Molly during a physiotherapy session

The impact of our work

It is our mission that all children with brain injury and neurodisability live the best life possible. In our annual impact and outcomes report we look at the difference our work makes to the lives of those we support.

Download our Impact and outcomes report 2021 - 2023

Our impact and outcomes report, covering the period of April 2021 to December 2023, is split into three sections reflecting our core services:

  • Rehabilitation
  • The Children's Trust School
  • Community Rehabilitation Service

Highlights from 2021 - 2023

The following provides some highlights from our 2021-23 impact and outcomes report. Alternatively, a copy of the full report is available to download.

Download our 2021-23 report 


As one of the only services that can provide the most complex neurorehabilitation to children and young people with acquired brain injury (ABI) outside of a hospital setting, our work sees us support children from right across the UK.

161 children were admitted for a rehabilitation placement in this period

Change in profile of children and young people

During the COVID-19 pandemic, colleagues in trauma hospitals reported that the number of children sustaining a severe traumatic brain injury (TBI) decreased nationwide, as children had pandemic-related restrictions on their activities. We also saw this pattern reflected in the admissions to rehabilitation over this time, and this pattern has continued since.

Figure 1: Admissions to rehabilitation with TBI diagnosis

Admissions to rehabilitation with TBI diagnosis

Figure 2: Percentage of admissions to rehabilitation with TBI diagnosis

Percentage of admissions to rehabilitation with TBI diagnosis


Goal attainment

At the start of a replacement placement each child and their family are asked to set five goals that they want to achieve during their time with us. These are integrated into both individual and group therapy sessions and throughout the day. It is encouraging to see that from the 667 individualised goals, jointly set by children, families and the teams supporting the children, so many are met as expected and above. This demonstrates that our rehabilitation service is helping children meet therapy goals and achieve their personal targets, giving them a better quality of life after a brain injury.

In this period, 83% of the goals set were achieved as expected, or more than expected.

Figure 3: Goal outcomes compared each year from 2012/22 to 2023/24*

Goal outcomes compared each year from 2021/22 to 2023/24

Discharge destination

The children and young people who access the NHS England funded specialist rehabilitation service at The Children’s Trust have a more severe presentation and often require adaptations to their environment at home and at school to participate in daily life following a residential placement.

Home situation

In terms of a child’s home situation after discharge i.e. whether any adaptive accommodation or rehousing was needed for example, 84% of children returned home from their stay at The Children’s Trust not needing any adaptation or minor equipment. This is an increase from 68% in the previous report.

Figure 4: Percentage of children which returned home after their rehabilitation at The Children's Trust

Return to home

Figure 5: Home situation on discharge (April 2021 to December 2023)

Home situation on discharge (April 2021 to December 2023)

School destination

In the school year 2020/2021, 53 children left the Surrey Teaching Service that supports children with their education during their stay with us. 32 went back to their previous school (60%). The multidisciplinary team supported 17 children and young people into a new school. Four children are yet to return to school.

Figure 6: The percentage of children which returned to their previous school post rehabilitation

Return to previous school

Figure 7: School destination at discharge 2022/23 (n=68)

School destination at discharge 2022/23 (n=68)


Family-centred care

The Children’s Trust has adapted the NHS ‘Friends & Family Test’ to help the organisation understand whether the families of children accessing services are happy with the service provided. The feedback from this measure showed that, in the period from April 2021 to December 2023, 95% of parents responded that they would be ‘extremely likely’ or ‘likely’ to recommend The Children’s Trust to friends, family and other parents if they needed similar care or treatment. 

Figure 8: The percentage of families who would recommend The Children's Trust

95% of families would recommend The Children's Trust


The Children's Trust School

The Children’s Trust School is a non-maintained special school supporting children and young people aged 2-19 with a wide range of complex health and care needs and multiple barriers to learning.

50 children attended The Children's Trust School through residential, day and nursery placements in this period

Meeting and exceeding expected targets

In the most recent academic year, our pupils met their cognitive targets by 89% and targets for communication, language and literacy by 74%.

Figure 9: 89% of pupils met their cognitive targets


up 13% Cognitive

Figure 10: Breakdown of targets achieved and at what level


Breakdown of targets achieved and at what level in relation to cognitive, communication, language and literacy

Community Rehabilitation Service

In late 2022 we transformed the way we deliver community brain injury rehabilitation and our new look Community Rehabilitation Service provides a range of support based on the level of need and identified goals.

328 children were supported in their community by our Community Rehabilitation Service in 2023

Figure 11: Community Rehabilitation Service - children supported in 2023


Community Rehabilitation Service - children supported in 2023


Bumps Happen online support

Bumps Happen offers information and advice to support a child’s recovery and return to activity following a concussion. The aim is to ensure that families can access information in a timely manner.

Figure 12: Website traffic to Bumps Happen

Bumps Happen website page views during 2023


Investment in rehabilitation saves money

Why invest in rehabilitation?

Each year 1.4 million people attend emergency department in England and Wales with a recent head injury. Between 33% and 50% of these are children aged under 15 years.


Around 200,000 of children who attend A&E with a head injury annually


1.3 million people live with the effects of brain injury at a cost to the UK economy of £15 billion per annum, a figure that is equivalent to 10% of the annual NHS budget.


Neurorehabilitation is one of most cost-effective interventions available to the NHS. Substantial and robust evidence supports the clinical and cost effectiveness of neurorehabilitation. Although individuals with complex needs may require a longer hospital stay, the front-loaded cost of providing early specialist neurorehabilitation for these individuals is rapidly offset by longer-term savings in the cost of community care, making this a highly cost-efficient intervention.

For further information on why investment in rehabilitation is important read our impact and outcomes report for 2021-2023.

Download our 2021 - 2023 report 


Impact and Outcomes Report 2021-2023. Cover shows Molly during a physiotherapy session

Brain injury rehabilitation impact and outcomes 2021-23

During 2021-23 The Children’s Trust provided rehabilitation and support to over 1,200 children and young people from right across the UK.

Download the report

Want to know more about our work?

We have ambitious plans for the future and want to ensure that every child and young person affected by acquired brain injury has access to the rehabilitation and support they need.

Hanna at National Boccia Day

Residential rehabilitation

We offer a range of residential brain injury rehabilitation services for children and young people with acquired brain injury (ABI).


For enquiries about a placement or support for a child or young person, find out more here