Specialist ABI Clinical Services — Built for Case Managers
Why Case Managers Refer to Nexus ABI
Case managers working with Acquired Brain Injury clients operate at the intersection of clinical complexity, legal process and human need. The clinical decisions you make — and the clinical partners you choose — directly shape your client’s recovery trajectory, their legal outcomes, and your own professional accountability. Nexus ABI was built around the reality of case management practice, not around how a clinic would prefer to work.
We understand the pressures of court-imposed timelines, the difficulty of organising clinical care for clients who present in challenging and unpredictable ways, the need for clinical reports that hold up to legal scrutiny, and the value of a clinical team that responds promptly, communicates clearly, and treats your referrals with the same sense of urgency that you bring to your work.
What we offer case managers
- Rapid Initial Needs Assessments with court-ready reports — standard 5–7 working days, expedited 48–72 hours
- Consultant-led, multidisciplinary clinical team with specialist ABI expertise across all service areas
- Secure referral portal — GDPR-compliant, encrypted, no clinical data sent by standard email
- Direct clinical contact — your case is reviewed by a named clinician, not a call centre
- Post-consultation summaries and clinical reports within 24 hours as standard
- Flexible service delivery — clinic, in-home and remote consultations as clinically appropriate
- Safe administration guidance for support workers and care staff with every medication change
- Coordination with your MDT, rehabilitation teams, NHS specialists and the Court of Protection
- Fully itemised invoicing aligned to your budget cycles and deputyship audit requirements
Clinical services available to your clients
- Initial Needs Assessment — rapid, comprehensive, court-ready
- Remote GP Service — specialist primary care without the distress of travel
- Endocrinology — TRT, HRT and post-ABI pituitary dysfunction
- Medically Supervised Weight Management — NICE NG238-aligned
- Diagnostic Monitoring & In-Home Services — clinical oversight at the patient's location
- Phlebotomy & Nursing — NMC-registered, CQC-compliant, in-home
- Cardiology & Clinical Observations — autonomic function, ECG, QTc monitoring
- Toxicological Screening — medication adherence, substance testing, legal chain of custody
- Medication & Prescription Management — polypharmacy review, deprescribing, carer guidance
How We Work With You — The Referral Process
We have designed our referral and onboarding process to be as frictionless as possible for case managers. From the moment a referral is submitted, you have a named clinical contact and a confirmed timeline.
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Referral submitted
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Clinical triage
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Service delivery
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Reporting
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Ongoing care
Clinical Reporting — What You Receive
Every clinical interaction generates structured documentation. Below is a summary of the reports and correspondence produced across our service areas — all formatted for use in case management, legal proceedings and deputyship review.
Assessment & evaluation
- INA report — 20–45 pages, peer-reviewed, court-ready, with executive summary
- Cognitive screening reports where applicable
- Functional assessment outputs from MDT contributors
- Risk assessment and safeguarding documentation
- Capacity assessment under the Mental Capacity Act 2005
Clinical monitoring
- Post-consultation clinical summaries within 24 hours
- In-home visit records produced within 24 hours
- Monthly collated progress summaries for monitoring programmes
- ECG traces and interpretation letters
- Toxicological test certificates and medico-legal reports
Prescribing & medication
- Comprehensive medication review report with full clinical rationale
- Updated medication list in standardised format for care plans and hospital admissions
- Safe administration guidance for support workers — plain English
- GP and specialist correspondence — shared care letters, discharge summaries
- Monitoring schedule — what tests are required, when, and at what cost
Data Security & GDPR Compliance
Acquired Brain Injury patients are among the most clinically and legally complex individuals whose data you will ever handle. We take data security with the seriousness that reflects this.
Our data security commitments
- All referrals submitted via our end-to-end encrypted secure portal — no clinical data is accepted by standard email
- Patient records stored on an ISO 27001-aligned clinical management system with role-based access controls
- All clinical correspondence transmitted via NHS-approved secure email or encrypted file transfer
- Fully compliant with UK GDPR, the Data Protection Act 2018, and NHS Caldicott Principles
- Data Processing Agreement (DPA) available for case management organisations requiring formal documentation
- Subject Access Requests (SARs) handled in accordance with ICO guidance and within statutory timescales
- All practitioners undergo annual GDPR and information governance training as a CQC mandatory requirement
- Breach notification procedures in place — reported to the ICO within 72 hours where required by law
Our data security commitments
- All referrals submitted via our end-to-end encrypted secure portal — no clinical data is accepted by standard email
- Patient records stored on an ISO 27001-aligned clinical management system with role-based access controls
- All clinical correspondence transmitted via NHS-approved secure email or encrypted file transfer
- Fully compliant with UK GDPR, the Data Protection Act 2018, and NHS Caldicott Principles
- Data Processing Agreement (DPA) available for case management organisations requiring formal documentation
- Subject Access Requests (SARs) handled in accordance with ICO guidance and within statutory timescales
- All practitioners undergo annual GDPR and information governance training as a CQC mandatory requirement
- Breach notification procedures in place — reported to the ICO within 72 hours where required by law
MDT Integration & Collaborative Working
We do not operate as a standalone clinical service. The most effective ABI care happens when clinical teams communicate well, share information purposefully, and work towards the same goals for the patient. We actively participate in MDT meetings, produce correspondence that supports your wider team, and are available for clinical consultation between formal appointments.
