Specialist neuro-rehab · UK
Specialist neurological rehabilitation, the whole team around one goal.
Consultant-led multidisciplinary rehabilitation after stroke, brain injury, spinal cord injury, MS, Parkinson’s and GBS - at the BSRM level that matches the complexity, and continued at home by a community team.
Why patients choose us
- 01
A consultant in rehabilitation medicine, leading the team
Not a physio bolted on to a ward. A named RM consultant with a full multidisciplinary team behind them - the BSRM standard, not a compromise.
- 02
The whole team, not just one therapist
Physio, OT, SLT, neuropsychology, rehab nursing, dietetics, orthotics, social work - brought together around your goals, not booked in isolation.
- 03
Independent, and free
We are paid by no centre, so the recommendation is impartial - NHS specialised rehab, private inpatient, or community - and costs you nothing.
Indicative pricing
What specialist neurological rehabilitation costs in the UK.
Indicative ranges for private specialist centres. NHS specialist rehab is funded; we help you understand which route is realistic and how insurance fits.
In short
Private specialist neuro-rehab: £2,500–£4,500 per week inpatient, plus months of community rehab after.
| Service | Indicative range | Setting | Duration |
|---|---|---|---|
| Level 1 Complex Specialised Rehab (CSR) - private, per week | £3,500–£4,500 | Inpatient | Weeks–months |
| Level 2 regional neuro-rehab - private, per week | £2,800–£3,800 | Inpatient | Weeks–months |
| Level 3 local neuro-rehab - private, per week | £2,500–£3,200 | Inpatient | Weeks |
| Community neuro-rehab package - per week | £800–£2,000 | Home-based | Months |
| Neuropsychology assessment | £600–£1,200 | 3–4 hours | 1–2 weeks |
| RM consultant outpatient review | £250–£450 | 45–60 min | Same visit |
Costs vary by centre, level of complexity, therapy intensity, length of stay and whether one-to-one nursing is needed. Insurers usually cover a defined number of weeks per policy year - we help confirm cover before admission.
The problem
The right level, the right team, the right centre.
Neuro-rehab is a small world with big consequences. Booked to the wrong level or the wrong centre, months of recovery are lost. Booked well - with the whole MDT - and the trajectory changes.
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Just come out of acute care?
Level 1, 2 or 3? NHS or private? We match complexity to setting so nothing is downgraded by accident.
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Family carrying it alone?
Carer training, respite, social work, benefits and community team liaison - planned from the first week, not the last.
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Recovery has plateaued?
Plateaus are often about programme design, fatigue or mood - not neurology. A fresh MDT review often finds a way through.
The journey
From acute ward to community rehab - what happens, in order.
One concierge from the first call through admission, discharge and community follow-up - the transition points where rehab most often stalls.
Phase 1 · Before admission
Concierge, off-stage for you
Phase 2 · Inpatient rehab
Weeks to months at the centre
Phase 3 · Community
Long tail at home
- 01
Before
You tell us what has happened
A short, confidential form or call. Diagnosis, when it happened, current setting (acute ward, home, HDU), and what recovery looks like now.
- 02
Before
We come back with a recommendation
Within one working day: the right level of rehab (Level 1 CSR, Level 2 regional, Level 3 local, or community), a named centre, and an indicative cost.
- 03
Before
We arrange transfer or admission
We coordinate with the acute team, insurers or NHS commissioner, and the receiving centre. Family briefed at each step.
- 04
Inpatient
Admission and MDT assessment
Consultant in rehabilitation medicine, physio, OT, SLT, neuropsychology and rehab nurse each assess in the first week. Goals are set together.
- 05
Inpatient
The daily programme begins
Structured therapy through the week - task-specific practice, cognitive work, communication, swallow, mobility. Family invited into sessions.
- 06
Inpatient
Weekly goal review
The MDT meets weekly to review SMART goals, adjust the plan, and share progress with you and your family. Discharge planning starts early.
- 07
After
Discharge and community rehab
Home visit, equipment, care package, orthotics and vocational input arranged. A community neuro-rehab team picks up the ongoing work.
Typical inpatient stay: weeks to months. Community rehab: months to years, sometimes lifelong.
When it helps
When specialist neuro-rehab is the right next step.
The conditions we most often help with, plus the red flag that means a 999 call rather than a rehab enquiry.
