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Clinical
Management

Our associate case managers and expert witnesses are supported by a highly experienced clinical management team who guide on clinical and rehabilitation best practice and medico-legal reporting

Case Management and Rehabilitation

Our associate and employed case managers are led by Fiona Kenny, Head of Case Management and Rehabilitation and supported by clinical operations managers who supervise and provide support to case managers through case audits, case guidance and reviews including report quality checking.

The case guidance meetings in particular give our case managers the opportunity to discuss particular client’s needs and explore new perspectives and ways of approach to complex situations where there are barriers to engaging in rehabilitation.

Stuart Berry

Stuart is a sports scientist and certified disability management professional and has over 10 years’ experience. Clinically he is highly experienced in complex Orthopaedic injuries and conditions, amputees and vocational case management.

He has been a vocational case manager at Bush & Co, Argent Rehabilitation, 3D Rehab and Remploy (working on the BBC contract).

Stuart is a member of the Certified Disability Management Professionals.

Stuart Berry

Clinical Operations Manager

Sports Scientist

Claire Hall

Claire qualified as an Occupational Therapist in 2001. She is experienced working in community Paediatric departments with children with neurological diagnoses including Cerebral Palsy, Acquired Brain Injury and Muscular Dystrophy. Her career includes working with The Children’s Trust in both the residential rehabilitation centre for children with Acquired Brain Injury and their community services working in partnership with Sheffield Children’s Hospital.

Claire has also worked as an independent neuro occupational therapist with both children and adults with an Acquired Brain Injury focusing on cognitive rehabilitation in the community.

Claire is a member of BABICM.

Claire Hall

Senior Clinical Operations Manager

Occupational Therapist

Helen Stewart

Helen is a qualified physiotherapist and certified disability management professional with over 14 years’ experience as an associate case manager. Clinically Helen is experienced in supporting individuals who have sustained spinal injuries, complex Orthopaedic injuries and Amputations as well as Chronic Pain and Mental Health conditions.

Helen’s extensive case management experience has provided an in-depth understanding of the litigation process and the challenges faced by client’s with complex needs. Helen is registered with the HCPC and is a member of the Case Management society UK.

Helen Stewart

Clinical Operations Manager

Physiotherapist

Nigel Lishmund

Nigel has been a case manager since 2009. This began with 3 years’ experience within private occupational health before moving into rehab case management in 2012. Prior to this, his clinical career was spent working within neuro-rehab in the NHS for 5 years.

Nigel has been with Bush & Co since 2019 - starting off as an associate, progressing into a team leader role for the employed case managers in 2023 before moving into the role of operations manager in 2025.

Nigel has gained a wealth of knowledge in the litigation process and in supporting individuals with complex orthopaedic injuries, brain injuries, neurological disorders and chronic pain. He is a member of the CMSUK and IRCM.

Nigel Lishmund

Clinical Operations Manager

Exercise Science Professional

Expert Witness Services

Our associate expert witnesses are led by Cathy Preston, Head of Medico Legal, Expert Witness Service. Cathy is responsible for the recruitment, training and development of associate expert witnesses, providing guidance and governance on matters related to liability and quantum cases. She ensures that the Bush & Co expert witnesses are competent and compliant with their duties under CPR35 and that the quality and content of the Bush & Co expert reports meets the highest industry standards. She was awarded the Bond Solon Civil Expert Witness Certificate (CUBS) in 2016 and has completed a Diploma in Legal and Forensic Medicine (DLM) and a Master’s in Medical Law and Ethics (LLM) at Cardiff University.

Associates are also supported by a quality assurance team who are responsible for ensuring reports are consistent and of the highest quality whilst adhering to legal protocol and without influencing the report content.

Cathy Preston

Cathy is a physiotherapist by background with a clinical career spanning over 25 years which has included a number of NHS positions where she has specialised in musculoskeletal physiotherapy. After working for a number of years within the NHS, Cathy moved to work within the private sector, establishing several private physiotherapy clinics across West Yorkshire and was the clinical director and owner of a large physiotherapy company for 10 years. As a specialist private physiotherapist, Cathy provided physiotherapy to clients with all manner of adult neuromuscular conditions, including Orthopaedic spinal conditions, post-natal issues, Chronic Pain, work-related disorders, complex biomechanical problems and Orthopaedic post-operative conditions.

She is a highly-regarded and experienced expert witness, undertaking both liability and quantum reports for Claimant and Defendant firms. Over the years Cathy has been involved with cases surrounding cauda equina syndrome, catastrophic lower and upper limb injury, military injuries, abdominal injury and Chronic Pain conditions arising out of clinical negligence, and with personal injury cases resulting in Orthopaedic polytrauma and extensive burns.

Cathy was selected as the physiotherapy associate expert at Bush & Co to work with the Thalidomide Trust in securing lifelong funding for the Thalidomide survivors.

Cathy Preston

Medico Legal:
Expert Witness Service

Physiotherapist