Concierge neurology and concussion · London
Head injury assessment and treatment, structured neuro assessment, imaging and post-concussion rehabilitation pathway.
A structured private head injury assessment combines neurology consultation, imaging (CT or MRI), concussion testing (SCAT6, ImPACT, VOMS) and a graduated return-to-play / return-to-work plan. NICE NG232-aligned pathway.
Why patients choose us
- 01
The right hands
We route you to a consultant neurologist or sports-medicine physician who runs the assessment and owns the plan end-to-end.
- 02
Often answers same-day
GCS, neuro exam, SCAT6 and imaging can frequently be completed in a single visit, with a written report to follow.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Key facts
The six things worth knowing, upfront.
A structured private head injury pathway sits alongside NICE NG232 — the same imaging thresholds, the same red flags, delivered on a concierge timeline.
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Definition
A structured neuro assessment combined with imaging and a concussion pathway.
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CT head
Performed per NICE NG232 rules where indicated.
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MRI brain
For persistent or evolving symptoms.
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Concussion battery
SCAT6, ImPACT and VOMS baseline testing.
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Return-to-play
A staged, graded protocol tailored to the individual.
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Persistent-symptom clinic
Multi-disciplinary review if symptoms persist.
Indicative pricing
What a private head injury pathway costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A structured private head injury assessment: £300–£1,800, with same-day imaging and concussion battery where clinically indicated.
| Element | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Initial head injury consultation | £300–£500 | 45 min | Same-day |
| Full concussion battery (SCAT6 + ImPACT + VOMS) | £450–£750 | 60 min | Same-visit |
| CT head (per NICE NG232) | £450–£800 | 15 min | Same-day |
| MRI brain for persistent symptoms | £550–£950 | 30 min | 24–48 hrs |
| Return-to-play / return-to-work programme | £600–£1,400 | Staged | 2–6 weeks |
| Persistent-symptom clinic (MDT) | £800–£1,800 | Half-day | Same-week |
Prices vary by clinic, whether imaging is needed, and whether the concussion battery and MDT input are included. We come back with a firm quote within one working day.
The problem
A head injury pathway is only as good as who runs it.
The GCS, imaging thresholds and concussion battery are the answer — and the clinician who interprets them decides how symptoms translate into diagnosis, imaging and a graded return. We route you to a consultant neurologist or sports-medicine physician.
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Recent head injury or concussion?
We triage against NICE NG232 and arrange imaging where indicated — often same day.
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Persistent post-concussion symptoms?
We run the concussion battery, arrange MRI and design a rehab plan.
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Return-to-play decision to make?
A staged, evidence-based protocol from a clinician who owns the plan.
The pathway
From enquiry to written rehab plan — what happens, in order.
One clinician from first message to written plan — with structured follow-up.
Phase 1 · Before your visit
Concierge, off-stage for you
Phase 2 · On the day
Consultation, imaging, battery
Phase 3 · After
Rehab plan and follow-up
- 01
Before
You tell us what’s going on
A short, confidential form. Mechanism, symptoms, prior concussions, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: whether a head injury assessment is the right pathway, which clinic, indicative price.
- 03
Before
We arrange the appointment
Often same or next day, including evenings and Saturdays. Insurer pre-authorisation handled.
- 04
On the day
Neurology or sports-medicine consultation
History, mechanism review, symptom scoring and full clinical assessment.
- 05
On the day
GCS, neuro exam and imaging
GCS scoring, cranial nerve and coordination exam. CT head per NICE NG232 where indicated; MRI brain if symptoms persist.
- 06
On the day
Concussion battery
SCAT6, ImPACT and VOMS baseline testing to characterise cognitive, vestibular and oculomotor domains.
- 07
After
Written rehab plan and follow-up
A written report with a graduated return-to-learn / return-to-play plan and structured follow-up appointments.
Typical end-to-end assessment: 1–3 days. Persistent-symptom rehab: weeks.
What it identifies
The diagnoses a structured head injury pathway rules in or out.
A head injury pathway answers a specific question — what has been injured, how severely, and what the safe onward plan is. These are the presentations we see most.
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Traumatic brain injury (mild / moderate / severe)
Grades TBI severity from mild concussion through to significant injury.
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Concussion
Characterises acute concussion and guides the initial rest and rehab plan.
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Post-concussion syndrome
Assesses symptoms that persist beyond the expected recovery window.
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Skull fracture
CT imaging identifies vault and base-of-skull fractures.
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Intracranial haemorrhage
Detects subdural, extradural, subarachnoid and intraparenchymal bleeding.
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Diffuse axonal injury
MRI (including SWI) characterises shear injury not visible on CT.
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Vestibular dysfunction
VOMS testing identifies vestibulo-ocular impairment amenable to rehab.
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Red flag: reducing GCS, focal deficit or seizure — emergency CT and neurosurgical review
Do not wait for a private slot. Call 999 immediately.
Treatment options
The rehab building blocks — chosen for you.
What each element of a modern post-concussion rehab plan is actually for.
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Cognitive and physical rest
Structured relative rest in the first 24–48 hours, then graded reintroduction of activity.
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Graduated aerobic exercise
Sub-symptom-threshold aerobic exercise to accelerate recovery in prolonged symptoms.
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Vestibular rehabilitation
Targeted vestibulo-ocular exercises where VOMS testing identifies dysfunction.
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Cognitive rehabilitation
Structured cognitive therapy for attention, memory and processing-speed deficits.
