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Knowledgeable * Experienced * Professional Working to secure the best outcomes for our clients

Adult & Children Services

Following severe brain injury or spinal injury, service users may have an intricate mix of health and social care difficulties. Because of their vulnerability, simple problems can make their condition deteriorate rapidly, putting them at high risk of unplanned hospital admissions or long term institutionalisation.

Individuals may be left with a range of permanent deficits. While the exact difficulties experienced vary, some problems are very common indeed, including:


Cognitive deficits


  • Language/communication difficulties
  • Memory problems
  • Difficulty learning new information
  • Reduced mental speed
  • Poor concentration
  • Difficulty with future planning, even of simple activities

Behavioural changes


  • Lack of initiative and motivation
  • Lack of insight into their condition
  • Increased tiredness
  • Irritability
  • Childishness
  • Depressed mood
  • Social withdrawal

Physical limitations


This may include;

  • Balance difficulties
  • Reduced strength and power in muscles
  • Lack of precise control of movement

Our Clients say ...

Thank you for the high standard of case management services during the first year of service, we look forward to continuing to work with you over the coming year ...

C. StanyardOn behalf of the PCTs

Case Management Services