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- Consultant | Rakhee Lb
Rakhee LB is a consulting firm advocating for mental health nursing professionals and providing a helpline, online resources for mental health and dementia carers and their families. We work in partnership to provide education, advice and the opportunity to work jointly with other organisations. NURSE ENTREPRENEUR Rekha Boodoo-Lumbus Expert Consultant | Specialist Mental Health & Dementia Clinical Advocate The Anchor I provide a sense of quiet certainty for those navigating the distressing complexities of mental health and dementia. With 25 years of clinical experience, my work is about clarity and science. I don’t just provide care; I build a foundation where systems have broken down and families have run out of road Clinical Specialisms Expert-led interventions for complex, high-risk, and dual-diagnosis challenges. Dementia & Mental Health Strategy: Restoring stability and dignity through specialist de-escalation and therapeutic engagement. Independent Clinical Advocacy: Navigating the UK care system to protect rights and ensure informed, ethical decision-making. Complex Case Management: Bridging the gap between physical and mental health needs (e.g., Dementia and Cancer) to reduce risk and prevent crisis. Professional Oversight: Clinical supervision and strategic guidance for healthcare stakeholders and organisations. The Impact: Restoring Stability Real-world outcomes for families and professionals. Mental Health and Cancer: Supporting Emotional Resilience Through coordinated specialist support, we move from social withdrawal and family burnout to emotional stability and regained confidence in managing treatment demands. Complex Dementia: Reducing Risk and Carer Exhaustion Expert-led intervention for escalating distress. We restore balance, reduce environmental triggers, and support families through periods of intense uncertainty. Engagement & Consultation Professional containment for intentional results. My work is conducted through structured, private consultations. This ensures the depth and clinical integrity required to solve complex problems. I do not offer "quick fixes"; I provide the expert-led, intentional strategy needed for long-term wellbeing. [Book a Clinical Strategy Session] An initial session to map your specific complexity and define a bespoke intervention plan. Strategic Partnerships & Global Advocacy Founder of Dementia Mauritius Building psychosocial education platforms and amplifying the voices of the vulnerable through international civic leadership and community empowerment. OUR SERVICES Values & Ethics-Based Service Independent Clinical Advocacy My goal is to empower you to regain control of your wellbeing. I provide expert navigation through the complexities of the care system, protecting your rights and ensuring you access high-quality, appropriate services. I help families make confident, informed choices that safeguard both health and dignity. Compassionate Clinical Leadership I believe true leadership in healthcare must be both empathetic and expert-led. My work is driven by a vision to improve the lives of individuals and the health of communities. I actively work to bridge the gaps in generic care models by valuing difference and committing to equity, diversity, and inclusion in every intervention. Expertise & Professional Empowerment True influence is rooted in clinical integrity and evidence-based practice. I provide the high-level insights necessary to create meaningful change in complex mental health environments. I deliver professional growth and system stabilisation through: Clinical Supervision: Specialist oversight for practitioners. Case Consultation: Strategic guidance for complex family dynamics. Professional Support Groups: Expert-led forums for resilience and learning. Strategic Consultative Partnerships My partnerships are built on a foundation of integrity, respect, and professional trust. I form outcome-focused collaborations to solve the most challenging problems in community health and care. I work with professional stakeholders across the health and social care sectors to improve clinical outcomes for vulnerable populations. I provide the specialist coaching and strategic oversight required to ensure the long-term success of care interventions. Services We offer specialised services for mental health and dementia, focusing on providing comprehensive and compassionate care for individuals and their families. We work together to create personalised treatment plans that address the unique needs of each person affected by dementia and/or mental health. Comprehensive Assessments Individualised Treatment Plans Family Support and Education Community Resources Ongoing Monitoring and Follow-Up Telemedicine Dementia Mauritius Building a Psychosocial Education Platform Since 2020, our mission has been to provide unwavering support to individuals living with dementia, their families, and dedicated carers. Through advocacy, personalised advice, and compassionate care, we’ve fostered a community that champions dignity, safety, and holistic wellbeing. Into the heart of our journey: Our focus is to create a psychosocial education platform that helps people understand Dementia and Alzheimer’s disease. By raising awareness, providing support, and engaging families, we can navigate this challenging journey together. Compassion and knowledge are our allies in the fight against dementia. 01 Advocacy: Amplifying Voices Advocacy lies at the core of our work. We have tirelessly raised awareness about dementia, dispelling myths and misconceptions. Our campaigns have reached some schools, workplaces, community centres, and charities emphasising early detection and reducing stigma. By amplifying the voices of those affected, we have sparked conversations that matter. 