Manju Chacko

A committed Nurse Practitioner with a plethora of qualifications and extensive experience in providing medical care to prison inmates in secure facilities. Highly experienced in patient assessment, diagnosis, treatment, and prescriptions of long-term and short-term conditions. A confident speaker, communicator, and people-person, able to form strong relationships with patients, senior staff, and within teams.

Calm and confident, with experience in providing high-quality medical care to prisoners with disabilities, mental health problems, and language barriers. Committed to delivering ongoing high standards with comprehensive knowledge of regulatory framework and best practices.

Nurse Practitioner - H.M.P Fosse Way - Leicester, UK

(2025-06)

• Advanced clinical assessment and management of patients with acute and complex long-term conditions within a prison healthcare setting
• Conduct comprehensive history taking, physical examinations, investigations, diagnostic reasoning, and clinical decision-making
• Independent non-medical prescriber, safely prescribing and reviewing medications using evidence-based practice
• Develop, implement, and regularly update personalised care plans and patient reviews
• Provide case management and anticipatory care to support effective long-term condition management
• Deliver high-quality, patient-centred care while ensuring compliance with local and national clinical standards and performance indicators
• Collaborate effectively with General Practitioners and multidisciplinary teams to support integrated healthcare delivery and coordinated patient care
• Initiate referrals to internal and external healthcare services to ensure continuity of care
• Monitor therapeutic effectiveness of prescribed treatments and liaise with independent prescribers through agreed clinical management plans
• Provide expert advice and education on prescribed and over-the-counter medications, including side effects and medication adherence
• Promote health improvement through primary and secondary prevention strategies and patient wellbeing initiatives
• Support and empower patients through education and self-management strategies where appropriate
• Act as a role model and mentor to nursing colleagues, supporting professional development and improved patient outcomes
• Identify, escalate, and address concerns relating to quality of care in line with trust policies and governance procedures
• Undertake clinical audits, peer reviews, and service evaluations to monitor and improve clinical practice and performance
• Maintain up-to-date clinical knowledge and competencies through ongoing Continuing Professional Development (CPD) and evidence-based practice
• Work closely with the Prison Physical Healthcare Matron to maintain and enhance standards of care and service delivery

Nurse Practitioner - H.M.P Peterborough - Peterborough, UK

(2018-12 - 2025-06)

• Assessing patients with advanced nursing practices in history taking, assessment, examination, investigation, diagnostic reasoning, and non-medical prescribing, and updating care plans and reviews for patients
• Providing case management and anticipatory care to diagnose and prescribe appropriate medical care for a wide range of short-term and complex long-term conditions, ensuring the provision of consistently high-quality service in all areas
• Collaborating with General Practitioners and clinical teams, including referrals, to provide integrated healthcare and smooth information exchange, and supporting nursing colleagues as a role model and mentor to improve patient outcomes
• Prescribing medication and reviewing for therapeutic effectiveness using evidence-based practice and analysis, and liaising with an independent medical prescriber through the development of agreed clinical management plans
• Outlining expert information on prescribed and over the counter medications, medication regimes and side effects
• Aligning operations with local and national performance indicators concerning long-term health conditions, and collaborating with the prison physical healthcare matron to ensure the achievement of high standards
• Promoting long-term healthcare in primary and secondary prevention to improve patient wellbeing in line with targets, and educating patients to encourage and enable self-management where appropriate
• Identifying and escalating concerns regarding poor quality of care in accordance with trust policies and procedures
• Monitoring personal clinical practice through audit and peer reviews to improve performance
• Participating in regular CPD opportunities to ensure up to date evidence-based knowledge, and complying with all applicable laws and regulations in the legislative framework
• Handling emergency situations using regulatory and procedural expertise to respond in line with high standards

Registered Nurse (Sensible Staffing Agency) - H.M.P Gartree - Leicestershire, UK

(2017-04 - 2018-11)

Nurse (Sensible Staffing Agency) - H.M.P Birmingham - Birmingham, UK

(2015-07 - 2017-03)

