The information on this page is designed for healthcare professionals including GPs, hospitals, medico-legal clients and CCGs. To help you make an informed decision, you may also wish to view our admission criteria. Fen House is a neurobehavioural centre for people with an acquired brain injury (ABI) and complex needs run by the Brain Injury Rehabilitation Trust (BIRT). In addition to our admission criteria many service users are admitted to our neurobehavioural centres directly from NHS hospitals and, after a period of intensive rehabilitation, are discharged home or to more independent living environment, sometimes with part time support.


Referrals should be made directly to Fen House. We accept referrals from a wide range of agencies including health, social services, medico-legal and other specialist providers. To seek an admission, please complete our secure online referral form.

Please include all relevant information about your client such as medical reports and records, as well as an indication of their needs and current situation. If you would like an informal discussion with the Service Manager and / or Consultant in Neuropsychology and Rehabilitation at Fen House, please contact us.

What do we offer?

Using a neurobehavioural approach we deliver in depth assessment, rehabilitation and discharge planning from admission. These are carried out by our in-house interdisciplinary teams. Assessment includes, for example, cognitive skills, the nature and frequency of any challenging behaviour and the service user's ability to engage with the community and complete functional daily tasks. Rehabilitation planning is focused on behaviour, cognition and mobility needs; goal planning is carried out with the service user and their family/carers.

When a service user is admitted to Fen House with an acquired brain injury they undergo a comprehensive neurobehavioural assessment to determine their potential for social reintegration and increased independence. This includes assessments of cognitive skills, the nature and frequency of any challenging behaviour, the ability to engage with the community and complete functional daily tasks. Initial goals are identified with the service user and the first phase of the rehabilitation programme is established.

service user playing pool with support worker in the recreation area of Fen House

During the assessment period, a meeting is held at which family, funders and other involved parties join our team to discuss the assessment results and plan the next steps of the individual's rehabilitation. This takes into account the aspirations of both the service user and family members. A further period of rehabilitation may be involved and/or a move to a more independent environment.

If a further period of rehabilitation is recommended, the service user will continue to work on their agreed goals. Their individually tailored treatment programme may include group or individual learning and therapy sessions, behavioural management and training in social and domestic skills. Service users are supported to structure their leisure time, to access the community and educational and vocational training placements.

Treatment is focused on specific goals of the individual’s programme, and progress is discussed at review meetings held every 12 weeks, with a view to discharge home or to a more independent environment.

The clinical team at Fen House comprises professionals from a wide range of disciplines, all of whom are recognised in their field as having special expertise in the management of acquired brain injury. The team is led by a consultant in neuropsychology and rehabilitation and includes clinical psychologists, a speech and language therapist, physiotherapists, occupational therapists and rehabilitation support workers.

Clinical practice is based on a neurobehavioural approach and focuses on a combination of social and behavioural interventions to aid recovery of independence. The emphasis of assessment is on a systematic and structured observation of behaviour and skills in everyday situations and tasks.

Clinical governance is promoted through the our Clinical Executive, a national forum comprising consultants in neuropsychology and rehabilitation from across BIRT's services. Led by Dr Sue Copstick, the Clinical Executive is committed to promoting clinical governance, training and research, as well as developing and reviewing clinical policies and procedures.

BIRT offers a nationwide continuum of services for people with acquired brain injury including post-acute hospital based rehabilitation, assessment and rehabilitation, continuing rehabilitation and community support services. Placements at Fen House are typically between six and 24 months, depending on the service user's level of need and their potential for rehabilitation. A service for those with longer term needs is also available. We collect satisfaction questionnaires from service users, family members, funders and commissioners.