Client Background
“Mark,” a 42‑year‑old living in the community following a traumatic brain injury, was struggling with increasing fatigue, reduced functional independence, and mounting anxiety around daily tasks. His Case Manager identified a decline in progress and recognised the need for a period of specialist neurological rehabilitation.
Active Neuro was the service for Mark because it provides:
Seamless Integration With Case Management
Active Neuro worked directly with the Case Manager from the point of enquiry.
Because services sit within the wider Active Care Group network, Mark’s therapy plan aligned immediately with his existing community goals. This avoided repeated assessments, contradictory plans, or delays.
Benefit:
- No duplication of MDT work
- One shared set of rehabilitation goals
- Clear communication across teams
Minimal Disruption, Maximum Continuity
Mark attended an outpatient programme with overnight accommodation two nights per week.
This model allowed him to maintain his home routines while receiving highly specialised therapy.
Transitions between community support and therapy were smooth because all services used aligned systems and communication channels.
Benefit:
- No break in therapeutic momentum
- Familiar processes and consistent expectations
- Reduced anxiety during transitions
Collaborative Working
Mark remained at the centre of all of his care and therapeutic input:
- Goals were agreed jointly
- Risk management plans were reviewed together
- Therapy remained aligned to community outcomes (e.g., fatigue management, safe meal preparation, travel training)
Benefits:
- Ongoing collaborative working with Mark and full MDT
- Family received unified messages
- No duplication or conflicting strategies
Quick and Streamlined Referral Pathway
The Case Manager received a response to the initial enquiry within 24 working hours.
A virtual triage was arranged the same week, followed by a clear therapy proposal and costed plan.
Benefit:
- Rapid access to appropriate rehabilitation
- Clear timelines and expectations
- Less administrative burden
Focus on What Matters Most: Mark’s Progress and Rehabilitation
Mark’s programme focused on improving daily independence while reducing anxiety linked to cognitive overload.
Consistent communication across agencies meant that support workers, family members, and the Case Manager all understood the same goals and strategies.
Benefit:
- Improved confidence in everyday tasks
- Greater stability at home
- Reduced stress for Mark and his family
Evidence‑Based Reporting That Strengthened Case Planning
The Case Manager received regular structured report including:
- Standardised functional outcome measures (FIM, COPM, and balance assessments)
- Clear goal‑attainment summaries
- Visual progress graphs
- Recommendations for community carry‑over
These reports supported the Case Manager during funding reviews and MDT meetings, providing an objective record of clinical change.
Benefit:
- Easier case reviews
- Stronger evidence for legal and commissioning agencies
- Clear data to measure progress and future needs
Speak to the Active Neuro team
If you have a client who may benefit from specialist neurological rehabilitation, we would be glad to talk it through. Our team aims to respond to all referral enquiries within 24 working hours.
Get in touch: referrals@activeneuro.co.uk | 0333 052 7950
