Anita Maria Tunstall

Clinical Case Manager

Professional Summary

Anita is a forward-thinking, motivated and enthusiastic individual with an extensive expert professional and clinical knowledge in both Primary and Secondary Care. She works well under pressure and possess good analytical and problem-solving skills. Anita is an effective communicator and has frequently been required to communicate complex and highly sensitive information. She also believes that she can prioritise and demonstrate effective time management and organisational skills. Anita is committed to client-centricity and as such, is not afraid to challenge people if necessary in order to achieve the best standards of care for patients.

Experience

Advanced Nurse Practitioner

Practice Plus Group - 01/24 to date

  • Working remotely providing telephone triage and assessment within both the 111 Clinical Assessment Service and the Out of Hours Medical Services.
  • Assessing patients by telephone and determining the appropriate service to meet their needs or dealing with the

concerns myself when appropriate.

  • Prescribing independently as necessary.
  • Providing advice and guidance to other staff groups such as Paramedics.

Expert Witness

Anthony Palmer & Associates - 11/2021 to date

  • Reviewing clinical records in litigation claims and providing an expert opinion in relation to appropriateness of care given. Advising re-causation and writing liability reports.

Advanced Nurse Practitioner

Practice Plus Group - 01/24 to date

  • Working remotely providing telephone triage and assessment within both the 111 Clinical Assessment Service and the Out of Hours Medical Services.

Advanced Nurse Practitioner

Applocum - 03/2019 to date

  • Working in GP Practices, carrying out virtual and face to face appointments for both children and adults. Assessing, diagnosing and treating as appropriate, ordering investigations, referring to other agencies such as secondary care and reviewing results of investigations and communicating these to patients alongside a plan of care.
  • Administering Covid 19 vaccines in vaccination clinics.

Expert Witness

Fiona Johnson Ltd - Stalybridge - 01/2019 to 10/2021

  • Providing quantum and liability reports relating to general nursing issues such as falls and pressure areas. Also relating to more specialist areas such as Stroke and brain injury.

Advanced Nurse Practitioner

GTD Healthcare - 02/2017 to 01/2018

  • Working on an ad hoc basis within an urgent care centre. Dealing with adult and paediatric presentations.
  • Treating minor illnesses and injuries. Referring any patients who were clinically unstable to the Emergency Department.
  • Communicating with GP’s and/or other relevant clinicians.
  • Prescribing as needed within my scope of practice.

Advanced Nurse Practitioner

Blackpool Victoria Hospital - 01/2017 to 08/2018

  • Leading an integrated community team in providing care to over 65s with multiple long term conditions and complex needs.
  • Providing clinical expertise in order to assess, diagnose, treat and evaluate the care of these patients with the aim of reducing hospital admissions and attendances and increasing empowerment and self care.
  • Leading on innovations and developments within the service.
  • Day to day managerial issues such as appraisal, clinical supervision, staff development, teaching, clinical audit, conflict resolution and management of clinical incidents. Liaising with other sectors and agencies to facilitate a collaborative approach to care Acting as an ambassador for our current service.
  • Leading MDTs, Caseload Review Meetings and Huddles Facilitating the Clinical Governance Agenda.
  • Being a positive role model and working in a cost effective manner.
  • Active involvement in recruitment and retention.
  • Staff training and development.

Community Matron for Stroke

Blackpool Victoria Hospital

  • Assessment and ongoing management of newly diagnosed Stroke patients following discharge from hospital.
  • Clinical assessment and examination.
  • Diagnosis of ongoing issues.
  • Development of comprehensive care plan to facilitate management of those issues Medication reviews.
  • Prescribing and monitoring of medication.
  • Secondary prevention management.
  • Identification of lifestyle issues and relevant education and support.
  • Staff education.
  • Education and support for both patients and families Cognitive assessments and strategies for managing issues Mood assessments and relevant treatment/support.
  • Risk assessment and management.
  • Carer support.
  • Identification of safeguarding issues and management of same Liaison with multi-disciplinary teams.
  • Awareness of and referral to other appropriate multi agencies Care co-ordination.
  • Clinical audit (locally and nationally).
  • Staff education.

Community Matron (Generic)

Blackpool Victoria Hospital - 02/2005 to 03/2009

  • Assessment and management of patients with long-term conditions. The prevention of hospital admissions was also a crucial aspect of this role.
  • Good clinical examination skills and comprehensive history taking in order to complete a full, holistic assessment before making a diagnosis and subsequently treating the patient accordingly.
  • Continuing Healthcare Assessments (CHC) and appeals.

Matron for Medicine

Lancashire Teaching Hospitals - 06/2001 to 01/2005

  • Providing clinical management and leadership to staff within the Medical Directorate Managing the flow of patients.
  • Clinical audit.
  • Staff training and development.
  • Resource and budget management management.
  • Conflict resolution.
  • Managing clinical incidents.
  • Complaints management.
  • Site management.

Professional Registration

  • Nursing and Midwifery Council PIN:

Qualifications

  • RCN Credential Equivalent to MSc Produced portfolio of evidence to determine both MSc level of education and to ensure applying the 4 pillars of Advanced Practice to my day to day practice.
  • Bachelor of Science: Nurse Practitioner Development of physical examination skills.
  • V300: Non Medical Prescribing Non Medical Prescribing Course.
  • University Certificate in Professional Practice Stroke Care
  • Advanced Qualification in Stroke Care
  • Diploma in Stroke Care Understanding all aspects of Stroke Care and Prevention.

Areas Covered

  • Northwest
  • Lancashire
  • Manchester
  • Liverpool

Key Skills

  • Competency framework development for Community Nurses
  • Developed an Acuity Tool to provide rich data around the dependency of patients on a caseload.
  • Acted as Principal Investigator on a Stroke Study (LOTS Care)

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