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Sleep-hygiene support
Assessment and structured support for the disrupted sleep that follows head injury.
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Return-to-learn and return-to-play
Staged protocols aligned with Concussion in Sport Group and RFU HIA guidance.
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Persistent-symptom clinic
Specialist clinic for symptoms lasting beyond four weeks, with a formalised plan.
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Multi-disciplinary team review
Neurology, sports medicine, physiotherapy, neuropsychology and vestibular therapy in one plan.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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Consultant neurologists or sports and exercise medicine physicians
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NICE NG232-aligned imaging thresholds and reporting
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Concussion battery delivered by trained clinicians (SCAT6, ImPACT, VOMS)
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Onward neurosurgical, neuropsychology and vestibular therapy pathways
Red flags
When to skip the private clinic and go to A&E.
Head injury is one presentation where the right first step is often 999 or the emergency department — these are the NICE NG232-aligned triggers.
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Reducing GCS
A falling Glasgow Coma Scale after injury needs emergency CT and neurosurgical review.
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Focal neurological deficit
One-sided weakness, slurred speech, visual loss or asymmetric pupils are 999 calls.
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Seizure post-injury
Any seizure after head injury demands urgent hospital assessment.
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Persistent vomiting
More than one episode of vomiting after head injury is a NICE NG232 CT trigger.
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Post-traumatic amnesia > 24 hours
Prolonged amnesia denotes at least moderate TBI and needs specialist imaging.
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Anticoagulant use
Warfarin, DOACs or antiplatelets after head injury lower the threshold for CT.
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Skull-base fracture signs
CSF leak, panda eyes, Battle’s sign or haemotympanum need immediate hospital care.
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Age > 65 with mechanism
A dangerous mechanism in older adults meets NICE NG232 CT thresholds.
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Second impact within 7 days
A repeat head injury inside a week is a hard stop — no return to play until specialist review.
Reading your report
A head injury report can look intimidating. It isn’t.
Whatever the finding, the report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that’s normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Mechanism, GCS and risk factors
The injury mechanism, initial and current GCS, red flags and the risk factors that shape interpretation.
- 02 Assessment
Neuro exam, SCAT6, ImPACT and VOMS
Cranial nerve, coordination and balance findings alongside symptom, cognitive and vestibulo-ocular scores.
- 03 Imaging
CT and MRI findings
CT head interpretation per NICE NG232, and MRI brain findings where imaging was extended.
- 04 Plan
Return-to-play / return-to-work pathway
The graduated protocol, follow-up cadence and criteria for onward referral — read this first.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about head injury and concussion.
Quick answers on imaging thresholds, SCAT6, recovery, return-to-play, and when to skip a private slot for A&E.
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What does a private head injury assessment involve?
A neurology or sports-medicine consultation, GCS and neurological examination, CT head per NICE NG232 where indicated, MRI brain if symptoms persist, a concussion battery (SCAT6, ImPACT, VOMS) and a written return-to-play / return-to-work plan with structured follow-up.
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When is a CT head scan indicated after head injury?
NICE NG232 lists specific triggers: GCS below 13 on initial assessment, GCS below 15 at 2 hours, suspected open or depressed skull fracture, signs of basal skull fracture, post-traumatic seizure, focal neurological deficit, more than one episode of vomiting, and various age or anticoagulant-related triggers with a dangerous mechanism.
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What is SCAT6 and how is it used?
SCAT6 is the sixth edition of the Sport Concussion Assessment Tool — the standardised battery endorsed by the Concussion in Sport Group. It combines symptom scoring, cognitive assessment, neurological screen and balance testing to characterise concussion and monitor recovery.
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How long does post-concussion recovery take?
Most concussions resolve within 10–14 days in adults and up to 4 weeks in adolescents. Symptoms beyond that window are termed persistent post-concussive symptoms and warrant a persistent-symptom clinic review with structured rehabilitation.
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When can I return to play after concussion?
Following the Concussion in Sport Group graduated return-to-play protocol — a staged progression from symptom-limited activity through light aerobic exercise, sport-specific drills and non-contact training, to full contact and return to play. Each stage takes at least 24 hours and the individual must be symptom-free to progress.
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When should I seek emergency care instead of a private clinic?
Reducing GCS, focal neurological deficit, seizure, persistent vomiting, worsening headache, fluid from the ear or nose, or a second head injury within seven days — call 999. A private assessment is for patients who are stable but need structured evaluation and a rehab pathway.
Sources
Clinically reviewed against national guidance.
Reviewed 2026-07-30 · Next review 2027-07-30 · 6 min read
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In practice, in London
What head injury assessment and treatment looks like on the ground in London
With head injury assessment and treatment, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. Public provision for head injury assessment and treatment is competent but constrained by capacity. Private London clinics tend to have shorter diaries and longer appointment slots, so you get the same specialists with more time. For people who’ve been going round in circles with primary care, that first proper conversation is often what shifts things.
The mechanics are straightforward: a consultant appointment, any tests done at a nearby CQC-registered site, and a written report back within a few days. London’s density of private diagnostics — Marylebone, the City, Chelsea, Canary Wharf — means most patients can find something that fits around work without a cross-town trek. For head injury assessment and treatment specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
We’re careful about what a private pathway for head injury assessment and treatment can and can’t promise. It can compress a wait, put you in front of a subspecialist quickly, and get a proper report in your hands within a week. It can’t rewrite what the imaging or the bloods say. Setting that expectation up front tends to make the whole experience less stressful.