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Barbara Boosfeld RGN RSCN PGDip MSc

Case Management & Expert Witness

Barbara is registered with the Nursing and Midwifery Council, and is a member of the Royal College of Nursing.  She is a dual registered nurse with 40 years international experience in caring for children and adults with complex needs. She has particular experience of children aged 0 to 21 years within the community as well as the acute setting. She completed a Masters degree in Paediatric Nursing in 2005 and her dissertation focused on the service provision for children with complex care needs and their families.

In 1988 Barbara moved to the UK and started working at Great Ormond Street Hospital for Children where she worked for nearly 15 years in different positions.  During her time at Great Ormond Street Hospital she took the lead in setting up and managing two pioneering services including staff training of these new specialities.

After qualifying as a general nurse in 1979 in Germany she worked with adult surgical and trauma patients until she took up a post as the senior sister of a newly opened Cardiothoracic Intensive Care Unit. She successfully undertook a two year university based programme of further education in Intensive Care and Anaesthetics. 

From 1996 to 2003 Barbara was the lead professional in the inception and development of a nurse led Transitional Care Unit at Great Ormond Street Hospital for children.  The unit was one of the first within the UK managing the care of children with complex needs such as home ventilation with the assistance of home carers in a home from home setting. As the unit manager she was responsible for developing competency based training and assessment of carers, to negotiate and implement care packages in preparation for the children’s discharge.  

Since 2004, Barbara worked in the community setting managing care packages and caring for children with complex health needs.  From July 2007 until November 2015, in addition to her community work, she worked part time as an Advanced Paediatric Nurse Practitioner at the Evelina London Children’s Hospital providing nursing leadership, assessing acutely unwell children and offering professional advice to nurses and medical staff to support the 24 hour service. 

Barbara has in depth knowledge of paediatric home care for children with complex needs such as home ventilation, assisted feeding (enteral and parenteral), advanced assessment of the child, tracheostomy management and the care of children with cardio-respiratory disorders, complex neuro/metabolic-disabilities, acquired brain injury, congenital abnormalities and palliative care.

Barbara enjoys sharing her expertise and knowledge with professionals and clients. She holds a Post Graduate Diploma in Human Resource Development, underpinning her extensive experience in training and assessment.  She has nationally and internationally presented and published her work, facilitated multiple training events for the Children’s Trust at Tadworth, and was the key author for a competency based training programme and standard setting for a private home care provider. 

Barbara is bilingual and has dual nationality, German and English. Barbara is employed by Harrison Associates as a case manager and expert witness.  She has successfully completed her Cardiff University Bond Solon Expert Witness Certificate and is a member of CMSUK.  She continues to maintain her continuing professional development, and in particular with the revised Civil Procedure Rules.

Barbara is registered with the Nursing and Midwifery Council, is a member of the Royal College of Nursing and has over 35 years experience in caring for children and adults with complex needs. She has particular experience of children aged 0 to 21 years within the community as well as the acute setting. She completed a Masters degree in Paediatric Nursing in 2005 and her dissertation focused on the service provision for children with complex care needs and their families.

Barbara is skilled in patient advocacy, multidisciplinary relationships, risk and need assessment, training and competency assessment, conflict management and has in depth knowledge of paediatric home ventilation, assisted feeding (enteral and parenteral), advanced assessment of the child, tracheostomy management, the care of children with complex neuro/metabolic-disabilities, congenital abnormalities and palliative care.

After qualifying as a general nurse in 1979 in Germany she undertook a 2 year further education in specialised nursing in the field of Anaesthesia and Intensive Care at the University Hospital Mainz, Germany.  She nursed surgical and trauma patients in adult intensive care and anaesthetics until she took up a post as the senior sister of a newly opened Cardiothoracic Intensive Care Unit.

In 1988 she transferred to London gaining experience in Paediatric Intensive Care at Great Ormond Street Hospital.  Barbara stayed at Great Ormond Street for nearly 15 years in different roles, during which she implemented and managed two pioneering services. In 1992 she took the lead nursing role in the establishment of an Extra Corporal Membrane Oxygenation (ECMO) service and initiated and developed a training programme for nurses, doctors and technicians.

In 1996 Barbara was the lead professional in the inception and development of a nurse led Transitional Care Unit for children with complex needs at Great Ormond Street, which was one of the first within the UK.  As the unit manager she negotiated and implemented care packages in preparation of discharge for children with severe disabilities.

In 2004 Barbara successfully transferred her nursing skills into the community setting and has worked for both the private sector and the NHS managing care packages and caring for children with complex health needs.  Since July 2007 she worked part time as a Paediatric Nurse Practitioner at Guys and St Thomas Evelina Children’s Hospital in London providing nursing leadership and professional advice to support the 24 hour service.  Whilst maintaining her nursing skills within the NHS she worked as an agency clinician for children with complex needs aged 0 to 18 years within the community to help the children and their families achieve quality of life.

Barbara enjoys sharing her expertise and knowledge with professionals and clients. She holds a Post Graduate Diploma in Human Resource Development, underpinning her extensive experience in training and assessment.  She has nationally and internationally presented and published her work, facilitated multiple training events for the Children’s Trust at Tadworth, and was the key author for a competency based training programme and standard setting for a private home care provider.  Since its launch in 1996 she has maintained an active role in the UK paediatric Long Term Ventilated (LTV) group which discusses and promotes best practice for LTV children in the UK.

Barbara is a case manager and expert witness for Harrison Associates and continues to maintain her continuing professional development. She is a member of CMSUK. She has undertaken training in the revised Civil Procedure Rules.