Brain Injury Service

Our Brain Injury Service offers two clinical pathways, both supported by a multi-disciplinary team

brain injury service

The Brain Injury Service provides rehabilitation services which encompasses two clinical pathways: Complex Rehabilitation and Prolonged Disorders of Consciousness (PDOC).

The primary commissioner for Level 1/2a rehabilitation to the Brain Injury Service is NHS England. Depending on capacity we can also accept referrals from other sources.

We provide a comprehensive screening assessment before admission and whenever possible meet the patient and/or their family to ensure a streamlined admission process. We can accept a number patients with tracheostomies but cannot accept patients who are medically unstable  or require one-to-one nursing. Patients with one-to-one behavioural needs may be referred to our Neuro-behavioural Unit. You can read more about referring someone to this service by reading our Specialist Services page.

Multi-disciplinary team

The service is led by consultants in rehabilitation medicine working with a comprehensive multi-disciplinary team and expert nursing. Our Complex Rehabilitation programme is patient-centred. Where the patient is able, it works on self-directed goals. It aims to optimise physical, communication and cognitive function.

Patients who have a disorder of consciousness need a comprehensive expert assessment by the multi-disciplinary team. It may include the use of Sensory Modality Assessment (SMART), the Wessex Head Injury Matrix (WHIM) and the Coma Recovery Scale (CRS) in conjunction with expert clinical observation, management and treatment. We also provide support and education to families/loved ones throughout this process.

The management of complex posture and seating challenges is central to all our programmes.  We work on education around some of the longer-term challenges. This involves working closely with family, friends and external agencies.

Complex needs

Most of our patients will have ongoing and sometimes complex needs at the time of discharge. This requires early planning and regular team and family meetings to discuss progress and future plans.

We measure the success of our service first and foremost via the feedback from our patients and their families. We also submit our statistics of rehabilitation outcomes to the United Kingdom Rehabilitation Outcomes Collaborative (UKROC).


If you would like to refer a patient for Level 1/2a rehabilitation services, where possible, please use BadgerNet to submit the referral. Where this is not possible, please use this form.

Please note, referrals must be supported by a medical professional (GP, consultant or community therapy team) and patients must meet pre-determined admission criteria.

If you have any questions about a referral to the Brain Injury Service, please contact the Admissions Office

020 8780 4513