The Founders

Built by clinicians with genuine dual expertise.

Kate Roche MSc, MCSP, IBCLC

Paediatric Feeding Therapist  ·  Chartered Physiotherapist  ·  IBCLC  ·  Clinical Director, NTTC

Kate brings physiotherapy clinical reasoning — biomechanics, motor learning, manual therapy — to infant feeding assessment. Her work at the National Tongue Tie Centre underpins the Isoalign and Motor Patterning elements of PRIME. Her dual qualification as a Chartered Physiotherapist and IBCLC places her at an intersection very few clinicians occupy.

Dr Justin Roche MB ChB, FRCPCH, FRCPI, IBCLC

Consultant Paediatrician  ·  FRCPCH & FRCPI  ·  IBCLC  ·  Medical Director, NTTC

Justin holds one of the rarest dual qualifications in paediatric practice: consultant paediatrician and IBCLC. He approaches infant feeding from both a diagnostic medical framework and lactation science simultaneously — integrating clinical systems that are usually kept entirely separate. He has presented internationally on paediatric feeding assessment in Bali, Florida, and Switzerland.

Clinical consultation at the National Tongue Tie Centre

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