What Person-Centred Planning Really Means in Acquired Brain Injury Services

Person-centred planning is often referenced in acquired brain injury services, but its practical meaning is frequently misunderstood. In ABI contexts, planning must respond to cognitive impairment, fluctuating insight, behavioural change and long-term recovery trajectories. Commissioners and inspectors increasingly expect providers to demonstrate how person-centred planning actively shapes support, rather than existing as a static document.

This article explores what person-centred planning genuinely means in ABI services and how it should operate in practice. It should be read alongside Person-Centred Planning & Strengths-Based Support and Service Models & Care Pathways.

Why person-centred planning is different in ABI services

ABI support often involves individuals who experience changes in memory, emotional regulation, insight and decision-making capacity. Planning must therefore be dynamic, reflective and responsive to change.

Commissioner and inspector expectations

Two expectations are consistently applied:

Expectation 1: Plans must influence practice. Inspectors expect support plans to clearly guide daily routines, risk management and staff responses.

Expectation 2: Planning must reflect current need. Commissioners expect plans to be reviewed regularly and updated as recovery or deterioration occurs.

Operational example 1: Translating plans into daily routines

An ABI service linked person-centred goals directly to daily support routines, ensuring staff understood how outcomes shaped their actions.

Capturing what matters to the person

Effective plans prioritise identity, preferences and aspirations alongside care and risk needs.

Operational example 2: Identity-led planning

A provider redesigned plans to include personal history and interests, improving engagement and emotional wellbeing.

Supporting involvement despite cognitive impairment

Person-centred planning must include supported decision-making approaches.

Operational example 3: Structured involvement tools

A service introduced visual prompts and shorter planning sessions to support meaningful involvement.

Reviewing plans over time

Plans should evolve alongside recovery, relapse or changing goals.

What good looks like in inspection

Inspectors look for:

  • Clear links between plans and daily practice
  • Evidence of review and adaptation
  • Staff understanding of individual goals

Person-centred planning as active practice

In ABI services, person-centred planning is a living process. Providers that embed it into everyday delivery demonstrate stronger outcomes, safer practice and clearer quality assurance.


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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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