Brain & Spinal Injury Handbook - 24/25

Brain & Spinal Injury Handbook

Study Case

The life-changing rehabilitation story of motorcyclist, Mike Howarth

RECOVERY &

MASTERING BALANCE: The subconscious science of stability REHABILITATION

CASE MANAGEMENT

Expertise essential, but timing is crucial

LONG-TERM

FINANCIAL SUPPORT

BROTHERWOOD DELIVERY: An outstanding solution for the Edwards family

How core values enhance client service

Extra care and support when you need it most & LEGAL COMPLEX CARE

ANNUAL CONFERENCE JUNE 18 & 19 2024

“The carers from Alcedo Care have been absolutely outstanding, even more so as my husband is a “complex case”. The carers are always on time, they are efficient and caring towards me also. I cannot thank them enough for what they have done for my husband, and their care and respect for me”

SB Wife of Client

WELCOME

Dear Reader,

Welcome to the 2024/2025 edition of this indispensable publication for patients, families, friends, case managers, lawyers, neuro rehab providers, caregivers, and all those impacted by brain or spinal injury.

The Brain & Spinal Injury Handbook is a vital and highly regarded resource for occupational therapists, lawyers, and healthcare professionals. This annual handbook serves as a crucial platform for sharing knowledge and experiences, and for raising awareness in the fields of medicine, law, and rehabilitation.

Our goal is to offer hope, comfort, and valuable information to our readers. We express our heartfelt gratitude to the contributors of this issue, whose insights enrich this publication.

If you have insights to share on brain and/or spinal injury, or wish to feature in our next issue please email claire@sevenstarmedia.co.uk.

Until next year. The B&SI Handbook Team

A place to call home PUTTING CLIENTS AT THE HEART OF ACCESSIBLE LIVING

We are proud to provide disability property expertise for clients who experience catastrophic injuries following medical negligence or personal injury.

Our expertise in property finding and disability architectural design is integral to supporting someone post-injury. While many of our clients who have settled a claim, think it is the end of the journey, we know that finding and adapting a suitable property is very often just the beginning of achieving their new normal.

At PLG Consultants, our experts become an integral part of our client’s multi-disciplinary team. We involve our clients in every aspect of the decision-making making including the property search and the design of their own homes.

For us, handing over an adapted home that is tailored specifically for them for them should be a huge cause for celebration. It is the beginning of the next chapter of their lives and a symbolic end to what is likely to have been the most traumatic period of their life. This is why it is so important to us that

WE PLACE OUR CLIENTS AT THE HEART OF EVERYTHING WE DO

agents and vendors to proactively find suitable properties. We carry out all property viewings to assess suitability and manage the process from first instruction to sales completion.

WE KNOW WHICH PROPERTIES CAN BE ADAPTED

Before we secure any property, we ensure they can be adapted to meet the individual needs of our clients.

To provide confidence, we offer a range of reports including Property Market Analysis, Pre-Purchase, Suitability and Feasibility. These support our recommendations that properties can be adapted and within budget and timescales.

We become an integral part of our client’s multidisciplinary team.

Joined-up thinking is our ethos. Our clients and their families have gone through something truly life-changing. We aim to provide continuity, a “can do” attitude and problem-solving to get everyone working together for their benefit.

We know that every client is different. We guide them through this complex process and support them in making the most informed decisions in creating an accessible home. We find interim property solutions and adapt them to make them suitable in the short term. We also find homes for clients to purchase and adapt them into a forever home that provides sanctuary for rehabilitation.

Our Property Finding team take their time to understand the type of property needed. Our consultants work closely with our clients, their care and legal teams to understand their clinical needs and personal preferences and liaise with

Our in-house multiple awardwinning Architectural team are the experts in accessible design. Our architects and designers create a detailed client brief which informs the specifications for the perfect home.

Our easy to understand, fourstage full-service architectural service transforms properties for clients with disabilities. Our services include drawing plans, submitting and achieving planning permission, and managing the onsite build progress, and working closely with everyone involved in the process.

Our years of experience allow us to offer an invaluable architectural perspective as we simply know what works. ■

Andrew Vallis

3 B&SI Welcome RECOVERY & REHABILITATION

10 STEPS Rehabilitation case study

12 We’re specialists in helping people with toileting needs

15 Technology - assisted therapy launched at QEF

16 The value of a combined MDT process and having multiple voices round the table

18 Greek holiday is a milestone in John’s rehab

20 Navigating the challenging property landscape

22 Sleep in People living with neurodiversity

24 Residential rehabilitation for individuals with polytrauma injuries

26 Mastering balance: The subconscious science of stability

28 Riley’s story: One young man’s determination to walk again

30 Chroma launch UK’s first music therapy expert witness service

32 Neurons that fire together, wire together harnessing the power of neuroplasticity after brain injury

34 William Martin Property Consultants Ltd

36 BIS Services

37 The importance of understanding values and beliefs in neurological rehabilitation

53 LV Rehabilitation take the first step towards your recovery

CASE MANAGEMENT

40 Expertise essential, but timing is crucial

43 Corporé - together we’re better

44 ABI Case Management Ltd

COMPLEX CARE

45 Extra care and support when you need it most

48 Libertatem Healthcare Group privileged to support people with complex care needs

50 OneCall24 Healthcare: Bespoke, rehabilitative care with clinical expertise

54 Rehab, respite & rock’n’roll supporting clients to achieve their goals

56 Maplewood Independent Living: Bespoke case management, specialist care & support

58 Making the invisible, visible; The key to a successful care relationship

60 Empowering lives: Acuity care group’s commitment to personalised support and independence

MEDICO-LEGAL

49 Jane James and Associates, expert witness reporting for over 35 years

LONG-TERM SUPPORT

62 Brotherwood deliver an outstanding solution for the Edwards family

66 Functional electrical stimulation (fes) for correction of dropped foot

68 The Case for 24-hour postural management

70 Revolutionising mobility: Quantum Rehab’s R-TRAK power wheelchair

FINANCIAL & LEGAL

All other enquiries claire@sevenstarmedia.co.uk 22 48

9 Life-changing bespoke support after serious injury

72 Personal Injury Trusts - A case study

74 Why the relationship between solicitors and case managers is key to rehabilitation and successful claims

76 How core values enhance client service

78 Morr & Co

USEFUL CONTACTS

82 Brain & spinal injury contact information

84 A very special thank-you to all our contributors

PERSONAL PROFILES

85 Personal Profiles

Executive Editor Lee Gatland lee@sevenstarmedia.co.uk

Art Director Richard Hejsak richard@sevenstarmedia.co.uk

Sales Team Claire Hollingdale & Joanne Lewis 01959 543 659 sales@sevenstarmedia.co.uk

Disclaimer: The Brain & Spinal Injury Handbook is published annually by Seven Star Media Ltd. No part of The Brain & Spinal Injury Handbook may be reproduced, stored in a retrieval system or transmitted to any form without permission. Views expressed in the magazine are not necessarily those of Seven Star Media Ltd, and are included to provide advice only. No content is a substitute for professional medical advice. During printing, images may be subject to a 15% variation. © Copyright of content belongs to individual contributors with the magazine copyright belonging to Seven Star Media Ltd. All rights reserved. Please either keep this handbook for future reference, pass it on for somebody else to read, or recycle it.

We support brain injured people and their family on a day to day basis. We understand the devastating impact and disruption serious injury can cause. We work collaboratively with experts to ensure provision of a multi-disciplinary approach to rehabilitation tailored specifically to our client’s needs.

For more information on how we can help, please get in touch.

Life-changing bespoke support AFTER SERIOUS INJURY

Expert legal advice and an empathetic approach are at the heart of Slater and Gordon’s work with families after traumatic brain and spinal injuries.

Helping individuals at what is often the worst time of their and their families’ lives is a responsibility we do not take for granted. Over the course of many years, we have built a track record and reputation for securing the best care and rehabilitation together with financial compensation enabling a secure future.

Traumatic brain injuries cause approximately 160,000 people to be admitted to hospital in the UK each year, whilst around 2,500 people in the UK sustain new spinal cord injuries. Through my work, I see firsthand the devastating effects of this. The impact is felt not only by the person who has been injured, but their loved ones too. The consequences of such life changing events are financial, physical and emotional, and can have a profound effect on whole families.

excellent rehabilitation providers and medical experts.

My colleague, Fiona Flynn, a Rehabilitation Co-Ordinator at Slater and Gordon, is integral to our work. She can provide immediate support and will undertake a detailed assessment to identify immediate needs. She can liaise with treating professionals and attend discussions regarding discharge and transfers and ensure a smooth transition is achieved. She can also assist with immediate equipment and transport needs as well as urgent housing and benefits issues in some cases. Fiona’s work alongside the Lawyer is essential in ensuring individuals are supported with a full understanding of the process.

Working with the most appropriate experts from a rehabilitation and medico-legal perspective is essential as it enables us to fight for our clients and deliver the best outcome possible.

SUPPORT FROM AN EXPERT TEAM

It is important that a specialist solicitor, is appointed in such a case – someone who understands the many nuances of complex injuries and can navigate the claim successfully. The priority is to secure interim funding at the earliest possible stage to fund a package of specialist rehabilitation. This will relieve financial distress, maximise rehabilitation potential, and enable, as far as is possible, an injured person to reach their maximise potential and return to the lives they enjoyed before they sustained their injury.

Working with the most appropriate experts from a rehabilitation and medico-legal perspective is essential as it enables us to fight for our clients and deliver the best outcome possible. At Slater and Gordon, we work closely with many

Tracey Benson

SECURING LIFECHANGING OUTCOMES

I have represented many individuals who have sustained life changing injuries often with a team of lawyers. One recent example involves a young man with a severe brain injury. He was a pedestrian struck by a car whilst crossing the road.

The case has presented multiple challenges in respect of proving full liability and also dispute surrounding the extent of the rehabilitation required. We commenced Court proceedings at the earliest opportunity to make sure this young man and his family had the resources they needed to support their son with rehabilitation and a return to the community.

We secured interim payments approaching £2million which meant this young man and his family were able to move into a fully adapted property, with a full case managed care package and ongoing therapy. ■

Contact: Tracey Benson, Slater and Gordon lawyers | Tel: 0330 995 5578

Email: tracey.benson@slatergordon.uk Web: www.slatergordon.co.uk

STEPS Rehabilitation CASE STUDY

Mike Howarth suffered a life-changing upper-limb amputation and brain injury when he was knocked from his motorcycle on August 2nd, 2019. He was an experienced motorcyclist and had ridden for over 30 years.

Prior to his accident, Mike had built up a successful business and was working as a business improvement and strategy deployment consultant, a job that he loved and that enabled him to travel the world.

He lives in Sheffield with his wife, Helen, and their two children. This case study, written in May 2024, provides an account of his rehabilitation journey so far and Mike’s hopes for the future.

MOTORBIKE ACCIDENT RESULTING IN AN AMPUTATION AND BRAIN INJURY

Mike was 49 when he was knocked off his motorcycle after being struck by a car that turned right across his path. His injuries included a traumatic amputation of his left arm, a brain injury, fractured femurs, fractured ribs, a fractured collarbone, a fractured shoulder blade, a brachial plexus injury, and a fractured spine. An off-duty police officer witnessed the accident and was able to keep Mike’s airwaves open until an air ambulance arrived, some 20 minutes later. Looking back, Mike knows that without that police officer being on the scene, it’s likely he wouldn’t be here now.

Mike’s injuries were of the utmost severity and he had a Glasgow Coma score of 3. He was airlifted to Stoke Hospital, where he was placed in a coma for two and a half weeks. Due to Stoke’s military connections, the staff there are used to treating military-style wounds, and knew exactly what to do to help him. He is especially glad that he was airlifted to this particular hospital, where the medical team have good experience of these kind of life-threatening injuries.

he remained for 3 months. During his stay at the hospital, his wife appointed specialist solicitor Matt Brown at Irwin Mitchell, who engaged the services of a case manager on their behalf, to coordinate Mike’s rehabilitation. Due to Mike’s crippling pain, a key priority was pain management, his case manager therefore put him in touch with Dr. Liz Iveson, a consultant stroke and neurorehabilitation physician, who supports many of the residential clients at STEPS Rehabilitation.

Dr. Iveson recognised that Mike’s difficulties with fatigue, pain, and insomnia, were having a detrimental effect on his rehabilitation and recovery. She recommended that Mike come to STEPS Rehabilitation for a period of intensive rehabilitation, and his solicitor, Matt Brown at Irwin Mitchell, secured the interim payments to make it possible.

REHABILITATION AT STEPS

Looking back, Mike knows that without that police officer being on the scene, it’s likely he wouldn’t be here now.

He remained in the ICU for a month and a half with a tracheostomy before being transferred to Sheffield ICU, where

Mike describes his time at STEPS as his ‘circuit breaker’; after just 3 weeks, he saw massive improvements in his recovery and requested to extend his stay to 5 weeks. His rehabilitation began with making it a priority to improve his posture and manage his pain. Through the combination of therapies available at STEPS and medical cannabis Dr. Iveson prescribed, his body has returned to a more natural position, his pain has reduced, and he was able to reduce his reliance on the exceptionally strong painkillers being used to cope with his injuries.

“I was in an enormous amount of pain and it was impacting negatively on my recovery. Liz was critical to my engaging effectively in rehabilitation, because having one key medical expert to oversee all the therapies from pain management perspective meant I could achieve more.”

“At STEPS, I was able to focus fully on my rehabilitation and concentrate on getting fit and well. In just 5 weeks, I saw amazing changes. I had a busy schedule, and I think I really needed that as it meant I was concentrating on something other than the pain. Also, the activity was making me physically tired which went someway to helping me improve my sleep.”

His intensive rehabilitation timetable included regular aquatic therapy sessions, physiotherapy, acupuncture, hypnotherapy, speech and language therapy, and massage. The improvements and progress in his rehabilitation journey are testament to Mike’s determination and perseverance.

OPERATION AND PROSTHETIC TECHNOLOGY

In October 2021 Mike underwent an operation on his shoulder to help alleviate the stress and pain that was being caused by the downward pull of his stump from a shoulder that had no muscle structure to support it. In a twist of fate, this operation was prompted following a fall at home, which saw him fracture some of the remaining bone. After meeting an experienced consultant at the fracture clinic, Mike investigated to see if he also did work privately. After a private consultation, the consultant suggested he underwent arthrodesis to stabilize his shoulder and arm.

is that it can be controlled via Bluetooth using an IMU sensor. He is hoping to be provided with a Luke arm, which will transform what he is able to do and will help him with his independence and quality of life.

THE FUTURE

Moving forward, Mike wants to actively continue his relationship with STEPS. He is passionate about supporting others who have been through similar traumatic experiences, and to give back to the organization that has helped transform his life. On the first Friday of every month, he returns to STEPS to chat with other clients that are going through the recovery process. Mike recalls the genuine motivation he felt when he talked to people who had experienced similar things to himself back in the early months and years after his accident. Now he wants to do the same for others.

“There is a real sense of community at STEPS. You are joining people in similar circumstances to you, and you are all here to get better and regain some semblance of their life before your accident or illness. There is a collaborative approach to everyone’s rehabilitation, with clients encouraging one another to get the very best results. At dinner time, we can talk and share our experiences, and it helps to know you are not alone; we all have the drive to improve.

At STEPS, I was able to focus fully on my rehabilitation and concentrate on getting fit and well. In just 5 weeks, I saw amazing changes. I had a busy schedule, and I think I really needed that as it meant I was concentrating on something other than the pain.

This is done by connecting three pins from the humeral head/ arm bone into the shoulder blade. The results have been transformative in the sense that the stump is now well supported, which has reduced a considerable amount of Mike’s pain. Mike is considering further surgery, using osseointegration. This would allow Mike to easily put on and take off a prosthetic, attaching directly to the arm rather than using a shoulder harness and straps. He is keen to get a powered arm which he believes could transform his functionality, but accepts that osseointegration major surgery and not something to be taken lightly.

Recently, Mike took a trip to the USA to explore Mobius Bionics and their leading-edge technology in the prosthetics industry. He was able to have a trial of the Luke arm for 10 days, which allowed him to explore the functionality of the arm, and was a great learning curve! The Luke arm enables Mike to rotate his arm from his elbow, raise his forearm, and the hand has six different types of grips. As Mike has so much nerve damage, using a myo-electric connection was not possible. One of the benefits of the Luke arm

At first, I was really sceptical about how much STEPS could do to help me, but I quickly realised they were going to be pivotal in my coming to terms with my injuries. All the staff and the therapies at STEPS are client-centred and focused on your own individual goals. I genuinely believe that those who need intensive rehabilitation should come to STEPS; the benefits are so worth it.”

Not only this, but Mike has also become a Trustee for STEPS Rehabilitation Foundation, a charitable trust that launched in Autumn 2023 which is dedicated to providing support and funding for individuals recovering from complex trauma injuries and illness.

The foundation aims to improve the quality of life for people with disabilities following injury or illness, to help them access specialist rehabilitation services and equipment.

Mike is hoping to speak at more conferences, where he is able to share his lived experiences with others as a brain injury survivor and amputee.

Above all, Mike is just looking forward to living his life again with his wife and two children. He’s forever grateful to his “understanding” wife, and he explained that the silver lining of his injury was that it brought his family much closer. His video case study can be viewed here: https://tinyurl.com/yp6jy9x9 ■

Tel: 0114 258 7769 www.stepsrehabilitation.co.uk

We’re specialists in helping people with TOILETING NEEDS

At Closomat, we appreciate that everyone is different, even if they have the same disability or condition. That’s why we ensure our toilets are customisable in thousands of ways, designed to meet the needs of the individual both now and in the future.

We invented the Wash and Dry Toilet over 60 years ago, and tens of thousands of people use our products every day. We can say, with confidence, that we understand the needs of our customers and we use this unrivalled knowledge to know what is important (and what is not!). We are trusted by families, carers, installers, distributors and by medical and clinical professionals, who choose us to help make a difference to people’s lives.

WHAT IS A WASH AND DRY TOILET AND WHO ARE THEY FOR?

Put simply, Wash and Dry toilets (sometimes referred to as ‘shower toilets’) combine the functions of a toilet, a bidet and a drier in one

easy-to-use unit. The toilet flushes, washes the user with warm water, and finally dries with warm air. Anyone can use one, but they are of greatest benefit to people who may struggle wiping themselves with toilet tissue as they may lack the required dexterity, flexibility, or balance.

We are trusted by families, carers, installers, distributors and by medical and clinical professionals, who choose us to help make a difference to people’s lives.

WHAT ARE THE BENEFITS OF WASH AND DRY TOILETS?

Whether the user is disabled or not, inevitably one is cleaned better with water than with toilet tissue. Furthermore, with hand/body contact removed the risk of infection or cross contamination through failure to wash hands is greatly reduced.

Clearly, the fundamental reason for Wash and Dry toilets is to effectively wash the anal area, but the additional personal and psychological benefits cannot be under-stated.

BENEFITS OF THE CLOSOMAT VITA RANGE

Easy to install

Thanks to its versatile design, the Closomat Vita range is very easy to install in almost all circumstances, be it the floor-mounted Palma Virta or the wall-mounted Lima Vita.

Best cleaning experience

The most effective wash on the market. Our unique cleaning cycle starts automatically after the flush, washing you with warm water over a clean pan, and eliminating any risk of contamination. You are then dried with warm air, all controlled through a variety of means, depending on your requirements.

Built to last

Only the highest-grade components are used in the manufacturing process, with porcelain from our own factory in Stoke-on-Trent, to precision engineered stainless steel shower head (douche) and high-grade UV-stabilised and impact resistant plastics.

Made in the UK

We are the only UK-based specialist manufacturer of Wash & Dry toilets

Aftercare

We have our own service team and our own fieldbased engineers, meaning that we can ensure a prompt, consistent and expert back up service for our products. We also offer a watertight service and maintenance contract to ensure our products are there for you for many years to come.

Customisable

Our toilets are ergonomically designed to give you the best possible cleaning experience. With the widest range of accessories on the market, our toilets are customisable to suit your exact requirements and adaptable to meet any changing needs.

