Brain Injury and Neurological Care

Across our five specialist centres, we provide a range of services for individuals with either a brain injury or a neurological condition.

At Huntercombe we are highly ambitious for all our patients and residents.  From the moment someone comes through our doors, we believe in their potential to improve and we will always do our very best to help each individual to progress and move forward in their lives.

We provide specialist rehabilitation in the early stages of brain injury recovery, right through to residential care.  We also provide respite care at some services.

In the UK, brain injury rehabilitation services vary quite considerably in terms of the type of service they provide. Because the extent of a brain injury varies from one person to another, most people are referred to the service that will best match their personal rehabilitation needs. For some, this might be a very short period of intensive therapy, for others therapy might be spread out over a longer period.  Some patients may need a service with greater emphasis on physiotherapy and motor function, whilst others may need more cognitive and behavioural input and others may need a combination of the two.

Services provided

Specialist Rehabilitation Services

Often referred to as a ‘Level 1’, ‘tertiary’ or ‘regional’ rehabilitation service, this service is for people with highly complex and severe impairments following their brain injury. Patients are admitted directly from an acute ward as soon as they are well enough.

At our Level 1 services, patients have access to a highly specialist regional Inter-Disciplinary Team and facilities that are unlikely to be available in local areas. Due to their specialist nature, most Level 1 services are located geographically close to a NHS major trauma hospital.

Patients normally stay for a relatively short period of time and, during their stay, have intensive daily therapy sessions.  Patients are either discharged home or to a slower stream service that is closer to their home address.

Slow-stream Rehabilitation

Also referred to as a ‘Level 2’ service, this type of rehabilitation is for people who have either already undergone some specialist or Level 1 rehabilitation and still require further intensive therapy to reach their optimum level of recovery or for those who would find an intensive Level 1 programme of care fatiguing and demotivating. Patients are usually admitted to this service from a Level 1 service or direct from an acute hospital.

The inter-disciplinary teams at our Level 1 and Level 2 rehabilitation services are led by a Medical Director and Consultant in either Rehabilitation Medicine or Neuropsychiatry.  They are supported by an extensive clinical team comprising nursing and rehabilitation staff, occupational therapists, physiotherapists, speech and language therapists, and psychologists.  By offering a Level 1 and Level 2 service on the same site, at Huntercombe patients can move seamlessly into a Level 2 service for ongoing rehabilitation from the same highly specialist team.

Residential and Respite Care

We look after people who have complex problems associated with a brain injury or neurological condition and who cannot be looked after at home, usually because of the high level of nursing care they need.  We also care for individuals who are in the later stages of a progressive neurological condition. We help our residents participate in everyday activities and to be as independent as they can.  We offer respite care as well, either for several days or weeks.

Conditions we manage

  • Acquired Brain Injury
  • Complex Stroke
  • Epilepsy
  • Guillain-Barre Syndrome
  • Huntington's Disease
  • Hypoxic Brain Injury
  • Korsakoff's Syndrome
  • Motor Neurone Disease
  • Multiple Sclerosis
  • Parkinson's Disease
  • Spinal Injury
  • Traumatic Brain Injury


We believe everything starts with high quality care.  Better quality care means better experiences and better outcomes.  For our brain injury rehabilitation services, we use a range of evidence-based outcome measures to check that our therapeutic model delivers good outcomes for our patients.

In England, our Level 1 and Level 2 services are part of The UK Rehabilitation Outcomes Collaborative (UKROC), a national clinical database which routinely collects key information about any patient admitted to a specialist rehabilitation unit in England.  The aim of this national database is to compare progress made by patients in one rehabilitation service with progress made by patients in other similar services.