Enhanced rehabilitation after major trauma (PROPERLY)

Pragmatic, prospective, multicentre, feasibility non-randomised control trial on Enhanced rehabilitation for poly & lower extremity trauma

  • Hospital – Speciality: Across multiple MFT sites – Trauma and emergency care
  • Study type: Multi-site, pragmatic feasibility trial.
  • Funder: We love Manchester emergency fund and Greater Manchester Clinical Commissioning Group


After the Manchester Arena Attack, there were a significant number of patients with considerable long-term functional and psychological needs that were not being met by standard NHS provisions.  A programme of enhanced rehabilitation (ERP) was developed called the NHS@MIHP project, where the most severely injured patients were enrolled into a bespoke programme of rehabilitation delivered by NHS therapists, but supported by sport scientists and technicians, in a facility with state-of-the-art equipment. The ERP found significant functional and psychological gains were achieved by patients at discharge and follow up. This demonstrated that more can be offered to improve on functional and psychological outcomes for major trauma patients. Following, the positive outcomes of ERP, it was considered that a similar programme would be required, based on the activity on patients with similar injury types and polytraumas resultant from non-blast injuries, much more in line with regular NHS trauma rehabilitation care. The purpose of this follow-on project will be to identify the feasibility of recruiting to the programme and barriers to providing such care and develop an NHS pathway via pilot data to see which of these factors are valuable to take forward into NHS as standard care.

Participant group 

Patients with a significant isolated severe lower limb injury or polytrauma that affects function and gait.

Participant approach

Patients will be identified and referred in by the Major trauma centre rehabilitation teams on discharge, or by community rehabilitation teams.

Study open date and expected length

Opened: 23 February 2023

Expected end date: 31 December 2024


Pending – this study is still active.

Contact details

Telephone number: 07947731926

Email address: RehabMIHP@nca.nhs.uk

  • IRAS number: 320298