Controls – Touch Sensitive Hand/Foot Switch, Proxy Switch, infrared Remote Control

Seating – Adult Soft Seat, Adult Horseshoe Soft Seat, Junior Soft Seat, Bariatric Seat

Support – Integrated Support Arms, Lateral Body Supports, Soft Arm Sleeves

Compatibility – May be used in conjunction with a range of other manufacturer’s shower chairs

YOU WON’T REGRET IT

Ian Westgate (64), from Eastbourne, was diagnosed with Multiple Sclerosis more than 30 years ago, but has always fought against the illness’ impact, to the extent he is a leading campaigner for accessibility in the area, and chair of Eastbourne Access Group.

As his condition deteriorated, requiring greater input from his wife Clare, he purchased a Closomat Palma Vita wash & dry toilet.

“I wish I’d got it years ago!” Ian says. “I made every excuse under the sun against having a shower toilet, but realised that I wanted to keep my dignity, safety and independence in this most private of functions. I was getting more and more worried about transferring to and from the toilet, about falling, but didn’t want to rely on Clare to help me. And I was having problems with constipation. We looked at all the options in these ‘smart’ WCs, and when I realised I could have support arms added to the Closomat, it sealed my choice.

It is the answer to everything I need to go to the loo- I can even, as the engineer explained, trigger the washing to help stimulate movement. I wouldn’t be able to manage without it now.

The Closomat has been installed in place of a conventional WC in the bedroom with wetroom adaptation Ian and Clare created by converting the garage at their home. In addition to the integrated support arms, Ian has ‘future-proofed’ his toilet and specified his Palma Vita with touch sensitive hand switch and a shower chair for over.

Adds Ian, “I don’t use the switch and shower seat yet, but as my condition deteriorates, I will still be able to be safe and clean when I go to the toilet.”

WE’RE HERE FOR YOU

We know how challenging it can be if you are having difficulty in the toilet. We also understand that for some people it can be an embarrassing subject to discuss and seek help with. But don’t worry, we completely understand and are here to help you every step of the way. ■

If you’d like to know more Visit www.closomat.co.uk

Or drop us a line by phone on Freephone: 0800 374 076 or by email: info@closomat.co.uk quoting B&S handbook, and one of our care coordinators will be in touch.

“ I am so grateful I have it. It is brilliant.”

“ I am so grateful I have it. It is brilliant.”

Dave Ralph, a former garage owner, suffered a prolapsed disc at work, but carried on working, and unfortunately he severely damaged his spinal cord as a result.

Dave Ralph, a former garage owner, suffered a prolapsed disc at work, but carried on working, and unfortunately he severely damaged his spinal cord as a result.

Dave realised that he needed extra help when going to the toilet.

Dave realised that he needed extra help when going to the toilet.

“It was getting more and more difficult to clean myself, as I couldn’t get my hands behind my back. I wouldn’t expect my wife to wipe my bottom: it’s embarrassing!” explains Dave.

“It was getting more and more difficult to clean myself, as I couldn’t get my hands behind my back. I wouldn’t expect my wife to wipe my bottom: it’s embarrassing!” explains Dave.

A friend told him about Closomat Wash and Dry toilets, so he spoke to his Occupational Therapist; and under a Disabled Facilities Grant, a Closomat Palma Vita was installed. Dave says, “I am so grateful I have it. It is brilliant. I just push the pad with my elbow, and the toilet does the rest.”

A friend told him about Closomat Wash and Dry toilets, so he spoke to his Occupational Therapist; and under a Disabled Facilities Grant, a Closomat Palma Vita was installed. Dave says, “I am so grateful I have it. It is brilliant. I just push the pad with my elbow, and the toilet does the rest.”

To find out more about how life-changing a Wash and Dry Toilet from Closomat can be, visit closomat.co.uk

To find out more about how life-changing a Wash and Dry Toilet from Closomat can be, visit closomat.co.uk

The Closomat Palma Vita Wash and Dry toilet.

The Closomat Palma Vita Wash and Dry toilet.

TECHNOLOGYASSISTED THERAPY Launched at QEF

The Care and Rehabilitation Centre in Surrey, provided by disability charity Queen Elizabeth’s Foundation for Disabled People (QEF), now offers technology-assisted therapy as part of their neuro rehabilitation and complex neurological care service.

The combination of motion sensors and interactive balance board helps clients significantly improve their range of movement, core stability and balance. The addition of visually engaging gamification techniques also add fun and purpose to repetitive exercises prescribed by their physiotherapist or occupational therapist.

Sensors can be placed on different parts of the body depending on the prescribed exercises, such as the chin, feet, thighs, hands and arms and the balance board measures changes in weight distribution.

For hand and arm rehabilitation sensors measure the strength of the hand and the active range of motion the in arms;

movements that are frequently used in daily living skills such as eating or dressing. Sensors can also be used for gait analysis as part of a therapy programme to improve walking skills. The foot board has pressure sensors which can be used to train balance and postural control through specifically adapted gaming challenges.

Lead Physiotherapist Ellie Kearney says: “this new technology-assisted therapy equipment is a fantastic addition to our range of therapy options. Everyone can benefit, residential and outpatient clients, making the impact of their therapy more intense and even fun!”

Gareth a former stroke client at QEF says

The computer package was quite clever really, it was especially good for my balance. It measures how much I was swaying on my feet and I saw good progress. The gamification is a different angle and good to do in tandem with regular therapy. It’s a really good way to see how you are progressing.

Find out more at www.qef.org.uk/professionals/crc/ or to discuss referring a client with funding email: neurorehab@qef.org.uk or call: 01372 841 111.

Expert neuro rehabilitation and complex neurological care

Supporting people to achieve their potential after an ABI, stroke or neurological illness.

Specialist in-house therapies and nursing care, plus Neurologic Music Therapy and technology-assisted therapy.

Service supported by Consultant in Rehabilitation Medicine, Dr. Jonathan Mamo.

E: neurorehab@qef.org.uk P: 01372 841 111 W: qef.org.uk/professionals/crc

The value of a combined MDT process and having MULTIPLE VOICES ROUND THE TABLE

By Lyndsey Urry, Clinical Lead at Askham Rehab

At Askham Rehab, Multidisciplinary Teams (MDTs) are an essential part of our rehab model, bringing together specialist team members to collaborate in the assessment and management of patients.

This approach is widely used and successful in the rehabilitation of patients with brain and spinal injuries, as by bringing together experts from different fields, a MDT ensures that a patient receives a comprehensive care.

He was assessed by all four of Askham’s multidisciplinary teams; clinical psychology, physiotherapy, occupational therapy, and speech and language therapy, before working with them to design an individualised programme. Eventually, Josh was able to return to the airwaves and regained his voice — and in some ways, his identity.

MDTs can include specialists such as neurologists, physiotherapists, occupational therapists, speech and language therapists, and clinical psychologists — each bringing a unique perspective when addressing differing and complex needs.

Brain and spinal injuries can have wide-ranging effects, and a collaborative approach allows you to consider all aspects of the patient’s condition, including physical, cognitive, and emotional wellbeing — before developing an optimal rehabilitation plan.

After assessing a patient, MDT’s might also set SMART (Specific, Measurable, Attainable, Relevant, and Time-Bound) goals, which again, is a fundamental way of maintaining a positive improvement trajectory.

A shining example of this rehab model in action is Joshua Donlon, a Cambridgeshire community radio presenter who lost his ability to project his voice due to a rare brain tumour.

The MDT process is also beneficial in addressing any potential complications that may arise, and as brain and spinal injuries can have unpredictable effects, they can work together to monitor the patient’s progress and adjust the treatment plan as needed — identifying the cause and developing a plan to overcome this and push forwards.

However, while this multidisciplinary approach certainly creates better outcomes for patients, it comes at a cost. Intra-discipline communication together with holistic reporting and shared goal setting takes more time than it would if done in a siloed fashion.

At Askham Rehab, our ethos recognises this explicitly and we are transparent in allocating time to facilitate this highly beneficial way of working. This ensures that patients, therapists and funders are fully committed and reap the benefits throughout the Askham journey.

There is no doubt that the MDT process can improve the quality of life of patients, therefore, where possible, having this framework in place should always be a priority. Whether it’s a speech therapist that identifies issues with communication, or an occupational therapist that identifies issues with self-care — understanding your patients’ needs is everything in our world, so why not explore this through multiple lenses. ■

To see more examples of what we have been able to achieve with this approach, please visit: www.askhamrehab.com

Greek Holiday IS A MILESTONE IN JOHN’S REHAB

John* who has an acquired brain injury, took his first foreign holiday last year at the age of 31. He travelled to Greece supported by a member of the care team at Richardson Care.

The goal of increasing independence and living an active and fulfilling life is part of the rehabilitation programme for service users at Richardson Care. Whenever possible, it includes an annual holiday in the UK or overseas.

John and Louise, a Senior Support Worker, flew from Luton to Heraklion in Crete and had the usual holiday stresses of a crowded airport, and a delayed flight (by four hours). This might not sound unusual, but it indicates just how far John’s come on his rehabilitation journey. He arrived at Richardson Care in 2017, at the age of 25, presenting with severe verbal aggression and made threats of physical violence towards others. He had also historically engaged in inappropriate behaviours and absconded.

After sustaining a traumatic brain injury at the age of five, John lived with his family until his late teens, then had numerous placements until he was admitted to Richardson Care. He is now stable and settled, enjoying new and exciting experiences. He is being supported to manage his complex emotional and behavioural difficulties, anxiety and ADHD.

INTERESTING AND VARIED ITINERARY

John and Louise planned the trip together in detail beforehand. John chose Crete as he is interested in history and had a full and varied itinerary with lots of trips: The highlight was visiting Knossos, where they had a guided tour and John maintained concentration for four hours, something that he has found difficult as a result of his brain injury. They also took a boat trip from the beautiful Pirate Bay, visited an army base and a WWII bunker, visited an art museum and an olive oil distillery. John learnt a lot about the country and its culture and has many happy memories of the trip.

John says: “I really enjoyed the trip and it made me feel more independent. It made me feel that I can do things on my own. We had a good time, I want to go back and learn more about the country, or maybe go to Rome next time.” ■

*The name of the service user has been changed to protect their identity.

In the seven years that John has lived at Richardson Care, he has become a kind and helpful person who can be trusted to go out on his own.

MANAGING ANXIETY

Louise says: “When we were delayed at the airport, I could see John’s anxiety starting to kick in but I distracted and redirected him by doing different things. He enjoyed watching planes land and take off and managed his anxiety really well.”

Call Richardson Care on 01604 791266 to find out more and arrange a visit.

Email: admissions@richardsoncares.co.uk Web: www.richardsoncares.co.uk

Holiday photo – ‘John’ visiting a church in Crete

Providing person-centred care in a safe and enabling environment allows service users to fulfil their potential.

• Family-orientated brain injury rehabilitation

• Specialist clinical input in a homely environment

• A holistic approach combining a high-calibre MDT and experienced care team

• Holidays and supported home visits included in care plans

• A focus on community participation and a wide range of activities

At Richardson Care we have a portfolio of specialist brain injury rehab services in Northampton, creating a seamless and flexible care pathway.

“Staff are kind, careful and professional….we agree 110% that our son’s quality of life has improved since he arrived at Richardson Care.”

Navigating the challenging PROPERTY LANDSCAPE

Design for Independence offers a unique combination of skills under one roof.

When times are tough, it pays to have a helping hand from an expert. That’s why private housing occupational therapy (OT) company Design for Independence (DfI) has a carefully selected team of experts in everything from property sales and lettings to building adaptations – alongside its OT specialists.

With properties in short supply and the cost of building materials going through the roof in the wake of several interest rate rises, it’s more challenging than ever to find and adapt homes for the less able. But it’s all in a day’s work for the DfI team.

SIMPLIFYING THE PROPERTY SEARCH

A network of relationships with sales and lettings agents is crucial to overcome the first hurdle of a shortage of properties to buy or rent. Competition is fierce when a new property comes on to the market – so acting fast is essential. And when it comes to rental properties, the DfI team faces the added complication of discussing with the landlord any adaptation work required to accommodate a client’s disabilities – and highlighting the value it could add to the property.

and rehabilitation that is going to be required for each client.

The property shortage and escalating building costs mean thinking outside the box is required more than ever when it comes to adapting properties for each individual client. Knowing where compromises can safely be made to keep within budget is also vital. To keep things on track, DfI has a design and build expert who liaises with case managers, solicitors, equipment suppliers and trades people. From co-ordinating quotes and reviewing plans to supporting clients during the adaptation process, he ensures the work is completed on time and within budget.

Property searches and adaptations are tailor-made to accommodate the specific requirements of DfI’s clients – adults and children with brain and spinal injuries, as well as amputees.

SOLUTIONS FOR TOUGH CHALLENGES

The ‘one-stop-shop’ approach of DfI is designed to help clients and their families navigate the challenge of finding and adapting a home as individual as their own care and rehabilitation goals. The company has been doing just that for more than a decade, with a team that takes pride in coming up with creative solutions for even the toughest challenges. ■

That’s why DfI employs a sales and lettings manager whose understanding of the housing market is second to none after 20 years in the industry. She understands the importance of keeping in regular contact with agents and being flexible enough to attend one-off viewing days at short notice. And her negotiating skills play a key role in securing forever homes or interim rental solutions for clients.

THINKING OUTSIDE THE BOX

Property searches and adaptations are tailor-made to accommodate the specific requirements of DfI’s clients –adults and children with brain and spinal injuries, as well as amputees. But the speed at which scarce properties are now being snapped up means the team will often have only a 15-minute viewing slot to decide what needs doing. The extensive OT experience of the DfI team makes quick decisions possible as everyone fully understands the care

ACCOMMODATION EXPERT

Managing director Anava Baruch acts as an accommodation expert under part 35 of civil law. Her background in occupational therapy gives her a holistic view of a client’s accommodation needs.

Tel: 01799 588056

Email: info@designforindependence.co.uk Web: www.designforindependence.co.uk

Anava Baruch

The housing occupational therapy specialists

Design for Independence is a private housing occupational therapy company, searching, designing and adapting homes for the less able. We cover all areas of physical, sensory and cognitive disability, and work both nationally and internationally.

These are just some of the services we offer:

Property search for suitable accommodation

Creating specifications for the building work required

Sourcing all equipment fixtures and fittings for the client

Sourcing and liaising with building professionals

Working closely with the contractors during the adaptation work

Sourcing contractors for internal work

Visit designforindependence.co.uk to find out more

Sleep in People living with NEURODIVERSITY

By Dr David R Lee, BSc PhD CertEd CPsychol

Clinical Director at Sleep Unlimited

AFBPsS CSci

Ltd

There is a paucity of research available on the sleep of people who are living with neurodiverse conditions like Autism Spectrum Disorder (ASD), although that which is available does indicate that children with ASD sleep less well than those children without the condition; on both subjectively and objectively reported outcomes (Souders et al., 2009).

Sleep disturbances in children with ASD are reported to be particularly burdensome for parents and carers and this is especially prescient as 40% - 80% of children with ASD have been reported to experience sleep disturbances compared with 25% to 40% of typically developing children (Meltzer & Mindell, 2008; Reynolds & Malow, 2011). Children with ASD have also been reported to have more problems with initiating their sleep and have an increased number of night-time awakenings than typically developing children (Krakowiak et al., 2008). A reduced amount of REM sleep has also been reported in children with ASD compared with typically developing children (WilliamsBuckley et al., 2010).

With regard to treatment strategies for sleep problems

in children with ASD, melatonin has shown promise in a few studies at increasing total sleep time and reducing sleep latency (Wirojanan et al., 2009). However, there are a lack of large, well-designed studies examining the efficacy of melatonin (including the type (fast vs slow release), the dosage and the timing of administration). Therefore, the utility of melatonin in the management of sleep problems in this group remains to be fully explored (Guénolé, et al., 2011). Behavioural interventions for improving sleep in children with ASD have centred on exercise and parent-education programmes, both of which have shown positive effects on the sleep outcomes of children with ASD, although these studies are very few in number and much more work is required in this area to draw firm conclusions about their efficacy. Indeed, very few studies are available in the area of sleep in ASD with one recent review of behavioural interventions in ASD failing to find any (Weaver, 2015).

As with typically developing children, but potentially more of an issue for those with ASD, may be sensitivity to arousing stimuli in the late evening just before bed which has the potential to increase in self-regulatory behaviours (such as self-injury on the following day) in children with low functioning autism. Furthermore, there is potential for heightened sensitivity to light particularly blue-enriched light emitted from flat screened

Dr David R Lee

devices which has been implicated in disrupting circadian timing and melatonin secretion, as well as the propensity for increased sensitivity to sound in children with ASD, potentially reducing waking thresholds and increasing sleep fragmentation (Cohen et al., 2014).

At the time of writing in 2023 there was no literature available to report on regarding the sleep and treatment of sleep disturbances in adults on the ASD spectrum.

A reduced amount of REM sleep has also been reported in children with ASD compared with typically developing children.

(Williams-Buckley et al., 2010)

As a result of this lack of research in the field of assessment and treatment of sleep problems in people with ASD some caution is required in the delivery of any form of intervention, without a sound knowledge-base to which to refer. As such, a careful and thorough assessment is required involving the person with ASD (taking into account the capacity of the person to engage and comply with any suggested interventions), their family/carers and other treating professionals. This is essential in order to design appropriately paced interventions that are person-centred, sensitive to family situations, and which takes into consideration the number and type of other interventions that are in place. Of particular note here is the phenomenon of hyperactivity in some children with ASD which is a common behavioural manifestation in this group of clients. Excessive levels of daytime activity can lead to excessive tiredness and this can then have a negative impact on behaviour and mood. Sometimes attention to the reduction of daytime activity is warranted through the scheduling of rest-periods, or attenuating periods of activity so that the client is not excessively active for long periods. This approach has been acknowledged in the literature: that treatment approaches require individualised assessment in order to establish the relative impact of these factors on the sleep of children with ASD and to tailor interventions accordingly. For example, introducing more protracted and graded wind-down time in the evenings before bed, limiting exposure to bluescreened devices, and looking for opportunities to reduce sound pollution during the night within the bedroom and the wider household environment (Cohen et al., 2014).

Recent guidelines published in 2020 by the American Academy of Neurology for the treatment of insomnia and disrupted sleep behaviour in children and adolescents with ASD recommend that clinicians need to screen for medication usage and comorbid conditions that may be contributing to the sleep disturbance and address those identified issues first. It is further recommended that clinicians should council parents and/or carers in the use of behavioural strategies (especially the NICE recommended Cognitive Behavioural Therapy for insomnia - CBT-i) as a first line treatment approach for managing the sleep disturbance of the child in their care. The use of melatonin in managing the sleep disturbances is approved once behavioural strategies have been

attempted and not been successful, but these prescriptions should begin with a low dose of pharmaceutical-grade melatonin along with guidance and advice on potential side-effects. At the time of writing the use of weighted blankets or other specialist bedding materials (for example wedges/mattresses) do not have any evidence to support their use, however because of no serious adverse events have been noted with the use of these aids, these have the potential to be a useful nondrug approach for some people. With the added caveat that weighted blankets should not be used with very young children or those who may be quite frail so as to avoid the potential for asphyxiation underneath weighted bedding of this kind (Williams-Buckley et al., 2020). ■

References

Cohen S, Conduit R, Lockley SW, Rajaratnam SM, Cornish KM. 2014. The relationship between sleep and behavior in autism spectrum disorder (ASD): a review. Journal of Neurodevelopmental Disorders. 6(1):44. doi: 10.1186/18661955-6-44.

Guénolé, F., Godbout, R., Nicolas, A., Franco, P., Claustrat, B., & Baleyte, J. M. 2011. Melatonin for disordered sleep in individuals with autism spectrum disorders: systematic review and discussion. Sleep Medicine Reviews 15: 379–387.

Krakowiak, P., Goodlin-Jones, B., Hertz-Picciotto, I., Croen, L. A., & Hansen, R. L. 2008. Sleep problems in children with autism spectrum disorders, developmental delays, and typical development: a population-based study. Journal of Sleep Research, 17: 197–206.

