Claire Giles
Colchester,Essex
Summary
Values‑driven Learning Disability nurse and clinical professional with extensive experience supporting individuals with Learning Disabilities and Autism to achieve the best possible outcomes. Brings a strong person‑centred and strengths‑based approach, ensuring individuals and families are actively involved in decisions affecting their care.
Highly effective at working collaboratively within teams and across multiple agencies, including health, social care, commissioning, education and the voluntary sector, to deliver safe, coordinated and outcome‑focused support. Demonstrates a strong knowledge base across relevant legislation, safeguarding, clinical governance and regulatory frameworks, enabling confident clinical judgement, proportionate risk management and high‑quality care delivery.
Committed to Positive Behaviour Support principles, reducing restrictive practice, and contributing to reflective, learning‑focused services.
Overview
21
21
years of professional experience
3
3
years of post-secondary education
Work history
Transforming Care Case Manager
DSR
2024.07 - 2026.04
- Hold responsibility for Transforming Care case management for individuals with Learning Disabilities and Autism with highly complex needs.
- Coordinate and contribute to Care, Education and Treatment Reviews (CETRs), ensuring robust clinical oversight, risk mitigation and outcome-focused planning.
- Work collaboratively with ICBs, NHS providers, local authorities, care providers, families and advocates to prevent unnecessary inpatient admission and support timely discharge.
- Promote and embed Positive Behaviour Support principles, ensuring behaviours are understood within a context of unmet need and environmental factors.
- Provide clinical input to safeguarding concerns, escalation processes and system risk, supporting proportionate and defensible decision-making.
- Maintain high-quality case records in line with governance standards, contributing to assurance that pathways meet national policy and CQC expectations.
DSR Keyworker
HCRG Care Group
Colchester, Essex
2022.11 - 2024.07
- Held responsibility as a Dynamic Support Register (DSR) Keyworker, supporting individuals with Autism and Learning Disabilities who were identified as being at risk of placement breakdown, crisis, or inpatient admission.
- Worked in line with Transforming Care and DSR policy, providing coordinated, preventative support aimed at stabilising community placements and reducing escalation into restrictive settings.
- Acted as the named point of coordination for individuals on the DSR, ensuring timely multi‑agency communication and clarity of roles across health, social care, education and commissioning.
- Supported proactive risk identification, escalation and review, contributing to planning that reduced reliance on crisis responses and restrictive interventions.
- Applied Positive Behaviour Support (PBS) principles to understand behaviour within the context of unmet need, environmental factors and system pressures.
- Coordinated and contributed to multi‑disciplinary and multi‑agency meetings, ensuring person‑centred, outcome‑focused plans were developed and reviewed.
- Supported families through periods of increased risk, transition or service change, offering consistent guidance and advocacy.
- Maintained accurate, detailed case records in line with governance, information‑sharing and GDPR requirements.
- Built effective professional relationships across statutory and voluntary services to strengthen local system responses and improve outcomes.
Lead Health & Social Care Advocate
Autism Anglia
Colchester, Essex
2021.01 - 2022.07
- Provided independent advocacy and specialist support to individuals with Autism and Learning Disabilities, and their families, across health and social care systems.
- Supported individuals and carers to understand their rights, access appropriate services, and be meaningfully involved in care planning and decision‑making.
- Worked in a non‑judgemental, strengths‑based manner, ensuring the views and wishes of individuals were effectively represented in multi‑agency forums.
- Demonstrated a strong working knowledge of relevant legislation, policy and guidance relating to health, social care and disability services.
- Communicated effectively using a range of methods (telephone, email, written and accessible formats), adapting approaches to meet individual needs.
- Maintained accurate, confidential records in line with GDPR and organisational governance standards.
- Signposted families and carers to appropriate statutory and voluntary sector services to support positive outcomes.
Career Break
2013.01 - 2021.01
- Planned career break to support my own children with complex disabilities and health needs.
- Gained extensive lived experience navigating health, education and social care systems, strengthening advocacy, system insight and leadership capability.
Registered Nurse
Colonial Court (Huntington’s Disease Unit)
2011.01 - 2013.01
- Provided specialist nursing care within a progressive neurological condition service.
- Managed complex care packages and clinical risk.
- Worked closely with MDT colleagues to ensure coordinated, high-quality care.
- Maintained clinical records and governance standards in line with professional requirements.
Named Nurse
NHS Secure Services
Colchester
2005.04 - 2011.01
- Delivered nursing care within a secure Learning Disability setting, holding responsibility for care planning, risk assessment and clinical oversight.
- Worked collaboratively within a multi-disciplinary team, ensuring holistic assessment of physical and mental health needs.
- Maintained compliance with the NMC Code, Mental Health Act, safeguarding frameworks and CQC requirements.
- Ensured high standards of documentation to evidence safe, effective and person-centred care.
- Supported de-escalation practice and least-restrictive approaches.
Education
DipHE - Learning Disability Nursing
Anglia Polytechnic University
Chelmsford 2002.01 - 2005.01
Skills
- Clinical Governance & Quality Assurance
- Positive Behaviour Support (PBS)
- Transforming Care & CETRs
- Learning Disability & Autism Pathways
- Safeguarding Adults & Incident Oversight
- Restrictive Practice Reduction
- Risk Assessment & Care Planning
- MDT & Multi-Agency Leadership
- Clinical Decision-Making
- Regulatory Compliance (CQC, NMC, MHA)
- Family, Provider & Commissioner Liaison
- Service Improvement & System Working
Affiliations
- Gardening
- Exercise
References
References available upon request.
Timeline
Transforming Care Case Manager
DSR
2024.07 - 2026.04
DSR Keyworker
HCRG Care Group
2022.11 - 2024.07
Lead Health & Social Care Advocate
Autism Anglia
2021.01 - 2022.07
Career Break
2013.01 - 2021.01
Registered Nurse
Colonial Court (Huntington’s Disease Unit)
2011.01 - 2013.01
Named Nurse
NHS Secure Services
2005.04 - 2011.01
DipHE - Learning Disability Nursing
Anglia Polytechnic University
2002.01 - 2005.01