complex care needs assessment
• Acquired brain injury
• Stroke
• Spinal injury
• Dementia and Alzheimer’s disease
• Parkinson’s disease
• Multiple sclerosis (MS)
• Motor neurone disease (MND)
• Epilepsy
• Frailty and older adults
• End-of-life and palliative care
• Respiratory conditions
• Complex discharge planning
• Care package commissioning and review
• Multidisciplinary care coordination
• Complex physical disability
• Mental health and cognitive impairment

Breach of Duty reporting

Portia has significant expertise in the assessment and management of complex nursing care across acute hospital, intensive care, community and NHS Continuing Healthcare services. Her experience includes multidisciplinary clinical assessment, discharge planning, safeguarding, risk management and evaluation of complex care pathways for adults with neurological, physical and cognitive disabilities. She has extensive knowledge of NHS Continuing Healthcare processes, including eligibility assessments, Decision Support Tools (DSTs), Fast Track pathways, retrospective reviews and appeals, enabling her to provide objective opinion on standards of nursing care, clinical decision-making and the appropriateness of care provision.

Specialisms

• Continuing Healthcare (CHC) assessments and National Framework application
• Decision Support Tools (DSTs), Fast Track and retrospective CHC reviews
• Complex discharge planning and transition from hospital to community care
• Complex care packages and community-based care coordination
• Neurological conditions, cognitive impairment and high-dependency care
• Safeguarding, risk assessment and Mental Capacity / DoLS considerations
• Clinical record review and evidence-based care analysis
• Home IV therapy, parenteral nutrition and infusion-device support
• Multidisciplinary team coordination and complex case review

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Contact

Contact us at enquiries@harrison.associates