Meltzer LJ & Mindell JA. 2008. Behavioral sleep disorders in children and adolescents. Sleep Medicine Clinics. 3:269–279. doi: 10.1016/j.jsmc.2008.01.004

Reynolds AM & Malow BA. 2011. Sleep and autism spectrum disorders. Pediatric Clinics of North America 58:685–698. doi: 10.1016/j.pcl.2011.03.009.

Souders, M. C., Mason, T. B. A., Valladares, O., Bucan, M., Levy, S. E., Mandell, D. S., Weaver, T. E., & Pinto-Martin, J. 2009. Sleep behaviors and sleep quality in children with autism spectrum disorders. Sleep, 32: 1566–1578.

Weaver, L. L. 2015. Effectiveness of work, activities of daily living, education, and sleep interventions for people with autism spectrum disorder: A systematic review. American Journal Occupational Therapy, 69: 1–11.

Williams Buckley A, Hirtz D, Oskoui M, Armstrong MJ, Batra A, Bridgemohan C, Coury D, Dawson G, Donley D, Findling RL, Gaughan T, Gloss D, Gronseth G, Kessler R, Merillat S, Michelson D, Owens J, Pringsheim T, Sikich L, Stahmer A, Thurm A, Tuchman R, Warren Z, Wetherby A, Wiznitzer M, Ashwal S. 2020. Practice guideline: Treatment for insomnia and disrupted sleep behavior in children and adolescents with autism spectrum disorder: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 94(9):392-404. doi: 10.1212/WNL.0000000000009033

Wirojanan, J. , Jacquemont, S. , Diaz, R. , Bacalman, S. , Anders, T. F. , Hagerman, R. J. , & Goodlin-Jones, B. L. 2009. The efficacy of melatonin for sleep problems in children with autism, fragile X syndrome, or autism and fragile X syndrome. Journal of Clinical Sleep Medicine, 5: 145–150.

Web: sleepunlimited.co.uk

Email: info@sleepunlimited.co.uk

Residential Rehabilitation for individuals with POLYTRAUMA INJURIES

STEPS Rehabilitation celebrates its 7th anniversary in 2024 as a unique facility for individuals recovering from brain injury, spinal cord injury, complex orthopaedic injuries, polytrauma injuries and traumatic amputation.

Since its launch in May 2017, STEPS has consistently challenged conventional norms in the field of rehabilitation, spearheading innovative approaches and establishing new benchmarks in standards of care. By integrating traditional therapies with robotic and virtual reality technologies, alongside expert medical care, STEPS has pioneered an interdisciplinary approach that sets new standards in neurological rehabilitation.

“Because our clients typically have a range of serious injuries, our service has been designed to deliver an extensive range of medical expertise, therapies, and rehabilitation technology, all conveniently housed in our own building” explains Founder and Head of Business Development, Jules Shiel-Boulger. “We work hard to create the non-clinical feel that STEPS has become synonymous with. Our unique environment and interdisciplinary approach to residential rehabilitation enables us to deliver personalised intensive rehabilitation programmes that maximise clinical outcomes for our clients.”

EMPOWERING RECOVERY

Founded by sisters Jules ShielBoulger and Toria Chan, with the unwavering support of their father, Ray Boulger, family is not just one of the values at STEPS Rehabilitation, it is the very foundation that drives its incredible journey and sets it apart. The purposebuilt facility has been built, designed, and decorated to feel like a home but with the added benefit of a therapy gym, communal café/dining room, garden room and a hydrotherapy pool. Everything has been meticulously designed to cultivate an environment that encourages community and feels more like a home than a hospital or clinical facility.

“We recognise the pivotal role of family support in the recovery journey, which is why we’ve cultivated a nurturing environment and actively encourage regular visits, offer support, and provide educational resources for loved ones.”

WORLD-LEADING REHABILITATION TECHNOLOGY

At the heart of its offering is world-leading rehabilitation technology housed within the RehabHub - a comprehensive suite of solutions, using robotics, all designed to optimise neurorehabilitation. Spearheading innovation, STEPS Rehabilitation was the first facility in the UK to introduce the Fourier Intelligence ‘RehabHub’ and has continued to add to the suite of robotics. The latest additions include the EMU and Luna EMG. This hub is dedicated to both upper and lower limb robotic therapy, as well as cognitive training, providing a unique and fun solution for neurorehabilitation.

STEPS Rehabilitation is also one of the select UK facilities offering clients access to the MindPod as part of the pioneering digital neurotherapeutics range from MindMaze, developed in Switzerland. The MindMotion GO and MindPod Dolphin form part of a comprehensive neurorehabilitation therapy system, featuring a wide array of animated, gamified activities designed to enhance motor and task functions.

REIMAGINING REHABILITATION

STEPS Rehabilitation embraces a comprehensive approach to a client’s rehabilitation, leveraging its unique setup. Every aspect of a client’s rehabilitation journey is meticulously considered, from addressing nutrition to devising innovative programmes that integrate multiple therapies in one session, while fostering a living environment that promotes a collegiate atmosphere.

The facility’s interdisciplinary approach brings together traditional therapies, robotic and VR technology, and exceptional clinical expertise. The team comprises of Consultants in Rehabilitation Medicine and spinal cord injury, psychologists, and specialist nursing and therapy teams. This collaborative effort has positioned STEPS as one of the UK’s leading rehabilitation facilities. ■

Tel: 0114 258 7769 stepsrehabilitation.co.uk

Jules Shiel-Boulger

Mastering Balance: THE SUBCONSCIOUS SCIENCE OF STABILITY

THE KEY TO EVERYDAY FUNCTIONING

Balance is more than just a physical act; it’s the silent conductor orchestrating our every move and ensuring seamless functionality in our daily lives.

We all know what good balance looks like and what the consequences of losing our balance are. Sure, there are some superhumans who have developed their balance mechanisms to an elite level to do some extraordinary stuff, but for most of us Earth dwellers, balance is a vital component of our everyday lives to which we give minimal conscious effort.

Balance is not a specific activity or exercise; it is the subconscious puppet-master that enables us to function as human beings. For example, you stand up to walk to the kitchen to make a coffee during the adverts. The doorbell rings. Your balance enables you to change your intention and direction in an instant, and your body, without conscious thought, organises itself to get you to the door safely.

However, it’s precisely in these everyday scenarios that many struggle. In moments requiring quick reactions and adjustments, the inability to recalibrate swiftly can lead to falls.

exacerbating fatigue and further increasing the risk of falls. Understanding this, it’s clear why someone with a brain injury may appear to manage their balance well in one environment but struggle in another.

SENSORY SYSTEMS AND MUSCLE FUNCTION

Balance isn’t just about staying upright; it’s an intricate process of interpreting information about ourselves, the task (both planned and unplanned), and our environment, all without conscious effort. Balance works subconsciously, effortlessly, and is switched on all the time.

SIGNS OF BALANCE STRUGGLE

Some balance problems are easily observable; a person will appear unstable as they move through their environment. However, reliance on aids like sticks, linked arms, or furniture indicates deeper balance challenges.

The cognitive load required to manage these aids is substantial. Even without such aids, individuals may be consciously focusing on maintaining their balance.

This conscious effort often impairs multitasking abilities; individuals may stop walking to respond to a question. Consciously managing balance drains cognitive resources,

Achieving balance requires orienting your centre of mass over your base of support and stabilising it. This involves a deep awareness of your position in space. We are all aware of the importance of visual and vestibular systems, but one of the most significant inputters of sensory information to the cerebellum are areas of the body that we do not normally associate with sensationour joints and our muscles, referred to as our somatosensory systems. Both our joints and muscles possess sensory receptors that inform the cerebellum about our spatial location, surface contact, joint position in space relative to other body parts, and muscle activity (active and static, or active and moving). This wealth of information, combined with visual and vestibular input, is consistently being relayed to the brain which constantly adjusts the body to ensure our centre of mass remains within our base of support, whether the base of support is moving (e.g., walking) or being moved (e.g., on a train).

Achieving balance requires orienting your centre of mass over your base of support and stabilising it. This involves a deep awareness of your position in space.

Our bodies are made up of two primary types of muscles: stabilisers and movers. These muscles have distinct roles, locations, and microscopic structures. Stabilisers are located in the trunk and proximal parts of our limbs, while movers are more distal.

However, issues with joint mobility, muscle tone, length, or strength can change how the body uses a particular muscle.

A muscle intended as a mover may need to act as a stabiliser, even though its location and structure aren’t optimised for this role. For example, when using a walking frame, hand muscles, typically movers, become stabilisers for the entire body.

Consider a child with cerebral palsy who has poor trunk stabilising muscles and, to sit upright, uses his arms to prop himself up. If muscles designed to be movers act as stabilisers for poor balance, then the individual’s capacity for releasing the arms for functional tasks is also dramatically reduced.

For individuals living with acquired brain injuries, muscle function can be further complicated by issues such as joint mobility problems, muscle weakness, spasticity, and impaired coordination. These challenges can significantly impact their ability to maintain balance and stability.

By understanding the important role muscles play in maintaining balance, we can better appreciate the silent heroes that enable us to move through the world with confidence and stability.

To achieve balance, our bodies must orient our centre of mass over our base of support and stabilise it. This requires precise coordination between our joints, muscles, and sensory systems. Both our joints and muscles possess sensory receptors that provide essential information to the brain about our position in space, our contact with surfaces, and the activity of our muscles.

When these sensory inputs are disrupted, as is often the case in individuals with acquired brain injuries, maintaining balance becomes even more challenging. Damage to the brain can interfere with the communication between the brain and muscles, leading to difficulties in coordinating movement and maintaining stability.

underlying issues that contribute to balance problems.

Neurophysiotherapy programs are tailored to the specific needs of each individual and may include exercises and activities designed to improve muscle strength, coordination, and proprioception. By targeting these areas, individuals can gradually improve their balance and regain confidence in their ability to move safely and independently.

Community neurophysiotherapy focuses on providing specialised rehabilitation within the community setting, helping individuals regain movement, function, and independence in their daily lives. For example, a community neurophysiotherapist may work with a patient in their own home, using everyday environments like the kitchen to practice tasks such as weight transference and balance, ultimately helping the individual confidently navigate their home environment.

IN A NUTSHELL

In conclusion, balance is a complex skill that relies on the coordinated efforts of our muscles, joints, and sensory systems. For individuals living with acquired brain injuries, maintaining balance can be a significant challenge. However, with the right support and rehabilitation, it is possible to improve balance and regain independence. Ensuring the proper functioning of this crucial system, which quietly processes information to keep us stable and safe, is a central focus for neurophysiotherapists at all stages of a patient’s rehabilitation journey. By understanding the important role muscles play in maintaining balance, we can better appreciate the silent heroes that enable us to move through the world with confidence and stability.

ABOUT SP THERAPY SERVICES

Additionally, fear of falling significantly increases the risk of falls. When individuals lack confidence in their balance, they may become more cautious and limit their activities, further exacerbating the problem.

Limitations in joint and muscle function, whether due to primary injury, disease process, or secondary changes in muscle function, alter the inputs to the cerebellum and affect an individual’s balance.

REGAINING BALANCE: THE ROLE OF NEURO PHYSIOTHERAPY

With the right support and rehabilitation, individuals with acquired brain injuries can make significant progress in improving their balance and stability. Neurophysiotherapists, along with other rehabilitation experts such as Neuropsychologists and Occupational Therapists, play a pivotal role in this process, assessing and addressing the

SP Therapy Services are a team of chartered physiotherapists who are neurological specialists, providing community-based physiotherapy across the regions of Lancashire, Greater Manchester, and Yorkshire.

The physiotherapists are specialists in treating both adults and children with acquired brain injury, spinal cord injury and complex neurological conditions.

2024 marks the 26th year of SP Therapy Services providing Community Neurological Physiotherapy to patients, improving their quality of life and helping to integrate them back into their communities. ■

If you wish to know more contact us on info@sptherapyservices.co.uk Web: www.sptherapyservices.co.uk

Riley’s story: ONE YOUNG MAN’S DETERMINATION TO WALK AGAIN

From its centre of excellence in Tadworth, just outside of London, The Children’s Trust operates the UK’s largest paediatric neurorehabilitation service. Here they provide the most complex rehabilitation to children and young people with acquired brain injury outside of a hospital setting.

Twelve-year-old Riley was enjoying a normal New Year’s Day when he suddenly experienced an aneurysm. He underwent life-saving surgery at Great Ormond Street Hospital, where he spent the next fiveweeks recovering before coming to The Children’s Trust to begin a specialist, residential rehabilitation placement.

RILEY’S GOALS

Riley, his family and our expert staff worked together to set his rehabilitation goals. He wanted to be able to complete self-care tasks, return to gaming and mainstream education, and, most important to him, be able to walk again.

function of his upper arm. Use of integrated gaming technology and virtual reality helped keep Riley engaged and motivated.

OUTCOMES

With the support of his family and our multidisciplinary team, Riley achieved all his goals during his five-month placement at The Children’s Trust. Upon admission, Riley’s rehabilitation complexity score, a measure which is used to determine a patient’s level of need, was high. At the point of discharge, Riley’s level of need had decreased to low, showing greater independence, improvement in meeting his own self-care needs, and mobility.

To work towards these goals, Riley had an individualised rehabilitation plan including speech and language therapy, music therapy, physiotherapy, occupational therapy, hydrotherapy and more. He also received botulinum toxin treatments to improve the function of his left arm.

CUTTING-EDGE TECHNOLOGY

Seeing him walk was just incredible, there’s no feeling like it

Emma, Riley’s Mum

Alongside this and complementing his therapy programme, Riley had access to cutting-edge neurotechnology to help him achieve his goals. Upper limb robotics were used for high intensity movement practice and task training to improve the

ONGOING SUPPORT

Following his residential rehabilitation placement, Riley received support from The Children’s Trust’s Community Rehabilitation Service, in particular, ongoing specialist physiotherapy to further progress his mobility skills. With this continued support, Riley can now walk without stopping for up to 5 minutes with the aid of a bespoke ankle foot orthosis. He can also climb stairs with the assistance of one person.

Improvement in his left upper limb coordination also meant Riley learnt to swim independently again and he now has the confidence to visit his local swimming pool. He is back in school on a phased return and is enjoying being back with his friends. ■

Services and support for children with brain injury

Specialist neurorehabilitation

From our national centre of excellence in Tadworth, Surrey (junction 8, M25), our multidisciplinary team combines medical care, therapy, education, play and family support, delivering the most complex rehabilitation outside of a hospital setting.

Support in your community

Specialist goal-orientated neurorehabilitation delivered in the child’s environment, offering information and resources, hands-on multidisciplinary therapy for children and young people living in the South-East, and virtual and hybrid packages of support for those further afield.

Please contact our dedicated placements team to find out more or to make a referral. +44 (0)1737 365 080 placements@thechildrenstrust.org.uk childrenstrust.tctplacements@nhs.net (for those working in the NHS and using secure mail)

Further information about all of our services is available on our website thechildrenstrust.org.uk/our-services

Our key services include:

Chroma launch UK’s first MUSIC THERAPY EXPERT WITNESS SERVICE

Establishing music therapy within rehabilitation programmes through expert witness testimony, will ensure personal injury victims receive the right rehabilitation package for ‘their’ needs, to meet their goals, and to help improve their quality of life.

By Kate Cropper BA, MA (MT), NMT: Referrals Manager and Head of Expert Witness Services at Chroma

The launch of the first-ever music therapy expert witness service in the UK is exciting, as it signifies a new benchmark for the therapy within the medico-legal sector.

Victims of catastrophic injuries require the highest level of rehabilitation. There is a real necessity to ensure they receive the support they need to meet their functional and psychological goals in order to help improve their overall quality of life. We set up this expert witness service to better support personal injury lawyers in their endeavour to implement music therapy into their client’s rehabilitation packages.

As the benefits of music therapy continue to present themselves, more and more legal teams are experiencing

the impact it can have upon the functional, cognitive, and psychological well-being of their clients. With this service, we are able to support and strengthen personal injury lawyers and case managers’ cases for rehabilitation packages suitable, necessary, and essential to improving their clients’ quality of life.

Survivors of a serious injury may not be able to verbally communicate their thoughts and feelings about the drastic changes to their lives, their hopes for the future, or what goals they want to achieve through rehab, so it is our duty as music therapy expert witnesses to determine their rehabilitation needs, so that injury lawyers can ensure their client’s needs can be met.

WHAT MAKES US EXPERTS AND WHAT DO WE DO?

For quality assurance to this service, all Chroma experts are HCPC-regulated music therapists and/or neurologic music therapists who have also achieved the Cardiff University Expert Witness Diploma, with at least 10 years’ experience in the field.

We provide face-to-face assessments or desktop reports to assess and determine the impact of music therapy/neurologic music therapy on clients, including costing structures for future work. We work on behalf of both claimant and defendant parties, ensuring independent and robust reports and recommendations.

Once determined, we provide expert, court-approved reports outlining the need for music therapy to be implemented into their rehabilitation, the benefits, and the total cost so that legal teams can present all the information proficiently in court.

Kate Cropper

HOW DOES THE PROCESS ADHERE TO DATA PROTECTION?

We have implemented a number of technological approaches to this service, firstly through the introduction of ALLDOQ - a workspace built specifically for medico-legal expert witnesses that allows us to securely store, organise and complete medico-legal work in the cloud. It allows us to generate, GDPR compliant, courtapproved reports that are safe and secure.1

Case managers and personal injury lawyers appreciate our use of ALLDOQ as they recognise its benefits within the expert witness medico-legal sector and how comprehensive the system is. Its built-in features improve communications between all parties involved, meaning no one misses any important information related to the case.

ALLDOQ is designed solely for expert witnesses, with niche features incorporated. It is GDPR compliant. The platform itself makes case management efficient and ensures final reports are court-approved.

INTRODUCING TECHNOLOGY TO SUPPORT MUSIC THERAPY BENEFITS

Secondly, we are adopting new technologies within our music therapy sessions. Music technology is constantly developing to ensure music therapy can be delivered in increasingly personalised ways. Such software aims to empower music therapists to use music technology more accurately and efficiently within therapy practice.

Technology is advancing the benefits of music therapy in neurorehabilitation, and these new approaches are especially pertinent for case managers and injury lawyers to be aware of because of their positive impact on the rehabilitation of brain injury survivors.

To support clients in rehab after brain injury, we have begun implementing music software ISOFI2 and MediMusic3 . This software can work alongside current music therapy/neurologic music therapy (NMT) techniques to help clients develop evidencebased strategies for common mental health scenarios. We do this by using the client’s favourite music to set personal goals.

Personalised music offers the best reach to brain injury survivors and proves to be a vital mood enhancer.(4,5,7,8,10) Mood enhancement improves rehab engagement, which in turn improves goal outcomes, and music therapy is one of the most motivating therapies to support this.

The software analyses a client’s own music tastes from their preferred streaming platform. It generates personalised playlists based on, for instance, artist, genre, commonly used words/ phrases etc, to then be utilised as a coping strategy for common mental health issues such as stress, anxiety and depression. Many populations use music to relieve depressive symptoms, but the music they choose, although they may enjoy, does not have the desired mood enhancing effect they desire.9 This is why song choices and musical preferences are of the upmost importance when supporting mental health and wellbeing.

It has been suggested that the influence of music is dependent on extrinsic factors that connect a person with the music personally (memories/associations with different parts of their life) and intrinsic elements within the music (such as rhythm, melody, and harmony).11 Therefore, personalised music is the best approach to achieving a desired mental state, and we use technology to support this process.

Both platforms use personalised music as a motivational, mood-enhancing tool to help survivors navigate and express their emotions without the need for words.

The software is implemented during sessions, but with 24/7 availability to the generated personalised playlists, it can also be accessed by Physiotherapists, Occupational Therapists, and Speech and Language Therapists during rehab to act as a mood improver and support the client’s participation in rehabilitation. Seeing positive results in rehab will ultimately also help to improve the client’s mental state.

These playlists can also be accessed by carer’s and loved ones, so they can be played throughout the day when their mood needs to be lifted—improving not only the quality of their own daily life but that of their loved ones and their carer’s, as well.