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Stroke
Ischaemic or haemorrhagic - hyperacute, acute, inpatient and community rehab per NICE NG236 (2023). Goal-oriented and progressive.
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Traumatic brain injury (TBI)
Moderate to severe TBI - specialist neurorehabilitation centres, Level 1 or 2 depending on complexity and behavioural needs.
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Spinal cord injury (SCI)
Managed at one of the UK Spinal Injuries Centres - Stoke Mandeville, Sheffield, Salisbury, Glasgow, Cardiff, Belfast.
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Multiple sclerosis
Symptom-led rehab for relapses, mobility, fatigue and continence. See our page on multiple sclerosis treatment.
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Parkinson’s and movement disorders
Rehab alongside medical therapy - gait, balance, speech and cognition. See our movement disorder page.
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Guillain-Barré syndrome
Recovery can take 6–24 months. Intensive early rehab, then a long community phase focused on strength and function.
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Post-neurosurgical recovery
After brain tumour resection, aneurysm clipping, encephalitis or meningitis - targeted rehab for the deficit that remains.
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Red flag: sudden new deficit
A new weakness, speech change, sudden severe headache or reduced consciousness is a 999 call - hyperacute stroke care, not a rehab booking.
Service options
One rehab pathway, several settings.
The BSRM levels and community options - matched to complexity, funding and where you are in the recovery.
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Level 1 Complex Specialised Rehab
The highest complexity tier - a small number of national beds for the most complex TBI, SCI and post-neurosurgical cases with behavioural or medical needs.
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Level 2a and 2b regional NHS units
Regional NHS neuro-rehab for medium complexity - most severe strokes, TBI and SCI transition here from acute care.
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Level 3 local NHS units
Less complex, faster throughput - stroke, GBS and post-neurosurgical recovery where discharge home is realistic within weeks.
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Early Supported Discharge (ESD)
A NICE-recommended stroke pathway - the ward team follows you home to continue rehab there, shortening admission without losing intensity.
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Community neuro-rehab team
A home-based MDT that carries on the work for months - physio, OT, SLT, neuropsych and vocational input in your own environment.
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Private specialist centres
Askham (Cambridge), Blackheath, Marbella Neurology and others - inpatient and residential neuro-rehab with insurance or self-pay funding.
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Vocational rehabilitation
Structured return-to-work support - job analysis, graded return, employer liaison and cognitive strategies for the workplace.
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Family and carer training
Not an extra - a core part of the programme. Transfers, communication, swallow safety, medication and behavioural strategies taught before discharge.
Our vetted UK network
A small panel of specialist centres, we picked them.
Consultant-led NHS specialist units and private centres across the UK. Not listed publicly - introductions are made privately once we understand the case.
Selection criteria
How we choose every centre in our network.
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Consultant in rehabilitation medicine leading a full multidisciplinary team
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BSRM-standard specialist centres, not general rehab wards
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The right level (1, 2 or 3) matched to complexity, not availability
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Community continuity - a named community team ready before discharge
Safety and considerations
What to expect - honestly.
Neuro-rehab is a long, non-linear journey. These are the practical realities the MDT plans around from day one - for you and for your family.
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Rehab is a long journey
Acute inpatient rehab is weeks to months; community rehab is months to years; for some conditions it is lifelong. Setting expectations early matters more than promising a timeline.
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Fatigue is the commonest symptom
Neurological fatigue is not laziness and not depression - it is a real, physiological limit. Pacing is part of the programme, not a failure.
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Mood, cognition and communication
Depression, cognitive impairment, aphasia and dysarthria are common after brain injury and stroke - neuropsychology and SLT are core, not optional.
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Swallow safety and aspiration
Dysphagia is common early and quietly dangerous. SLT-led swallow assessment, modified diets and aspiration precautions are standard from day one.
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Spasticity, contractures and pain
Managed with physio, orthotics (splints, AFOs), botulinum toxin, oral baclofen and sometimes an intrathecal baclofen pump - see our neuromodulation page.
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Continence, skin and pressure care
Rehab nursing leads on bladder, bowel, wound and pressure area care - small things that make or break a long admission.
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Falls, DVT/PE and seizures
Reduced mobility raises DVT, PE, falls and post-injury seizure risk. Prophylaxis, seating, transfers and driving advice are all part of the plan.
