Supporting Planning, Organisation and Follow-Through in ABI Daily Living

Many people with acquired brain injury can express goals clearly but struggle to plan, organise and complete tasks. Executive function impairment affects daily living, independence and perceived motivation. Commissioners and inspectors expect ABI services to adapt support to these challenges rather than withdrawing opportunities.

This article explores how ABI services can support planning and follow-through in daily living. It should be read alongside Service Models & Care Pathways and Outcomes-Focused & Goal-Led Support.

What planning difficulties look like in ABI

Executive impairment may result in difficulty starting tasks, sequencing steps or completing activities.

Why motivation is often misjudged

Lack of follow-through is frequently misinterpreted as lack of motivation.

Commissioner and inspector expectations

Expectation 1: Adapted daily living support. Inspectors expect daily living tasks to be broken into manageable steps.

Expectation 2: Progression evidence. Commissioners expect evidence of increasing independence.

Operational example 1: Task sequencing supports

An ABI provider introduced step-by-step task prompts tailored to individual cognitive profiles.

Use of prompts and routines

Structured routines reduce reliance on memory and initiation.

Operational example 2: Visual and digital prompts

Services used visual checklists and digital reminders to support follow-through.

Balancing support and independence

Support should reduce over time as confidence and ability develop.

Operational example 3: Graduated withdrawal of prompts

Providers gradually reduced prompts as individuals demonstrated consistency.

Evidencing daily living outcomes

Providers should evidence:

  • Improved task completion
  • Reduced staff prompting
  • Increased confidence and autonomy

Supporting everyday success

Well-designed support for executive function enables meaningful independence.


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Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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