CONCLUSION

The aim of this Music Therapy Expert Witness service is to help secure the best rehabilitation package for clients and enable legal teams to access independent expert witness testimony to help put forward a compelling case for the benefits of music therapy, including the latest technological approaches, within rehabilitation programmes for victims of a catastrophic injury, and help make clear to the courts, how such therapies ‘will’ improve victims’ quality of life. ■

For more information about Chroma Neurologic Arts Therapies within neurorehabilitation settings, please contact: Kate Cropper, Chroma via katec@wearechroma.com or 0330 440 1838 www.wearechroma.com

REFERENCES

1 https://alldoq.com/

2 https://isofi.app/

3 https://medimusic.co/

4 Nayak, S., Wheeler, B. L., Shiflett, S. C., & Agostinelli, S. (2000). Effect of music therapy on mood and social interaction among individuals with acute traumatic brain injury and stroke. Rehabilitation Psychology, 45(3), 274–283. https://doi.org/10.1037/0090-5550.45.3.274

5 Magee WL, Clark I, Tamplin J, Bradt J. Music interventions for acquired brain injury. Cochrane Database of Systematic Reviews 2017, Issue 1. Art. No.: CD006787. DOI: 10.1002/14651858.CD006787.pub3

6 Hegde S. (2014). Music-Based Cognitive Remediation Therapy for Patients with Traumatic Brain Injury. Frontiers in Neurology, Mar 24;5:34. doi: 10.3389/ fneur.2014.00034.

7 Paul, S., Ramsey, D. (2001). Music therapy in physical medicine and rehabilitation. Australian Occupational Therapy Journal, 47(3), 111-118. https:// doi.org/10.1046/j.1440-1630.2000.00215.x

8 Clark., I, N, Tamplin. J, (2016) How Music Can Influence the Body: Perspectives From Current Research. Voices: A World Forum for Music Therapy, Vol. 16 No. 2 (2016): Special Issue on “How Music Can Change Your Life and the World” (ISSN 1504-1611)

9 Stewart J, Garrido S, Hense C, McFerran K. Music Use for Mood Regulation: Self-Awareness and Conscious Listening Choices in Young People With Tendencies to Depression. Front Psychol. 2019 May 24;10:1199. doi: 10.3389/ fpsyg.2019.01199. PMID: 31178806; PMCID: PMC6542982.

10 Siponkoski, S. T., Koskinen, S., Laitinen, S., Holma, M., Ahlfors, M., JordanKilkki, P., Särkämö, T. (2022). Effects of neurological music therapy on behavioural and emotional recovery after traumatic brain injury: A randomized controlled cross-over trial. Neuropsychological Rehabilitation, 32(7), 1356–1388. https://doi.org/10.1080/09602011.2021.1890138

10 North, A. C., & Hargreaves, D. J. (2008). Musical preference and taste. In, The social and applied psychology of music (pp. 67-135). New York: Oxford University Press. doi: 10.1093/acprof:oso/9780198567424.003.0003

Neurons that fire together, wire together HARNESSING THE POWER OF NEUROPLASTICITY AFTER BRAIN INJURY

One of the key concepts underpinning neurorehabilitation is neuroplasticity. The more a neural network is used, the stronger it becomes and the more resilient it is to deterioration.

THE 10 PRINCIPLES OF NEUROPLASTICITY

1. Use it or lose it – neural circuits that are not actively used will deteriorate, and the brain can ‘forget’ how to use the affected hand or limb.

2. Use it to improve it – repetition of movement is needed for long-lasting neuroplastic change.

3.

Time since injury – there is a window of great opportunity for neuroplasticity in the sub-acute phase but changes can also be seen years after injury.

4. Age – it is thought that neuroplastic potential declines with age, and changes may become slower and less profound.

5.

Transference – the effects of neuroplasticity can spill over into other areas of the brain.

6.

Interference – neuroplasticity is not always positive. The brain is shaped by an individual’s environment, and we must consider the impact of stress and other daily activities being carried out.

7. Repetitions – the more repetitions of a movement, the more neuroplastic changes will be laid down and strengthened. Dose and duration also play a role, with the best results delivered through high-intensity therapy over a short period of time.

8.

Intensity – it is important to get the intensity of the activity ‘just right’ and gradually increase it through ‘growing’ the challenge, combining increased coordination, sensory input, and strength to create a demand for better performance and achieve systematic progression.

9.

Specificity – making exercises task-orientated helps ensure they are relevant, interesting, challenging, and goal-directed for the patient.

10.

Salience – being able to gain and maintain a patient’s attention, motivate them and induce a sense of ‘flow’ are also key factors that can influence neuroplasticity.

To harness the power of neuroplasticity, therapists seek to promote high dosage movement therapy for those who will benefit from it. Neurotechnological devices that are accessible, enable repetitions, and encourage adherence can support clinical outcomes. ■

Underpinned by the fundamental principles of neuroplasticity, GripAble translates key hand and wrist movements to engaging game play, which promotes multiple repetitions for people with upper limb impairment. The highly sensitive handheld sensor means that even those with profound impairments can engage in gamified neurotechnology.

Tel: 0207 661 4018 | Email: hello@gripable.co Web: www.gripable.co

WWW.GRIPABLE.CO

Struggling with putty and pegs?

GripAble can support you along your journey, with engaging and measurable hand and arm activities designed with brain and spinal injury survivors in mind. Connecting to an app on a tablet, GripAble empowers you through your training - face-to-face or remotely.

BUY OR TRY NOW

WILLIAM MARTIN Property Consultants Ltd

We are a property and construction consultancy providing tailored services for our clients throughout the UK

Our professional team provides building surveying, quantity surveying, project management & monitoring, architecture and associated services. The William Martin team provides expert opinion on the quantum of claims concerning accommodation issues arising from personal injury and medical negligence litigation.

We act for both the Claimant and Defendant and also as a Single Joint Expert. Our Experts are often retained post-claim to design and deliver schemes to adapt and construct accessible accommodation, working closely with the Claimant and family, together with their legal and care teams.

Our friendly, experienced team can provide suitability reports and assessments of an existing property prior to purchase. We undertake project analysis to support legal issues incorporating liaison with care professionals, legal representatives and other consultants as part of an integrated team. Design solutions are created and tailored to fulfil each clients’ individual needs. We look to incorporate specialists’ recommendations for bespoke equipment and hi-tech facilities to assist rehabilitation and independent living, as well as enhancing quality of life. ■

Web: william-martin.co.uk

Tel (London Office): 020 7378 5800

Tel (Manchester Office): 0161 457 0336

Specialised Neurological and Respiratory Care Services

Hawthorns Care Centre provides care and rehabilitation services for those who require Specialist and Complex Neurological and Respiratory Care.

At the heart of the Hawthorns team is a shared passion to provide the best care possible for each individual.

We enable individuals to regain control and independence where possible and ensure that not only the individual, but their families and friends, are supported through challenging times. Our approach to care is to provide a safe, homely environment in which our clients can achieve their maximum potential. We facilitate this through open and honest communications

with the client, their families and all healthcare professionals involved. Regular MDT meetings in which goals are set and reviewed enable us to ensure we are meeting the individual needs of our clients, using a holistic approach to their rehabilitation journey.

Hawthorns Care Centre O’Neill Drive, Peterlee, SR8 5UP 0191 587 1251

barchester.com/Hawthorns

Accessible and Inclusive Environments

Julian Rendall: jrendall@william-martin.co.uk

James Nocker: jpn@william-martin.co.uk

London: 0207 378 5800

Manchester: 0161 457 0336

www.william-martin.co.uk

BUILDING SURVEYING ARCHITECTURE & DESIGN CONTRACT ADMINISTRATION

PRINCIPAL DESIGNER / CDM COST CONSULTANTS

EXPERT WITNESS

PROPERTY FINDING

SUITABILITY REPORTS

BIS Services

BIS Services provide high calibre, quality rehabilitation assistants who work collaboratively to increase function and develop independence. Our award winning team are raising the standards in cognitive rehabilitation provision throughout the UK, enabling clients to reach their own goals and develop their skills.

We are committed to providing a person centered quality service to individuals living with cognitive deficits acquired through brain injury and neurological illness, with an innovative and practical approach to cognitive rehabilitation. Our interventions enable reintegration into the community, work or vocational environment and promote independence in activities of daily living.

families, allowing for immediate feedback and metacognitive skill building, in a variety of settings. Our high level training to all RAs ensures that clients and teams are assured of a highly specialised service, with exceptional feedback and report writing skill. Complemented by clinical supervision with a clinical psychologist, our assistants are able to provide a high quality, bespoke approach to cognitive rehabilitation.

Goal setting and attainment is key to our input and is a collaborative process with the client, their families and treating therapists. We work closely with case managers, solicitors, and therapists to ensure dovetailing and a coordinated approach to client rehabilitation and support programmes. Our CQC registered service is monitored continuously for quality and outcomes.

Building on our expertise in delivering packages for independent living trials, BIS Services have developed The Link. This pioneering project is designed to bridge the gap between acute medical settings and return home, allowing for a 12 week period of independent living assessment, providing detailed feedback of support need for future support requirements ■

The importance of valuesunderstanding and beliefs IN NEUROLOGICAL REHABILITATION

A person’s values, motivators, and aspirations, are an essential foundation of the specialist service provided by Krysalis.

In our everyday lives we are free to engage our core values and beliefs. Our values guide our choices and the decisions we make. This, however, can change if a person acquires a disability, impacting their recovery, wellbeing and independence.

Rehabilitation and specifically, neurological occupational therapy is more effective if time has been taken to understand the person before commencing rehabilitation.

The neurological occupational therapists at Krysalis understand that each person is unique. We start by considering the person as they were before and after their injury, including the view they hold of themselves.

Values help us to define who we are as an individual. They

govern the way we behave, communicate, and interact with others, and help us to define what is important and meaningful to do. Beliefs and values determine our attitudes and opinions, they guide our thoughts and feelings about ourselves and others in our world.

Mind and body are not seen as separate but as part of a single being; this is never more relevant than when we engage in everyday activities

Having an awareness of a person’s values and beliefs is essential, especially when working with people with complex needs or those who have experienced significant trauma, or where an individual is unable to express themselves fully due to communication challenges.

A Krysalis occupational therapist uses everyday activities in a neurological rehabilitation plan to promote independence, health and wellbeing. We aid recovery and help a person explore their aspirations. Individuals realise their potential, returning to the activities they loved and valued or finding new ones. ■

Contact Krysalis Consultancy

Tel: 01722 466117 | Web: www.krysalisconsultancy.co.uk

Across social media: @KrysalisNeuroOT

Neurological Occupational Therapy

knowledge of a condition is essential, life changing progress is sparked by a combination of experience, commitment and creativity

Recognising the consequences of neurological trauma helps us to understand what is important to our clients Being asked the right questions, feeling comfortable and being given the space to talk can make a positive difference

We help individuals reach a place where they can connect with the potential that we know is within everyone, irrespective of their disability

We are here to make a positive difference

Connect with us: Krysalis Neuro OT

A copy of the BABICM, CMSUK and VRA Code of Ethics for Case Managers

Membership Benefits

A copy of the BABICM Competency Framework & Standards

A regular copy of the BABICM members ‘Insight’ magazine

Opportunity to become involved in a BABICM working group or on council

Discounted rates to attend BABICM events, training and conferences (including access to further discounted ‘Earlybird’ rates).

Dedicated BABICM membership team

Access to the members only online forum

Access to the members-only section on the BABICM website to benefit from:

Inclusion in the list of members on the BABICM website

Access to free member only webinars BABICM App

Opportunities to stay up to date with brain injury and complex case management

Membership of an organisation specialising specifically in brain injury and complex case management

Membership of an organisation promoting best practice in case management and influencing brain injury and complex disability policy

Opportunity to apply for advanced practitioner membership of BABICM

Access to the professional practice and membership group (PPMG) for answers to specific queries about practice

Permission to use the relevant BABICM logo in your work, in accordance with the BABICM policy

Tax relief on membership fees, as BABICM is listed on the HMRC approved list of professional organisations and learned societies

Expertise essential, BUT TIMING IS CRUCIAL

Expertise and timing are integral to case management and in achieving the best rehabilitation outcomes for clients. Identifying needs is one thing, but knowing how and when to address these, is the difference between good case management and excellent case management.

Specialist Rehabilitation Case Managers, Ashley Halsey and Claire Norbutiene, discuss how effective case management is about choosing and connecting the right people at the right time.

THE RIGHT PEOPLE

In the first instance, it’s about appointing a case manager with the specific expertise who can enlist specialist therapists and professionals as part of a wider MDT to support all aspects of the client’s rehabilitation. Defining goals and identifying treatments involves communication with the client, their family and a range of MDT professionals to understand and prioritise what is right for the client at that time. Case managers take the time to get to know the client and understand what life was like pre-injury, what is important to them and what they want to achieve. Establishing a good relationship enables the client to feel comfortable enough to let their case manager know when they are struggling or when they feel they can achieve more.

successful outcomes for the client. While the initial plan may meet the client’s every need, trying to implement everything all at once is unlikely to support the safe, sustainable recovery of a client. The goal of one of our clients who sustained a traumatic brain injury was to return to university. Working closely with the client, we found that focusing on one intervention at a time ensured the client didn’t feel overwhelmed. This approach supported the client to progress more effectively, and in this case, the client was able to return to university, despite initial medical opinion that he would be unlikely to achieve this goal. The case manager and MDT are crucial in recognising the signs of overwhelm, and work together to adjust the programme. By taking a stepped approach, the case manager can evaluate the success of each intervention and be prepared to change the rehabilitation programme to prioritise what’s important in the client’s recovery and plan the next intervention accordingly.

Working closely with the client, we found that focusing on one intervention at a time ensured the client didn’t feel overwhelmed.

THE RIGHT GOALS FOR THE CLIENT

Case managers make sure clients see life beyond injury and understand rehabilitation must fit in with the client’s life. For some, spending an hour on the sofa watching a film with their kids supports their wellbeing more than an hour of formal therapy at that particular point in their recovery. Clients often have specific goals, and the case manager has the opportunity to think beyond the usual constraints to find a way for the client to achieve even the most ambitious of goals. Sometimes the client has moderate expectations of what they can achieve, and their case manager can help empower them to achieve much more than they thought possible. ■

THE RIGHT TREATMENT AT THE RIGHT TIME

How and when a comprehensive rehabilitation programme is implemented requires careful management to ensure

Tel: 020 8649 8006 Email: info@hcml.co.uk Web: www.hcml.co.uk

Ashley Halsey

Claire Norbutiene

We’re passionate about rehabilitation case management and achieve extraordinary outcomes for people who have experienced life-changing injuries.

Clinical expertise and unrivalled clinical governance.

Encouraging early intervention and speed of access to rehabilitation through market leading funding solutions.

Driving collaboration across services and stakeholders to deliver truly bespoke rehabilitation programmes.

Corporé TOGETHER WE’RE BETTER

From catastrophic to minor injuries, Corporé provides dedicated rehabilitation case management support to the personal injury, risk and absence management markets.

Corporé is an award-winning provider of rehabilitation case management services, providing holistic and bespoke rehabilitation to individuals involved in road traffic accidents, accidents at work, personal injuries or following catastrophic events.

With over 26 years of experience supporting Injured Parties and the claims process, we work together with Claimant Solicitors, Insurers and Employers to ensure the best possible rehabilitation, treatment and outcomes are achieved following our case management support. We collaborate with clinical specialists and expert treatment providers through our sister company, The Treatment Network, to offer support at the most appropriate time in each individual rehabilitation journey. This is all coordinated by our collection of dedicated Rehabilitation Case Managers.

Through collaboration, dedicated support and with stringent clinical quality standards, we achieve the best possible outcomes in rehabilitation Sales and Marketing Director, Michael Davis

Corporé now has almost 60 Rehabilitation Case Managers within our database to support a wide range of injuries. With their extensive clinical backgrounds, developed understanding of claims and litigation processes and determination to provide the best possible support to individuals in need, they achieve optimum outcomes through a range of case management services.

These include:

Catastrophic Case Management

Multi-Trauma Case Management

Desktop Case Management

Embrace Major Incident Rehabilitation Service

In-house Psychological support

Outsourced and trusted treatment support

For more information about how we can support your claim or to learn about our database of expert Rehabilitation Case Managers, please visit our website: www.corpore.co.uk

Or get in touch with us. Tel: 03330 063 677 | Email: info@corpore.co.uk

ABI Case Management Ltd

Covering the Midlands, North West, North East of England and North Wales, ABI Case Management Ltd is a dedicated and professional service providing specialist case management to clients with acquired brain injuries, spinal injury other catastrophic injuries.

Taking single or joint instruction from Defendants, Litigation

Solicitors, Court of Protection Deputies, lay Deputies or the client themselves - we provide assessment and ongoing case management services assessing and facilitating support for our clients from the post-acute and rehabilitative stages of recovery through to ongoing maintenance and longer-term support programs. Our case managers have extensive backgrounds and clinical experience in neuro-rehabilitation and the longterm management of the health, medical and social needs consequent of head injury and spinal cord injury. Our innovative and dedicated team of case managers

I have had nothing but positive experiences with ABI Case Management - who continue to work collaboratively with my client(s) and their families and support team to help them to achieve their goals.

COURT OF PROTECTION DEPUTY

include specialist occupational therapists and nurses who adopt a collaborative, proactive and needs led approach to supporting our clients through their rehabilitative journey to maximise their recovery, potential and reclaim their lives ■

For further information please visit our website at www.abicasemanagement.co.uk

For referrals, please email Ann Unsworth at admin@abicasemanagement.co.uk

Specialist Case Management

Occupational Therapy and Nursing Assessment

For Acquired Brain, Spinal and Catastrophic Injury

For referrals and information please email Ann Unsworth at admin@abicasemanagement.co.uk

Or visit our website - www.abicasemanagement.co.uk

Extra care and support WHEN YOU NEED IT MOST

Sustaining a brain or spinal injury can be a life-changing and often daunting process requiring major adjustment for all of those involved. Returning to your home from hospital can provide many physical and mental challenges, but we are here to help.

At Nurseplus Care at home, we understand the challenges faced by individuals and their families when dealing with brain and spinal injuries.

Our team of dedicated carers is committed to providing professional and compassionate spinal and traumatic brain injury homecare assistance, right in the comfort of your own home. With tailored care plans and a focus on enhancing your well-being and independence, we are here to support you or your loved one on the journey to recovery.

Our experienced and qualified home carers are dedicated

to going above and beyond to help you maintain the best quality of life. A bespoke care plan is developed based on your requirements and interests, with carefully matched carers able to undertake a range of activities that are most important to you.

Our experienced and qualified home carers are dedicated to going above and beyond to help you maintain the best quality of life

Our highly-trained carers provide support with tasks including personal hygiene, medication management, mobility assistance, meal preparation, and household chores, whilst we aim to promote comfort, dignity, and independence throughout. ■

Discuss your requirements with our friendly, expert team today and receive a free assessment within 24 hours. Simply call us on: 08000 622 622 or visit: www.nursepluscareathome.com

Continue to live independently with the support you need.

Sustaining a brain or spinal injury can be a life-changing and often daunting process requiring major adjustment for all of those involved Returning to your home from hospital can provide many physical and mental challenges, but we are here to help.

With our homecare services, you can continue living in the comfort and familiarity of your own home.

Nurseplus Care at home is dedicated to providing bespoke care and support for you or a loved one in the place they love most.

Discuss your requirements with our friendly, expert team today and receive a free assessment within 24 hours

on a mission to provide the very specialist home care and support affected by brain and spinal cord go ‘beyond outstanding’.

Libertatem is on a mission to provide the very best possible specialist home care and support for people affected by brain and spinal cord injury and to go ‘beyond outstanding’.

About Libertatem

What can we offer?

What can we offer?

of high quality people with acquired brain injuries, experience of providing people who have injuries as a result of an negligence.

We are a trusted provider of high quality complex in home care for people with spinal injuries and acquired brain injuries, with extensive experience of providing outstanding care for people who have sustained personal injuries as a result of an accident or medical negligence.

management team to our directly with people everyone in between, all we do. Operating our propriety offer a mostly paper compliance.

passionate Nurse managers care in the home, care-coordinators our services operate support available. beyond the usual provider.

• Bespoke care and support including hourly, waking nights and sleeping nights

• Live in care

• Bespoke care and support including hourly, waking nights and sleeping nights

• Live in care

• Educational support

• Educational support

• 2:1 complex healthcare support

• 2:1 complex healthcare support

We are able to support adult or paediatric patients and can help those transitioning from paediatric to adult provision.

