The conditions we support.
Open a condition to read what it is, how it can affect someone, how we help and the goals people typically work towards. The therapies listed are examples; your own plan is set at assessment.
Damage to the spinal cord, from an accident or from illness, that changes how messages travel between the brain and the body below the level of the injury.
Depending on the level and completeness of the injury, it can affect movement, sensation, bladder and bowel control, breathing, blood pressure and skin health. Adjusting to a new way of living is as much a part of recovery as the physical work.
Physiotherapy and occupational therapy focus on strength, sitting balance, transfers and the skills of daily living, with nursing support for bladder, bowel and skin care. Technology such as the ArmMotus and Luna EMG supports upper-limb and trunk work, and psychology supports adjustment for the whole family.
Goals are set with you at assessment and usually centre on independence: managing transfers and personal care, using a wheelchair confidently, returning home with the right equipment and support, and planning for work, study or leisure.
An acquired brain injury is any damage to the brain after birth, for example from a fall, road accident, haemorrhage, infection or lack of oxygen. A traumatic brain injury is caused by an external force.
Effects vary widely: physical changes to movement and balance, fatigue, and changes to memory, attention, planning, behaviour and emotion. Family members often notice the hidden effects first.
A consultant-led multidisciplinary team combining physiotherapy, occupational therapy, speech and language therapy and neuropsychology, with structured routines that support memory and attention. Technology-assisted practice and real-world tasks are built into every week.
Goals typically include safer mobility, managing daily routines with less prompting, strategies for memory and fatigue, and a planned return home or to supported living with the right package around you.
Severe, often life-changing injuries, typically following a road traffic collision, fall or serious accident, that affect several body systems at once and need long-term rehabilitation.
People may arrive with a combination of brain injury, spinal injury, fractures and soft-tissue damage, alongside pain, fatigue and the emotional impact of a sudden change in circumstances.
Medical and nursing care is coordinated with therapy from day one, so wounds, pain and complications are managed while rehabilitation starts early. One Clinical Navigator keeps the referrer, solicitor or case manager informed throughout.
Early goals focus on medical stability, posture and tolerance for therapy; later goals move to mobility, independence in daily living and a clear plan for life after discharge, including care and equipment needs.
Multiple serious injuries sustained at the same time, often involving the head, spine, chest or limbs, where recovery from one injury affects recovery from the others.
Pain, reduced mobility, fatigue and the need to protect healing injuries can slow progress. Where the brain or spinal cord is involved, cognition, sensation and movement may also be affected.
Therapy is paced around healing and surgical restrictions, with physiotherapy, occupational therapy and nursing working to a single plan. Equipment such as the Omego and hydrotherapy allow early movement without overloading injured joints.
Goals are staged: protecting healing while maintaining strength and range, then progressive mobility and independence, and finally preparation for home, work or further outpatient rehabilitation.
Long-term physical disability, including limb loss, where neurological rehabilitation skills help people regain mobility, strength and independence.
Reduced mobility, pain, fatigue and the practical challenges of daily living, often alongside the emotional adjustment to a changed body and lifestyle.
Physiotherapy and occupational therapy for strength, balance, transfers and daily living, prosthetic and wheelchair skills with the relevant specialist services, and technology such as the C-Mill for walking practice in a safe harness.
Goals include confident mobility with the right equipment, independence in self-care, pain and fatigue management and a return to work, driving or leisure where possible.
Profound physical disability after a serious injury or illness, where the person needs a high level of support with movement, posture and daily care.
Limited movement and the risk of pressure injuries, contractures, pain and chest problems, alongside the loss of independence and the demands placed on family carers.
Twenty-four-hour nursing care with physiotherapy and occupational therapy for posture, seating, comfort and any achievable movement, and specialist equipment matched to the person. Dietetics and speech and language therapy support nutrition and swallowing.
Goals centre on comfort, health and participation: good posture and seating, no avoidable complications, meaningful activity and a sustainable plan for ongoing care.
A stroke happens when the blood supply to part of the brain is cut off by a clot or a bleed. The effects depend on which part of the brain was affected and how quickly treatment began.
Common effects include weakness on one side, difficulty with balance and walking, problems with speech, swallowing or understanding language, changes to vision, and fatigue. Mood and confidence are often affected too.
