High Intensity Rehabilitation (HIR)

High Intensity Rehabilitation (HIR)2018-12-06T14:29:35+01:00

HIR has been provided at The Royal Buckinghamshire for many years delivering programmes that have helped individuals achieve outstanding outcomes. Remaining at the forefront of rehabilitation, the service has invested in developing evidence-based approaches utilising traditional techniques, new processes and integrating a wide range of specialist technology, specialists in their field and an array of diagnostics.


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Our HIR programmes are designed to meet the individual goals of each patient. Patients can access HIR at any point in their recovery journey whether that be immediately post-acute care, further down the line from home or as a top-up to achieve a specific goal and maintain function for an extended period.

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A HIR programme starts with a comprehensive interdisciplinary assessment to understand the patient’s goals and expectations. A bespoke programme is then formulated encompassing integrated therapeutic, nursing and care needs across a weekly structured framework. On average patients participate in a minimum of four sessions per day of active therapy. Depending on levels of tolerance or stage in the patient’s recovery, this may increase or decrease over the period of admission.


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The Royal Buckinghamshire Centre for Rehabilitation and Specialist Nursing Care is an interdisciplinary led service with a range of professionals delivering therapy, care and support to patients.

With specialist input from a range of highly skilled, leading medical consultants, there is also a full complement of allied health professionals including Occupational Therapists, Physiotherapists, Speech and LanguageTherapists, Dietetics, Psychology and Music Therapists. We have highly skilled Registered Nurses and Rehabilitation Support Workers as key members of the team who have significant experience in spinal cord and acquired brain injuries.


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  • Assessment and intervention from medical consultants, therapists and nursing including baseline measures
  • Active treatment, support and action plans are established including environmental modifications to support independence
  • Involvement of the patient and their family/carers throughout the programme
  • Goals are reviewed and updated according to patient need
  • A case conference with the family/carers and funders


Referrals can be made directly by phone or email.

A member of the team will discuss your requirements and take some initial details about the person being referred. We usually ask for relevant medical information to be sent to us so we can determine presenting needs and arrange for an appropriate member of the team to complete a pre-admission assessment.

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