What

From our senior management team to our colleagues working directly with people within their homes, and everyone in between, clients are at the heart of all we do. Operating nationally across the UK, our propriety technology enables us to offer a mostly paper free service with robust compliance.

We are able to support adult or paediatric patients and can help those transitioning from paediatric to adult provision.

conditions can we support?

What conditions can we support?

Our talented and passionate Nurse managers oversee the quality of the care in the home, supported by our team of care-coordinators – together they ensure our services operate seamlessly. There is 24/7 support available. We want to go above and beyond the usual expectations of a service provider.

extension of case teams- working seamless service to

Our multiskilled and flexible care and support staff have the ability support people living with a range of clinical needs including:

Our multiskilled and flexible care and support staff have the ability support people living with a range of clinical needs including:

• Acquired Brain Injury

• Acquired Brain Injury

• Spinal Cord Injury

• Spinal Cord Injury

• Cerebral Palsy: Spastic, Dyskinetic, Ataxik

• Cerebral Palsy: Spastic, Dyskinetic, Ataxik

• Home ventilation and respiratory support

• Renal care

• Stroke

Instead, we want to be an extension of case management and legal teams- working together to provide a seamless service to clients.

• Home ventilation and respiratory support

• Renal care

• Stroke

• Motor Neurone Disease

• Motor Neurone Disease

• Multiple Sclerosis (MS)

• Epilepsy

• Multiple Sclerosis (MS)

• Epilepsy

• Low self-esteem/confidence

• Depression

• Low self-esteem/confidence

• Depression

Why Choose Libertatem?

Why Choose Libertatem?

Our outstanding support means you can be sure your clients’ care is in safe hands.

Our outstanding support means you can be sure your clients’ care is in safe hands.

We offer:

We offer:

• Daily reports

• Daily reports

• Successful outcomes for clients

• Successful outcomes for clients

• Successful transfers of care

• Successful transfers of care

• Increased independence

• Increased independence

• High customer satisfaction levels

• High customer satisfaction levels

Ultimately, we are focused on what matters to clients.

Ultimately, we are focused on what matters to clients.

An established and accomplished team

An established and accomplished team

We have a long track record in working alongside case managers and litigation teams in helping provide optimum outcomes for clients. With excellent communication, state-of-the-art digital technology, careful colleague selection and best-in-class training, professionals acting on behalf of clients can be assured Libertatem is provider that goes beyond outstanding.

We have a long track record in working alongside case managers and litigation teams in helping provide optimum outcomes for clients. With excellent communication, state-of-the-art digital technology, careful colleague selection and best-in-class training, professionals acting on behalf of clients can be assured Libertatem is provider that goes beyond outstanding.

Training and bespoke support

We create a bespoke training course based on the actual needs of the individual. Examples of these are bowel care, cough assist, autonomic dysreflexia, ventilation and suctioning.

Training and bespoke support

We work in partnership with case managers to support clients to live as independently as possible as they come to terms with the physical, cognitive, emotional and social changes they experience post injury.

We create a bespoke training course based on the actual needs of the individual. Examples of these are bowel care, cough assist, autonomic dysreflexia, ventilation and suctioning. We managers independently to emotional experience To visit libertatemhealthcare.co.uk

To find out more visit enquiries@ libertatemhealthcare.co.uk

LIBERTATEM HEALTHCARE GROUP

Privileged to support people with complex care needs

What does ‘outstanding’ mean when we are talking about providing specialist complex care at home for people living with brain or spinal cord injury? And how can care providers move ‘beyond outstanding’ to provide potentially transformative support when it is delivered at home? John Lee, Chief Executive Officer at Libertatem Healthcare Group, tells us more.

John Lee

“Our organisation is greatly privileged to support people

with complex care needs and to do so in people’s own homes.

“It is a responsibility we don’t take lightly. We know that truly outstanding care isn’t just about addressing a person’s physical needs, keeping them safe, warm, comfortable and as healthy as possible, although those are undoubtedly vitally important.

“Genuinely outstanding care and support goes beyond those things and when it does so, can make a difference to a client’s - and their families - lives. It can help them continue enjoying the things they love, to participate, to engage. To live as well as is possible.

“Outstanding is a word that is used a great deal in our sector. It’s an aspiration in terms of regulatory ratings and one which we were proud to achieve and maintain. But for us as an organisation, our mission is to go ‘beyond outstanding’ in the care and support we offer clients. We want to go beyond the usual expectations of a service provider.

those are not understood by those supporting them?

“Investing in the team members supporting people is also essential, whether that is offering extensive and bespoke training and development or expanding the team. Having the right people, with the right skills and expertise, in place to provide care is key.

“Truly outstanding care is also ambitious and aspirational for clients.

“An example of this is Tony*. Tony sustained a severe brain injury and was living in a parent’s bedroom, heavily dependent on his family for support. His complex physical challenges meant he rarely went out. His quality of life was low.

“However, with the right communication and support from his Libertatem team going above and beyond, his life now has changed dramatically. He lives independently, he budgets, he cooks. He attends courses which interest him. He is planning trips overseas. Tony is living.

Excellent communication comes from inviting and welcoming feedback, and acting upon it, even when the messages may be tough to hear.

“So what does outstanding care and support involve, and how can care providers push beyond those boundaries?

Communication is at the forefront of outstanding care –communication with the client, with case managers, with funders and with colleagues.

“Excellent communication comes from inviting and welcoming feedback, and acting upon it, even when the messages may be tough to hear. Without clear and regular communication, hearing the voices of clients and acting on them, truly outstanding care is simply not possible. How can a person be helped to achieve their aspirations and goals if

“Care that goes beyond outstanding helps people like Tony not only achieve but surpass their goals and set new ones. And helps them achieve those too.” ■

Web: sonderwell.co.uk

Email: hello@sonderwell.co.uk

facebook: @sonderwell

Instagram: @wearesonderwell

Jane James and Associates, Expert Witness Reporting FOR OVER 35 YEARS

We are an award-nominated independent expert witness company producing highly regarded clinical negligence & personal injury reports for the Court, for over 35 years.

As an independent expert witness reporting company, we provide professional reports in the fields of clinical negligence and personal injury.

We work with both claimant and defendant legal representatives. Our associates are highly experienced clinicians.

Our quantum reports are succinct, robust, easy to read, and clear on costs, and cover injuries including brain, spinal, birth, and orthopaedic, as well as others.

Our liability reports are clear, concise, and easy to read.

We ensure our experts are trained to understand the terminology and phraseology used in liability reporting.

We offer liability reports in a range of areas including general nursing, midwifery, mental health nursing, accident and emergency nursing, practice nursing, manual handling, tissue viability, and care provision including nursing and care homes.

We understand how important it is to build positive relationships with our clients and ensure a smooth process from the initial inquiry to case settlement.

Highly regarded by our clients, we regularly receive repeat instructions from both claimant and defendant legal representatives.

Our team of experts is carefully selected to provide the best combination of expertise, experience, and up-to-date knowledge in their field.

If you require further information, Lucinda Lloyd, our Director of Operations, or Catherine Cooper, our Head of Clinical Negligence, would be delighted to discuss our team’s expertise or any of our reports. Please see our contact details below. ■

Is an award-nominated independent expert witness reporting company.

We have been providing an expert witness service for over 35 years.

We provide professional reports in the fields of clinical negligence & personal injury We work with both claimant & defendant legal representatives

Please visit our website or call our office if you require further information.

OneCall24 Healthcare: Bespoke, Rehabilitative Care with Clinical Expertise

At OneCall24 Healthcare, we understand the immense challenges of complex care. These conditions, like brain or spinal cord injuries, require ongoing medical attention, rehabilitation, and emotional support. It can be a relentless struggle for both patients and caregivers, leaving them feeling overwhelmed and emotionally drained.

YOUR PARTNER IN COMPLEX CARE

Facing a life-altering injury can feel overwhelming for both patients and their loved ones. OneCall24 Healthcare is here to provide a comprehensive solution, a beacon of hope on your road to recovery. We’re a team of passionate specialists and industry leaders in complex care. Brain injuries and spinal cord trauma are the battles we fight alongside our clients every step of the way.

Our bespoke care plans are tailored to each client’s unique needs. Whether you require 24/7 support with a dedicated care team or parttime assistance as you regain independence, we have a solution for you. Our nurseled clinical service leverages the latest advancements in technology to ensure the most effective care delivery. Additionally, our transparent care management system keeps clients, families, and loved ones informed and involved every step of the way.

BESPOKE CARE FOR EXCEPTIONAL OUTCOMES

We believe in personalised care. Whether you require 24/7 support or part-time assistance, our bespoke plans are tailored to your unique needs. Our services encompass a wide range of complex care needs, including brain and spinal cord injuries, tracheostomy and ventilation, paediatric complex care, long-term conditions, learning disabilities and rehabilitation support.

OneCall24 Healthcare goes beyond simply providing care – we offer a complete support system built on trust, cutting-edge technology, and unwavering clinical expertise. Let us help you navigate the pathway of care delivery so you can focus on what matters most – you.

Testimonial:

“I love my care team and my Nurse Manager; they really understand me as a person and how to support me, particularly during my difficult days. I wouldn’t be without them.” Miss X, South England, living with a brain injury.

EMPOWERING RECOVERY, TOGETHER

At OneCall24 Healthcare, we understand that complex care impacts not just the patient but the entire family. That’s why we offer a holistic approach to recovery. Our individualised care plans go beyond medical needs, focusing on helping patients rediscover hobbies and social connections that bring joy and purpose. We can also provide educational resources and links to support groups to empower families as they navigate this challenging journey. ■

Ready to take the first step? Contact OneCall24 Healthcare today or visit our website to learn more about our services and how we can help you. Let’s rebuild lives together.

Call OneCall24 Healthcare on 03333 22 11 33 Web: www.onecall24healthcare.co.uk

From Caregiver to Complex Care Champion: OneCall24 Healthcare helps to transform lives.

Caring for someone with a complex medical condition is a demanding yet profoundly impactful experience. This truth resonates deeply within me. Throughout my childhood, my brothers and I shouldered the responsibility of caring for our mother, who lives with a chronic disability that significantly damaged her spine.

THE UNSCRIPTED JOURNEY OF COMPLEX CARE

The lack of readily available resources and a clear roadmap for her specific needs made our journey challenging. We were forced to learn quickly, becoming experts out of necessity to ensure our mother received the best possible care at home. Witnessing her numerous surgeries and lengthy rehabilitation periods throughout our lives instilled in me a profound desire to help others facing similar situations. There were countless nights spent navigating complex medical jargon, researching unfamiliar therapies, and advocating for her needs within the healthcare system.

At OneCall24 Healthcare, my dream of providing exceptional care for individuals with complex needs became a reality. We are a dedicated team of passionate specialists and industry leaders in complex care. We understand the intricate challenges faced by individuals with profound physical disabilities and ongoing rehabilitation requirements.

EMPOWERING PATIENTS AND FAMILIES: OUR CORE MISSION

At OneCall24 Healthcare, we are here to empower both patients and families to navigate the complexities of care. We offer exceptional, person-centred care that goes beyond simply meeting medical needs. Our bespoke care plans are meticulously crafted to address each client’s unique challenges and aspirations. We leverage cuttingedge technology to ensure the most effective care delivery and maintain clear communication with families every step of the way.

Our commitment extends beyond medical care. We understand that a fulfilling life includes hobbies, social interaction and a sense of purpose. We work with patients to rediscover these aspects, exploring opportunities that bring joy and meaning.

Our commitment extends beyond medical care. We understand that a fulfilling life includes hobbies, social interaction and a sense of purpose.

This passion stems not only from a commitment to excellence but also from a deep understanding of the emotional and logistical burdens placed on families. There’s no greater act in humanity than caring for someone in need, regardless of the circumstance.

Adam Stringer – Founding Director, OneCall24 Healthcare

Because we understand the intricacies of complex care, we can provide the unwavering support and exceptional care you deserve. We offer a comprehensive range of services, catering to a wide range of needs, big or small. From 24/7 support to part-time assistance, our bespoke care plans are designed to empower individuals to live the best lives possible. ■

Call OneCall24 Healthcare on 03333 22 11 33 Web: www.onecall24healthcare.co.uk

LV Rehabilitation TAKE THE FIRST STEP TOWARDS YOUR RECOVERY

LVRehabilitation is a specialised neurological and trauma rehabilitation service located on the south coast. We offer customised care for individuals who have suffered from brain and spinal cord injuries, conveniently situated near two national spinal cord injury and neurosurgical units.

Our experienced team of therapists provides personalised rehabilitation solutions to empower our clients to unlock their potential for neurological recovery. We work collaboratively with legal teams and case manager and offer the option of home-based therapy, hydrotherapy and our excellent gym facility.

activity providers, ensuring that rehabilitation remains a fun and engaging experience.

We believe that our approach to rehabilitation is second to none!

We are committed to providing the highest level of care to our clients, their families, and case managers. Our approach to rehabilitation is second to none, and we believe in empowering our clients to achieve their goals. If you or someone you know requires neurological or trauma rehabilitation services, please contact LV Rehabilitation. ■

We focus on return to function for day-to-day life, as well as supporting individuals to return to sports or hobbies with necessary adaptations. Our team integrates therapy with return to sport by linking with sport and

Tel: 01243 943023

Web: www.lvrehab.co.uk

Email: info@lvrehab.co.uk

Rehab, Respite & Rock’n’Roll SUPPORTING CLIENTS TO ACHIEVE THEIR GOALS

Since 2009, Steps Ahead continuously evolves to ensure we are always meeting the needs of our clients.

Our reputation amongst various professionals has grown, and we are renowned for providing bespoke, rehab-based care and support packages throughout England & Wales for individuals who have sustained an acquired brain, spinal or other life changing injury. Our packages can range from 24/7, 2:1 support, to a few hours each week. Steps Ahead now have a Clinical Lead, meaning we can offer care and support to clients with more complex needs.

One of our main aims is to promote independence and to safely reduce the level of input we provide. We do this in a structured, progressive and safe way, which is always guided by clients and their ability, as well as the wider MDT. We work with clients to enable them to achieve their goals and aspirations and love to celebrate our clients achieving, regardless of how big or small each goal is considered.

DISNEY DREAMS COME TRUE

We understand that for a lot of clients, it may be more difficult to access holidays abroad, staycations, gigs or festivals. In more recent years we have developed our service further to enable us to support clients on these trips, which includes extensive research, planning and preparation.

Although I thought I knew what Steps Ahead does, I was surprised and inspired again by just how committed your organisation is to helping people live their lives they want to live

Clive Parry, Director for ARC England

This summer, a client’s mum approached us to arrange the trip of a lifetime for her son to Disneyland Paris. An incredible amount of planning behind the scenes went into the trip, from finding accessible, appropriate accommodation (harder than it seems!) to writing countless risk assessments, making sure medication is legal

in the destination country, and providing hospital passports and information in the correct languages, as well as finding English speaking pharmacies and GPs just in case. Through sheer determination and an incredible team, we made this happen and it was such a success that we are taking it one step further and going to Florida this year!

EXPERIENCES FOR EVERYONE

Over the years, we have had people who don’t receive support from us approach us to deliver this service. Making sure that we inject fun into any client’s rehab journey is central to what we do – we believe this is what keeps clients engaged and aids motivation to make every journey a success.

Whether a client or not, we will work tirelessly to make anyone’s goal a reality. ■

HQ: 01752 547257

Email: admin@stepsaheadsupport.co.uk Web: stepsaheadsupport.co.uk

Maplewood Independent Living Bespoke Case Management, Specialist Care & Support

Support

Maplewood Independent Living Bespoke Case Management, Specialist Care & Support

Maplewood Independent Living Bespoke Case Management, Specialist Care & Support

Maplewood Independent Living creates bespoke case management, rehabilitation, care and support services for individuals in your community. Our goal is to facilitate positive outcomes for those who have suffered life altering injuries.

Maplewood Independent Living creates bespoke case management, rehabilitation, care and support services for individuals in your community. Our goal is to facilitate positive outcomes for those who have suffered life altering injuries.

Maplewood Independent Living creates bespoke case management, rehabilitation, care and support services for individuals in your community. Our goal is to facilitate positive outcomes for those who have suffered life altering injuries.

Maplewood Independent Living creates bespoke case management, rehabilitation, care and support services for individuals in your community. Our goal is to facilitate positive outcomes for those who have suffered life altering injuries.

We genuinely believe that all people should lead as fulfilling and independent a life as possible, which is made a reality with the right support in place.

We genuinely believe that all people should lead as fulfilling and independent a life as possible, which is made a reality with the right support in place.

We genuinely believe that all people should lead as fulfilling and independent a life as possible, which is made a reality with the right support in place.

We genuinely believe that all people should lead as fulfilling and independent a life as possible, which is made a reality with the right support in place.

Every aspect of what we do is undertaken in a personcentred way and all case managers, care and support staff are matched to the individual as no two people are the same.

Every aspect of what we do is undertaken in a personcentred way and all case managers, care and support staff are matched to the individual as no two people are the same.

Every aspect of what we do is undertaken in a personcentred way and all case managers, care and support staff are matched to the individual as no two people are the same.

Every aspect of what we do is undertaken in a personcentred way and all case managers, care and support staff are matched to the individual as no two people are the same.

Our multidisciplinary approach is second to none and ensures each individual fulfils their needs and aspirations. It is our belief that mental health is just as important as physical wellbeing, and we recognise the important link between the two.

Our multidisciplinary approach is second to none and ensures each individual fulfils their needs and aspirations. It is our belief that mental health is just as important as physical wellbeing, and we recognise the important link between the two.

Our multidisciplinary approach is second to none and ensures each individual fulfils their needs and aspirations. It is our belief that mental health is just as important as physical wellbeing, and we recognise the important link between the two.

Our multidisciplinary approach is second to none and ensures each individual fulfils their needs and aspirations. It is our belief that mental health is just as important as physical wellbeing, and we recognise the important link between the two.

We provide case management, clinical assessment and input, rehabilitation, care and support services, including palliative care, to both adults and children who suffer from complex needs, such as those arising from an acquired injury, inherited condition, other life limiting condition or following surgery, for example:

We provide case management, clinical assessment and input, rehabilitation, care and support services, including palliative care, to both adults and children who suffer from complex needs, such as those arising from an acquired injury, inherited condition, other life limiting condition or following surgery, for example:

We provide case management, clinical assessment and input, rehabilitation, care and support services, including palliative care, to both adults and children who suffer from complex needs, such as those arising from an acquired injury, inherited condition, other life limiting condition or following surgery, for example:

We provide case management, clinical assessment and input, rehabilitation, care and support services, including palliative care, to both adults and children who suffer from complex needs, such as those arising from an acquired injury, inherited condition, other life limiting condition or following surgery, for example:

Brain Injuries

Brain Injuries

Brain Injuries

Brain Injuries

Spinal Injuries

Spinal Injuries

Spinal Injuries

Spinal Injuries

Cerebral Palsy

Cerebral Palsy

Cerebral Palsy

Cerebral Palsy

Stroke

Stroke

Amputations

Stroke Amputations

Amputations

Orthopaedic Injuries

Orthopaedic Injuries

Orthopaedic Injuries

A bespoke and comprehensive service is provided from initial assessment, planning and management, through to the ongoing rehabilitation and day to day care and support, and encompassing all steps in between; whether for a determined recovery period or lifelong.

A bespoke and comprehensive service is provided from initial assessment, planning and management, through to the ongoing rehabilitation and day to day care and support, and encompassing all steps in between; whether for a determined recovery period or lifelong.

A bespoke and comprehensive service is provided from initial assessment, planning and management, through to the ongoing rehabilitation and day to day care and support, and encompassing all steps in between; whether for a determined recovery period or lifelong.

A bespoke and comprehensive service is provided from initial assessment, planning and management, through to the ongoing rehabilitation and day to day care and support, and encompassing all steps in between; whether for a determined recovery period or lifelong.

We manage all aspects of the case management, care and support under cover of a case manager, CQC registered branch manager and the care and support teams and we work seamlessly with multidisciplinary teams where necessary.

