Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

Neurorehabilitation usually has two objectives: Managing the initial phase of patient improvement and ensuring long-term support for continuing disability. The UK National Health Service (NHS) provides acute neurorehabilitation within general hospital wards and specialist units, but arrangements for long-term placement are less satisfactory. NHS health authorities, administrative agencies responsible for the health of defined local populations of about half a million, hold resources for purchasing both acute and long-term medical and nursing services; long-term care usually also requires financial support from municipal social services departments. The patient's health status may be used in assessing the need for services, but little information on clinical outcome is available for purchasers. This paper describes purchasing for neurorehabilitation in a London health authority, and suggests how the arrangements could be improved.

Original publication




Journal article


Neuropsychological Rehabilitation

Publication Date





295 - 303