phone icon+44 (0)1257 473967

Pauline Hurst


Pauline Hurst
Expert Witness, Senior Case Manager
North West

Download CV

Pauline graduated as a Registered General Nurse in 1994 from Liverpool University with a Certificate in Nursing Studies.  She began her nursing career as a staff nurse working in a Neuro Rehab Unit at Clatterbridge Hospital on the Wirral.  This was looking after patients following ABI, TBI, SCI and progressive neurological conditions.  This gave Pauline the opportunity to work within a Multidisciplinary Team and benefit from an understanding across disciplines and how this enabled a blending of skills.  This role shaped her career and focused that desire to improve and dedicate her pathway to this client group.


In 2006, Pauline transferred to a post in the community as a Nurse Assessor, this role involved carrying out health assessments within the NHS Framework for Continuing Healthcare and Funded Care, identify nursing needs in relation to funding streams or referrals to statutory services.  She practised across the community, in care homes, hospitals and patients own homes, working alongside colleagues from both health and social service agencies and private sector.  Her skills related to neurological conditions and complex needs were identified immediately and her role was rapidly developed.  She supported the Local Authority Physical Disability Team as a Reviewing Officer, acting as Case Manager, having overall responsibility for the most complex cases to ensure joint health and social care assessment consistently. Pauline was instrumental in transferring the first ventilator dependent C2 SCI patient back to the Wirral community, which involved rehousing, adaptations, clinical 2-1 care package, ordering and managing consumables, coordinating the transfer and commissioning the Nurse lead service, support with sourcing appropriate vehicle for regular outpatient appointments at the Spinal Injury Unit.


After gaining further skills in the comprehensive assessment procedure, and how that affected the funding process, her role expanded into commissioning and procurement and became involved with the Contracting Team, helping develop contracts with specialist providers.  Her development was noticed by the Chief Executive and the Chief Nurse, she was approached to undertake a project looking at services in the Wirral Community in relation to Brain Injury and Stroke.  As Business Development Officer, Pauline was promoted to Band 7, she did however maintain her case management role for the most complex cases.  Following a two-year research and business plan, the recommendation of a Neuropsychology Lead community service was accepted by the NHS Board.  As part of the service, Pauline looked at individuals who had been placed out of area in order to have their needs met.  She was recognised and awarded by NHS Wirral for her work in cost effective, value for money, service development.  The service was tendered and has been operational since August 2011.


In 2011, Pauline took up a Case Managers post in the private sector.  Her role combined all the skills developed during her career, to act on behalf of a clients, as instructed by their legal deputy, providing comprehensive assessment, recommendations and referrals, to work alongside other clinicians in developing management plans, producing reports to include needs assessment, source support workers, via agencies, monitor, manage and provide training and support to carers, both formal and informal, interpret clinical notes and recommendations and aim to work alongside statutory services to identify supporting responsibility.  Her expertise and knowledge in The National Framework for Continuing Health Care and Funded Nursing Care, proved invaluable in collecting information to produce evidence-based assessments, representing clients at review meetings and challenge on their behalf, if necessary.  Supporting client’s families through difficult times, clarifying any issues, as requested, liaison with the referrer, as necessary, and providing monthly, quarterly, bi-annual or annual reports and updates, as requested.


In October 2013, Pauline took up a post as Community Matron, this role mainly related to ensuring governance policies and procedures were adhered to, she covered the North of England from East to West including Glasgow, offering clinical support and expertise in complex care in client’s own homes, care homes and hospitals, she offered clarity to regional branches in relation to company standards in line with NMC, CQC, NICE and HSE, ensuring competencies were in place for care staff and attend specialist training to understand local policies and procedures and protocols were followed.  Liaison with Branch Managers and Regional Ops Manager to ensure compliance, both operational and clinical.  She excelled at building relationships, with her strong communication skills being at the forefront of that relationship development.  She was also responsible for supporting investigation and ensuring that complaints were dealt with in a timely manner, as part of the Senior Clinical Escalation Team she would give clinical advice and support outside of office hours.  Pauline played a significant part in developing a clinical strategy within the company, being instrumental in producing an assessment pathway.  She supported the Business Development Managers in promoting the service and raising the profile of the business commercially.  She travelled extensively across the North of the country in an effort to provide consistency with processes, training and developing staff in managing complex care including, spinal cord injury, ventilator dependency, manual evacuation and complications of prolonged consciousness.

Pauline now combines her experience of brain injury, spinal cord injury, neurological conditions and rehabilitation as a Case Manager for Tania Brown Ltd.

To download a full copy of Pauline’s CV click the button above.


Certificate in Nursing Studies

Registered General Nurse

ENB N27 Primary Nursing

EBN N26 Infection Control

ILM Foundation Award

Mentoring and Assessing


Leadership and Management

Developing and Understanding Personalisation

L5 Diploma Leadership Health & Social Care


Brain Injury
Occupational Therapy
Spinal Injuries

Additional Qualifications and Memberships

BABICM (Advanced Member)