We manage all aspects of the case management, care and support under cover of a case manager, CQC registered branch manager and the care and support teams and we work seamlessly with multidisciplinary teams where necessary.

We manage all aspects of the case management, care and support under cover of a case manager, CQC registered branch manager and the care and support teams and we work seamlessly with multidisciplinary teams where necessary.

We manage all aspects of the case management, care and support under cover of a case manager, CQC registered branch manager and the care and support teams and we work seamlessly with multidisciplinary teams where necessary.

Management, recruitment, training, supervision and compliance are all undertaken in house, so everything is in one place ensuring our high standards and continuity of service are maintained.

Management, recruitment, training, supervision and compliance are all undertaken in house, so everything is in one place ensuring our high standards and continuity of service are maintained.

Management, recruitment, training, supervision and compliance are all undertaken in house, so everything is in one place ensuring our high standards and continuity of service are maintained.

Management, recruitment, training, supervision and compliance are all undertaken in house, so everything is in one place ensuring our high standards and continuity of service are maintained.

We have over 25 years’ experience, are CQC registered, and all staff are enhanced DBS checked and undergo regular and comprehensive training and assessments.

We have over 25 years’ experience, are CQC registered, and all staff are enhanced DBS checked and undergo regular and comprehensive training and assessments.

We have over 25 years’ experience, are CQC registered, and all staff are enhanced DBS checked and undergo regular and comprehensive training and assessments.

We pride ourselves on the high standards we consistently deliver to those we support.

We pride ourselves on the high standards we consistently deliver to those we support.

We have over 25 years’ experience, are CQC registered, and all staff are enhanced DBS checked and undergo regular and comprehensive training and assessments. We pride ourselves on the high standards we consistently deliver to those we support.

We pride ourselves on the high standards we consistently deliver to those we support.

Motor Neurone Disease

Motor Neurone

Motor Neurone

Disease

Motor Neurone Disease

Multiple Sclerosis

Multiple Sclerosis

Multiple Sclerosis

Multiple Sclerosis

Multi-Sensory

Multiple Complex Injuries

Multiple Complex Injuries

Multiple Complex Injuries

Mental Health

Mental Health

Clinical

Impairment

Multi-Sensory

Multi-Sensory

Multi-Sensory Impairment

Impairment

Impairment

Mental Health Clinical Negligence www.maplewood.org.uk

Clinical Negligence

Negligence

www.maplewood.org.uk

CASE MANAGEMENT SERVICES

Bespoke Specialist Case Management, Care & Support Services

Bespoke Specialist Case Management, Care & Support Services

Bespoke Specialist Case Management, Care & Support Services

Bespoke Specialist Case Management, Care & Support Services

CASE MANAGEMENT SERVICES

CASE MANAGEMENT SERVICES

We provide high quality tailored case management, care and support services across Essex, Hertfordshire, Cambridgeshire, Kent and Suffolk, from our offices in Great Dunmow, Bury St Edmund’s and Dartford.

We provide high quality tailored case management, care and support services across Essex, Hertfordshire, Cambridgeshire, Kent and Suffolk, from our offices in Great Dunmow, Bury St Edmund’s and Dartford.

We provide high quality tailored case management, care and support services across Essex, Hertfordshire, Cambridgeshire, Kent and Suffolk, from our offices in Great Dunmow, Bury St Edmund’s and Dartford.

We provide high quality tailored case management, care and support services across Essex, Hertfordshire, Cambridgeshire, Kent and Suffolk, from our offices in Great Dunmow, Bury St Edmund’s and Dartford.

Basic Home Help through to Complex Care

Basic Home Help through to Complex Care

Basic Home Help through to Complex Care

Basic Home Help through to Complex Care

Brain Injuries, Cerebral Palsy, Multiple Sclerosis, Stroke, Orthopaedic Injuries, Mental Health, Spinal Injuries, Motor Neurone Disease, Multi-Sensory Impairment, Amputations, Multiple Complex Injuries & Clinical Negligence

Brain Injuries, Cerebral Palsy, Multiple Sclerosis, Stroke, Orthopaedic Injuries, Mental Health, Spinal Injuries, Motor Neurone Disease, Multi-Sensory Impairment, Amputations, Multiple Complex Injuries & Clinical Negligence

Brain Injuries, Cerebral Palsy, Multiple Sclerosis, Stroke, Orthopaedic Injuries, Mental Health, Spinal Injuries, Motor Neurone Disease, Multi-Sensory Impairment, Amputations, Multiple Complex Injuries & Clinical Negligence

Brain Injuries, Cerebral Palsy, Multiple Sclerosis, Stroke, Orthopaedic Injuries, Mental Health, Spinal Injuries, Motor Neurone Disease, Multi-Sensory Impairment, Amputations, Multiple Complex Injuries & Clinical Negligence

Person Centred Support Tailored to Individual Requirements

Person Centred Support Tailored to Individual Requirements

Person Centred Support Tailored to Individual Requirements

Person Centred Support Tailored to Individual Requirements

Complete In House Service-Case Management, Care Management, Care & Support

Complete In House Service-Case Management, Care Management, Care & Support

Complete In House Service-Case Management, Care Management, Care & Support

Complete In House Service-Case Management, Care Management, Care & Support

Skilled, Dedicated & Reliable Management & Support Team

Skilled, Dedicated & Reliable Management & Support Team

Skilled, Dedicated & Reliable Management & Support Team

Skilled, Dedicated & Reliable Management & Support Team

Complete Service including Tailored Reports

Complete Service including Tailored Reports

Complete Service including Tailored Reports

Complete Service including Tailored Reports

Consistently High Standards with Over 25 Years’ Experience

Consistently High Standards with Over 25 Years’ Experience

Consistently High Standards with Over 25 Years’ Experience

Consistently High Standards with Over 25 Years’ Experience

CQC Registered

CQC Registered

CQC Registered

CQC Registered

All Staff Enhanced DBS Checked

All Staff Enhanced DBS Checked

All Staff Enhanced DBS Checked

All Staff Enhanced DBS Checked

Comprehensive Staff Training & Assessments

Comprehensive Staff Training & Assessments

Comprehensive Staff Training & Assessments

Comprehensive Staff Training & Assessments

Annual Leave and Sickness Cover to maintain Continuity of Service

Annual Leave and Sickness Cover to maintain Continuity of Service

Annual Leave and Sickness Cover to maintain Continuity of Service

Annual Leave and Sickness Cover to maintain Continuity of Service

Promoting Independence & Supporting with both Physical & Mental Health

Promoting Independence & Supporting with both Physical & Mental Health

Promoting Independence & Supporting with both Physical & Mental Health

Promoting Independence & Supporting with both Physical & Mental Health

Making the invisible, visible; THE KEY TO A SUCCESSFUL CARE RELATIONSHIP

There are many sides to complex care. Alcedo Care explain why their bespoke packages of care consider the whole person, not just their injury or illness.

Apackage of care is a provision based around a mutual understanding of a person’s physical, psychological, emotional, and social needs and forms part of a complex interplay of services with the goal of supporting someone to reach their best possible outcome following a life changing injury.

As well as apparent physical changes, people may experience changes that are less easy for those looking in to identify. They could include the way the person thinks, rationalises, and reasons; their ability to perform essential basic self-care tasks (bathing, dressing, toileting, transferring, eating and continence); their confidence and ability to socialise may be decreased, and their reliance on the support of others increased.

PLAN TO SUCCEED

Following

an

RTA I needed care three times a day. The care I receive is thoughtful, helpful, and appropriate. Carers are professional, kind, and friendly.

health and social care needs including those with ABI, TBI and spinal injuries, the team have the knowledge, experience, and resources to care both within and outside of a hospital or rehabilitation facility setting, plan for repatriation home and maintain a consistently high standard of care.

SOCIAL VALUES

Client Comment

For a care plan to succeed it is important that any changes and concerns are acknowledged and made visible. The client needs to feel their concerns are valid, that their carers are compatible to their needs, they are being kept front and centre of their care plan and not just a cog in the wheel of care. Compatibility is measurement, gauged through experience and competency; the ability to empathise, understand, and support the difficulties the client is experiencing; demonstrating willingness to embrace any cultural differences and support the client to reach their goals.

Alcedo Care offers a comprehensive initial assessment to facilitate the development of a bespoke plan of care; underpinned by a team of employed registered adult, paediatric and mental health nurses to support full time live-in, at home pop-in, and companionship care. With a client base that includes people with a wide variety of

Alcedo Care, a Trusted Care Partner of the Spinal Injuries Association, are registered with the CQC and CIW. In March 2024 they won the award of “Best for Specialised Care” at the Home Care Awards and they have been named as one of the top 20 large homecare Groups in the UK by www. homecare.co.uk for the last 4 years. . A family run business, they are proud of their social values and regularly interact with local businesses, schools, activity centres and charitable organisations to source support for their clients and educate the community about the careers in care, the diverse nature of care, and care access pathways to enable people to make an informed choice when engaging a care provider. ■

Discover more at www.alcedocare.co.uk

Tel: 01704 829590

Facebook: @alcedocare

Twitter: @alcedocare

“The carers from Alcedo Care have been absolutely outstanding, even more so as my husband is a “complex case”. The carers are always on time, they are efficient and caring towards me also. I cannot thank them enough for what they have done for my husband, and their care and respect for me”

Companionship to complex care

Companionship to complex care

Companionship to complex care

Positive support to maintain independence and lifestyle

Positive support to maintain independence and lifestyle

Positive support to maintain independence and lifestyle

Complete one to one personal care and attention

Complete one to one personal care and attention

Complete one to one personal care and attention

SB Wife of Client

EMPOWERING LIVES: Acuity Care Group’s Commitment to Personalised Support and Independence

With over 30 years of experience across the group, Acuity Care Group has steadily grown by providing high-acuity services throughout England, working in close partnership with commissioners in Integrated Care Boards (ICBs), Local Authorities and Case Management Organisations.

Our success is rooted in delivering highquality, honest, tailor-made, and affordable services to the people we support and funders. We offer a range of services, including Spinal Injury Support, Neuro and Brain Injury Support, Complex Care, and care for people with Learning Disabilities and Autism.

IT STARTS WITH OUR PURPOSE

We care deeply for our mission to enable people to live fulfilled lives and this is reflected in our teams and the services we deliver. A strong sense of purpose drives our teams to listen, tailor service delivery to individuals and collaborate positively with the networks of support that surround the people for whom we care. We have found in our experience that passionate and committed people who feel empowered to make an impact, have the direct effect of empowering the lives of those we support by offering independence, compassion, and effective support at every stage.

SPECIALIST SERVICES DESIGNED FOR THE INDIVIDUAL

We recognise the very specific needs of those we support, we have created several industry leading brands and service offerings designed to meet those needs. Bringing together the clinical skills and governance, with staff who are specifically recruited and trained to the needs of the individuals we support, means that we have a bespoke offering that has much greater impact and drives better outcomes. The way we recruit and retain our excellent team of carers is underpinned by our Acuity Care Group values and by offering both opportunities for growth and delivering social value by giving back to the communities they serve.

Our Spinal Injury Support (SIS) service works in partnership with adults and children across England living with spinal injuries, offering personalised support for independence and fulfilment via a bespoke designed care suitable for their home and community setting. Our nationwide team delivers high-quality support and clinical

care, where Support Workers are provided an excellent training programme tailored to the individual we support. This equips them with the comprehensive knowledge and skills essential for effective care and support of those affected by spinal injuries.

Team Brain Injury Support (TBIS), a leading specialist homecare provider nationwide, supports both children and adults with neurological conditions and brain injuries. The primary focus for TBIS lies in delivering personalised care to enrich the quality of life of the people they support. With expertise in addressing communication difficulties, behavioural changes, cognitive issues, and other effects of brain injury, they empower individuals to lead fulfilling lives in alignment with their preferences.

Bespoke Health and Social Care (BHSC) is a leading provider of complex care at home, offering individualised, personcentred care packages aimed at enhancing the quality of life for the people we support and enabling successful living at home. Our Clinical Nurse Specialists support and train the support workers to facilitate the people we support achieving their short term and long-term outcomes.

Learning Disability and Autism (LDA) offers holistic support to adults with autism, learning disabilities, or behaviors that challenge, with a focus on community integration and maximising independence and personal choice.

THE POWER OF RELATIONSHIPS, LISTENING AND ADAPTING

Scientific journals have long noted the essential role of positive and effective relationships being pivotal in effective care provision and delivering outcomes established in Care Plans. By closely collaborating with the people they support, families, case or care managers, commissioners, and multidisciplinary teams, we prioritise individual needs and tailor care plans to specific goals. Choice plays a pivotal role in our approach, as we actively involve the people we support and their support networks in decision-making processes. This ensures an extremely high level of tailoring with the clear intent to deliver the best possible outcomes, enabling people to live independent and fulfilled lives at home.

Furthermore, listening to feedback, learning from events and interactions allows us to adapt our approach and evolve care plans throughout the period of working with an Individual. Collaboration with industry bodies like the Spinal Injuries Association (SIA), BABICM and Care England, we share a commitment to excellence in care. Together, we seek to improve and inform our services with the latest industry trends and guidance. This partnership ensures our nursing team stay in touch with the latest training and access to expert advice, ensuring the highest level of care and support for those they serve. They empower individuals with spinal cord injuries to overcome barriers and achieve personal goals. By working together as one cohesive unit, they strive to create more opportunities, enrich lives, and foster greater independence and well-being for the people they support.

We

deeply

our mission to enable people to live fulfilled lives and this is reflected in our teams and the services we deliver.

HOW PERSON-CENTRED CARE LEADS TO SUCCESS

We support a male who suffered a brain injury in a car accident, leaving him immobile with complex care needs and behaviours. Before his discharge from the Queen Elizabeth Foundation, we organised a training day involving his family, the entire Multi-Disciplinary Team, and his Team

Brain Injury Support team. The day focused on his specific needs, with input from various specialists and his family sharing insights into his history, goals, and adapted vehicle. The guidance from this team shaped our person-centred care plan. Initially, we provided double up care during the day and waking nights, thanks to everyone at Team Brain Injury Support, we’ve reduced support to one worker during the day, with plans to further reduce to sleeping nights. Remarkably, the individual now walks with a pole and no longer requires a wheelchair, often using a rollator in the community. To say this individual has grown in confidence is an understatement as he has now also transitioned from male to female. We are exceptionally proud of how far they have come, and it has been a privilege to support them on their incredible journey of rehabilitation. ■

BROTHERWOOD DELIVER an Outstanding Solution for the Edwards Family

Having accrued decades of experience in the field of Wheelchair Accessible Vehicles (WAVs) – owning 7 different models over a span of 23 years – The Edwards Family knew just what to look for when setting out for what would be their eighth.

Their search ended at the Brotherwood Tigon – a lowered floor WAV conversion for the Toyota Proace Verso. With a flat, level lowered floor and inclusive, central travelling position for Megan; the Brotherwood conversion was perfectly suited to their needs.

Mr Edwards writes: “Over the past 23 years we have purchased seven WAVs. This, our eighth, is the first one purchased from Brotherwood. Over the years, our knowledge, experience and

learning has grown in relation to the specific needs we have from a WAV and so, when we decided to make our latest purchase, we knew exactly what we required, and conversely, and in so many ways far more importantly, what we didn’t.”

Over the past 23 years we have purchased seven WAVs. This, our eighth, is the first one purchased from Brotherwood.

We spent quite a bit of time looking around the market and there was always something we had to compromise on. That was until Brotherwood turned up a with the Toyota Proace Verso demonstrator.”

“The moment the rear tailgate was opened and we could see the seating position for our daughter, in between the two custom built rear passenger seats nearer to the driver and front passenger, so that as a family unit we were closer together and more connected – it was a done deal.

Couple this, with the excellence of the Toyota base vehicle design and the clever design accents with the Brotherwood conversion, their attention to detail, bespoking the vehicle for our specific needs, and the aftercare package just made complete sense.”

“It’s just a delight to deal with a company who really puts the customers needs first and foremost through taking pride in evolving clever design, product innovation and high quality craftsmanship to ensure a no compromise customer service.

Consequently, as a family, we highly recommend Brotherwood.”

ABOUT THE BROTHERWOOD TOYOTA PROACE VERSO WAV

The Brotherwood conversion can safely transport the heaviest of powered wheelchairs, and is robustly engineered to restrain large wheelchairs up to 200kg.

ABOUT BROTHERWOOD

Brotherwood are the UK’s Wheelchair Accessible Vehicle (WAV) Specialists and are recognised as the market leader in Wheelchair Accessible Vehicle Design. We believe that every WAV should prioritise comfort, inclusion, and safety for the wheelchair user.

It’s

just a delight to deal with a company who really puts the customers needs first and foremost through taking pride in evolving clever design, product innovation and high quality craftsmanship to ensure a no compromise customer service.

The Brotherwood wheelchair access conversion for the Toyota Proace Verso provides the space and versatility a family needs. With a tall, wide, and inclusive central wheelchair location, the wheelchair user travels centrally on the flat, level lowered floor with ample headroom –even for taller wheelchair users.

The lightweight rear access ramp is counterbalanced, so that it can be lifted with minimal effort by foot or hand, and is finished with a high-traction surface that makes access easy for manual or power chairs.

The optional air suspension system can also be lowered, reducing the angle of the access ramp to just 9o for easier wheelchair access. A remote-controlled, powered front restraint system, also assists loading a wheelchair and passenger without the need to push.

Offering a range of new Wheelchair Accessible Vehicles for sale, as well as factory refurbished WAVs; Brotherwood also offer flexible, long or short-term accessible vehicle hire.

Brotherwood offer free, no-obligation home demonstrations across the UK, and work in conjunction with Case Managers and Occupational Therapists to deliver mobility solutions for wheelchair users.

Brotherwood are also a certified CPD Member, offering free training sessions, study days and workshops to healthcare professionals involved in the provision of accessible transport; ensuring that Case Managers are equipped with the knowledge to enable them to perform transport needs assessments, and ensuring their client’s needs are accurately measured and met.

Brotherwood are also members of WAVCA (The Wheelchair Accessible Vehicle Convertors Association) and are approved suppliers to the Motability scheme. ■

For more information contact Brotherwood today on: 0330 174 7549 or visit: brotherwood.com

FUNCTIONAL ELECTRICAL STIMULATION (FES) for correction of dropped foot

FES is increasingly being seen as a first line intervention to improve the mobility of people with neurological disability. Paul Taylor has pioneered its use within the NHS.

Dropped foot is the inability to lift the foot as the leg swings forward when walking. It is caused by weakness in the muscles that lift the foot and/or excessive activity (spasticity) in the antagonist muscles. Dropped foot increases the risk of falls, reduces mobility and participation in activities of daily living.

WHAT IS FES AND HOW DOES IT WORK?

Functional Electrical Stimulation (FES) is the production of functional movement in paralysed or weak muscles by the application of small pulses of electrical current to the nerves that supply them. The Odstock Dropped Foot Stimulator (ODFS®) Pace was developed at Salisbury District Hospital. It stimulates the common peroneal nerve at its most superficial point where it passes the head of fibula, using self-adhesive skin electrodes. Stimulation is timed to the walking cycle by using a pressure switch placed in the shoe under the heel. Stimulation begins when the heel is lifted from the ground and ends just after heel strike. Stimulation causes the foot to lift and stabilises the ankle when it is returned to the ground. Stimulation feels like pins and needles and most people quickly become used to the sensation.

I have been using a single channel stimulator for foot drop, due to MS, for 5 years. I wear it every day and it has allowed me to carry on working full-time. It is the single most helpful thing in this journey as a patient, and has allowed me to remain as active as possible.

The ODFS® Pace is primarily used as a long-term assistive device. However, therapeutic training benefit has been demonstrated in people who have a dropped foot due to stroke, spinal cord

injury, Parkinson’s and some people with MS. It can also be used in early gait re-education to help facilitate a normal gait pattern, including the retraining of knee and hip control. Because FES can reduce spasticity though activation of reciprocal inhibition, it is often a more effective mobility intervention than passive orthotics and can enable greater range of movement and ground clearance.

