Our Leadership Team

Annabelle Lofthouse

Catrin May
Annabelle Lofthouse and Catrin May are the co-founders and directors of Breakthrough Case Management and Breakthrough Care. They are both registered nurses with significant experience, spanning over 30 years in healthcare and over a decade in complex case management and complex care support.
Annabelle and Catrin first worked together in 2017 and quickly discovered that their individual approaches to case management and rehabilitation were closely aligned. A shared set of values, a strong commitment to quality, and a focus on achieving measurable results for clients led to the creation of Breakthrough Case Management and Breakthrough Care.
Both Annabelle and Catrin are members of The Royal College of Nursing, BABICM and CMSUK.
Our Operations Team

Danielle Stanley
Chief Operating Officer
As the most senior HR Practitioner in the organisation, Danielle is our first port of call for all employee related issues. Responsible for designing and developing the company’s workforce strategy, Danielle advises and supports staff and case managers as well as working closely with the Directors to ensure legal compliance throughout human resource management.

Natasha Brailey
Registered Manager
Natasha leads our domiciliary complex care service. Our highly trained health care assistants work under her direction to provide outstanding support to our clients.

Charmaine Killengray
Care Coordinator
Charmaine coordinates our care services and takes the lead on compliance within individual teams.

Tracey Williams
Commercial Manager
Tracey joins Breakthrough’s leadership team with over 30 years of impressive experience in a wide variety of Commercial Management/ Business Development roles predominantly in within the healthcare sector. Tracey’s key areas of experience include Complex Clinical Care, Spinal Injury, Neuro Rehab and Learning Disabilities.
An excellent communicator with boundless energy, passion and enthusiasm, Tracey’s remit is one of service development, relationship management and operational strategy. She works closely with the Directors, the Finance department and the rest of the Operations team.

Victoria McDermott
Head of Case Management & Senior Case Manager
Victoria qualified as an Occupational Therapist in 2010 and has worked in a number of clinical fields including in acute and rehabilitative areas within the NHS and private sectors both within inpatient settings and in the community.
As a Case Manager Victoria handles a portfolio of complex cases; her specialisms include brain injury both acquired and traumatic, spinal cord injury, amputee, complex orthopaedic and poly trauma conditions.
Putting the client and family at the centre of all decisions is key to her approach and successful track record in case management.

Becky Brocklehurst
Office Administrator
Becky has a sound understanding of Breakthrough Case Management and provides administrative support, both to the Directors and the operations team.

Lucy Lancaster
Finance Assistant
Lucy works closely with the Directors and Tracey Williams, commercial Manage to oversee the invoicing and financial aspects of the company and liaises with law firms, therapists and case managers to this end. With excellent organisational skills and a keen eye for detail, Lucy has a strong background in financial administration and provides vital support to the wider administration team.

Katie Redden
Human Resources
Katie manages the recruitment and implementation of new staff across the company and provides executive support to the directors and case managers. As well as being the first port of call for staff and HR enquiries, Katie liaises with a wide range of therapists and referred professionals, as well as clients, and ever calm under pressure, is a highly experienced and respected member of the team