Headley Court Trust Report Summary

January, 2013

This is a summary of a report that focuses on the identification of factors which conduce to and prevent rehabilitation and adjustment in military personnel following combat-related injury: a pragmatic evaluation of patients and their partners.

Other documents related to this report:

Full 2013 Report

Executive Summary

Supplementary 2017 Report



Between the 7th October 2001 and the 31st October 2012, 394 military and civilian personnel were killed in action or died of wounds sustained on military operations in Afghanistan (OP HERRICK)1. Over the same period, 587 individuals were classified as being either ‘Very Seriously Injured or Wounded’ (VSI) (n=289) or ‘Seriously Injured or Wounded’ (SI) (n=298)2 The upward trend in operational casualties sustained on OP HERRICK during this period had a significant effect on inpatient admission at the Defence Medical Rehabilitation Centre (DMRC). During this period, the DMRC has seen a rise of 23% in its staffing establishment, 83% in its ward bed provision and a further expansion of rehabilitation services across the Armed Forces in an attempt to address capacity issues and ensure the continuation of a high standard of care. Significant challenges remain, however, in respect of the longer term management of those with combat injuries. A recent report on the efforts of Combat Stress suggests that many of the positive gains achieved by rehabilitation services; military and civilian alike are frequently short term (Fletcher, 2007) and there is clearly a need to find ways of sustaining any initial positive effect of rehabilitation in the longer term and to identify factors which either compromise, or facilitate the durability of such effects.

Full Reference

Alexander, D. A., Klein, S. and Forbes, K., 2013. Headley Court Trust Report Summary. Aberdeen Centre for Trauma Research. Available at: <>.

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