THE MAIN EFFECTS OF THE ODFS® PACE (FES DEVICE) ARE:

Increased safety due to reduced tripping and increased stability in stance, reducing falls by 72 %

Increased walking speed, functional ambulation category and distance range

Reduced effort of walking

Greater confidence, independence and quality of life

The ODFS® Pace is a practical device with adherence to treatment at one year of 86%. FES can be used to assist walking in any neurological condition resultant from an upper motor-neuron lesion (lesion within the brain or spinal cord above T12). This includes stroke, MS, spinal cord injury, traumatic brain injury, cerebral palsy, hereditary spastic paraplegia and Parkinson’s disease.

FES for correction of dropped foot is a recommended treatment in NICE guidelines IPG278, ACPIN and ANPT clinical guidelines.

OML provide training courses for clinicians wishing to use FES in their clinical practice. Please visit our website for further details ■

Web: odstockmedical.com Email: enquiries@odstockmedical.com

01722 439 540

Paul Taylor

Our aim is to provide and develop FES (Functional Electrical Stimulation) as a rehabilitation treatment for people with neurological conditions (MS, stroke, CP, SCI, HSP, PD, TBI)

Functional Electrical Stimulation (FES) restores and improves movement to assist with walking, grasping, shoulder or bowel function leading to improvements in daily living activities, quality of life and reduced pain.

A range of Odstock Medical Limited (OML) and partner clinics throughout the UK. NHS and private referrals accepted

FES treatment is supported by extensive clinical research and guidelines: NICE IPG278 guidelines

ACPIN Clinical Practice guidelines

NICE guideline NG211 Rehabilitation after traumatic injury

Royal College of Physicians National clinical guidelines for stroke

The Case for 24-hour POSTURAL MANAGEMENT

A growing body of research and consensus supports the effectiveness and importance of 24-hour postural management to enhance the well-being and quality of life of individuals with movement disorders, writes Marcin Paszenda, Clinical Assessor at Wheelfreedom.

-hour postural management is a comprehensive and holistic approach that focuses on assessing and improving body positions, over a full 24-hour period when lying, sitting and standing. It will often involve a team effort, to promote good posture - both night and day, enhance function, encourage participation and prevent issues related to movement conditions.

THE RISKS AND CHALLENGES OF INADEQUATE POSTURAL MANAGEMENT

Lack of adequate postural support can affect function of all the vital body systems and profoundly affect the quality of life. As a consequence individuals with poor postural support might be exposed to pain, discomfort, musculoskeletal disorders and other secondary complications.

In some instances, advocates of 24-hour postural management encounter resistance due to a lack of awareness or even scepticism. At first sight a user might think a prescriptive wheelchair is the cause of postural problems or pain, however, a 24-hour postural management approach is likely to reveal contributing factors like standing or lying down

when out of the wheelchair, throughout the 24-hour period. Despite these challenges, 24-hour postural management is a powerful tool for clinicians and its benefits can clearly be seen in daily practice.

A COMPREHENSIVE, PERSONALISED AND HOLISTIC APPROACH

A well-designed 24-hour postural management program can help prevent long-term changes to body shape caused by gravity’s continuous impact on the body. Combined with a personalised care plan assessing body symmetry, pain levels, sleep quality and utilising the appropriate equipment, like prescriptive wheelchairs and sleep systems, 24-hour postural management can maximise function and well being.

Lack of adequate postural support can affect function of all the vital body systems and profoundly affect the quality of life.

In the field of paediatrics recent research emphasises the importance of considering all relevant positions a child uses throughout the day to break the cycle of asymmetries and promote optimal positioning not only for physical health but also for social and communication opportunities. Implementing 24-hour postural management is crucial for improving quality of life by providing varied positions that manage symmetry, skill development and play.

THE WAY FORWARD - SPECIALIST TRAINING AND RESEARCH

There have been calls for a clear national policy and guidance relating to postural care and scope for development of dedicated posture management services. To underpin such measures, specialist training and research would promote awareness of the important role clinicians can and do play in preventing postural deformities and other secondary complications and promote a more comprehensive approach to postural care ■

For more information contact Email: marcin.paszenda@wheelfreedom.com Web: www.wheelfreedom.com Tel: 0800 012 1087

PRESCRIPTIVE MOBILITY SPECIALISTS

PRESCRIPTIVE MOBILITY SPECIALISTS

Mobility specialists, Wheelfreedom, have been supplying prescriptive equipment for over 17 years.

Mobility specialists, Wheelfreedom, have been supplying prescriptive equipment for over 17 years.

Products and Solutions include:

Products and Solutions include:

Wheelchairs

Wheelchairs

Powerchairs

Powerchairs

Paediatrics

Paediatrics

Specialist seating

Specialist seating

Power add-ons

Power add-ons

24-hour Postural Management

Wheelfreedom are CPD accredited to support health professionals and Occupational Therapists. Gain 3 CPD points as you learn about the latest innovations in mobility and seating at their London showroom.

Recent courses include:

Wheelfreedom are to support health

Occupational Therapists. points as you learn innovations in mobility at their London

Recent courses include:

Mastering Mobility: Special Controls for Power

24-hour Postural Management

Mastering Mobility: Special Controls

Innovations in Wheeled Mobility

Innovations in

One-to-one assessments are held at their industry leading showroom in London to provide tailored solutions. Services include pressure mapping, custom-made seating and special controls.

One-to-one assessments are held at their industry leading showroom in London to provide tailored solutions. Services include pressure mapping, custom-made seating and special controls.

Posture and Clinical Seating Solutions

Posture and Clinical

REVOLUTIONISING MOBILITY: Quantum Rehab’s R-TRAK Power Wheelchair

Quantum Rehab, known for pioneering adaptive technology, has once again raised the bar with the introduction of its latest development - the R-TRAK power wheelchair.

The R-TRAK is not just a product; it’s a testament to Quantum Rehab’s commitment to creating cutting-edge mobility devices that cater to the distinct needs of its users.

DESIGNED FOR PRECISION AND POWER

The R-TRAK stands out as a rear-wheel-drive power chair. What sets it apart is its integration of Smooth Ride Suspension technology paired with an optimised Centre of Gravity. This combination is engineered to significantly improve sitting tolerance for the rider, ensuring comfort even over extended periods of use.

Quantum Rehab describes the R-TRAK as “a revolutionary addition to our power base fleet”. This is no small claim, yet the features of the R-TRAK more than back it up. Offering 2 or 4-pole motors, the chair boasts a narrow base width of just 24.2 inches. This design decision is not only about aesthetics; it’s about functionality. The slim profile helps with superior manoeuvrability, allowing users to easily navigate through tight spaces and crowded environments without compromising on stability or safety.

the R-TRAK’s capability to deliver on the promise of fluid and effortless mobility.

Safety and Style Hand in Hand

Safety is paramount in the design of any mobility device, and the R-TRAK shines brightly in this aspect - quite literally. LED lighting incorporated into the front caster arms and fenders not only adds to the aesthetic appeal of the power chair but also significantly enhances visibility, ensuring the safety of users even in low-light conditions.

Understanding that users of mobility devices have diverse needs, Quantum Rehab has designed the R-TRAK to be highly customisable.

For those needing speed, the R-TRAK does not disappoint, offering a top speed of 7 mph, which is commendable for a device of its capabilities. Furthermore, when the seat is elevated up to 10 inches, the chair maintains a safe speed of 3.5 mph, ensuring that users can enjoy the benefits of an elevated view without sacrificing control or safety.

Customisation at Its Core

Understanding that users of mobility devices have diverse needs, Quantum Rehab has designed the R-TRAK to be highly customisable. It supports TRU-Balance 3 and TRU-Balance

Flex powered seating options, catering to a wide range of widths and depths starting from 12x12 inches. The power chair also offers flexibility in terms of seat-to-floor heights, starting at a low of 16 inches. Its overall length of 34.8 inches, combined with a turning radius of 25.7 inches, underscores

And when it comes to personalisation, the R-TRAK is available in a vibrant palette of 14 colours. From Pretty in Pink to Military Green, users can choose a colour that best reflects their personality and style.

EMPOWERING USERS

By blending state-of-the-art technology with user-centric design, the R-TRAK is set to revolutionise the experience of its users, offering them an unparalleled blend of comfort, performance, and freedom.

Do not miss the opportunity to witness first-hand the revolutionary capabilities of the R-TRAK power wheelchair. For additional information, reach out directly to The Quantum Rehab Team through email or phone. ■

Tel: 01869 324600

Email: sales@quantumrehab.co.uk Web: quantumrehab.co.uk

Hold the smoothest ride at your fingertips! Designed using Quantum’s impressive SRS suspension system for exceptional performance and comfort. This sleek new design is further enhanced by its clean aesthetic detailing and combines elegance with power. R-Trak is the perfect solution for people with active lifestyles.

• Sleek new aesthetic

• 14 colour options as standard

•Impressive SRS suspension system providing comfor t and stability

• LED fender lights package

Find out more at:

quantumrehab.co.uk/powerchairs/r-trak/

Personal Injury TrustsA CASE STUDY

It can be such a relief when a litigation claim comes to an end. However, the next step following receipt of an award can sometimes be just as daunting.

GERALD’S STORY

Consideration may need to be given to what impact a lump sum may have on a claimant’s benefits or care funding position. Even if the claimant is not in receipt of means tested support, there can still be good reasons to consider a personal injury trust.

Gerald sustained significant spinal injuries as a result of an accident at work. Gerald was unable to return to work and subsequently pursued a personal injury claim, resulting in a significant lump sum settlement.

Gerald and his wife, Jenny owned their own home together. Gerald also had a moderate amount of savings that meant that he was not entitled to any means tested benefits once he had stopped work. Jenny provided most of the dayto-day care for Gerald following his injury however a private care package was put in place and was funded by interim payments and subsequently, Gerald’s final award.

Wrigleys were asked to provide advice to Gerald regarding the benefits of putting a personal injury trust in place. Although there may not be an immediate financial benefit in Gerald considering a personal injury trust, it was still important to consider whether a client may choose to hold their award in trust.

Even when someone is not in receipt of means tested support, placing an award into trust still can have long-term advantages. The future is unpredictable and circumstances can change. Over time, Gerald’s personal savings could decrease below the relevant threshold for means tested benefits or local authority funding.

A personal injury trust can also offer peace of mind whereby trustees could assist Gerald in making difficult decisions about investments and budgeting. A trust could

also protect Gerald from any pressure to make gifts from his award.

WHAT HAPPENED NEXT?

Despite there not being an immediate financial benefit in setting up a trust, Gerald proceeded to put a personal injury trust in place appointing his wife, Jenny and Wrigleys as a professional trustee.

As it happened, four years after setting up the personal injury trust, Gerald moved into long term residential care. Gerald’s personal savings quickly depleted paying for this care, however, as Gerald had elected to pay his award into trust, the award was disregarded in the local authority’s means test. Gerald was therefore entitled to a contribution towards his residential care costs.

Gerald’s trustees were able to top up his care costs and provide ongoing funds for additional therapies from his trust. Had the award not been held in trust, the local authority would only have begun to contribute towards Gerald’s care costs once his assessable assets fell below the local authority threshold for care funding.

This case study highlights that even when a claimant does not receive means tested support it is always worth considering how a client’s position may change in the future. It can often be favourable to have funds paid directly into a trust to ensure that personal injury funds would be disregarded if necessary should the client’s circumstances change. ■

To find out more contact Thomas Mundy, Associate at: thomas.mundy@wrigleys.co.uk

Tel: 0114 267 5588

Tom Mundy

Court of Protection Specialist Solicitors

We have extensive experience of working with injured or disabled people with matters concerning the Court of Protection.

We are uniquely placed to assist you in this specialist area as we are not part of a litigation firm and are independent.

Why Wrigleys?

• We are well known and respected nationally in this area of expertise and work with you to achieve the best outcomes for you.

• We have experience in driving negotiations with the CICA meaning we are often able to redraft clauses of the trust deed with your interests in mind.

Our team of specialists deal with various matters that arise following catastrophic injury, such as:

• Court of Protection applications

• professional deputyship

• professional trustee

• property purchases and adaptations

• issues concerning community care

• statutory wills and liaison with the CICA

• direct employment

• We have one of the largest trust and Court of Protection administration teams of any national law firm; this team includes tax specialists, trust specialists and legal experts.

• We believe a strong, long-standing professional working relationship is key and we pride ourselves in that we care. We build relationships that last a lifetime.

Why the relationship between solicitors and case managers is key to REHABILITATION AND SUCCESSFUL CLAIMS

In catastrophic injury claims, there is a large team around the injured claimant. The legal team consists of the lead solicitor and colleagues working on the case at the solicitors’ firm. In addition, one or more barristers will present the case in court if it goes to trial. There will also be medico-legal experts reporting on the claimant’s condition and prognosis to the court.

The rehabilitation professionals are a vital part of the claimant’s team. This will consist of the case manager and other rehabilitation professionals working with the claimant to maximise the claimant’s recovery and the speed at which it takes place. Depending upon the issues the claimant faces, a few professionals may be working with them.

This article is written on the assumption that the claimant has instructed the case manager singly. If the case manager is instructed on a joint basis, then similar considerations will apply. However, communication will then be between the case manager and both the claimant’s and defendant’s solicitors.

COMMUNICATION

The main conduit for communication between the rehabilitation and legal teams will be between the case manager and the solicitor. This relationship is of fundamental importance to any catastrophic injury claim. There must be clear communication channels between them, which need to be used regularly throughout the case. For reasons of space, this article concentrates on communications from the case manager to the solicitor. While it is just as important for the solicitor to keep the case manager informed as the case proceeds, actions the solicitor needs to take may have much longer lead times than those of the case manager.

KEY ISSUES TO CONSIDER

It is vital the case manager feels that any issues they raise with the solicitor will be taken seriously. By the same token, the solicitor will want the case manager to raise important issues with them in a timely manner as the case proceeds. These issues may include the following:

1

A change in the claimant’s presentation. If the claimant’s presentation has deteriorated or improved, the claimant’s solicitor will need to know about it, as the change must be reflected in the evidence. In particular, changing symptoms may warrant the claimant’s solicitor introducing new types of medico-legal experts to the case. The solicitor may want to arrange re-examination of the claimant by the existing experts. Given the long lead times there can be with medico-legal expert appointments, the claimant’s solicitor must be notified about any change in presentation as soon as possible so that the necessary expert appointments can be arranged.

2

Rehabilitation strategy. The case manager may change their approach to rehabilitation, perhaps because they feel the current approach is not working for the claimant. The claimant’s solicitor’s job is not to tell the case manager how to approach rehabilitation, but they will have informed the medicolegal experts about the rehabilitation strategy and sought their endorsement of the approach being taken by the case manager and the rehabilitation team.

Ben Townsend

If the strategy is changing, the solicitor needs to know. Again, this change may require an update to the expert evidence. A different strategy may also warrant a request for further funding from the defendant’s insurer, for instance, to pay for a more intensive approach to rehabilitation. Either way, the claimant’s solicitor must be given early notification of this. Seeking further money for funding may take months, particularly if court proceedings need to be started and a contested application made to the court to force the defendant to make a payment.

3

Safeguarding concerns. Claimants are often highly vulnerable, and it is not unusual for there to be safeguarding concerns relating to people who have contact with them. The solicitor must know about any such concerns. Firstly, this is because there will need to be a pooling of information around the concerns. Secondly, a strategy in relation to informing the claimant and their family of those concerns will be required. Statutory authorities may have to be notified. The solicitor will need to be aware of this as it will generate further information and documents relevant to the claim. Depending on the identity of the person on whom the safeguarding concern centres, the solicitor may decide that the issue should be brought before the court, especially if the concerns relate to close family members. Either way, it is important the legal team is aware of such concerns.

4

Behavioural approach. Brain injury survivors, in particular, often display challenging behaviour. The case manager and the rest of the rehabilitation team will need to work out its approach to solving such issues. For a couple of reasons, it is vital that any such approaches are discussed with the solicitor. First, it is useful for the legal team to be aware of the approach the rehabilitation team takes with behavioural issues. Also, the legal team should reinforce that approach or, at the very least, ensure they are not doing anything to actively undermine it.

5

There are often difficult issues raised during a catastrophic injury claim for the rehabilitation team. The case manager is a rehabilitation professional well used to dealing with tricky issues. Indeed, you may argue that the case manager’s job is to solve problems. However, it is always useful to have another professional to bounce ideas off and the case manager should feel able to discuss issues with the solicitor as part of a mutually supportive approach.

6

By producing regular paperwork, the case manager will keep the legal team well informed about what is happening with the case. However, disclosure of case management records is not a substitute for having regular case management reports, as case management records can be very in-depth. It can be difficult for the legal team to sort the wood from the trees as to the rehabilitation team’s strategy and approach. Similarly, it is not always clear from the case management records what the reasoning behind any approach being taken by the case manager is. Regular reports from the case manager are vital for the legal team for their own purposes and to keep the defendants updated on what is happening.

In conclusion, it is difficult to overestimate the importance of the relationship between the claimant’s solicitor and the case manager. They both need to work on it to ensure a consistent proactive approach to the claimant’s litigation and rehabilitation, as ultimately the claimant is the beneficiary of their hard work together. ■

How Core Values Enhance CLIENT SERVICE

After more than 30 years in business, Frenkel Topping Group (FTG) has recently refreshed and formalised its vision, purpose and values - the guiding principles that shape the interactions, decision-making processes, and ultimately, the quality of service provided to clients.

The field of personal injury and clinical negligence is fundamentally about trust, expertise, and the ability to navigate complex, often deeply personal issues. Clients seek not only financial advice, investment products, or expert reports from our portfolio of businesses but also a sense of security and understanding. Core values are the principles that guide every aspect of service delivery. Values-driven service ensures consistency, reliability, and a commitment to the client’s best interests. When a firm’s actions are aligned with its values, clients experience a level of service that is not only professional and competent but also human and compassionate. This alignment fosters trust, builds long-term relationships, and maintains FTG’s reputation as a reliable and consistent group of businesses.

1.

Give It Heart: We believe that empathy and kindness are crucial in our line of work. Our clients often come to us during challenging times, and our approach is to treat them with utmost care and understanding. This value ensures that our clients feel heard, respected, and supported throughout their journey with us.

2.

Show Resilience: Life after a life-changing event can be daunting and fraught with challenges. Our resilience means we are prepared to navigate these challenges, learn from each experience, and relentlessly advocate for our clients’ best interests. This resilience reassures our clients that we are unwavering in our pursuit of their goals.

3.

Make It Easy: Legal issues can be complex, but we strive to make the process as smooth and understandable as possible. By avoiding jargon and simplifying communication, we ensure that our clients are fully informed and comfortable with each step of the process. This approach reduces stress and builds confidence in our expertise.

4.

Act with Integrity: Integrity is the bedrock of trust in our profession. Our commitment to honesty, transparency, and ethical practice means that clients can rely on us to act in their best interests at all times. This value is central to building and maintaining the trust that is so essential in client relationships.

5.

Respect: We recognise the individuality of each client and their unique circumstances. Our value of respect ensures that we approach each case with sensitivity, understanding, and an appreciation for the diverse backgrounds and experiences of our clients. This respect fosters a more personal and tailored service.

6.

Think Differently: In a field that is constantly evolving, our value of innovation keeps us ahead of the curve. We are committed to finding creative solutions, embracing new technologies, and continuously improving our services. This forward-thinking approach benefits our clients through more efficient and effective legal solutions.

DELIVERING CONSISTENTLY GOOD SERVICE THROUGH VALUES

The integration of these values into every aspect of our work is what sets FTG apart. We understand that consistency in service delivery is key to client satisfaction and loyalty. Our values are not just a checklist; they are ingrained in our culture, guiding our interactions with clients and influencing how we conduct our business.

By consistently applying these values, we ensure that every client receives the same high standard of service, regardless of their case or circumstances. This consistency is critical in building a reputation for reliability and excellence and is responsible for our 99.9% client retention rate.

