High Intensity Rehabilitation

HIR has been provided at The Royal Buckinghamshire Hospital 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.

Who will provide the HIR Programmes?

The Royal Buckinghamshire Hospital 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 Language Therapists, 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.

Who Will Benefit?

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. 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.

What to Expect?

  • 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


We require a referral letter from the patient’s GP or hospital consultant that should include:

  • Medical history
  • Medication history
  • Details on previous

Get in touch

Call or email our specialist team to find out more:

+44 (0) 1296 678800


Get the latest from The Royal Buckinghamshire Hospital