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The Arbor team provides Neuropsychology, Speech & Language Therapy, Occupational Therapy and Physiotherapy throughout the South-West.

A bespoke community neurorehabilitation service​

As a community neurorehabilitation team, we work alongside other services as indicated for the individual. This may include NHS teams, employers, family members, third sector providers and legal teams. 


Joint (MDT) working at the heart of our service

Arbor provides individualised assessments, leading to team-wide goals, directed intervention and excellent communication with referrers and clients alike. As a team of therapists from the Bristol area, we have established local links with NHS and specialist providers, with knowledge of local services and facilities specialist to this clinical group. 


Based in Bristol, our hub of referrals come from the south-west region. Therapeutic work is assessed and discussed on a case-by-case basis, dependent on availability, with our therapists working throughout Gloucestershire, Wiltshire, Bristol, Bath and Somerset.


Work in this area is undertaken by HCPC registered clinical psychologists with specialist knowledge and expertise working with a range of neurological conditions. 


Depending on what is required, we provide cognitive assessments (for therapy purposes only), neuro-behavioural assessments and intervention, cognitive rehabilitation and evidence-based psychological therapies for individuals, couples and families. Work is often undertaken with support / clinical teams and rehabilitation professionals. 


Working with a clinical psychologist when you have sustained a brain injury often involves building a coherent understanding of current needs and abilities and identifying where psychological therapy can be beneficial in supporting these needs and adapting to altered abilities. We work with emotions, behaviours, decision-making, relationships, confidence, independence and a range of cognitive difficulties. 

  • Neuropsychological assessment (therapy based, no medico-legal)

  • Cognitive rehabilitation

  • Psychological adjustment

  • Complex team formulation

  • Behavioural assessment and intervention

  • Couples therapy

Speech & Language Therapy

Input from this discipline involves tailored assessment and therapy from an experienced and professional speech & language therapist who is registered with HCPC and the Royal College of Speech & Language Therapists (RCSLT). Our clinicians are all experienced in working in the specialist field of neurorehabilitation with individuals who have sustained both traumatic and acquired brain injuries.


Typically, speech and language therapists work with people who have acquired speech difficulties, altered language and communication skills or changes to their swallowing ability following a neurological event. Intervention frequently includes assessment, evidence-based therapy which may include impairment and functional input and ongoing monitoring and advice. Additionally, therapists may work with family members, support workers or employers and can provide bespoke training and support packages as required. In some cases, individuals may benefit from technology and software to support their communication skills and this can be explored in therapy sessions.

  • Speech, language and communication assessment

  • Individualised therapy programmes

  • Social communication

  • Swallowing assessment and intervention

  • Training support staff and families


Arbor physiotherapists are all registered with the HCPC and have specialist knowledge and skills in neuro-rehabilitation. We work with people who have physical symptoms caused by a neurological injury or condition to maximise their physical independence or support the physical management of their condition.


Our physiotherapists carry out a thorough assessment and discuss individual rehabilitation goals to establish a personalised plan for intervention. This intervention may be focused on improving underlying physical impairments, increasing functional ability or a combination of both. Physiotherapy may include: posture and spasticity management, balance and gait re-training, aquatic physiotherapy (hydrotherapy), individualised exercise programmes, support to return to previous exercise activities or establishing new participation in structured exercise. Appointments can take place at home, in a clinic or at a community exercise facility, depending on an individual's needs and goals. We work with family members, support workers and personal trainers by providing training and advice to support the implementation of our rehabilitation programmes and maximise physical progress.

  • Physiotherapy assessment

  • Posture and spasticity management

  • Maximising physical function (including balance and gait re-training)

  • Aquatic Physiotherapy (hydrotherapy) programmes

  • Individualised home exercise programmes

  • Establishing / progressing participation in structured exercise (including at the gym, swimming pool or in sport)

Occupational Therapy

All Arbor Occupational Therapists are members of the Royal College of Occupational Therapists, HCPC registered and experienced within the field of neurorehabilitation.

Occupational Therapists are skilled at considering an individual’s physical, psychological, social and environmental needs to assist participation in daily activities.

Therapists will work with individuals to promote optimal functioning and independence within their activities of daily living, access to community, and both social and vocational settings.

Interventions are often undertaken within the client’s home, workplace or other community settings, with implementation of appropriate strategies and consideration of assistive technology recommendations. Liaison with other agencies and social care providers will be undertaken where appropriate.

  • Assessment of cognitive difficulties in functional settings

  • Return to work assessment, liaison and support

  • Maximising independence in daily activities

  • Fatigue management guidance

  • Equipment recommendations 

Occupational Therapy

Later Life 

Work in this area is undertaken by HCPC registered Clinical Psychologists and a Dementia Nurse Specialist, with extensive experience and expertise working with people with a range of later life challenges and conditions.

Based on specialist assessment, we can provide individualised support and training into care home settings to enable staff to provide evidenced-based, person-centred care to reduce the behavioural challenges and distress associated with living with dementia. This may include staff training sessions to improve knowledge and practise, or reflective practise/supervision sessions, all of which are proven to help with staff retention and well-being, increasing resilience when with working with this client group.

We can also provide support for family members caring for someone living with dementia. This can include advise and support with managing behavioural difficulties, increasing care at home or transitioning into care and individualised care planning.

We recognise that young-onset dementia has unique challenges and it can be difficult to find appropriate support and services. We offer individualised support and care-planning for families in this situation.

We understand the importance of post-diagnosis support for people with dementia and their carers and offer psychological therapy sessions to advise and support with the adjustment process.

Later Life

S suffered a brain haemorrhage which impacted both speech and comprehension. Sarah Gibbin works with S at home most weeks and S has improved greatly during this time. Sarah motivates by recognising interests and always changing the tasks before frustration sets in. S has a great relationship with Sarah and looks forward to her sessions, we would recommend Sarah to anyone.

S and family, Bristol

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