03 Dignity: Honoring Personhood Dementia does not erase identity. We honour each person’s unique history, preferences, and passions. Our “Individualised Life Story” sessions celebrate life milestones, creating connections beyond memory loss. Dignity lies in acknowledging the person behind the diagnosis. 05 Frailty: Navigating Complex Needs As dementia progresses, frailty becomes a concern. We address nutritional needs, physical activity, and emotional well-being. Additionally, we work alongside palliative care specialists and/or pain clinic to enhance comfort and maintain a high quality of life. 02 Empowerment: Nurturing Independence Dementia need not diminish one’s autonomy. We empower individuals by enabling self-reliance. Our workshops focus on memory-enhancing techniques, adaptive strategies, and maintaining cognitive function. We celebrate small victories - a cherished memory recalled, a familiar face recognised - as steps toward empowerment. 04 Palliative Care and End of Life Support In the twilight hours, we stand by families. Palliative care is not just about symptom management; it is about emotional solace. We facilitate open conversations, respecting individual wishes. Our bereavement support extends beyond loss, celebrating lives well-lived. 06 Safeguarding: Ensuring Safety and Rights Safeguarding sits at the heart of our work. We protect individuals living with dementia from harm, neglect, and exploitation, while upholding their rights, choices, and best interests. Through awareness, ethical practice, and early intervention, we help families and carers create safe environments where dignity and autonomy are respected. An older adult living with advanced Alzheimer’s disease and deteriorating mental health was experiencing increasing isolation and difficulty managing daily life. Specialist intervention helped stabilise her wellbeing, reduce distress, and ensure care decisions reflected her wishes. Family members felt supported, informed, and better able to sustain care without crisis escalation Mental Health and Cancer: Supporting Emotional Resilience A middle‑aged adult undergoing cancer treatment was struggling with worsening mental health and social withdrawal, placing significant strain on both her and her family. Through coordinated specialist support, emotional stability improved, isolation reduced, and family carers regained confidence in managing the challenges alongside treatment demands. Complex Dementia and Cancer: Reducing Risk and Family Burnout An individual living with Lewy body dementia alongside serious physical illness was facing escalating distress and caregiver exhaustion. Expert‑led intervention helped restore balance, reduce risk, and support the family through a period of intense uncertainty. The outcome was improved quality of life and greater confidence in navigating complex care needs. Dementia and Mental Health: Restoring Stability and Dignity Case Study Services & Consultations Our Services & Support Options Our personalised treatment plans are designed to meet the unique needs of each individual. We believe in providing bespoke care, which is why our fees are tailored to your specific circumstances. Below is an overview of the services we offer. CONSULTATIONS & INTERVENTIONS o. Free Initial Introduction Discussion (20 mins): A brief session to discuss your goals, answer your process questions, and determine if we’re the right fit for your project. o. Follow-up Consultation (30 mins): Focused sessions to review progress or address specific concerns. o. Extended Consultation (60 mins): In-depth time for more complex discussions or intensive support. TALK-BASED SESSIONS o. Direct, person-centred therapeutic support focused on your specific goals and wellbeing. o. Standard Intervention Session: Dedicated one-to-one support tailored to your ongoing care plan. o. Targeted Support Sessions: Focused interventions for specific challenges or transitions. Letters & Documentation Professional written support to assist and document your care journey. o. Standard Letter: A professional summary of care provided. o. Detailed Report: An in-depth clinical or progress oversight for your records or third parties. o. Comprehensive Assessment Report: A full diagnostic and situational analysis. Sitting & Befriending Service (Available exclusively in the Bristol Area) Compassionate companionship and practical support for individuals who benefit from a reassuring presence. Hourly Support Half-Day Service Full-Day Service Financial Considerations We believe that everyone deserves access to high-quality care. If you have specific financial concerns or require a bespoke arrangement, please reach out. All conversations regarding fees and circumstances are held in the strictest confidence. [Contact Us to Discuss Your Needs] MEDIA CENTRE Media & Insights Analysis, Advocacy, and Clinical Evolution NATIONAL CONTEXT The National Landscape The National Landscape: A System Under Pressure In the UK, over 982,000 individuals are currently living with dementia—a figure projected to exceed one million by 2030 and reach 1.4 million by 2040. This demographic shift is not just a health crisis but an economic one; the annual cost of dementia in the UK is forecast at £42.5 billion in 2024, expected to more than double to £90 billion by 2040. The Burden on Families and Unpaid Carers A "Hidden" Workforce: While 540,000 family carers in England provide essential support, the Alzheimer’s Society reports many receive no formal