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RNRU Specialist ABI Outreach Team

Location and Contact details

RNRU Specialised ABI Outreach Team
RNRU Homerton University Hospital , Homerton Row,
Greater London
E9 6SR

Telephone: 020 8510 7967


Type of organisation

  • NHS Service

Descripton of organisation

  • Community Based Service
Public private partnership with Bupa Health Care

miles (straight line)
miles (approximate road distance)

Entry last updated

Mar 24, 2015

Further Details

The RNRU Specialist ABI Outreach Team provides interdisciplinary, specialist, community based rehabilitation services for adults with single incident, non-progressive acquired brain injury in Greater London and parts of Essex.
We are an evidence based service which adheres to the highest quality standards including national and government guidelines. We work in the community with people who have suffered a head injury, usually as a result of stroke or a traumatic brain injury.

Disciplines Available:
> Clinical Neuropsychology
> Occupational Therapy
> Physiotherapy
> Speech & Language Therapy
> Rehabilitation Assistant

Inclusion criteria:
> A single incident, non progressive acquired brain injury including stroke
> Aged over 16 years
> Living within one* hour£s travel time of Homerton University Hospital. [* It is sometimes possible to provide assessment / intervention for clients outside this criteria following funding agreement for increased travel time.]

We aim to increase clients£ independence, communication and involvement in work, study, leisure activities and interpersonal relationships. Goals are decided between clients, their relatives/carers and the therapists, ensuring that each treatment package is individualised to suit a client£s particular needs.

Typical active treatment involves the therapists and rehabilitation assistant seeing a client in his/her own environment or another community setting at least once a week; this may last from three to six months and sometimes longer depending upon timescales for their rehabilitation goals. We also provide clinical neuropsychology to the client and in some instances to their families. Follow-on treatment involves contact with the client once a month to ensure that the rehabilitation strategies introduced are continued over the long-term.

What the team can offer:
> Multidisciplinary Assessments Reports
> Neuro _ Psychology Reports
> Uni-disciplinary work (Clinical Neuro-Psychology only)
> Treatment programmes e.g. Vocational rehabilitation
> Brain injury education (e.g. for clients, family/friends, carers/support workers, employers)
> Geographical Service Criteria

Who is eligible: Clients registered with a GP in
> Barking & Dagenham
> Enfield
> Haringey
> Havering
> Redbridge
> Waltham Forest
> West Essex
> Southwest Essex
> Southeast Essex
> Mid Essex
> We can also accept private referrals from case managers

Services available

ABI Specialist National Regional Local
Advice yes no yes yes
Clinical psychology yes no yes yes
Community support yes no yes yes
Family Support yes no yes yes
Information yes no yes yes
Neurology yes no yes yes
Neuropsychology yes no yes yes
Occupational Therapy yes no yes yes
Physiotherapy yes no yes yes
Psychology yes no yes yes
Rehabilitation Consultant yes no yes yes
Speech & Language Therapy yes no yes yes
Training (for clients/patients) yes no yes yes
Training (for families/carers) yes no yes yes
Training (for staff) yes no yes yes
Vocational Support yes no yes yes
Voluntary Activity yes no yes yes
National = country wide, Regional = offering a service within 150 miles, Local = offering a service within 50 miles

This service adheres to the following Regulatory Frameworks / is affiliated to the following bodies:

The RNRU Outreach Team closely adheres to quality requirements 1,2,5,6,and 7 of the NHS Service Framework for Long Term Conditions. The National Clinical Guidelines for Stroke and NICE guidelines. The RNRU Outreach Team is the only evidence based service in the country. Published research paper referenced below:

Powell J, Heslin J,Greenwood R. Community based rehabilitation after severe traumatic
brain injury: a randomised controlled trial.J Neurol Neeurosurg Psychiatry 2002;72:193-202.

The RNRU Outreach Teams Clinical Neuro-Psychologist is currently conducting a research titled "Exploration of psychological and cognitive predictors of outcome in a community dwelling sample of individuals with acquired brain injury using using mood and quality of life (QOLIBRI) measures".

The RNRU Outreach Team works in close collaboration with the RNRU inpatient unit.

Referrals can be made by

GP yes
Consultant yes
Healthcare Professional yes
Self/Advocate/Family yes
Other professional eg Social Care/Case Manager yes

- The RNRU Outreach Team recieves referrals from a variety of Health Care Professionals. We also work in close collaboration with vairous community organisations such as Headway , Different Strokes, the Stroke Association and local Personal Development Centres.

How are services paid for?

yes Publicly funded - individually commissioned
Regularly Sometimes Never
NHS yesnono
Social Care Services nonoyes
Jointly funded by NHS & Social Care Services nonoyes

yes Privately funded (anyone can purchase)

Typical duration that a service is offered

We tailor the length of the rehabilitation process to suit the clients identified goals and their particular needs. A typical duration maybe anywhere from 4 months to a year in duration.

This Service was mapped by ABI London. See HERE for more information

Services available are defined by the following EHIG Rehabilitation Codes

For an explanation of the codings please click here


[Code 70]
Patient description
Medically stable, able to actively participate with and benefit from therapy. Will include spectrum of initial severity of injury with a small minority derived from Code 05 category

Domiciliary or day hospital

Description of rehabilitation input
Interdisciplinary co-ordinated management therapy aimed at community re-integration/inclusion by enhancing independence, wellbeing, & assist return to work/education. In collaboration with Social Services, neuropsychiatry, voluntary and statutory services. Includes treatment of patients in their own homes, or with live-in carers.


[Code 85]
Patient description
Medically stable, living in community, aiming to enter/return to employment

Outpatient clinic – acute or community hospital or other community location

Description of rehabilitation input
Multidisciplinary diagnostic and triage clinic, including expert medical input, with specialist brain injury nurse and/or neuropsychological assessment and support and follow-along available. Education, emotional and social support, both for patient and family. Liaison with/advice to GP and employer.


[Code 90]
Patient description
Medically stable, living in community, aiming to enter/return to employment

Domiciliary, community-based or residential

Description of rehabilitation input
Interdisciplinary programme addressing all aspects of occupational activity, including, specialist assessment, work preparation, job search, job coaching and workplace support, and employer/college education and support.


[Code 115]
Patient description
Medically stable. Able to live in the community alone or with others.

Client's home/the community

Description of rehabilitation input
Enablement, support and care to develop social skills, stamina, confidence, attention & leisure pursuits, sorting out benefits, day supervision & respite care. Specific attention paid to Community involvement & integration (further education etc), Personal social development and empowerment and structuring activity towards achieving goals. Includes support that may be purchased with a personal budget.


[Code 120]
Patient description
Medically stable. Wanting to engage further with the community, alone or with others.

All sites

Description of rehabilitation input
Organised activity in the community offering opportunities to to develop social skills, stamina, confidence, attention & leisure pursuits, Specific attention paid to: Community involvement & integration (further education etc), Personal social development and empowerment Structured daytime activity within the individual's competency framework. Includes Day activities, Day Centres, clubs and activity that may be purchased with a personal budget.


[Code 130]
Patient description
Medically stable. Wanting to engage further with the community, alone or with others.

All sites

Description of rehabilitation input
Services that assist people with disabilities to travel in their local community or further afield.

This service is defined by the NMDS (National Minimum Data Set) codes as:

For an explanation of the NMDS, please click here

Level 3A (other local specialist services): Treat patients with Category C needs and is led/supported by consultants trained in specialties other than rehabilitation medicine

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