Quality and governance for us is about having the right people in place, doing the right things on time and when it’s not right, fixing it.
Across Bush & Co we have a Clinical Board with overall responsibility for clinical risk management and clinical governance but we have a number of key roles embedded within our organisation with the responsibility for governance and quality to ensure we provide a safe, well-led and effective service to our customers, clients, associates and staff.
The Clinical Board
Our Clinical Board oversees clinical risk management and business operations as well as provides insight and access to market and clinical developments, materials and forums.
Within its work, the Board considers standards, risk and compliance, clinical developments and practices with the purpose of overseeing well-led, safe and effective rehabilitation, care and medico-legal reports within the catastrophic injury sector. In particular the Board is responsible for:
- Clinical governance, including safeguarding, policy, audit, CQC compliance and duty of candor
- Risk management and skills assessment of associates and support workers
- Clinical initiatives and service developments
- Industry updates and assessment, including legislation, practices and clinical developments
- Escalation
Every decision made is centred on the needs of clients, care workers, associates, staff and customers.
Richard Rickwood, Interim Managing Director
(Director of Operations)
Richard joined Bush & Co as operations director in June 2020 and has overall responsibility for the internal operations teams and our case management and expert witness services. He also leads the change management programmes across the organisation.
Richard has a background in financial services, predominantly insurance, before moving into the legal and claims sector. He has been an non-executive director in the education sector and is currently a Board trustee of The Royal Life Saving Society UK.
Richard Rickwood
Interim Managing Director
(Director of Operations)
Tom Quick, Non-executive Chief Medical Officer
Tom joined Bush & Co as non-executive chief medical officer in 2021, governance strengthening an already strong clinical framework centred on risk management, safeguarding, policy and compliance. He also contributes to clinical and service development plans and brings a wealth of experience and specialist knowledge on clinical practice, client care and the expectations and requirements of the medico-legal sector.
Tom is consultant surgeon, Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore. Tom specialises in nerve injury in adults and children, Obstetric Brachial palsy, conditions of the growing shoulder and elbow, neuromuscular conditions of the paediatric and adolescent upper limb and surgical management of peripheral nerve pain states.
He has one of the largest obstetric palsy practices in the United Kingdom providing huge experience in this very focused field.
Tom Quick
Non-executive
Chief Medical Officer
Fiona Kenny, Head of Case Management and Rehabilitation
Fiona joined Bush & Co in 2015, having worked in a leadership role in an internal rehabilitation team at a leading insurer.
She is responsible for the leadership of our operations managers who look after our large and ever growing network of associate case managers. She is supportive and an advocate of people and their needs.
She is also instrumental in the development of our service offering and how we support clients following catastrophic injury.
Fiona is a registered nurse with over 25 years’ experience in a clinical setting and working with patients and clients in a range of primary and secondary care settings.
Fiona Kenny
Head of Case Management
and Rehabilitation
Jo Wilkins, Head of Care Support Services and Registered Manager
Jo joined Bush & Co in 2020 as the Head of Care Support Services. She has 22 years’ experience working in the neurological sector developing and managing inpatient rehabilitation services across Northamptonshire, Oxfordshire and Bedfordshire.
Jo is responsible for managing and developing Bush and Co’s care provision and is passionate about the role that good quality, consistent care can play in maximising client outcomes.
She is Registered Manager for Bush & Co’s Care Provision, working closely with CQC on compliance.
Jo Wilkins
Head of Care Support Services
CQC compliance
Bush Care Solutions is regulated by the Care Quality Commission and is rated as ‘Good’ for safe, effective, caring, responsive and well-led care.
The impacts of policy delay on client safeguarding and safety
Introduced in the Mental Capacity (Amendment) Act 2019, the LPS will replace the Deprivation of Liberty Safeguards (DoLS) and deliver improved outcomes for people over the age of 16 who are or need to be deprived of their liberty if it is deemed in their best interests to do so to allow them to receive appropriate care or treatment.
Quality Assurance
Expert witnesses are, in their very nature, top of their field. For them, along with their case manager colleagues we ensure legal context is apparent and our reports are checked to Bush & Co standards by a robust quality assurance process whilst leaving the expert opinion or case manager recommendation in place.
Case management and rehabilitation decision making is checked and challenged by our operational management team and a strong audit process.
Our ‘Chinese Walls’ system removes any conflict of interest and ensures no associate has access to the details of the other side of the case. This extends to head office staff who cannot proof read or quality check an opposing side of the case.
Awards, Accreditations and memberships
All our case managers and expert witnesses whether employed or associates hold valid professional memberships and this is a mandatory requirement prior to joining us.
We hold a number of Corporate Memberships to ensure we support and maintain sector knowledge and best practice:
We are compliant with ISO9001
We’re proud to be recognised for our quality, support of the industry and staff engagement