health or financial assistance. Extreme Care Demands: A third of unpaid dementia carers spend over 100 hours per week on caregiving duties, with 16% having to give up work entirely to cope. Financial & Health Strain: Families currently shoulder 63% of all dementia-related costs. This relentless pressure takes a toll, with 70% of unpaid carers reporting a negative impact on their own mental or physical health. The Strain on the NHS and Specialist Services Record Demand: Demand for specialist mental health services has reached record levels, with 2.8 million adults accessing NHS-funded care in 2024/25. Hospital and Primary Care Pressure: One in six hospital beds is occupied by someone with dementia, and these patients visit their GP up to three times more often than those without the condition. The Diagnosis Gap: Despite the benefits of early intervention, a third of people with dementia remain undiagnosed. Currently, spending on diagnosis and treatment accounts for less than 1.4% of total dementia healthcare costs, leaving many families to navigate the system only when they reach a crisis point. Helpful Resources & Interesting Findings Strategic Focus & Research Initiatives Driving innovation through evidence-based practice and systemic change. Holistic Intervention Models: Developing transdisciplinary, person-centred frameworks that bridge the gap between clinical necessity and lived experience. Post-Diagnostic Global Strategy: Investigating international barriers to post-diagnostic support to inform more robust community solutions. Sensory & Cognitive Complexity: Researching the critical intersection of visual impairment, Posterior Cortical Atrophy (PCA), and access to psychological support in older adults. Clinical Governance & Innovation: Advancing nurse-led clinics and peer-mentoring frameworks to foster a culture of research and quality improvement. The Knowledge Exchange Curated insights for professionals and families. Clinical Findings: Exploring the bidirectional link between long-term mental health and dementia prevention. The Mind-Body Connection: Integrating mindfulness-based practices into physical and cognitive wellbeing. Specialist Carer Resources: Targeted guidance on nutritional management, creative arts in dementia care, and the therapeutic impact of companionship. Our Foundational Values At Rakhee LB, care is more than a service, it is a promise. We operate on the belief that health is the ultimate wealth and that every individual deserves to be seen and heard. By grounding our work in these core principles, we cultivate lasting relationships defined by trust, innovation, and a deep-seated commitment to the communities we serve. Our Core Values: Respect: We honour your unique journey and uphold the dignity of every person we encounter. Trust: We build enduring partnerships through radical transparency and unwavering honesty. Service: We tailor every action to the individual, ensuring our care is as precise as it is compassionate. Initiative: We don’t just react; we innovate, constantly finding new ways to elevate the standard of care. Commitment: We are dedicated advocates for our clients and the social changes that strengthen our society. Client Engagement Overview: Dual Sankey Diagrams (Oct 2024–Sept 2025) 🧭Framing Statement for Dual Sankey Diagrams To reflect the evolving nature of client engagement at Rakhee LB Limited, two Sankey diagrams have been developed. One focuses on clients who received Copilot support, showcasing the role of digital assistance in service navigation and emotional wellbeing. The other highlights those who accessed traditional or community-based support, offering insight into more conventional care pathways. Together, these visuals present a complete picture of how individuals engage with services, digitally and face-to-face, without overlapping content or duplicating narrative. 🔗 Sankey Diagram 1: Copilot-Supported Engagement This diagram illustrates how clients interact with Copilot as part of their care journey. It begins with their initial health concern, such as mental health, physical conditions, cancer, or dementia and branches into demographic details like sex and ethnicity. From there, it shows how clients use Copilot for: Navigating available services Receiving emotional and cognitive support Accessing clear, jargon-free information Engaging in digital routines and reminders The final branches reflect outcomes such as: Greater confidence in self-navigation Reduced emotional distress Improved service uptake Referral to human-led support when needed Visual elements include: Colour-coded diagnosis streams Shaded overlays for sex Patterned segments for ethnicity Quotes and vignettes to humanise the data ✅ Sankey Diagram 2: Traditional & Community-Based Support This second diagram follows clients who engaged with non-digital services. It mirrors the same diagnostic and demographic entry points but focuses on pathways like: Signposting to relevant services Short-term interventions Support from staff, carers, or community partners Outcomes include: Empowerment and discharge Continued support External referrals Design features remain consistent for clarity, with distinct annotations that highlight individual stories and feedback. These include: “I didn’t know where to start, but the team helped me understand my options.” “The dementia support helped my mum and helped me feel less alone.” “After the short sessions, I felt more in control of my anxiety.” “They explained everything clearly and helped me get the right benefits.” “I was signposted to housing support and things finally started to move forward.” Report on Data Analysis and Visualisation - Complex Cases November 2023 - September 2024 Introduction This report provides an analysis of the data represented in three graphs covering the period from November 2023 to September 2024. The graphs illustrate various categories and series, highlighting trends and patterns over time. The effort involved in capturing and visualising this data is also discussed. Graph 1: 3D Clustered Bar Chart Description The first graph is a 3D clustered bar chart displaying data for several categories: Contacts, *Dementia/Mental Health/Physical Health, Support, Signposting, Interventions, Discharge Follow-up, Feedback, and Total. The vertical axis represents quantity, ranging from 0 to 140, while the horizontal axis covers the months from November 2023 to September 2024. Findings Contacts and Total: These categories consistently show higher values compared to others, indicating a significant volume of interactions and overall activity. *Dementia/MH/PH Support: This category shows a steady trend, reflecting ongoing support needs. Interventions and Feedback: These categories have moderate values, suggesting regular but less frequent activities compared to Contacts, mainly due to less complex cases. Signposting and Discharge Follow-up: These categories have values, indicating that service users needed different services or interventions, and it was essential that they were directed to relevant services. Graph 2: Bar and Line Graph Description The second graph is a combination of bar and line charts, titled “Nov 2023 - Sep 2024.” It includes eight series, each represented by different coloured bars and lines. The vertical axis is labelled “Demand in MH/PH,” with values ranging from 0 to 160. Findings Series Trends: Each series shows varying demand over the months, with some series peaking at different times. The lines connecting data points help visualise these trends clearly. Demand Peaks: Certain months show higher demand for specific series, indicating periods of increased activity or need. Graph 3: Bar and Categorised Description Categories: It includes three categories: Increase, Decrease, and Total. The Increase category is represented in light blue, Decrease in orange, and Total in dark blue. Vertical Axis: The vertical axis represents quantity, ranging from 0 to 800. Findings: Increase and Total: Both categories show consistent growth over time, with the Total category reaching slightly above 700 at point 11. Decrease: There are no bars for the Decrease category, indicating no recorded decreases during this period. Data Collection and Visualisation Effort Data Collection Sources: Data was collected from various sources, including internal records, surveys, and external databases. Validation: Ensuring data accuracy involved cross-referencing multiple sources and validating entries. Frequency: Data was collected monthly to capture trends and changes over time. Visualisation Tools Used: Advanced data visualisation tools were employed to create the graphs, ensuring clarity and accuracy. Design: The design process involved selecting appropriate chart types, colours, and layouts to effectively communicate the data. Review: Multiple iterations and reviews were conducted to refine the visualisations and ensure they accurately represented the data. Interventions The data also reflects a combination of interventions, including: Active Listening: Engaging with individuals to understand their concerns and needs. Positive Reinforcement: Encouraging positive behaviour and progress. Brief Cognitive Behavioural Therapy (CBT): Addressing specific issues through short-term, goal-oriented therapy. Anxiety Management: Techniques to help individuals manage and reduce anxiety. Risk Management through Third-Party Interventions: Collaborating with external organisations to manage risks. Evaluation of Diagnosis and Post-Diagnosis: Assessing and following up on diagnoses to ensure appropriate care. Benefits and Medication: Providing information and support regarding benefits, CHC, and medication management. Conclusion The analysis of the graphs provides valuable insights into the trends and patterns over the period from November 2023 to September 2024. The effort involved in data collection and visualisation was substantial, ensuring the accuracy and clarity of the presented information. These visualizations, along with the detailed interventions, serve as powerful tools for understanding and decision-making. Nurse-Led Holistic Dementia Care: A Case Study in Impact October 2022 - October 2023 Our Nurse-Led Holistic Dementia program focuses on providing targeted support to individuals living with dementia and their carers. By adopting a compassionate and holistic approach, we addressed complex needs and delivered a comprehensive program through a consistent 15.5 hours per week of service. The program's core goal was to address the diverse needs of both carers and individuals living with dementia, focusing on vital topics such as: Cognitive impairment, anxiety, and depression Culturally appropriate bereavement support Employment, benefits, and inequality Removing barriers and fostering open dialogue Key Findings and Outcomes The data from this period, as demonstrated in our graphs, shows that our evidence-based, multimodal, and multidimensional approach has been highly effective. Improved Well-being: Our interventions have significantly improved outcomes for many service users, successfully addressing concerns and providing vital support. Empowerment: Clients and their families gained a sense of acceptance and empowerment, successfully overcoming stigma and embracing a more positive outlook. Positive Community Impact: By fostering empathy, respect, and dignity through education and compassionate care, we helped reduce existing prejudices in the community. This case study demonstrates the power of a nurse-led approach to transform the health and happiness of people living with dementia and those who care for them. OPENING HOURS Informal Questions Monday - Friday: Varies Saturday: 8am - 8pm Sundays & Bank Holidays: Closed CONTACT US Get in Touch We are here to help when you need us. While we do not have fixed operating hours, you can reach out anytime and we will respond as soon as possible. 📧 Email: Send us an email with your inquiry. 📞 Phone: Call us to schedule an appointment. 🌐 Online: Fill out the contact form below. rekha.boodoo-lumbus@rakheelb.com Submit Thanks for submitting! +44 7464100959
