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Our servicesFatigue Management

Expert team

Our interdisciplinary team includes:

  • specialist occupational therapists
  • clinical psychologists
  • assistant practitioners
  • medical advisor.


Nikie Catchpool

Nikie Catchpool MA, Dip COT, OTR, PgC Leadership, HPC Registered
Joint Clinical Lead for adults with longstanding fatigue and Macmillan Consultant Occupational Therapist

Nikie Catchpool has worked as an occupational therapist since 1990 in England and the USA, predominantly in the field of long-term conditions. She jointly set up adult Fatigue Management services, successfully securing funding through the Department of Health investment programme, and is involved nationally with work and vocational rehabilitation matters. Nikie is also a Macmillan Professional working in partnership with the charity providing fatigue related services for cancers survivors. Nikie has an MA in applied social research and a postgraduate certificate in leadership and quality improvement.

Nikie’s research interest include the role of employers in supporting people with CFS/ME and she was a member of the Department of Health Guideline Development Group for the publication: ‘Occupational Aspects of the management of Chronic Fatigue Syndrome: a National Guideline’ (Department of Health 2006).

 Anne Johnson 

Anne Johnson MA, Dip COT, RNMH, FETC, HPC Registered
Joint Clinical Lead for adults with longstanding fatigue and Macmillan Consultant Occupational Therapist

Working as an occupational therapist since 1991, Anne has gained experience in a wide variety of clinical areas including general medicine, neurology, rheumatology and chronic pain. She jointly set up adult Fatigue Management services successfully securing funding through the Department of Health investment programme. She has represented the profession at several national forums linked to welfare reform, work and vocational rehabilitation. Anne is also a Macmillan Professional working in partnership with the charity providing fatigue related services for cancers survivors.

Anne gained a Masters in Applied Social Research in 2007 and her research interests include investigating how the experience of longstanding fatigue alters a person’s life course, roles and occupations.

Anne is also a senior lecturer at the University of the West of England in the Faculty of Health and Life Sciences and is currently undertaking a PhD investigating the experiences of men and the disruptive effects of CFS/ME on their daily lives.

Both Nikie and Anne are responsible for designing and delivering a variety of clinical education and training to other professionals working in health and social care, with people with CFS/ME and/or post cancer related fatigue.

Dr Esther Crawley

Dr Esther Crawley FRCPCH PhD
Consultant paediatrician

Dr Esther Crawley is the clinical lead for the CFS/ME service for children and young people which she started in 2004. She completed her medical training in Oxford and did a PhD at University College London and Great Ormond Street Hospital. 

Dr Crawley is a Reader at the University of Bristol, researching CFS/ME in children and adults. Her research projects include: the epidemiology of CFS/ME in children; qualitative studies in to the impact of this condition in the families; the development of a Patient Reported Outcome measure as well as both treatment and prevention trials.

Dr Crawley is deputy chair of the CFS/ME Research Collaborative, sits on the NIHR panel for doctoral fellowships, is on the University of Bristol Council and is a medical advisor to the Association of young people with ME and the Sussex ME Society

Dr Bryany Duggan (nee Cusens)
Chartered Clinical Psychologist/Macmillan Clinical Psychologist

Bryany obtained undergraduate and postgraduate degrees in applied psychology from Cardiff University before training as a Clinical Psychologist in 2005. Following qualification, she worked in the field of pain management. She relocated to the RNHRD in Bath in March 2010 and now works with the Adult Fatigue Management Service. She provides psychological interventions grounded in Acceptance and Commitment Therapy, working with people with long-term fatigue conditions including Chronic Fatigue Syndrome/ME and cancer-related fatigue.

Bryany’s research interests include exploring the psychological mechanisms of behaviour change including mindfulness, cognitive diffusion and aspects of acceptance.

Dr Lucy Thompson
Macmillan GP Advisor

As one of a number of general practitioners funded by a Macmillan grant, Lucy has been heavily involved with promoting any tools which will improve patient experience for those affected by cancer. Lucy works mainly with primary care colleagues to help them implement such tools and also with the National Cancer Survivorship Initiative (NCSI), designing and developing templates for pathways of care. Lucy acts as a specialist advisor to the adult cancer survivorship work at the RNHRD and is also a GP in a practice in Wiltshire.

Victoria Wilson
Specialist occupational therapist

Victoria Wilson has worked as an occupational therapist since 2005 in adult Fatigue Management at the RNHRD since 2009. She has worked in a variety of clinical settings and has an interest in vocational rehabilitation and psychosocial factors associated with health and wellbeing. Victoria is the lead clinician for the Young Adult Group Programme for CFS/ME and also acts as a Practice Educator for under graduate Occupational Therapy students on clinical placement with the service.