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Partner with us to close the rehabilitation gap.

HoliHab provides intensive, evidence-informed neurological rehabilitation that complements NHS and community services — extending therapeutic dose where it matters most. Information for clinicians, case managers, GPs and commissioners.

The clinical case

Why intensity matters

The gap between recommended and delivered therapeutic dose after stroke is well documented. HoliHab is designed to help close it.

~14min

Average physiotherapy delivered per day on a UK stroke ward — national audit, n=94,905 (Gittins et al. 2020).

11.9%

Share of stroke patients receiving more than 45 minutes of physiotherapy seven days a week — National Clinical Guideline for Stroke 2023, citing SSNAP 2021–22. Inpatient, participating hospitals, measured against the older 45-minute standard; community teams also record therapy minutes, but those figures are rarely published.

3hrs/day

Rehabilitation intensity NICE now recommends — at least 5 days a week (NG236, 2023).

£45k/yr 1

Mean first-year cost per stroke survivor in the UK, 2014/15 prices (Patel et al., Age and Ageing 2020).

Sources: UK national stroke audit (Gittins et al., Clin Rehabil 2020; SSNAP), the National Clinical Guideline for Stroke (2023), NICE guideline NG236 (2023) and its economic evidence review, and Patel et al. (Age and Ageing 2020). We cite the counter-evidence too: Lang et al. (Ann Neurol 2016, n=85) found no dose-response effect from repetitions alone, and Clark et al. (Cochrane 2021) found gains in daily activities non-significant. The evidence supports purposeful, task-specific, high-repetition practice sustained over time — not simply more hours of the same. Full references and our outcome methodology are available to professionals on request.

Evidence-informed practice

Aligned with national guidance

Our clinical delivery framework is built around established stroke rehabilitation principles: needs-based rehabilitation, collaborative goal-setting, task-specific repetitive practice, cardiorespiratory and mixed training where medically appropriate, multidisciplinary working, structured outcome measurement and community participation.

  • Informed by NICE NG236 (Stroke rehabilitation in adults, 2023)
  • Aligned with the National Clinical Guideline for Stroke (2023)
  • Every programme is scored on standard, published measures. That means the UK FIM+FAM for functional independence, the Barthel Index for everyday activities, the Berg Balance Scale for balance, the Fugl-Meyer Assessment for arm and hand movement, a short questionnaire on health-related quality of life (EQ-5D-5L), and Goal Attainment Scaling against the goals you set yourself. We also record the therapy time delivered against the time planned. You get the scores in writing, including the ones that have not moved.
  • Structured documentation, monthly clinical summaries and outcome reporting
Working together

How we complement your service

We're not here to replace NHS or community rehabilitation — we extend it, picking up the dose and continuity that stretched services often can't provide.

Extended therapeutic dose

Intensive, frequent rehabilitation that bridges the gap between hospital discharge and what community services can sustain.

Outcome reporting

Standardised baseline and review measures, with monthly summaries you can rely on for continuity of care and discharge planning.

Clear communication

A named point of contact, timely updates and a collaborative, respectful relationship with your team and the patient's wider MDT.

Simple to refer

Making a referral

Referrals are welcome from NHS teams, case managers, GPs, solicitors managing rehabilitation cases, and other healthcare professionals — as well as directly from patients and families.

  • Get in touch by phone or email with brief details and consent to contact.
  • We make rapid contact with the patient or family, usually within the hour during working times.
  • Suitability screen & assessment confirms fit, with a written formulation and plan.
  • Ongoing updates keep you informed of progress and outcomes throughout.

Professional enquiries

07950 445853Speak to our clinical team directly
t.mutasa@holihab.comSend referral details securely
Start a referral
Let's work together

Discuss a referral or partnership

Whether it's a single patient or a wider referral relationship, we'd welcome the conversation. We can share our full outcome methodology and governance documentation on request.