How we integrate with your MDT
- Attendance at MDT meetings — in person or via video — by arrangement
- Clinical correspondence addressed to all relevant team members as standard
- Direct clinician-to-clinician communication with rehabilitation teams, neurologists, psychiatrists and NHS specialists
- Contribution to care planning meetings and best interests consultations
- Clinical input to Court of Protection applications and welfare proceedings
- Coordination with community pharmacy, NHS community teams and local authority services
- Named clinical contact for each active case — consistent point of accountability
What we need from referring case managers
- Referral submitted via secure portal with as much existing clinical documentation as possible
- Confirmation of the patient's current support arrangements and care setting
- Any court orders, deputyship documentation or legal instructions relevant to clinical decision-making
- Contact details for the patient's GP, key MDT members and financial deputy
- Notification of any safeguarding concerns or risk factors relevant to the clinical visit
- Budget authorisation or funding confirmation prior to assessment or service commencement
- Your preferred reporting format and frequency — we adapt our outputs to your case management systems
Frequently Asked Questions
Our FAQ section is here to answer the most common questions about our service and help you feel fully informed before getting started. If you don’t see the answer you’re looking for, please don’t hesitate to get in touch—our team is always happy to help and provide clarity where needed.
How quickly can Nexus ABI respond to a new referral?
All referrals submitted via our secure portal are reviewed by a named clinician within 2 working hours during standard business hours (Monday–Friday, 9am–5pm). You will receive a confirmation of receipt immediately on submission, followed by direct contact from the clinical team to confirm the timeline, acknowledge any court deadlines, and ask any clarifying questions. For urgent referrals — particularly where a court hearing or case conference is imminent — please flag this in the referral and contact the clinical team directly so we can allocate resource appropriately.
Can I refer a client for more than one service at the same time?
Yes, and in many cases a multi-service referral is the most clinically efficient approach. The Initial Needs Assessment often identifies the need for additional services — endocrinology testing, medication review, in-home monitoring — and where this is the case we can commence those services concurrently rather than sequentially, reducing the overall assessment timeline. Please indicate all required services on the referral form and our triage team will coordinate a streamlined plan.
What information do I need to include in the referral?
The more clinical context you can provide at referral, the more targeted and efficient the assessment will be. We ask for: the patient’s name, date of birth, date and nature of the ABI, current location and support arrangements, a brief summary of the presenting clinical picture and the specific services being requested, the name and contact details of the patient’s GP, any relevant legal documentation (court orders, deputyship documentation), the funding source and billing contact, and any existing clinical documentation you can upload securely (discharge summaries, neuroimaging reports, previous assessments). You do not need a perfect picture — our triage team will identify any gaps and follow up.
Can Nexus ABI contribute to Court of Protection proceedings?
Yes. Clinical reports produced by Nexus ABI — particularly the Initial Needs Assessment — are written to the evidential standard required by the Court of Protection and are regularly used in welfare and property and affairs proceedings. Our clinicians can also be instructed as expert witnesses where required, produce capacity assessments under the Mental Capacity Act 2005, attend Best Interests meetings, and provide clinical input to Official Solicitor correspondence. Please confirm at the point of referral if court-ready formatting or specific evidential standards are required.
How are clinical reports delivered to me — and are they secure?
All clinical reports and correspondence are delivered via secure encrypted transfer — never by standard email. Where your organisation uses a secure case management platform with an approved document portal, we can deliver directly to that. Reports are also available via our secure client portal with password-protected download. Physical copies can be produced on request. All transmission methods comply with UK GDPR and NHS Caldicott Principles for special category health data.
What if my client refuses to engage with the assessment or becomes distressed?
Clinical assessments for ABI patients involve an inherent risk of non-engagement, particularly where cognitive, behavioural or emotional dysregulation is a feature of the injury. Our clinical team is experienced in managing this. We request a pre-visit briefing from the care team, adapt our approach to the patient’s communication and sensory needs, allow extended assessment time, and can conduct assessments in stages across more than one visit where necessary. Where a patient consistently declines assessment, we will document the attempts made and discuss with the referring case manager whether a Best Interests approach is appropriate.
Can Nexus ABI provide an urgent same-day clinical review if my client deteriorates?
Yes. Our Remote GP service offers urgent same-day consultation slots for acute clinical deterioration — available Monday to Friday, subject to capacity. For patients on active monitoring programmes with our in-home team, we can also arrange urgent in-home review visits with typically same-day or next-day attendance. Please contact the clinical team directly for urgent requests rather than submitting via the standard referral portal. Out-of-hours guidance is available on our contact page for clinical emergencies outside standard working hours.
Does Nexus ABI attend MDT meetings?
Yes. Where a client is receiving ongoing clinical services from Nexus ABI, the responsible clinician is available to attend MDT meetings either in person or via video — by prior arrangement. We provide a clinical summary in advance of any MDT meeting and produce a record of any clinical decisions or recommendations arising from the meeting. For complex cases involving multiple clinical providers, we can also host clinical coordination calls to ensure aligned communication across the care team.
Can I instruct Nexus ABI where the patient does not have a registered GP?
Yes. A significant proportion of ABI patients — particularly those who have been in inpatient rehabilitation, in residential care, or who have moved address following their injury — are not registered with a GP or have inadequate primary care provision. Nexus ABI can provide Remote GP services and clinical oversight as the patient’s primary clinical contact. We will also assist with GP registration and produce a comprehensive clinical summary for any new GP once registration is established. We do not require a GP referral to be instructed.
How is the service invoiced — and what detail is included?
All invoices are fully itemised, specifying the service provided, the date of service, the clinician involved with their registration details, the clinical indication, and where applicable the time taken and any associated costs such as laboratory analysis or consumables. Invoices are produced promptly following each clinical activity and can be aligned to your billing cycle on request. We accept instruction from the case manager, directly from the financial deputy or solicitor, or from the patient’s personal injury litigation fund. All invoicing is formatted to meet Court of Protection audit requirements.