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  Health Professions Council Registered
Members of British Association of Hand Therapy

Sally Mayfield

Clinical Specialist Hand Therapy
Sally is the owner and principle therapist of Hand Therapy Specialists. She is a Clinical Specialist in Hand Therapy and has over 16 years of experience in Hand and Upper Limb specialist therapy.

Sally is also a Certified Hand Therapist (CHT), one of only six in the UK, achieving certification by the Hand Therapy Certification Commission (USA) in 2007. A Certified Hand Therapist is a world recognised distinguished credential demonstrating a dedicated therapist who has met the highest standard of proficiency, and is recognised as a benchmark for excellence in advanced specialty of Hand Therapy.

Sally has previously established and managed her own Hand Therapy private practice in Australia, and has worked at a number of leading Hand Therapy units in London including The Royal London Hospital, Charing Cross Hospital, Chelsea and Westminster Hospital, and St Georges Hospital.
Sally was also involved in the innovative 'One-Stop Carpal Tunnel Clinic', a UK first, run through Charing Cross Hospital. Sally is a trained NeuroMetrix Nerve Conduction Study clinician.

Sally has a passion for hand therapy and injury problem solving and strongly believes providing an exceptional quality of care, with a focus on a return to full capacity.

She provides complete personalised care, using innovative approaches that draw on her extensive knowledge and experience.

Sally Mayfield

Raelene Marx

Clinical Specialist in Hand Therapy

Raelene has been practising in the area of Hand Therapy for the last 17 years. She has extensive experience in the treatment and rehabilitation of adults and paediatric patients with hand and wrist injuries following trauma, elective surgery and acquired conditions. This includes paediatric patients with congenital conditions.

She qualified as an occupational therapist at the University of Stellenbosch (South Africa) in 1996, worked in in private practise in South Africa until 2000, after which she relocated to the UK.

She has worked at several London Teaching hospitals in the area of hand therapy and has been working over the past 12 years at Chelsea and Westminster where she a clinical specialist in this area.

Raelene has a special interest in the treatment of extensor tendon injuries and has had the privilege of teaching on this subject, both at national and international level. She is also undertaking research in this area and has designed and implemented a pilot study in order to develop a multi-centre randomised controlled trial to compare two different early action motion regimes in the treatment of zone 4-6 extensor tendon repairs.

Raelene is dedicated to continuous professional development and is passionate in staying abreast of new developments and research in her specialist area of practice.

Raelene Marx

Megan Blakeway

Clinical Specialist in Hand Therapy

Megan is a Specialist Hand Therapist and an Occupational Therapist, qualifying in 1998 from Curtin University in Perth, Western Australia. For the last 12 years she has specialised in Hand Therapy, working in acute and rehabilitation settings in both Australia and the UK.

Megan's current NHS post is as the Clinical Specialist in the Hand Therapy team at St George's Hospital. She is an accredited Hand Therapist with the British Association of Hand Therapy (BAHT) and has also completed a post graduate certificate (PG Cert) in Hand Therapy at Brunel University.

Megan has gained a broad range of clinical skills and experience during her years in clinical practice. Her experience includes the areas of trauma and orthopaedics, plastics including tendon and nerve repairs and elective reconstructive surgery, paediatrics, rheumatology and neurological conditions. She has extensive skills in the bespoke fabrication of all forms of splints and orthoses.

Megan has a keen interest in treating complex finger injuries and is also interested in the rehabilitation of extensor tendon injuries. She has also taught and presented nationally and internationally on various aspects of hand and upper limb rehabilitation and has published on rehabilitation outcomes after traumatic hand injuries.

She is passionate about optimising functional outcomes for patients and problem solving complex situations to improve patient care. She is committed to ongoing professional development and enjoys staying up to date with the latest evidence and research in hand therapy and surgery.

Megan Blakeway

Pascalle Smith

Clinical Specialist in Hand Therapy
Pascalle is a Specialist Hand Therapist with over 13 years experience, since graduating as an Occupational Therapist from Southampton University. After graduation she worked at the Wessex Rehabilitation Unit at Salisbury Hospital gaining specialist knowledge in assessment and treatment of chronic hand conditions and rehabilitation of the upper limb.

Prior to independent practice, she worked at Queen Victoria Hospital, East Grinstead gaining specialised experience and skills in major hand trauma, burns and plastic surgery reconstruction. 

Pascalle has completed a Diploma in Hand Therapy at Derby University and gained BAHT Hand Therapy Accreditation.

For the last 7 years Pascalle has worked at The Horder Centre in Crowborough providing hand therapy for elective surgery for the treatment of arthritis, Dupuytren’s and other upper limb injuries.

Pascalle is enthusiastic about the development of service provision and evidence based practice. She is currently undertaking a clinical research project to promote and develop patient care and reviewing treatment effectiveness. This will be published in the near future. 

Pascalle has a particular interest in hand function and activities of daily living. This includes encouraging functional activity, promoting, work, leisure and interests as a part of patient goals and treatment planning. She also has a keen interest in thumb injuries and complex regional pain syndrome.

Pascalle Smith

Rachel Maccabee

Clinical Specialist in Hand Therapy
Rachel is a Physiotherapist who qualified in 2002. Since graduating Rachel has specialised in hand therapy and has over 10 years experience as a hand therapist, both in the NHS and Private sector.

She worked within the NHS in the north of England for six years, initially at The Freeman Hospital where she assessed and treated orthopaedic and rheumatology hand conditions. This included elective surgical procedures such as joint replacements, salvage procedures, Dupuytrens excisions, carpel tunnel release and trigger finger release, as well as managing rheumatological flare ups. Following this she moved to the Royal Victoria Infirmary with adult and paediatric burns and plastic conditions in a trauma and rehabilitation unit. Here she managed the assessment and treatment of complex multiple hand injuries from trauma and industrial accidents, grafts and flaps, amputations, reimplantations, nerve and tendon repairs and tendon transfers, as well as assessing and treating paediatric congenital conditions.

After working abroad for two years in the Middle East, she returned to work as a hand therapist in the private sector. For the last five years she has expanded her expertise in treating various work-related upper limb conditions, hyper-mobility and wrist conditions.

Rachel has a special interest in the stiff hand, treating complex finger injuries and working with children. She is a member of the British Association of Hand Therapy (BAHT) and Chartered Society of Physiotherapists. She is a fully trained Acupuncturist (Acupuncture Association of Chartered Physiotherapists, AACP).

Rachel Maccabee

Tracy Lindsay

Office Manager
Tracy joined the Hand Therapy Specialists Team in 2014 as our Office Manager. Tracy has 14 years experience as a Medical Administrator / Office Co-ordinator, working both in the NHS and private sector.

Tracy's passion is to ensure that the patient's experience at Hand Therapy Specialists is a pleasant one, and is always happy to help in any way to provide a high quality service to our patients.

Tracy Lindsay, Office Manager

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