In Brain Injury Claims What does a Case Manager do?

Posted on: 4 mins read
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Matthew Clayton

Partner, Serious Injury Solicitor

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Brain Injury Case Managers are a network of specialised professionals often with a qualification in nursing or occupational therapy who are trained to work with people who have sustained a brain injury, or similar condition.  They are usually appointed by a solicitor and their primary role is to co-ordinate the services, treatment and rehabilitation needed to serve the affected person’s individual needs.

When they commence their role, one of their first jobs is to compile a report of recommendations of what medical treatment, rehabilitation, other aids, adaptations and support might be needed and then provide the costings for them. This initial report is known as an Assessment of Needs.

The Initial Assessment of Needs report is a really important report which is a first step in identifying the rehabilitation and care needs of a person who has suffered a brain injury.  This report is used to access our clients the earliest possible access to rehabilitation and to request an early interim payment from the party responsible for the accident to fund the treatment.

The Case Manager is somebody the injured person and their family gets to spend a lot of time with and so it is important that the Case Manager is a good fit. At Simpson Millar our specialist brain injury solicitors take time to carefully select a Case Manager who we think our client and their family are going to relate to and work well with to ensure maximum benefit from the rehabilitation.  In some instances, the rehabilitation and support continues with funding from damages obtained as part of the settlement to fund ongoing Case Management for life, and so this is why it is so important that the client and their family are involved in their choice of which Case Manager to appoint so we can find the best match.

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Each case and every set of circumstances and family dynamics are different but depending on the case, a Case Manager in a brain injury case will typically recommend and plan for treatment, rehabilitation and support in the following areas :-

      • Psychological / Neuropsychological Treatment
      • Neuro physiotherapy
      • Occupational Therapy
      • Support Worker
      • Transport
      • Care provision
      • Assisting to apply for benefits
      • ENT / Audio vestibular assessment and rehabilitation
      • Pain Management
      • Educational Assistance
      • Vocational Rehabilitation – to help if a return to work is contemplated or if an individual needs to consider re-training to work in a different type of occupation

The Case Manager works in partnership with other services (such as healthcare professionals) to make sure all the client’s needs are met. Case Management is very much a collaborative process.  Working together with multiple treating teams, the client and the families to achieve the best possible outcome. They can help with such things as coordinating treatment and referrals where multiple different medical fields are involved. First and foremost a good brain injury Case Manager represents and advocates for the client to ensure they are able to live as fulfilled life as they can.

At Simpson Millar, we know just how devastating brain damage can be for both you and your loved ones. If you need help and advice, our team of Personal Injury Solicitors are available to discuss your needs with you.

Sometimes an injured person may need alterations to their home or even new accommodation following an acquired brain injury. A Case Manager can help arrange this. If the person needs to return to work, a Case Manager can provide support, along with outlining any adaptations that need to be made to help them fulfil their role. If the person is unable to resume their previous job, the Case Manager can help with sourcing training and vocational assistance so the client can find a new job more easily.

If liability for the injury is admitted, then we can apply for an interim payment from the insurance company of the person or organisation who caused the accident, fund the Case Manager’s fees, along with the costs of any recommendations of treatment and rehabilitation suggested by them. Even if liability is not admitted, in certain circumstances it is still possible to access Case Management and rehabilitation under what is known as the Rehabilitation Code where the Insurers might agree to fund the initial treatment recommended.

At Simpson Millar, it’s our job to make sure that any recommendations made by a Case Manager meet all the needs of the injured person and that they also anticipate any future needs so that everything can be dealt with as smoothly as possible.  The cost of future ongoing care, treatment, support and Case Management if recommended by a medical expert can be substantial in a brain injury claim, especially if this is for life and this forms a very important aspect of a claim for damages for a brain injury.

If you, a friend, or a family member have suffered a brain injury due to someone else’s negligence, we are here for you. Contact our team of Personal Injury Solicitors so, we can discuss your circumstances and how we can help.

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