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The Children's Trust – Step-down services

Hydrotherapy pool
Ofsted Registered
Dietary needs catered for
Toilet suitable for wheelchair users
Disabled parking available, restrictions may apply
Sensory Play Opportunities
On Site Parking
Outside Play Opportunities
Qualified first-aider on site
Sign language interpreter available by arrangement
Sensory room available
Sensory toy library available
Suitable for children and young people with SEND
Wheelchair accessibile venue

We are the UK’s leading charity for children with brain injury. We deliver rehabilitation, education and community services through skilled teams who work with children and young people aged 0-18, with acquired brain injury, neurodisability, and complex health needs. It is our ambition that all children with brain injury and neurodisability have the opportunity to live the best life possible.

Step-down Services

We offer step-down placements supporting the transition from hospital to home for medically-stable children and young people aged 0-18 with complex health needs. These placements typically follow surgical procedures or prolonged stays in intensive care units where the child might otherwise be staying long-term in hospital.

We also support children and young people with a range of degenerative and life-limiting conditions, as well as babies who may need transitional support from neonatal intensive care to home.

Children receive round-the-clock, specialist care in a beautiful home-from-home environment, supported by 24-hour nursing, care teams and daytime on-site medical provision. The service is enhanced by clinical assessments, a wide range of therapies, education and opportunities for play and family outings.

Planning for a child’s return home begins before they even arrive with us. We work collaboratively with the child’s family, local agencies and our community counterparts to make the transition of children to their homes as quickly and as safely as possible.

For children and young people who are unable to go home immediately for medical or social reasons, we help to identify the most appropriate care provider. We can also support children following major surgical procedures and those experiencing prolonged intensive care stays for non-neurological conditions.

Who to contact

Contact Name
The Brain Injury Community Service
 01737 365 080
Brain Injury Community Service

Where to go

The Children's Trust
Tadworth Court
KT20 5RU

The Children’s Trust provides provide rehabilitation, medical care, specialist education, community services and expert information through skilled teams who with children and young people, and their families, from across the UK.

Our key services include:

  • neurorehabilitation;
  • step-down medical and nursing care from hospital to home;
  • specialist education, therapy, health and care services;
  • specialist assessment and clinical support in the community;
  • short breaks (respite);
  • online information and support.

Neurorehabilitation programmes at The Children’s Trust are flexible and adapt to the needs of each child. We are one of the only paediatric facilities in the country outside of an acute hospital setting that can provide the most complex rehabilitation in the UK and our national specialist centre is the largest of its kind. We are also the UK’s only dedicated paediatric neurorehabilitation provider with a national specialised commissioning contract to deliver brain injury rehabilitation in conjunction with NHS England. This means that funding flows automatically for children and young people who meet the criteria. Where NHS England does not fund placements, we have a dedicated team who work with commissioners and other parties to secure funding.

Our residential short breaks offer flexible, nurse-led care for children and young people between the ages of 0-18. The service is for those with complex disabilities and health needs, who may be vulnerable to acute changes in health which necessitate 24-hour care, and whose complex needs require care overseen by a nurse.


The Children’s Trust School is a non-maintained special school supporting children and young people with a wide range of special educational needs including neurodisability, complex medical needs and learning difficulties aged 2-19. We offer specialist education, health, therapy and care services through both day and residential placements, working in partnership with families and carers. Co-located in the beautiful 24-acre site of The Children’s Trust’s national specialist centre in Tadworth, Surrey, we also offer a specialist nursery and parent and child support group.

Our residential short breaks offer flexible and nurse-led care for children and young people between the ages of 0 to 18. We also offer holiday schemes and Saturday clubs for children from Surrey with complex needs.

In communities across the UK we provide specialist goal-orientated neurorehabilitation delivered in the child’s environment via our Brain Injury Community Service. Specialists from a range of clinical backgrounds, including members of the team based in four of the UK’s major trauma centres, work with the child and their family focusing on the needs which result from an acquired brain injury. These may be social, emotional, cognitive, communicative and behavioural needs. We provide a range of support centred around the child, including clinical screening, advice, and onward referral, as well as community-based neurorehabilitation and a long-term register.

If you are a parent of a child with a brain injury, or are somebody involved in their care, our information service provides a variety of resources for children and young people, as well as their families, and professionals. If you’re looking for advice and support online, our

Brain Injury Hub ( provides clinically-approved information on every stage of acquired brain injury, from being in hospital to going home and returning to school. We are also proud to offer a series of award-winning books and resources aimed at children and their families, completely free of charge. Available to order for just the cost of postage and packaging, they provide advice and guidance to children and young people living with an acquired brain injury, their families, and those involved in their care.

Other Details


Referral required
Referral Details

We have a dedicated Placements Team who are happy to discuss (formally or informally) the referral process of each of our services, admissions criteria and the assessment process.

Please contact them on 01737 365080 or email Enquiries are accepted from parents and professionals.

Last Updated 11/05/2021

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