Quality statement 7: Community rehabilitation services for people (aged 16 and over) with traumatic brain injury

Quality statement

Community‑based neuro‑rehabilitation services provide a range of interventions to help support people (aged 16 and over) with continuing cognitive, communicative, emotional, behavioural or physical difficulties as a result of a traumatic brain injury.

Rationale

Community‑based neuro‑rehabilitation services can be important in helping people (aged 16 and over) who have had a traumatic brain injury to regain independence and return to their normal daily lives (for example, going back to work or continuing their education).

Quality measures

Structure

Evidence of local arrangements to provide community‑based neuro‑rehabilitation services supplying a range of interventions to support people (aged 16 and over) with continuing cognitive, communicative, emotional, behavioural or physical difficulties as a result of a traumatic brain injury.

Data source: Local data source.

What the quality statement means for service providers, healthcare professionals and commissioners

Service providers (primary care and community rehabilitation services) ensure that systems are in place to offer community‑based neuro‑rehabilitation services providing a range of interventions to people (aged 16 and over) with continuing cognitive, communicative, emotional, behavioural or physical difficulties after a traumatic brain injury.

Healthcare professionals ensure that they offer community‑based neuro‑rehabilitation services providing a range of interventions to people (aged 16 and over) with continuing cognitive, communicative, emotional, behavioural or physical difficulties after a traumatic brain injury.

Commissioners (clinical commissioning groups, NHS England and local authorities) ensure that there is sufficient capacity for community‑based neuro‑rehabilitation services to provide a range of interventions to help support people (aged 16 and over) with continuing cognitive, communicative, emotional, behavioural or physical difficulties after a traumatic brain injury.

What the quality statement means for patients, service users and carers

People aged 16 and over who have had a head injury that has left them with problems with their memory, concentration or communication, or with emotional or physical difficulties,are offered a programme of rehabilitation after they leave hospital to help them recover their independence and return to their normal daily lives.

Source guidance

Definitions of terms used in this quality statement

Traumatic brain injury

Traumatic brain injury is defined as a traumatically induced structural injury and/or physiological disruption of brain function as a result of an external force that is indicated by new or worsening of at least 1 of the following clinical signs, immediately after the event:

  • Any period of loss of or a decreased level of consciousness.

  • Any loss of memory for events immediately before or after the injury.

  • Any alteration in mental state at the time of the injury (such as confusion, disorientation or slowed thinking).

  • Neurological deficits (such as weakness, loss of balance, change in vision, praxis, paresis or plegia, sensory loss or aphasia) that may or may not be transient.

  • Intracranial lesion.

[SIGN guide 130]

Range of interventions

Interventions to provide rehabilitation after a traumatic brain injury can include neuropsychological therapy, cognitive behavioural therapy, occupational therapy, physiotherapy, speech and language therapy, family interventions and vocational interventions.

[SIGN guide 130]

Equality and diversity considerations

Provision should be made to ensure access to services for people (aged 16 and over) who find it difficult to travel long distances because of disability, financial barriers or other factors.