- Wellness Services | Rakhee LB
Wellness Services Therapeutic Meeting Points A professionally held, nurse-led space for reflective conversation and wellbeing. Sometimes, the most effective support comes from a real connection in a relaxed, everyday environment. I offer nurse-led wellbeing sessions held at local Bristol cafés or restaurants. Whether you are navigating a period of change, managing stress, or seeking reflective support from a qualified professional, these sessions provide a safe, non-clinical space to be heard. Note: 'Therapeutic' in this context refers to professionally held conversation, it is not medical treatment, clinical assessment, or psychotherapy. What the service offers: Professional Presence: Clinical-led listening and reflective support provided within strictly held NMC professional boundaries. Holistic Wellbeing: Insightful discussions tailored to your personal wellness journey. Human Connection: The comfort of a "cuppa" or a meal combined with professional accountability. A Protected Space: A dedicated environment to discuss your wellbeing outside of a formal hospital or home setting. Booking Options 1 to 1 Private Consultation A dedicated, conversational session for focused individual support. These meetings are reflective and do not include clinical interventions. Location: A café or restaurant of your choice (within North Bristol). [Book a Session] Group Wellbeing Circles Small, curated group meetings designed to promote connection in a nurse-facilitated setting. Location: Various local meeting points. See upcoming dates. [View Upcoming Dates] Please note: The service fee covers professional time and facilitation. Guests are responsible for their own food and drink at the venue.
- SOP & Policies | Rakhee LB
Rakhee LB Limited Policies Purpose of Standard Operating Procedure A) Outline the context of Dementia, Mental Health, and Wellness within specified geographical areas (UK, Europe, Mauritius, and Global) to ensure clear understanding of the services provided by the Registered Nurse and/or Practitioner. B) Provide clarity, consistency, and quality of service. C) Inform how Rakhee LB Limited operates daily within these areas and the process of engagement with the corporation. Definition and Importance of Policies Policies are formal guidelines that outline the principles and rules governing an organisation’s operations. They ensure consistency, compliance with laws, and provide a framework for decision-making. Integrating policies with our SOPs helps streamline operations and ensures everyone has access to the most current information. Key Policies: 1. Data Privacy and Security 2. Inclusivity and Diversity 3. Sustainability 4. Feedback and Continuous Improvement 5. Safeguarding and Risk Management 6. Health and Safety These policies enhance our organisation’s operations and ensure comprehensive, ethical, and inclusive care. Link => https://drive.google.com/file/d/1kEpZ9Ud5izjf0yU35BQ1tGHbSfRrmJ7R/view?usp=sharing
- Services & Consultations | Rakhee LB
Services & Consultations Our Services & Support Options Our personalised treatment plans are designed to meet the unique needs of each individual. We believe in providing bespoke care, which is why our fees are tailored to your specific circumstances. Below is an overview of the services we offer. CONSULTATIONS & INTERVENTIONS o. Free Initial Introduction Discussion (20 mins): A brief session to discuss your goals, answer your process questions, and determine if we’re the right fit for your project. o. Follow-up Consultation (30 mins): Focused sessions to review progress or address specific concerns. o. Extended Consultation (60 mins): In-depth time for more complex discussions or intensive support. TALK-BASED SESSIONS o. Direct, person-centred therapeutic support focused on your specific goals and wellbeing. o. Standard Intervention Session: Dedicated one-to-one support tailored to your ongoing care plan. o. Targeted Support Sessions: Focused interventions for specific challenges or transitions. Letters & Documentation Professional written support to assist and document your care journey. o. Standard Letter: A professional summary of care provided. o. Detailed Report: An in-depth clinical or progress oversight for your records or third parties. o. Comprehensive Assessment Report: A full diagnostic and situational analysis. Sitting & Befriending Service (Available exclusively in the Bristol Area) Compassionate companionship and practical support for individuals who benefit from a reassuring presence. Hourly Support Half-Day Service Full-Day Service Financial Considerations We believe that everyone deserves access to high-quality care. If you have specific financial concerns or require a bespoke arrangement, please reach out. All conversations regarding fees and circumstances are held in the strictest confidence. [Contact Us to Discuss Your Needs]

