Lesley Pickering BSc(Hons)OT BMus(Hons) A.R.C.M.

Clinic Founder & Director | Specialist Occupational Therapist


After several years of suffering from severe CFS/ME Lesley returned to university to complete a degree in occupational therapy so that she could treat patients’ with this debilitating condition. Qualifying in 2010 Lesley was the first Specialist Occupational Therapist to join the Lancashire NHS CFS/ME Service which went on to achieve top results for the National Outcome Database. In 2011 Lesley also commenced employment at Pendleside Hospice, where again she was the first OT to be employed, and thus set up and ran a successful occupational therapy service within the day therapy unit.

Lesley is very motivated, and prides herself on always being empathetic and understanding towards the needs of her patients. With over 19 years professional and personal experience of the condition, she is passionate about delivering evidence-based therapy to people with CFS/ME, teaching them new skills and techniques which she adapts to their specific needs. Lesley has an extremely positive approach to enabling her patients to participate in life the way that they want to.

Lesley is very family orientated and enjoys creative activities including sewing and card making, and playing the clarinet and piano.

Joanne McLoughlin BSc OT

Specialist Occupational Therapist


Joanne is a Specialist Occupational Therapist in the field of CFS/ME with experience of the condition spanning 25 years. She has been a qualified Occupational Therapist since 1993, working within the NHS, private and charity sectors. She was a member of the NHS Lancashire CFS/ME Service that was a national leader in clinical outcomes. Joanne currently works part-time for the NHS in the field of Rapid Assessment and Palliative care, treating patients within their own homes. Joanne combines analysing activity patterns, encouraging a healthy balance of activities and developing graded return-to-work or education plans. She is also trained to deliver GET, Graded Exercise Therapy. In addition to her clinical expertise Joanne has a business background following eight years as a Managing Director for an award winning care home. Her patients appreciate her structured, empathetic, and empowering approach which helps build strong therapeutic relationships.
Outside of work she enjoys running, travelling and the theatre.

Dave Riley BSc.(Econ) C. Psychol, AFBPs

Clinical Psychologist

Dave has worked as a clinical psychologist in the NHS for 40 years where he has gained a wealth of experience in helping people learn more effective ways of coping with the difficulties life presents. He has worked successfully with adults with varied physical and psychological problems including brain injury, anxiety, depression, loss and bereavement, chronic health problems and psycho-sexual difficulties.

In addition he has had a variety of other roles including managing the team of 40+ clinical psychologists and counsellors in Blackburn, chairing the training committee of the Lancaster Clinical Psychology training course and helping to set up and teach a masters degree in Disability Management and Work Rehabilitation at the City University, London. He has also been extensively involved in the voluntary organisations, Cruse bereavement care and Headway, the head injury charity.

More recently he helped set up the Lancashire NHS CFS/ME Service and worked for the service for 5 years. He has recently worked at the Royal Bolton Hospital helping people manage chronic health conditions such as heart disease, inflammatory bowel disease and cancer.

His interests include sailing, cinema and DIY.

Sarah Riley BA(Hons) SRN DipN(Adv)

Specialist Nurse

Sarah has worked in the NHS for 35 years, including acute medical and intensive care nursing, giving her a comprehensive knowledge and understanding of numerous conditions. For many years she has been a senior specialist nurse in Rheumatology, assisting people struggling with a chronic condition and the problems that brings, including pain, fatigue, medication and negotiating the best possible treatment. She has considerable experience working with people of all ages including teenagers.
Her interests include reading, theatre, cinema, walking and hen husbandry.

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