Acquired Brain Injury
Care at Home

Specialist nurse-led homecare for adults and children living with acquired brain injury — following traumatic brain injury, stroke, hypoxic injury, or neurological illness. Supporting rehabilitation, long-term care, and community living across England, Wales and Scotland.

CQC Rated Good Adult & Paediatric ABI Compensation-Funded Packages 24/7 Urgent Referrals

Call 0330 678 3014 Email a Referral

What Is Acquired Brain Injury?

Acquired brain injury (ABI) refers to any damage to the brain occurring after birth — through trauma, illness, or oxygen deprivation. The resulting care needs vary significantly: from cognitive and behavioural support, to complex physical dependency, to high-acuity clinical care including tracheostomy management, ventilation, and enteral feeding.

The goal of ABI homecare is not just maintenance — it is enabling the individual to live at home, participate in rehabilitation, and achieve the best possible outcomes within the constraints of their injury.

Common causes of ABI we support:

  • Road traffic accidents — traumatic brain injury (TBI)

  • Stroke and subarachnoid haemorrhage

  • Hypoxic brain injury — following cardiac arrest, near drowning, or respiratory failure

  • Encephalitis and meningitis

  • Brain tumours — pre- and post-surgical

  • Sepsis-related brain injury

  • Perinatal and paediatric hypoxic injury

Case managers and solicitors: Ambition24direct works extensively with compensation-funded ABI packages arranged by case managers, solicitors, and financial deputies. We provide the clinical governance documentation, staff training records, and compliance evidence that case managers and the Court of Protection require. Call our clinical team to discuss a new package.

Why home-based ABI care?

  • Familiar environment supports cognitive recovery

  • Family involvement in rehabilitation

  • Consistent team who know the individual

  • Avoids institutional setting risks

  • Flexible as needs change over time

Let's Talk

Clinical Care Our Nurses Provide

ABI care packages vary significantly in complexity. We manage everything from physical dependency support to high-acuity clinical interventions.

High-Acuity Clinical Interventions

  • Tracheostomy care and suctioning

  • Ventilator management (invasive and non-invasive)

  • PEG and enteral feeding management

  • Epilepsy and seizure management including emergency rescue medication

  • Autonomic dysreflexia monitoring and management

  • Spasticity management in coordination with physiotherapy

  • Pressure area care and complex wound management

  • Catheter and bowel care

Rehabilitation-Focused Support

  • Cognitive and behavioural support alongside clinical care

  • Implementing physiotherapy, OT, and SaLT programmes at home

  • MDT participation — attending hospital and community MDT meetings

  • Fatigue management and pacing

  • Supporting community reintegration and meaningful activity

  • Managing complex medication regimes

  • Supporting communication aids and assistive technology

  • 24/7 monitoring and escalation to clinical teams when required

Who Commissions ABI Packages

Acquired brain injury packages are commissioned through multiple routes. We work with all of them.

NHS & Continuing Healthcare

  • ICBs commissioning complex CHC packages following ABI

  • Rehabilitation hospitals planning community step-down

  • Hospital discharge teams — including urgent post-ICU discharge

  • Community neuro-rehabilitation services

Case Managers & Legal

  • Case managers managing MedCo-assessed and CICA compensation packages

  • Solicitors acting for claimants following road traffic accidents

  • Financial deputies and Court of Protection-appointed deputies

  • Charities and trusts managing long-term care funds

Paediatric ABI

  • Children's Continuing Care teams and ICBs

  • Children's hospitals planning discharge post-PICU

  • Case managers managing compensation packages for children

  • Families self-funding paediatric ABI care

Private Families

  • Self-funding families requiring long-term ABI support

  • Personal Health Budget holders

  • Interim care while CHC assessment is completed

  • Top-up care alongside NHS-funded provision

Our Approach to ABI Care

No two acquired brain injuries are alike. Our approach reflects that.

1

Comprehensive Clinical Assessment

Before any care begins, our clinical lead conducts a full assessment — reviewing the injury, the current clinical needs, rehabilitation goals, family dynamics, and any associated risks (seizure protocols, airway management, behavioural considerations). We do not copy a template care plan from a previous case.

2

Consistent, Matched Team

ABI care demands consistency above almost any other condition. Behavioural responses, cognitive functioning, and trust are all sensitive to unfamiliar faces. We build a small, stable team matched to the individual's personality, communication style, and clinical profile — and we keep that team consistent.

3

Rehabilitation Partnership

Our nurses and healthcare assistants work alongside physiotherapists, occupational therapists, and speech and language therapists — implementing programmes at home, carrying the rehabilitation goals into daily care routines, and reporting progress to the MDT. We treat rehabilitation as our responsibility too.

4

Named Clinical Lead Throughout

A named clinical lead oversees the package for as long as care continues — attending MDT meetings, reviewing and updating the care plan as needs evolve, and remaining the primary clinical point of contact for the family, commissioner, and case manager.

ABI-Related Conditions We Manage at Home

Following acquired brain injury, individuals may present with a combination of clinical and support needs. We manage:Who We Collaborate With

  • Traumatic Brain Injury (TBI)

  • Hypoxic Brain Injury

  • Stroke & Haemorrhagic Stroke

  • Subarachnoid Haemorrhage

  • Encephalitis

  • Post-surgical Brain Injury

  • Locked-in Syndrome

  • Minimally Conscious State

  • Disorders of Consciousness

  • Post-ABI Epilepsy

  • ABI with Tracheostomy

  • ABI with Ventilator Dependency

Frequently Asked Questions

  • Yes. We work closely with neuro-rehabilitation teams, physiotherapists, occupational therapists, and speech and language therapists. Our nurses and healthcare assistants implement therapy programmes in the home environment and attend MDT meetings where requested. We view rehabilitation outcomes as part of our responsibility — not just the therapists'.

  • Yes. We work regularly with case managers, solicitors, and financial deputies managing MedCo-assessed and CICA compensation-funded ABI packages. We provide full clinical governance documentation — staff training records, competency sign-offs, incident logs, care plan reviews — in the format required for case management and court proceedings.

  • Behavioural changes are common following ABI and can include agitation, disinhibition, memory difficulties, and emotional dysregulation. Our staff are trained in positive behaviour support approaches and work closely with neuropsychologists and behaviour specialists where the individual's team includes one. We do not manage challenging behaviour with restriction — we manage it through consistency, understanding, and clinical expertise.

  • We work with hospital discharge teams and accept urgent referrals 24/7. For planned discharges, mobilisation typically takes 2–4 weeks for full assessment and team training. Urgent packages — where the hospital needs the patient discharged quickly — can be arranged faster. Call 0330 678 3014 to discuss timescales.

  • Yes. We provide paediatric ABI homecare through our children's complex care service — supporting children and young people following TBI, hypoxic injury, and neurological illness. Paediatric packages can include school and community support as well as home-based care. See our Paediatric Complex Care page for more detail.

Make an ABI Referral

Our clinical team is available 24 hours a day for urgent referrals and planned package discussions. We work with NHS commissioners, case managers, solicitors, and private families.

Phone (24/7) 0330 678 3014

Email: bookings@a24direct.co.uk

WhatsApp: 07723 503 976

Call 0330 678 3014 Email a Referral

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CQC Rated Good  |  Established 1996  |  A24 Group Ltd