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Rachel Holme

(BSc Hons) RNLD

Case Manager 

Based in: Lancashire
Clients: North West


  • Registered Learning disability Nurse (Dip HE)
  • Bsc (Hons) Evidence Based Practice in Forensic Care
  • 3 modules at Level 6 in Clinical Leadership
  • Member of the Royal College of nursing
  • Mental Health First Aider
  • LIP 307 Supporting and Assessing Learners in Practice
  • Preparing to Teach in the Lifelong Sector Edexel Award Level 4
  • Member of CMSUK Case Manager Society UK.


Since qualifying, Rachel has gained considerable nursing experience in the NHS and independent sectors. She has over 16 years of wide-ranging nursing practice in community settings, forensic nursing, challenging behaviours to acute hospital settings where she worked in ICU and general surgery.

 Rachel is experienced in managing the following:

  • Tracheostomy / Ventilated clients.
  • Stoma and colorectal (adults)
  • Traumatic Brain injury (adult)
  • Challenging behaviours and autism
  • Learning disabilities (Paediatric and Adult).
  • Elderly care and those suffering from Dementia.
  • Mental health conditions

 Rachel recognises the importance of effective communication between professionals and the client and family. It was within secure services that she undertook leadership modules in clinical leadership and undertook her BSC (Hons) in forensic nursing.  Whilst at Calderstones Rachel worked with clients of a dual diagnosis i.e. learning disability and mental health. Rachel developed expertise alongside a team of psychiatrists, psychologists and nursing staff in treating and managing, individuals with brain injury, complex difficulties such as sexual offending, violence, self-harm and arson.

Whilst working in the community Rachel has devised structured activity programmes to incorporate therapeutic tasks in everyday activities with an appropriate level of support.  Rachel was proud to work on ICU during Covid times and has a wealth of clinical skills in respiratory and metabolic acute illness.

She is compassionate about her client’s safety and welfare. She delivers specialised and bespoke individualised case management with SMART outcomes incorporating rehabilitation programmes, care plans, risk assessments and reports with regular monitoring in conjunction with other therapists and care staff.  Rachel has a teaching qualification and makes tailored training packages for teams and their care packages.  Over her career she has supervised staff, provided regular clinical supervision and appraisals along with developing competencies. 

Rachel continues to maintain and update her professional development and is accountable for her own professional actions within the NMC Code of Conduct.  Revalidation of her professional registration is current. Rachel is passionate, committed, self-disciplined and with any new challenges, is a motivator. After many years in nursing, her professional confidence enables her to gain people's trust and respect very quickly.

Rachel has completed Community Case Management Services’ comprehensive training course to include the understanding of the litigation process, and the role and importance of the case manager.


Rachel is the proud mother of 2 children.  She enjoys running and in her spare time supports a charity “Team Reece” raising money for children with brain tumours.  She is also a Director for “The Growing Club CIC” A social enterprise wherein they focus on bridging the gap in skills training and business education for women, with pre-start up, start up and business growth programmes specifically for women. Their aim is to support local economic growth for community well-being.