An intensive, bespoke programme of physiotherapy, occupational therapy and speech and language therapy, with psychology and dietetics as needed. Robotic and sensor-based technology such as the ArmMotus, Luna EMG and C-Mill allows many more repetitions than hands-on therapy alone, which matters for recovery after stroke.
Measured against your admission baseline using FIM+FAM and goal-specific tools: walking further and more safely, regaining use of the affected arm and hand, eating and drinking safely, communicating with confidence, and returning home.
A progressive condition affecting the nerves that control movement, which over time weakens the muscles used for moving, speaking, swallowing and breathing.
People may experience weakness, stiffness, fatigue, changes to speech and swallowing, and breathing difficulties. The pace and pattern of change differ from person to person.
Rehabilitation focuses on maintaining function, comfort and choice: physiotherapy for positioning and breathing, occupational therapy for equipment and energy conservation, speech and language therapy for communication and safe swallowing, and dietetic support.
Goals are reviewed regularly and centre on quality of life: staying comfortable and as independent as possible, communicating in the way you choose, and planning ahead with your family and community team.
A condition in which the immune system damages the protective coating around nerves in the brain and spinal cord, disrupting the signals that travel along them.
Symptoms vary and can come and go: fatigue, weakness, balance and walking difficulties, spasticity, bladder problems, changes to vision, and difficulties with memory or concentration.
Targeted physiotherapy for strength, balance and walking, occupational therapy for fatigue management and daily living, and technology such as the C-Mill and SIS DUO where spasticity or walking are the priority. Nursing supports bladder and skin care.
Goals usually focus on walking further and more safely, managing fatigue and spasticity, keeping independence at home, and knowing how to continue a programme after discharge or as an outpatient.
A progressive condition caused by a loss of dopamine-producing cells in the brain, affecting movement and, over time, other functions.
Slowness, stiffness, tremor and changes to balance and walking are common, alongside quieter speech, swallowing difficulties, fatigue, low mood and changes to thinking.
Intensive, task-focused physiotherapy and occupational therapy, speech and language therapy for voice and swallowing, and cued walking practice using augmented reality and the C-Mill. Medication timing is coordinated with therapy sessions.
Goals centre on moving with more confidence: bigger, safer steps, fewer falls, clearer speech, independence in daily tasks and a home exercise routine you can keep up.
An inherited, progressive condition affecting movement, thinking and mood, caused by a faulty gene that damages nerve cells in the brain.
Involuntary movements, difficulty with balance and swallowing, weight loss, changes to mood and behaviour, and difficulties with planning and memory. Needs change over time and so does the support required.
A long-term, coordinated approach: physiotherapy for balance and safety, speech and language therapy and dietetics for swallowing and nutrition, occupational therapy for equipment and routine, and psychology and nursing for mood and behaviour.
Goals are set with the person and family around comfort, safety, nutrition and meaningful activity, with regular reviews as the condition changes.
Conditions that change over time, including ataxias, muscular dystrophies and rarer degenerative disorders, where the aim of rehabilitation is to maintain function and quality of life.
Gradual changes to strength, balance, coordination, speech, swallowing or thinking, often alongside fatigue. The impact on daily life and on family carers grows as the condition progresses.
Regular, time-limited blocks of rehabilitation to maintain skills, adjust equipment and strategies, and plan ahead, with the full multidisciplinary team available and an outpatient option after discharge.
Goals are realistic and reviewed: staying safe and independent for longer, managing fatigue, maintaining communication and nutrition, and supporting family carers.
A condition in which the nervous system does not send or receive signals properly, producing real and often disabling symptoms without structural damage to the brain or nerves.
Symptoms can include weakness, tremor, abnormal walking, non-epileptic seizures, fatigue, pain and difficulties with concentration or speech. Symptoms often vary from day to day.
A joint approach between physiotherapy, occupational therapy, psychology and speech and language therapy, with a clear explanation of the diagnosis and movement retraining that builds on what the body can already do.
Goals are agreed around confidence and function: walking more normally, managing fatigue and symptoms, returning to activities and work, and understanding how to keep progress going at home.
A tendency to have repeated seizures caused by bursts of electrical activity in the brain. It may be lifelong or follow a brain injury, stroke or other neurological condition.
Seizures vary in type and frequency. Alongside the seizures themselves, people may experience fatigue, memory and concentration difficulties, and anxiety about safety and independence.
