Posts in this category discuss some aspect of service design, delivery or change. Most will relate to the UK, unsurprisingly, but it is probable that similar considerations and issues arise in most countries.
First published: January 14, 2026 Last modified: January 14, 2026 “How should we organise training in neurological rehabilitation?” I have recently been asked to give a webinar on this. This post considers the essential rehabilitation expertise needed in all areas of rehabilitation, and how it should be taught and evaluated. It will do so from […]
Training in rehabilitation Read More »
First published: February 10, 2025 On 6 February 2025, three speakers at a seminar organised by COPPA (the Court of Protection Practitioners Association) considered “Withdrawal of treatment applications in the Court of Protection for patients in PDOC”. While preparing my talk, I published a blog post on being a prolonged disorders of consciousness (PDOC) expert.
Prolonged disorders of consciousness (PDOC) services Read More »
First published: November 21, 2024 Last modified: November 21, 2024 I have agreed to talk, on 6 December 2024, to medical trainees about Acquired Brain Injury rehabilitation. I decided to write a post to help me set out six principles, but as I wrote this post, I realised there was a gaping hole around the
Acquired Brain Injury rehabilitation Read More »
On Tuesday, 6 September 2022, I gave a lecture at the Muscular Dystrophy Foundations conference center, Musholm, Denmark on, “Multi professionalism in rehabilitation – collaboration in the clinic and across sectors and ‘ownership’ of the patient.” In Denmark, children with muscular dystrophy can have a two-week annual rehabilitation review in a residential centre. One issue
Collaboration in rehabilitation Read More »
Community rehabilitation is rehabilitation delivered to a patient outside a hospital setting by a multi-professional team managed as a unit with a single budget, whose members have shared resources and meet regularly in their base to discuss cases, policies, and quality improvement. Community rehabilitation sounds good to politicians (it saves money on buildings), patients (they
What is community rehabilitation? Read More »
The Community Rehabilitation Alliance recently published some Best Practice Standards for rehabilitation aimed at the newly founded NHS Integrated Care Boards that manage the Integrated Care System. It recommended the formation of a rehabilitation network, and the standards applied to the network were set out and summarised in tables. I have abstracted them into a
Rehabilitation Networks – 2 Read More »
Date published: Date Last updated: February 9,2025 Rehabilitation networks are the central theme of the recently published Rehab on Track. Community Rehabilitation Best Practice Standards. Its second recommendation is to “establish a local provider rehabilitation network to include primary, secondary, tertiary health care, mental health, social care, independent and third sector providers”. Moreover, its following
Rehabilitation Networks – 1 Read More »
At a recent meeting in Genoa of RIMS (Rehabilitation in Multiple Sclerosis), Dr Carlotte Kiekens discussed the leadership of the rehabilitation team, providing some challenging evidence and ideas to consider. In this blog post, I will review the whole question of leadership in rehabilitation. Traditionally doctors have considered themselves the leader, which is still the
Rehabilitation team leadership Read More »
Over the years, I have heard people advocating strongly for specialist rehabilitation services for people with stroke, multiple sclerosis, traumatic brain injury, motor neurone disease, Huntington’s disorder, and many other specific diseases. I have also heard people advocating specialist services for people with behavioural disorders (whatever that might be), memory and cognitive disorders, chronic pain,
Disease-specific rehabilitation Read More »
What is slow-stream rehabilitation? Dr John Burn is leading a group in writing guidance and standards for nursing homes (care home, skilled nursing facilities) that undertake rehabilitation for some or all residents. This will update guidance from 2013. We recently debated whether slow-stream rehabilitation was an appropriate term to use within the guidance. I argued
Slow-stream rehabilitation. Read More »
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