Frenkel Topping Group’s values are the foundation upon which it builds client relationships and delivers services so they can exceed client expectations and provide a level of service that is empathetic, resilient, clear, honest, respectful, and innovative. As they have done for 30 years already, FTG’s values will remain their guiding light, ensuring they consistently deliver exceptional service to clients. ■

Tel: 0161 886 8000

Web: frenkeltopping.co.uk

Email:

Focused on LIFE after life-changing events

Focused on LIFE after life-changing events

Frenkel Topping Group is a long-established family of businesses who are tried, tested and trusted. With such a wide range of services available from our expert teams across the Group, we’re confident that we can support you with anything you may need throughout the litigation journey.

Frenkel Topping Group is a long-established family of businesses who With such a wide range of services available from our expert teams across confident that we can support you with anything you may need throughout

From professional services and independent financial advisers to investment management and Client support services, we’re able to o er a full concierge-style service that supports you and your Clients’ needs at every stage of settlement and beyond.

From professional services and independent financial advisers to investment Client support services, we’re able to o er a full concierge-style service Clients’ needs at every stage of settlement and beyond.

Service across the Group include:

Service across the Group include:

Expert witness reports

Expert witness reports

Welfare benefits advice

Expert fund management

Welfare benefits advice

Personal injury trusts advice

Accountancy Advice

Personal injury trusts advice

Legal costs

Legal costs

Holistic financial planning

Care & case management

Talent planning

Holistic financial planning

Free training with the Knowledge Hub

Free training with the Knowledge Hub

Expert fund

Accountancy

Care & case

Talent planning

Expert training for expert practitioners. The Knowledge Hub, Frenkel Topping Group’s training academy, delivers free virtual and face-to-face training to our professional clients. Helping you stay up to speed and informed, all our courses are APIL accredited and count towards CPD hours.

Expert training for expert practitioners. The Knowledge Hub, training academy, delivers free virtual and face-to-face training clients. Helping you stay up to speed and informed, all our accredited and count towards CPD hours.

We provide the support you need

We provide the support you need

Our expert team of Business Development specialists are your first point of contact and will work closely with you to ensure you’re getting the most out of the Group and its many products and services. The team will listen attentively to your requirements and develop strategies and solutions that make your work more streamlined and e cient.

Our expert team of Business Development specialists are your first point closely with you to ensure you’re getting the most out of the Group and services. The team will listen attentively to your requirements and develop that make your work more streamlined and e cient.

Enquiries: 0161 886 8000 enquiries@frenkeltoppinggroup.co.uk

Enquiries: 0161 886 8000 enquiries@frenkeltoppinggroup.co.uk

Web: frenkeltoppinggroup.co.uk

Web: frenkeltoppinggroup.co.uk

Part of the Frenkel Topping Group

Part of the Frenkel Topping Group

MORR & Co

Morr & Co is a law firm based across Surrey, Hampshire and London.

Our Personal Injury and Clinical Negligence department work exclusively for Claimants who have suffered catastrophic and life changing injuries, including brain injury, spinal injury, amputations and degloving and complex musculo-skeletal injuries.

The department is led by Charlotte Rees-Knowlden, a Partner who has over 20 years’ experience specialising in accessing rehabilitation for those who have suffered a major trauma / life changing injury. Charlotte is also a Trustee for Headway South West London and is accredited by Headway as a brain injury specialist solicitor.

The Personal Injury and Clinical Negligence team at Morr & Co understand how traumatic and debilitating a life changing injury can be for the person involved and their wider family. We pride ourselves on taking a rehabilitation focused approach, meaning that we pro-actively work within, and encourage agreement of, The Rehabilitation Code 2015. This approach ensures that our clients make the best recovery possible.

Acting in the best interests of our clients goes beyond securing adequate and appropriate financial compensation. We work with their families and independent experts to improve the present and / or long-term health, well-being and lifestyle of our clients, by facilitating the provision of privately funded treatment and equipment.

We also have a strong network of experts who we partner with to explore and provide bespoke rehabilitation plans, such as medical experts, case managers, pain management experts, prosthetic experts and home adaption and technology experts.

Our ultimate aim is to help our clients to get their lives back on track so that they can start to plan for and enjoy their future. ■

Tel 020 8971 1055 or Email: info@morrlaw.com

Web: www.morrlaw.com/personal-injury

Our Personal Injury and Clinical Negligence team can assist with claims, guiding you through the legal process so that you can focus on your health and recover.

• Brain injury specialists

• Spinal injury specialists

• Rehabilitation experts

• Free initial consultation

• Ability to source early intervention treatments and rehabilitation

• No win no fee funding options available

• Dedicated Deputyship and Court of Protection team

• Interim payments can be requested to assist you financially

For more information and to speak to one of our experts, contact us on:

Sleep Unlimited Ltd - specialise in the assessment of people who have sustained a life changing injury – and our reports have been used by many legal practitioners in successful litigation. We also offer highly acclaimed training in CBT for insomnia to healthcare professionals, corporate training and consultation, both apnoea testing and assessments for insomnia disorders, and Bond Solon trained expert witness testimony.

Please see our website for further details, or contact our friendly team - we look forward to hearing from you.

info@sleepunlimited.co.uk | www.sleepunlimited.co.uk

For over 20 years TBL have provided Expert Witness, Case Management, Rehabilitation and Specialist Clinical Services for both adults and children.

We offer a nationwide service with our consultant clinicians and case managers located across the country (including Scotland), all of whom are highly experienced with considerable skills to work alongside clients with complex cognitive, physical, emotional and behavioural needs.

For more information visit us at www.taniabrown.com, email us teresarey-salomon@taniabrown.com or call us 01257 473967.

We support brain injured people and their family on a day to day basis. We understand the devastating impact and disruption serious injury can cause.

We work collaboratively with experts to ensure provision of a multi-disciplinary approach to rehabilitation tailored specifically to our client’s needs.

We support brain injured people and their family on a day to day basis. We understand the devastating impact and disruption serious injury can cause.

We support brain injured people and their family on a day to day basis. We understand the devastating impact and disruption serious injury can cause.

For more information on how we can help, please get in touch.

We work collaboratively with experts to ensure provision of a multi-disciplinary approach to rehabilitation tailored specifically to our client’s needs.

We work collaboratively with experts to ensure provision of a multi-disciplinary approach to rehabilitation tailored specifically to our client’s needs.

For more information on how we can help, please get in touch.

Tracey Benson

For more information on how we can help, please get in touch.

Head of Serious Injury South

Tracey Benson

Tracey Benson

0330 995 5578

Head of Serious Injury South 0330 995 5578

Head of Serious Injury South 0330 995 5578

Tabenson@slatergordon.uk

Tabenson@slatergordon.uk

Tabenson@slatergordon.uk

slatergordon.co.uk

slatergordon.co.uk

slatergordon.co.uk

BRAIN AND SPINAL INJURY REPORTS

WWe would love to hear from Occupational Therapists and Catastrophic Injury Case Managers who:

• Have at least 6 years’ experience post-qualification.

Our brain and spinal injury experts can:

z Demonstrate advanced knowledge/skills and clinical reasoning within varied disability presentations.

• Are regularly working with injuries such as brain injury, spinal injury, amputated limbs, orthopaedic injury and cerebral palsy.

• Are in a clinical role that sees you making recommendations for long-term packages of care in the community.

z Provide comprehensive clinical and functional assessments and present recommendations, tailored to the individual client’s condition and consider family lifestyle, educational potential and adult living scenarios.

• Can accommodate around 10 hours per week for Expert work in addition to your main clinical job. www.jwebbexperts.co.uk recruitment@jwebb.co.uk

z Critically appraise evidence within the context of their own assessment findings and clinical experience, and provide robust opinions in relation to quantification of past and future heads of claim.

Get in touch now!

Our experts are able to provide reports for birth injury, wrongful birth, traumatic brain injury, cognitive dysfunction

e have over 25 years’ experience of providing care/occupational therapy, physiotherapy, speech and language therapy, orthotics, prosthetics and dietitics reports for adult and paediatric brain and spinal injury clients. enquiries@somek.com

and brain and spinal cord injury. All our Somek and Associates experts undergo medico-legal training to ensure they understand CPR and the legal process. We provide continuous professional development; recent judgements are integral to our training to ensure our reports provide an appropriate approach and costs for complex claims. To ensure that our experts continue to have a balanced portfolio we actively seek instructions from claimant and defendant solicitors. n

Your expert’s report was very in depth and informative and went into great detail in her breakdowns and nothing was left unturned... “

T: 01959 543 650 E:

To request a sample report or to discuss instructing one of our experts, please email: enquiries@somek.com or call us on 01494 792711 We are the largest provider of HP expert witnesses in the UK, renowned and respected in the field

Clinicians play a key role acting as expert witnesses in personal litigation and clinical negligence. We require experienced healthcare professionals specialising in all clinical areas, especially those working in the fields of spinal cord injuries, amputation and elderly care/dementia.

Requirements:

z Self-motivated clinicians with 8 years’ post qualification experience and practicing clinically in a senior role, either within the NHS or private sector

z Registered with HCPC

We offer you:

z Excellent remuneration on a self-employed basis

z Opportunity to subscribe to our Annual Training and Resource Package

z Support and training from experienced expert witnesses

JWEBB AD.indd 1

Brain & Spinal Injury CONTACT INFORMATION

Support groups, charities and other useful contacts and organisations across the UK.

Vocational Rehabilitation Association UK

The VRA represents all those involved in delivering vocational rehabilitation services. A number of professional fgroups are involved from both health (NHS and private) and other government agencies e.g. the Department for Work and Pensions. www.vrassociationuk.com

Brain Injury Rehabilitation Trust (BIRT)

BIRT is a division of The Disabilities Trust, a leading charity that provides services to people with physical and learning disabilities, autism and brain injury. The Brain Injury Rehabilitation Trust (BIRT) aims to provide the best quality neurobehavioural rehabilitation for people with complex and challenging needs after brain injury. www.thedtgroup.org/braininjury

Brain Injury Hub

Online support centre for the families of children affected by acquired brain injury created by The Children’s Trust. www.braininjuryhub.co.uk

Brain & Spine Foundation

Provides support and quality information to people affected by brain and spine conditions, in order to reduce anxiety and help inform their choices. A free helpline is staffed by neuroscience nurses to answer questions about all neurological conditions and offer information and support on any medical and emotional issues. Helpline Number 0808 808 1000 www.brainandspine.org.uk

Carers UK

An excellent source of information, advice and support, this charity is at the forefront of campaigning for carers. www.carersuk.org

The Children’s Trust

A national charity, The Children’s Trust provides care, education, therapy and rehabilitation to children with acquired brain injury, multiple disabilities and complex health needs. It runs the UK’s largest paediatric brain injury rehabilitation centre at Tadworth (Surrey), and services include nationwide support in the community for children and young people with acquired brain injury. www.thechildrenstrust.org.uk

Child Brain Injury Trust (CBIT)

A leading charity providing non-medical services and support, including a telephone helpline, for families. CBIT also provides training for health and social care professionals working with families. Helpline Number 0303 303 2248. www.childbraininjurytrust.org.uk

Headway

A national brain injury charity that promotes understanding of all aspects of brain injury and provides information, support and services to brain injured people, their families and carers. Headway also operates a regional network of branches and support groups. www.headway.org.uk

The United Kingdom Acquired Brain Injury Forum (UKABIF)

The United Kingdom Acquired Brain Injury Forum (UKABIF) is a membership organisation and charity which aims to promote the understanding of all aspects of acquired brain injury. There are also regional groups throughout the UK, and UKABIF works with these groups to set common aims, encourage sharing of information and practice and co-ordinate group work.

www.ukabif.org.uk

Brain & Spinal Injury

Spinal Injuries Association (SIA)

Spinal Injuries Association (SIA) are a charity that provides information and support to spinal cord injured people, their families and health care professionals. www.spinal.co.uk

The Backup Trust

The Backup Trust provides support services for people of all ages with spinal cord injury. Services include wheelchair skills training, activity courses, mentoring and support to get back to work or school after an injury. www.backuptrust.org.uk

Aspire

Aspire works with people with a spinal cord injury to create opportunity, choice and independence. They aim to support people to lead a fulfilled and independent life from the moment of their injury throughout their life. They are also committed to research in the field of technology to find cost effective solutions to improve the quality of disabled people’s lives. www.aspire.org.uk

Association of Personal Injury Lawyers (APIL) Association of Personal Injury Lawyers (APIL) is an independent, not for profit organisation providing accreditation to lawyers specialising in the area of personal injury law. Website includes a directory of accredited solicitors. www.apil.org.uk

British Association of Brain Injury Case Managers (BABICM)

British Association of Brain Injury Case Managers (BABICM) is a professional association that was established in 1996 to promote the development of case management in the field of acquired brain injury. www.babicm.org

Law Society

Law Society is the professional association that represents and governs solicitors for the jurisdiction of England and Wales. It provides services and support to practising and training solicitors, as well as serving as a sounding board for law reform.

www.lawsociety.org.uk

The Case Management Society UK (CMSUK)

The Case Management Society UK (CMSUK) is a non-profit association of Case Managers, committed to the delivery of quality case management through standards of best practice while promoting the individual and collective development of case management throughout the United Kingdom. www.cmsuk.org

The Neurological Alliance

The Neurological Alliance is a wide range of neurological charities which have come together to make life better for people in the UK with a neurological condition. Their aim is to raise awareness of neurological conditions and their impact; inform and influence policy makers about the needs of people with neurological conditions; secure the highest standards of service and improved care for people with neurological conditions; promote research and the dissemination of information about neurological conditions.

www.neural.org.uk

A VERY SPECIAL ‘THANK-YOU’ to all our contributors

Most children and young people make a full recovery after a head injury, however, some experience longer term complications or difficulties.

That’s where our website can help.

Bumps Happen is an online resource for parents and carers of children and young people. We share the signs to look out for, and steps to take, in case your child has had a concussion.

If your child has had a head injury, or you’d just like to know more, visit Bumps Happen for help and guidance.

Disclaimer: Brain & Spinal Injury Handbook is published annually (once per annum) by Seven Star Media Ltd. No part of Brain & Spinal Injury Handbook may be reproduced, stored in a retrieval system or transmitted to any form without permission. Views expressed in the publication are not necessarily those of Seven Star Media Ltd, and are included to provide advice only. No content is a substitute for professional medical advice. During printing, images may be subject to a 15% variation. © Copyright of content belongs to individual contributors with the publication copyright belonging to Seven Star Media Ltd. All rights reserved. Please either keep this magazine for future reference, pass it on for somebody else to read, or recycle it.

From expert witness reports to lifelong financial planning pre

we

Frenkel Topping are expert financial advisers and we help solicitors barristers, and professional deputies achieve life-changing results for clients involved in litigation over personal injury and clinical negligence frenkeltopping co uk

Expert clinical rehabilitation case managers specialising in catastrophic injury nationwide.

Maximising independence through early rehabilitation intervention.

Clinically justified, bespoke and innovative rehabilitation programmes.

T: 020 8649 5759 E: info@hcml.co.uk W: hcml.co.uk

We are a team of Community Physiotherapists. Led by Susan Pattison, we specialise in Acquired Brain Injury, Spinal Cord Injury and other Complex Injuries in local regions such as Greater Manchester / Lancashire, Cheshire, and South and West Yorkshire

+44 (0) 161 764 3799 info@sptherapyservices.co.uk

@SPTherapySvcs www.sptherapyservices.co.uk

@SPTherapySvcs SP Therapy Services

0161 886 8000 enquiries@frenkeltopping co uk Web: Enquiries:

Rehabilitation and case management solutions nationwide.

We support rehabilitation clients to make a sustained recovery from serious injuries. From facilitating discharge and rehabilitation at the acute stage, to community reintegration, return to work and long-term support, our goal is to achieve maximum independence and a better future for our clients.

T: 020 8649 5759 E: info@hcml.co.uk W: hcml.co.uk

MCS Case Management Ireland

Siobhan McSweeney RGN, RM. Case Manager Nursing Consultant

We have established team and an excellent reputation for successfully helping our clients with acquired brain injuries, cerebral palsy and spinal injuries.

T: +353 1 493 6948

M: +353 86 166 4318 E: info@mcscasemanagement.ie W: www.mcscasemanagement.ie

B&SI

“ I am so grateful I have it. It is brilliant.”

“ I am so grateful I have it. It is brilliant.”

Dave Ralph, a former garage owner, suffered a prolapsed disc at work, but carried on working, and unfortunately he severely damaged his spinal cord as a result.

Dave Ralph, a former garage owner, suffered a prolapsed disc at work, but carried on working, and unfortunately he severely damaged his spinal cord as a result.

Dave realised that he needed extra help when going to the toilet.

Dave realised that he needed extra help when going to the toilet.

“It was getting more and more difficult to clean myself, as I couldn’t get my hands behind my back. I wouldn’t expect my wife to wipe my bottom: it’s embarrassing!” explains Dave.

“It was getting more and more difficult to clean myself, as I couldn’t get my hands behind my back. I wouldn’t expect my wife to wipe my bottom: it’s embarrassing!” explains Dave.

A friend told him about Closomat Wash and Dry toilets, so he spoke to his Occupational Therapist; and under a Disabled Facilities Grant, a Closomat Palma Vita was installed. Dave says, “I am so grateful I have it. It is brilliant. I just push the pad with my elbow, and the toilet does the rest.”

A friend told him about Closomat Wash and Dry toilets, so he spoke to his Occupational Therapist; and under a Disabled Facilities Grant, a Closomat Palma Vita was installed. Dave says, “I am so grateful I have it. It is brilliant. I just push the pad with my elbow, and the toilet does the rest.”

To find out more about how life-changing a Wash and Dry Toilet from Closomat can be, visit closomat.co.uk

To find out more about how life-changing a Wash and Dry Toilet from Closomat can be, visit closomat.co.uk

The Closomat Palma Vita Wash and Dry toilet.

The Closomat Palma Vita Wash and Dry toilet.

We support brain injured people and their family on a day to day basis. We understand the devastating impact and disruption serious injury can cause. We work collaboratively with experts to ensure provision of a multi-disciplinary approach to rehabilitation tailored specifically to our client’s needs.

For more information on how we can help, please get in touch.

Focused on LIFE after life-changing events

Focused on LIFE after life-changing events

Frenkel Topping Group is a long-established family of businesses who are tried, tested and trusted. With such a wide range of services available from our expert teams across the Group, we’re confident that we can support you with anything you may need throughout the litigation journey.

Frenkel Topping Group is a long-established family of businesses who are With such a wide range of services available from our expert teams across confident that we can support you with anything you may need throughout

From professional services and independent financial advisers to investment management and Client support services, we’re able to o er a full concierge-style service that supports you and your Clients’ needs at every stage of settlement and beyond.

From professional services and independent financial advisers to investment Client support services, we’re able to o er a full concierge-style service that Clients’ needs at every stage of settlement and beyond.

Service across the Group include:

Service across the Group include:

Expert witness reports

Expert witness reports

Welfare benefits advice

Expert fund management

Welfare benefits advice

Personal injury trusts advice

Accountancy Advice

Personal injury trusts advice

Legal costs

Legal costs

Holistic financial planning

Expert fund management

Accountancy

Care & case management

Talent planning

Holistic financial planning

Free training with the Knowledge Hub

Free training with the Knowledge Hub

Care & case management

Talent planning

Expert training for expert practitioners. The Knowledge Hub, Frenkel Topping Group’s training academy, delivers free virtual and face-to-face training to our professional clients. Helping you stay up to speed and informed, all our courses are APIL accredited and count towards CPD hours.

Expert training for expert practitioners. The Knowledge Hub, training academy, delivers free virtual and face-to-face training clients. Helping you stay up to speed and informed, all our courses accredited and count towards CPD hours.

We provide the support you need

We provide the support you need

Our expert team of Business Development specialists are your first point of contact and will work closely with you to ensure you’re getting the most out of the Group and its many products and services. The team will listen attentively to your requirements and develop strategies and solutions that make your work more streamlined and e cient.

Our expert team of Business Development specialists are your first point closely with you to ensure you’re getting the most out of the Group and services. The team will listen attentively to your requirements and develop that make your work more streamlined and e cient.

Enquiries: 0161 886 8000 enquiries@frenkeltoppinggroup.co.uk

Enquiries: 0161 886 8000 enquiries@frenkeltoppinggroup.co.uk

Web: frenkeltoppinggroup.co.uk

Web: frenkeltoppinggroup.co.uk

Part of the Frenkel Topping Group