Meet the team.

Here to support our clients

Case Managers

Our Case Managers work directly with our clients

Heather Lodge

Clinical Case Manager


About Heather

Heather qualified as an Occupational Therapist (OT) in 1989 and worked for the NHS for 18 years both as an OT and Brain Injury Co-ordinator. She has been case managing for many years opening her own company Total Case Management Limited (TCM) in 2008. Heather is a highly experienced Case Manager and is registered with the Health Professions Council, is a member of the British Association of Occupational Therapists (BAOT) and British Association of Brain Injury Case Managers (BABICM).

Sarah Fletcher

Clinical Case Manager


About Sarah

Sarah joined Total Case Management in April 2016 as a Brain Injury Case Manager. She qualified as an Occupational Therapist in 2007, working in the NHS for over 9 years.

Sarah has previously specialised in working with clients who have an acquired brain injury both in an acute and rehabilitation setting, such as, Motor Neurone Disease, Guillain Barre Syndrome, Stroke, Subarachnoid haemorrhage, persistent disorders of consciousness and traumatic head injury.

Sarah has experience of managing the complex needs of the clients and working alongside members of the multi-disciplinary team to meet their needs.

Sarah is working with a variety of clients, working alongside rehabilitation staff, support workers and families and believes that a cohesive multi-disciplinary team with the presence of a case manager and a good support/family network is fundamental in the progression of a client’s rehabilitation and recovery.

Sarah works with pre and post settlements cases, including facilitation of independent living trials, supporting people to live independently.

Sarah enjoys cooking, watching live music, hiking, travelling, and attending the gym.

She is married with 2 children.

Louise Goodall

Clinical Case Manager


About Louise

Louise is a registered nurse (adult) and health visitor with over 20 years experience working with children and adults. She has significant experience working with adults and children who have an acquired brain injury leading to complex care needs either through accident or birth trauma. Her specific clinical skills include tracheostomy, long term ventilation, gastrostomy, colostomy, epilepsy, limited mobility including quadriplegia and tetraplegia, and cerebral palsy. Louise is an autonomic dynamic practitioner who can work effectively in a team including working collaboratively with other health and social care professionals. Louise has excellent communication skills and can relate to clients, families and liaise with other health professionals to achieve the best possible outcomes for our client's. Louise is registered with BABICM.

Hazel Blundell

Clinical Case Manager


About Hazel

Hazel is a registered Social Worker, qualifying in 2014. Recently she qualified as a Best Interests Assessor (BIA), a specialist role identifying whether a deprivation of liberty is occurring.

During her career she has worked collaboratively in placing children for adoption who have suffered trauma. The consequences of which have required therapeutic intervention. Hazel has extensive experience in completing care plans to reflect the needs and support required. Hazel had to regularly gain insight and further medical evidence as required from healthcare professionals and services, to form assessments. She was also an appointed adoption panel member.

Hazel has experience of working in care management and assessment teams. She has working knowledge of child protection procedures and the threshold of social care involvement. Experience includes undertaking initial and core assessments, managing direct payments, chairing meetings, and liaising with professionals in a multi-agency capacity.

Hazel has experience of working within community mental health and learning disabilities teams. She has also worked for a disability rights charity, supporting those with a brain injury and/or physical injuries. She represented individuals at tribunal who had been unfairly assessed as part of their benefits claims.

On a personal level, Hazel has lived with the consequences of a brain injury having grown up with a family member with an ABI. The family have been involved with Headway for many years.

Sarah Lowndes

Clinical Case Manager


About Sarah

Sarah joined TCM in November 2022 as a Clinical Case Manager specializing in adults with brain injuries. Prior to this Sarah is a registered Occupational Therapist and qualified in 2019 and started a career in the NHS following university. Sarah quickly gained a promotion to a senior OT in a Critical care unit and also worked on Surgical and Cardiology wards. Sarah’s role as an Occupational therapist was to assess, treat, reeducate, rehab and advocate for critically ill patients. Sarah has always had a passion for working with people with complex needs and brain injuries and as an OT was able to promote independence to the patients.

Sarah has an extensive background in health care with 16 years of experience in a variety of settings. Throughout her time in health care Sarah has worked with adults and children with complex health issues, sever mental heath issues, brain injuries, learning disabilities. Throughout her time working in different private sectors Sarah has developed an extensive breadth of transferal skills that allow for specific and informed clinical decisions making skills to support her clients.

Sarah is a driven professional and enjoys working closely with clients and working in their best interests. Sarah has worked collaboratively with other MDT and family member throughout her career and strives to achieve the best outcomes for all her clients. Sarah is able to individualise clients care by using her working and learn skills to promote therapeutic working relationships with all clients and professionals involved.

Sarah is also a HCPC and BABICM registered member.

Sebastien Amann

Clinical Case Manager


About Sebastien

Sebastien joined Total Case Management in November 2022 as a Brain Injury Case Manager. He initially qualified as an Occupational Therapist in 2017, and worked in the NHS for over 5 years.

Seb brings to his role as a case manager a range of experience working with clients who have acquired brain injury as well as experience of working with clients who have suffered a variety of orthopaedic injuries.

Seb has spent time as a therapist working within community and acute settings, as well as longer-term rehabilitation units. He has worked with a variety of other healthcare and social care professionals to assess and plan treatments for complex clients. The experience he gained in the NHS and community ensures his clients, their family, the multi-disciplinary team and care team have guidance and support. He is driven to ensure the client achieves the best possible outcomes.

Seb is an autonomous professional with excellent communication skills and takes holistic approach.

Seb is a registered member of BABICM and HCPC

Client/HR Administrator Team

Our support staff are here to help our clients

Lindsey Jones

Office Manager

Collette Tipton

Compliance Manager


About Collette

Collette has worked in health and social care for the last 25 years and has managed complex services and teams, she has a registered managers award and will be applying to the Care Quality Commission to be the registered manager for TCM in the coming months. This role will entail being responsible for maintaining the quality of service provided by Total Case Management Ltd.

Collette’s previous experience of working as a Senior Team Leader makes her the perfect person to support the care staff who are managed by TCM ensuring their mandatory training, skills and knowledge are always up to date, Collette also carries out all supervisions and PDR’s for these teams.

Gemma Lloyd

Client/HR Administrator

Jayne Moore

Client/HR Administrator

Sarah Millard

Client/HR Administrator