Registered Nurse - H.M.P Onley - Warwickshire, UK

(2010-11 - 2015-08)

• Delivered acute and chronic care to inmates as part of a strong and diverse team of nursing staff, providing clinical care, including admission/discharge, wound care, minor illnesses and injuries and patient assessment within the prison
• Carried out general nurse clinics working with General Practitioners to ensure the delivery of appropriate care and referrals
• Ensured the provision of consistently high-quality healthcare while handling limitations of the secure environment, assessing individuals and developing and implementing tailored care plans
• Administered services to a range of patients, including disabilities, learning disabilities, high-risk prisoners, and dealing with language barriers, alongside continually assessing the physical and mental health of segregation unit prisoners
• Assisted the doctor for minor surgeries and supported the mental health team with the identification of mental health problems and injuries such as suicide or self-harm, and referring patients for treatment
• Conducted risk assessments in all areas, including cell sharing, treatment, and medication administration, and maintained regulatory and procedural knowledge to react appropriately in unexpected and emergency situations
• Certified that medication was administered and dispensed as prescribed using Medicines Management procedures
• Completed all appropriate administrative and medical documentation in line with guidelines and standards, such as drug charts, and contributing to the maintenance and completion of the Health Delivery Plan
• Collaborated within a diverse medical team and communicating issues to senior medical and prison security staff
• Implemented and maintained systems to deliver smooth and efficient patient reception and discharge procedures
• Worked within the clinical governance framework, and contributed to the development of practice and research

Agency Nurse - H.M.P Rye Hill - Rugby, UK

(2015-08 - 2018-12)

• Gave specialist and expert advice on health and clinical matters to patients
• Learned and implemented the Health Delivery Plan, contributing to maintenance and completion, and supported smooth and efficient patient/prisoner reception and discharge procedures
• Ensured compliance with all laws, regulations, and security procedures in a prison environment
• Identified patients at risk, and referring to the appropriate teams in physical health or mental health care for treatment
• Completed risk assessments when needed to uphold excellent patient care

Bank Nurse (Sensible Staffing Agency) - H.M.P Rye Hill - Rugby, UK

(2012-08 - 2015-08)

Registered Nurse - Kersley Wood Care Centre - Coventry, UK

(2005-11 - 2010-10)

• Worked directly with clients, within multi-disciplinary teams, and speaking with relatives to assess patient care needs and maintaining care plans in accordance with NMC guidelines with health supervision and direct nursing care
• Supported junior staff wherever required to improve service delivery and quality of patient care
• Monitored the physical and mental health of clients, reported ill health and facilitated requests for GP visits
• Conveyed up to date information for relevant staff members at the end of each shift, and maintained confidentiality
• Administered medications and kept records up to date, and promoted safe practice in the workplace with reports
• Attended training and maintained knowledge in clinical expertise to improve professional expertise and competence

Registered Nurse - Arden Valley Christian Nursing Home - Henley, UK

(2004-03 - 2005-11)

Staff Nurse (ICU and NICU) - Noor Hospital - Mumbai, India

(2002-07 - 2003-05)

• Part of the Critical Care Unit, with the assessment, monitoring, and care of patients, and creating and implementing effective care plans, administering IVs and medications, assisting physicians in procedures, and pre-op and post-op care
• Provided wound care and advanced life support using high nursing standards and protocols in life-saving situations
• Maintained medical equipment such as ventilators and cardiac monitors to operate effectively, and filled out documentation

Staff Nurse (Medical and Surgical Ward) - Noor Hospital - Mumbai, India

(2000-03 - 2002-03)

• Gave pre-op and post-op care to surgical patients, and provided information to patients and families
• Administered necessary medication with IVs, IMs, oral and topical, intra-dermal, SC injections and rectal
• Monitored patient vital signs, provided wound care, dressing applications, and safeguarded and cleaned tracheostomies
• Worked as part of a team, and supported junior nurses when required t

Staff Nurse (Medical and Surgical Ward) - Medical Mission Hospital - Kerala, India

(1999-05 - 2000-01)