NICE has released transformative new guidelines (NG252) for rehabilitation in chronic neurological disorders, including acquired brain injury, marking a significant shift in policy and practice. Published on 15 October 2025, the guidance introduces a structural recommendation for case management and a single point of contact across health, social care, and community services. This is designed to improve continuity, navigation, and person-centred care.
The guidelines propose a tiered approach:
- A key contact for those largely self-managing
- A key worker for moderate support needs
- A specialist case manager for complex, long-term coordination
NICE emphasises that these roles must be embedded within rehabilitation plans and empowered to work across sectors. The guidance links case management to improved holistic assessments, better follow-up, and recognition of “invisible” symptoms such as fatigue and cognitive strain.
Implementation is expected to take years, but the policy sets a national standard aimed at reducing service variability and improving equity. Workforce education is also prioritised – professionals must be trained to identify symptoms, refer appropriately, and collaborate across organisational boundaries.
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The guidelines signal a paradigm shift: rehabilitation should be flexible, responsive, and continuous. For neurorehabilitation professionals, this is both an opportunity and a challenge, to build capacity and advocate for integrated roles. This will help ensure that case management delivers on its promise of coherent, dignified support for individuals and families navigating complex neurological journeys.
If policy makers, commissioners, practitioners, and case managers take this seriously and follow through, millions of people could experience smoother, more dignified, more effective rehabilitation journeys.
UKABIF, the Acquired Brain Injury Forum
UKABIF Trustee, Dr Alyson Norman, whose work is referenced, has written a full review of the new guidance which you can read here.
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