Neurorehabilitation · London
Post-stroke neurorehabilitation - London.
Consultant-led, intensive multidisciplinary rehabilitation after stroke. Residential programmes of 4 to 12 weeks, and outpatient packages of physiotherapy, occupational therapy, speech and language therapy and neuropsychology across London.
Why intensive rehab matters
More hours, sooner, changes outcomes.
The evidence is clear: early, intensive, task-specific rehabilitation improves functional outcomes after stroke and reduces long-term disability.
Royal College of Physicians (RCP) National Clinical Guidelines for Stroke recommend that patients receive at least 45 minutes of each relevant therapy, at least five days a week, for as long as they are willing and able to benefit. In practice, NHS services meet this standard on some pathways and not others, and outpatient dose typically drops sharply after discharge.
Private neurorehabilitation is designed around that gap. Programmes protect a full daily dose across physiotherapy, occupational therapy, speech and language therapy and neuropsychology, and hold that dose through the first three to six months when most functional gains are made. Slower gains continue up to two years and beyond, and long-term maintenance is planned in.
The MDT team
One consultant-led team, all the domains that matter.
Every named team member shares one plan, one set of goals and one weekly review, so nothing falls between disciplines.
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Neurophysiotherapy
Movement, balance, gait retraining, spasticity management and functional strength.
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Occupational therapy
Upper-limb rehab, activities of daily living, seating, home adaptation and return-to-work planning.
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Speech and language therapy
Aphasia, dysarthria and swallowing assessment and therapy.
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Neuropsychology
Cognitive assessment, mood, adjustment support, executive-function and memory rehabilitation.
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Dietitian
Nutrition planning, texture-modified diets, weight and cardiovascular risk support.
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Orthotist
Ankle-foot orthoses, splinting and bracing to support gait and prevent contractures.
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Social work and case management
Discharge planning, benefits, care packages and coordination with community services.
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Family training
Practical coaching so partners and carers can support therapy safely between sessions.
Evidence-based techniques
The therapies that carry the weight of the evidence.
Techniques are matched to the person, the stage of recovery and what they most want to do next.
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Constraint-induced movement therapy (CIMT)
Intensive daily use of the affected arm with the stronger arm restrained. Best evidence in mild to moderate upper-limb hemiparesis.
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Task-specific and repetitive training
Repeated practice of the real-world task you want to recover, from stairs to buttoning a shirt.
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Functional electrical stimulation (FES)
Small electrical pulses that activate weak muscles during walking or arm tasks, used to reduce drop foot and support motor learning.
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Robotic-assisted therapy
Lokomat for gait and Armeo for upper limb, adding hundreds of guided repetitions per session in a safe, supported way.
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Virtual reality and mirror therapy
Immersive practice and mirror-box therapy to boost engagement and support recovery of the affected side.
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Transcranial direct current stimulation
Non-invasive brain stimulation, currently offered within clinical trials alongside conventional therapy.
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Botulinum toxin for spasticity
Targeted injections to reduce muscle tone, ease pain and open a window for meaningful physiotherapy.
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Cognitive rehabilitation
Structured strategies for attention, memory and executive function, delivered by neuropsychology.
Programme options
Inpatient, outpatient, and everything in between.
Residential programmes typically run 4 to 12 weeks. Outpatient packages combine weekly to fortnightly physiotherapy, OT, SLT and neuropsychology.
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The Wellington Rehabilitation Unit
HCA consultant-led inpatient neurorehabilitation in central London, intensive MDT input across all domains.
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Royal Hospital for Neuro-disability (private)
Putney specialist centre for complex neurorehabilitation, including prolonged disorders of consciousness and slow-stream rehab.
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National Hospital NHNN Queen Square Private
Neurorehabilitation alongside the UK's leading neurology and neurosurgery teams.
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Community and home outpatient teams
Named neurophysio, OT, SLT and neuropsychology across London, in clinic or at home.
Indicative pricing
What private stroke rehabilitation costs in London.
Indicative ranges across our London network. Send us the story so far and we quote firm figures across two or three options.
| Service | Indicative range | Typical duration | Turnaround |
|---|---|---|---|
| Initial MDT neurorehabilitation assessment | £450–£850 | 90 min | Report in 5 days |
| Outpatient physio, OT or SLT session | £150–£280 | 45–60 min | Weekly |
| Inpatient neurorehabilitation (per week) | £2,500–£5,500 | 4–12 weeks | Rolling admission |
| Six-month outpatient programme | £4,500–£8,500 | 20–40 sessions | 6 months |
| Botulinum toxin for spasticity (per limb) | £650–£1,200 | 30 min | Same day |
Prices vary by centre, complexity, and whether therapy is delivered as residential inpatient or in-clinic and home outpatient. Most major UK insurers fund neurorehabilitation when medically indicated.
Timeline for recovery
The shape of the year ahead.
Most functional recovery happens in the first three to six months after stroke. This is the window in which intensive therapy pays the largest dividend and is prioritised.
Slower gains continue up to 24 months and, with focused work, well beyond. Long-term maintenance therapy protects the ground that has been gained and supports return to work, driving and independent living.
Frequently asked
Everything families ask about stroke rehab.
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How soon after a stroke should rehabilitation start?
As early as the person is medically stable. RCP national guidelines recommend at least 45 minutes of each relevant therapy, at least five days a week, delivered by a specialist stroke team. Starting early and keeping intensity high through the first weeks and months gives the best chance of functional recovery.
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When are most gains made?
The steepest recovery usually happens in the first three to six months, with slower but meaningful gains continuing up to two years and beyond, particularly when therapy remains focused and intensive. Long-term maintenance work protects the ground you have gained.
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Is inpatient or outpatient rehab right for us?
Inpatient residential rehab suits people who need daily intensive MDT input, complex spasticity management or 24-hour nursing. Outpatient works well once someone is safely home and needs weekly to fortnightly therapy across two or three domains. We advise on the best fit for each stage.
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Can private rehab run alongside NHS care?
Yes. With your consent we share notes with your NHS stroke team so plans are joined up. Private input often adds intensity, faster access and specialist techniques such as robotic training that are not always available locally.
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Will insurance cover neurorehabilitation?
Most major UK insurers fund inpatient and outpatient neurorehabilitation when medically indicated after stroke, usually as a capped package. We confirm cover in writing before booking and always share transparent self-pay figures alongside.
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What about spasticity, pain and mood?
These are managed as part of the programme. Botulinum toxin, orthotics and stretching reduce spasticity. Neuropsychology supports low mood, anxiety and adjustment. Fatigue is planned around rather than pushed through.
Related
Looking for something else?
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Aphasia rehabilitation
Specialist SLT for language recovery after stroke or brain injury.
Learn more -
Dysphagia therapy
Swallowing assessment and therapy after stroke.
Learn more -
Otago falls prevention programme
Evidence-based falls prevention for older adults.
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Vestibular rehabilitation therapy
Targeted therapy for dizziness, imbalance and vertigo.
Learn more -
Acquired brain injury rehab
Neurorehabilitation for traumatic and acquired brain injury.
Learn more -
Stroke recovery
The wider picture of recovery after stroke.
Learn more
Start when you are ready
Let us build the right rehab programme for the person you love.
Share the discharge summary and where you are today. We come back within one working day with two or three thoughtful options, honest cost, and a plan that sits alongside any NHS care already in place.