Articles

Running Effective Multi-Agency Reviews With Families in Physical Disability Services: Turning Meetings Into Safer Delivery

Multi-agency reviews can become repetitive, adversarial or disconnected from day-to-day support. This article explains how physical disability services run structured, outcomes-led reviews with families that sharpen decision-making, reduce drift and...

Planning for Carer Fatigue and Changing Family Capacity in Physical Disability Support: Preventing Breakdown and Unsafe Crisis

Family and informal carers often sustain physical disability support for years, but capacity can change suddenly through health, employment or fatigue. This article sets out how services identify early risk,...

Managing Conflict and Disagreement With Families in Physical Disability Services: Maintaining Trust While Holding Boundaries

Disagreement between families and providers is common where physical disability support intersects with risk, autonomy and long-term dependency. This article sets out how services manage conflict constructively, protect relationships and...

Co-Producing Support With Families in Physical Disability Services: Turning Partnership Into Everyday Practice

Family partnership is often stated as a value but inconsistently translated into daily delivery. This article examines how physical disability services co-produce support with families in structured, defensible ways that...

Transitions and Contingency Planning With Informal Carers in Physical Disability Services: Keeping Support Stable When Circumstances Change

Changes in a carer’s health, housing or availability can rapidly destabilise physical disability support arrangements if services rely on informal cover. This article sets out how providers plan transitions and...

Safeguarding and Carer Dynamics in Physical Disability Services: Recognising Risk Without Blaming Families

Safeguarding in physical disability services often involves complex family dynamics, including stress, dependency and informal care arrangements that have grown over years. This article explains how providers identify and respond...

Information Sharing With Families in Physical Disability Services: Consent, Boundaries and Defensible Practice

Information sharing with families can easily drift into over-disclosure or unsafe restriction if consent and boundaries are unclear. This article sets out how physical disability services manage lawful, proportionate information...

Supporting Informal Carers in Physical Disability Services Without Creating Dependency or Burnout

Informal carers often provide substantial emotional, practical and advocacy support, but unmanaged reliance can lead to burnout, blurred boundaries and increased risk. This article examines how physical disability services support...

Working With Families in Physical Disability Services: Handling Disagreement, Safeguarding and Professional Boundaries

Disagreement with families often arises when expectations are unclear, communication is inconsistent, or risk decisions are not explained and evidenced. This article sets out practical ways to manage conflict respectfully,...

Family Partnership in Physical Disability Services: Building Shared Decisions Without Diluting Accountability

Family and informal carers often hold essential knowledge about routines, risks and communication preferences, but partnership can drift into informal delegation or conflict if not structured. This article sets out...