Maintaining neurorehabilitation services in an age of austerity

In accepting the DoN Barbara Wilson Lifetime Achievement Award in November 2024, I noted that I had spent much of the last 10 years defending our community acquired brain injury rehabilitation service (CABIRS) against ongoing threats. I outlined some strategies that I had found helpful. Feedback was that these might assist others in service development/management roles. In response 20 suggestions are summarised below, building on those outlined in my acceptance speech. These are pragmatic and not based on any training or theoretical model. Whilst employed within a CABIRS context, they are likely relevant to wider neurorehabilitation services.