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Nicholas Holland-Smith

PG Dip OT BSC (Hons)

Case Manager and Treating Occupational Therapis
Based in: Essex
Clients: The Midlands, Bedfordshire, Surrey and Poland


  • College of Occupational Therapy - Full Membership BT0235141
  • Health Professions Council Registration - OT50253
  • Back Care Professional Member - 71783
  • National Back Exchange Professional Member
  • Balens Professional Indemnity Insurance - Occupational Therapist, Case Managers and other Health Professionals
  • Post Graduate Diploma in Occupational Therapy, London South Bank University. 2006.
  • Polish Language Course, Wroclaw University, Poland, 1999
  • BSc (Hons) Sport and Exercise Science, London South Bank University, 1996.
  • Professional Member of Post Supra Nuclear Palsy Foundation as a treating Occupational Therapist since 2008.


Nicholas has been working as a Case Manager and Occupational Therapist for Community Case Management Services for the past five years with clients in both the UK and Poland as he speaks fluent Polish and English. He has experience setting up the following:

  • Assessing and completing specialist Occupational Therapy reports supporting individual claims:
    • Post acquired brain injury
    • Spinal injury
    • Cauda Equina
    • Amputees
    • Cerebral Palsy
    • Brachial Plexus
    • Orthopaedic injuries to the upper limbs and hands, lower limbs and hip replacements
    • Elderly patients
    • Strokes
    • Chronic pain
    • Mental health
    • Nutritional conditions.
  • Recruiting suitable staff to work with adults and children.
  • Appointing treating therapists.
  • Goal-setting for the rehabilitation progress.
  • Management of complex case reviews and intervention on a regular basis.
  • Responsibility for monitoring standards and working closely with care agencies.


  • Ensuring staff is adequately trained to provide appropriate care and support.
  • Management of complaints according to policy.
  • Liaising with families, completing carers' assessments and providing support and problem solving.
  • Instigating safeguarding procedures, organising strategy meetings/case conferences.
  • Successfully organising multidisciplinary team - decision support tool for continuing health eligibility, submitting applications to PCT including costings, care package care plans for health funding.
  • Management of case transfers liaising with the learning disability team to ensure smooth transition from children's services to adults' working cohesively with colleagues.
  • To support clients that are returning to work, assessing goals and client needs.
  • Provide duty cover, respond to emergencies, duty assessments and safeguarding issues.
  • Translating and assisting in communications with Polish clients and health service providers.
  • Liaising with equipment providers in Poland.

Since 2011, Nicholas has worked as a treating Occupational Therapist assessing, reviewing and preparing reports supporting client centred treatment goals and plans on behalf of Community Case Management Services. In addition, due to his experience and knowledge of Polish language, he has worked as a Case Manager and a treating Occupational Therapist for Polish clients living in Poland and United Kingdom. Nicholas lived in Poland for two years managing and supporting individual rehabilitation needs.

Nicholas started his professional career in Luton for the NHS Community Assessment and Rehabilitation team managing a complex caseload of clients in the community and in-patient intermediate care facilities. He completed Telecare assessments for clients with dementia and this work contributed towards the government pilot scheme in 2007. Nicholas independently managed a number of clients in an independent living flat to assess with early dementia and make recommendations on suitable future housing / accommodation.

Prior to 2011, Nicholas gained experience in community and in-patient NHS and Adult Social Care settings in south and mid Bedfordshire, Bicester Community Hospital in Oxfordshire and St Albans Hospital in Hertfordshire. Nicholas has experience completing reports for appropriate minor and major adaptations under the Disabled Facilities Grant legislation. He has experience analysing and making necessary recommendations to proposed plans for extensions and installation of major adaptations. Nicholas has been responsible for assessing, ordering and facilitating installations of all recommended equipment via prospective contractors. He has also completed specialist Housing Reports under the Housing Act.

Nicholas' main interest is Manual Handling and he has specialized in complex Manual Handling and Risk Assessments and has lead investigations in connection with CQC and Health Executive cases. As a result, Nicholas has assessed and trained care teams demonstrating recommended Manual Handling equipment. He has also worked on a number of Paediatric cases with complex Manual Handling issues, assessing, ordering and reviewing appropriate equipment.


Not long after leaving University in 1996 and working a few years as a Fitness Professional, Nicholas took the opportunity of going to live and work in Poland. Between 1998 and 2001, he spent time working for the Polish Military teaching English with the aim of preparing Officers and Soldiers of all ranks for NATO membership. During this time, he developed his skills for Polish Language and to this day, he follows a full family life both in UK and Poland.

Nicholas is married with three children and he enjoys family life and interests.