Conceptual Framework, INS Model & Methodology

Rehabilitation is the core of INS’s work but what do we mean by rehabilitation, what clinical model do we use and what is our methodology?

The Mair Report (1974) defined rehabilitation as “the restoration of an individual to their fullest physical, mental and social capabilities”. It implicitly recognises the importance of treating the whole person, including emotional, cultural, educational and behavioural elements.

Models of illness are important: they can help analysis of cases and provide a framework for the planning of interventions. Our starting point is the framework provided by the World Health Organisation’s International Classification of Functioning, Disability and Health. See here.

Our Model of Rehabilitation is based on that of Dr Derick T Wade (Professor in Neurological Disability, Oxford Centre for Enablement) set out below.

Structure – the operational characteristics of the services. A rehabilitation service comprises a multidisciplinary team of people who:

  • Work together towards common goals for each patient
  • Involve and educate the patient and family
  • Have relevant knowledge and skills
  • Can resolve most of the common problems of their patients.

Process – how rehabilitation services work. Rehabilitation is an ongoing, active, educational, problem-solving process focused on the patient and includes the following components:

  • Assessment
  • Goal setting
  • Intervention
  • Evaluation

Outcomethe aims of rehabilitation services. These are to maximise:

  • patient participation in society
  • role/function in community
  • status in community
  • patient well-being: physical and emotional; achieving satisfaction (adaptation)

INS Aims for Rehabilitation

  • Help people to achieve a better quality of life and to live with dignity
  • Enable them to achieve and maintain their potential for as long as possible
  • Support them and their family for as long as needed, to help them cope with the situation
  • Link with research through outcome measures: the focus in INS is on Quality of Life and this is reflected in our assessment tools and interventions

Our Objectives

  • Enable clients to make the most of their abilities by giving them the skills and strategies to manage their condition and optimise their independence
  • Minimise the effects of their condition on activities – personal, physical and social
  • Increase opportunities and motivation for social interaction for clients and carers

Our Methodology

We use a social model of support with interventions tailored to the specific needs of an individual client or carer which is responsive to changes in their condition. With client-centred goals that address the needs of the whole person we can support people to be more empowered and enrich their quality of life.

The focus is on wellbeing: mental, physical, emotional and spiritual as well as lifestyle, environment and roles.

Our integrated services are offered in a variety of ways: group intervention, individual treatment, community involvement and maintenance programmes.

Our clinical specialists deliver services which meet the National Service Framework for long term community support for people with neurological conditions. See here and NSF leaflet here

National guidance and standards: NICE for Multiple Sclerosis. NICE for Parkinson’s. National Stroke Strategy for England. INS meets the relevant requirements of both the NSF and NICE guidance.

We believe our approach and clinical standards mean that INS is well placed to respond to the challenges of evolving health policy.

If you would like to commission INS or to discuss commissioning with us please call on 020 8755 4000 or e-mail