Nursing and medical oversight of seizure management sits alongside a full rehabilitation programme. Risk is assessed openly so that therapy, including hydrotherapy and gym work, can go ahead safely.
Goals focus on confidence and independence: a stable routine, strategies for memory and fatigue, safe mobility and participation in daily life and community activities.
A rare condition in which the immune system attacks the peripheral nerves, causing weakness that can develop quickly. Most people recover a large amount of function with time and rehabilitation.
Weakness or paralysis that often starts in the legs, numbness and pain, fatigue, and in some cases difficulty with breathing, swallowing or facial movement during the acute phase.
Carefully graded physiotherapy and occupational therapy that builds strength without over-fatiguing recovering nerves, with EMG-guided technology such as the Luna EMG to detect and train early muscle activity.
Goals follow recovery: sitting and standing, walking with less support, regaining hand function and stamina, and a return home and to work or study.
Conditions affecting the nerves outside the brain and spinal cord, such as peripheral neuropathies, nerve injuries and post-intensive-care weakness.
Weakness, altered sensation, pain, poor balance and reduced stamina, which can make walking, using the hands and everyday tasks difficult.
Strength and sensory retraining through physiotherapy and occupational therapy, supported by EMG-guided and robotic equipment such as the Luna EMG and Omego, with pain management and footwear and splinting advice where needed.
Goals typically include steadier walking, improved hand function, less pain and fatigue, and a safe return to daily activities.
We also support people with rarer or combined neurological presentations that do not fit neatly into one diagnosis, including post-infectious conditions, encephalitis, spinal tumours and complex pain.
Every presentation is different. What they have in common is a change in how someone moves, thinks, communicates or manages daily life, and a need for coordinated specialist support.
Assessment within 72 hours of enquiry to confirm suitability, then a bespoke programme built from the full multidisciplinary team and our technology. If we are not the right service, our Clinical Navigator will say so and help you find the right one.
Goals are agreed individually and measured in the same structured way as every other programme, with regular reporting to you and your referrer.
Prolonged disorders of consciousness, including vegetative and minimally conscious states, following severe brain injury.
The person may show little or inconsistent awareness of themselves or their surroundings, and needs full nursing care, careful positioning and protection from complications.
Specialist assessment of awareness using recognised tools over time, 24-hour nursing and medical care, physiotherapy and occupational therapy to maintain posture, comfort and range of movement, and sensory and music-based programmes. Families are supported and involved throughout.
Goals are about accurate assessment, comfort, preventing complications and giving families clear information and support for decisions about the future.
Some people arrive with a tracheostomy, a tube in the windpipe that helps with breathing or clearing secretions, often after a long stay in intensive care.
A tracheostomy can affect speech, swallowing and confidence, and needs skilled, round-the-clock care. Many people are also recovering from the weakness and fatigue of critical illness.
Specialist nursing and medical care alongside speech and language therapy and physiotherapy, working towards safe weaning where appropriate while rehabilitation continues in parallel.
Goals often include weaning from the tracheostomy, returning to speech and eating, building strength and stamina, and moving on to the next stage of rehabilitation.
Significant changes to memory, attention, reasoning, planning, language or behaviour, usually following a brain injury, stroke or neurological illness.
Everyday tasks can become difficult or unsafe without prompting or supervision, and changes to insight, mood and behaviour can be hard for families to manage.
Neuropsychology-led assessment and rehabilitation, with occupational therapy and speech and language therapy translating strategies into real routines. Structured days, consistent approaches from the whole team, and family education.
Goals centre on independence and safety: managing routines with less support, using memory and planning strategies, and a realistic plan for home or supported living.
Changes to vision, hearing, touch or body awareness caused by a neurological condition, which affect how someone moves, communicates and finds their way around.
Visual field loss, double vision, reduced sensation or neglect of one side can make walking, reading, eating and personal care harder and increase the risk of falls.
Occupational therapy and physiotherapy retrain movement and attention with the sensory loss in mind, with adaptations to the environment and equipment, and liaison with vision and hearing specialists.
Goals focus on safe, confident movement, compensating strategies for daily tasks and an environment at home set up to support independence.
Not sure which applies? Talk it through with us.
Whether you are a family member, a case manager or a discharge team, one of our enquiries team will call within one working day. Everything you share is handled in confidence.