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Autonomic dysfunction after SCI
Autonomic dysreflexia, blood pressure swings and temperature dysregulation are specifically managed at Spinal Injuries Centres - not general rehab wards.
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Red flags
A new sudden weakness, worsening headache, fever with confusion, or reduced consciousness during rehab is a 999 call, not a therapy question.
Reading your rehab plan
Your MDT rehab plan in four parts. Read the last one first.
Whatever the diagnosis, the plan the MDT sends you keeps to the same shape - so you can compare visits and see what has changed.
A quiet reminder
Rehab language is technical and can feel cold - we translate it for you and your family.
If you would like us to talk you through the plan before the weekly MDT review, just ask.
- 01 Header
Diagnosis, deficit and level of rehab
Why you are here - stroke, TBI, SCI, GBS, MS relapse - and the level of rehab (1, 2 or 3) matched to complexity.
- 02 Assessment
MDT baseline findings
The physio, OT, SLT, neuropsychology, nursing and dietetic baseline - what each team found on admission, in plain language.
- 03 Goals
Your SMART goals, agreed together
The specific, measurable goals set with you and your family - mobility, self-care, communication, cognition, return to work or home.
- 04 Plan
Programme, discharge target and follow-up
Read this first: the weekly programme, the discharge target date, the community team taking over, and when the RM consultant will next see you.
Recognised by major UK insurers
Cover for specialist neuro-rehab varies - most insurers fund a defined number of weeks per policy year for medically indicated rehab. We confirm cover, exclusions and top-up costs before admission.
Frequently asked
Everything we get asked about neurological rehabilitation.
Quick, honest answers on levels, team, timelines, cost, family involvement and outcomes.
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What is specialist neurological rehabilitation?
A multidisciplinary programme led by a consultant in rehabilitation medicine, with specialist physio, OT, SLT, neuropsychology, rehab nursing, dietetics, orthotics and social work - for people recovering from stroke, brain injury, spinal cord injury, MS, Parkinson’s, GBS and other complex neurological conditions.
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What are Levels 1, 2 and 3 in neuro-rehab?
The BSRM levels describe complexity. Level 1 is Complex Specialised Rehab (CSR) for the most complex cases - a small number of national beds. Level 2 is regional NHS neuro-rehab for medium complexity. Level 3 is local NHS rehab for less complex recovery. Community teams carry on the work at home.
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What does the team look like?
A consultant in rehabilitation medicine leads. Around them: specialist neurophysio (often Bobath-trained), OT, SLT, neuropsychologist, rehab nurse, dietitian, orthotist, social worker, vocational rehab and family support. This is the BSRM standard, not an add-on.
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How long does neurological rehabilitation take?
Acute inpatient rehab typically runs weeks to months. Community rehab runs months to years. Some conditions - SCI, severe TBI, progressive MS - need lifelong input. Recovery after stroke and TBI often continues to improve for 12–24 months and beyond.
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Where does the rehab happen?
At an NHS specialist neuro-rehab unit (Level 1, 2 or 3), at a private specialist centre such as Askham, Blackheath or Marbella Neurology, or through a community neuro-rehab team in your own home. The right setting depends on complexity and what you are working towards.
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What does private neurological rehabilitation cost in the UK?
Private inpatient specialist neuro-rehab is roughly £2,500–£3,200 per week at Level 3, £2,800–£3,800 at Level 2 and £3,500–£4,500 at Level 1. Community packages range from £800–£2,000 a week. NHS specialist rehab is funded but access is by clinical need and waits vary.
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Will I get better after a stroke or brain injury?
Outcomes vary widely by severity, age and time to rehab. After stroke, around 30–50% of people are independent by three months, with further improvement to 12–24 months. After severe TBI, recovery is long and some cognitive or behavioural changes often persist. Honesty about likely outcome is part of good rehab.
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How much of the programme involves family?
A lot. Family and carer training is not an extra - it is core. Transfers, communication strategies, swallow safety, medication, behavioural approaches and mood are all taught before discharge, with ongoing community support built in.
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When should I call 999 during rehab?
A new sudden weakness, sudden severe headache, a seizure, fever with confusion, chest pain or reduced consciousness is a 999 call - not a therapy question. Rehab teams expect and support this.
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All tests and procedures
Every test and procedure we arrange.
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