Acquired Brain Injury Action Plan

Jonathan Brash Excerpts

Thursday 4th December 2025 Westminster Hall

[Mr Jonathan Brash (Hartlepool) (Lab)]

It is a pleasure to serve under your chairmanship, Dame Siobhain. I pay tribute to the right hon. Member for South Holland and The Deepings (Sir John Hayes) for securing this debate and for all his ongoing work leading on this issue.

One of the most remarkable features of the human brain is its ability to change. Neuroscience tells us that the brain has what is known as plasticity: the ability to rebuild, adapt and form new connections after injury. But that is not automatic; as with any muscle, recovery happens only when the brain is exercised, challenged and supported.

If someone breaks a leg, we do not simply discharge them and hope that they walk again; we provide structured rehabilitation, physiotherapy and ongoing care. Yet for many people with brain injuries, that is exactly what we do not do. Too often, rehabilitation is determined by postcode rather than need. Some parts of our country offer specialist support; others offer little or nothing at all. Patients are discharged from hospital and sent home often not because they are ready, but because the hospital bed is needed. Families suddenly become care co-ordinators. People struggle with memory, fatigue, speech and personality change without professional help.

Let us be clear about the scale of the issue. As has already been mentioned by the right hon. Member for South Holland and The Deepings, acquired brain injury is the leading cause of death and disability among people under 40 years old. Every year, around 900,000 people experience a brain injury and over 160,000 of them are hospitalised. Around 350,000 hospital admissions involve an acquired brain injury.

As has already been mentioned, the cost is enormous. Analysis shows the real cost is over £43 billion, with wider wellbeing costs exceeding £91 billion. We also know that every £1 spent on neuro-rehabilitation saves £16 for the state. Yet community services are underfunded and overstretched, and voluntary organisations warn that systems are close to collapse. This is not just moral failure; it is also economic failure.

Behind every statistic is a life, and one of those lives belongs to my constituent, Jonathan Purnell. While playing rugby 34 years ago, Jonathan suffered a massive brain haemorrhage—he was 27 years old. He spent three years under neurosurgical care, and when discharge day finally came, he believed he was starting again, but then the reality hit him, as he describes it, “like a steam train.” There were no services, no pathway and no road map to recovery, so he built his own. Out of his experience, determination and quiet defiance, Jonathan created the 1492 Group, not as a charity in theory, but a lifeline in practice—a place for people with brain injuries to come together, share, rebuild and be heard. I am so proud that it operates today in my constituency of Hartlepool.

Jonathan did not wait for the system to change; he began the change. Today, he is not only a survivor, but a force—a campaigner, an advocate and a builder of hope for others still trying to understand their new reality. He should not have to do this alone, and no one else should either. The case for reform is overwhelming. The Government have committed to their acquired brain injury action plan—a process, I have to say, that started as a strategy in December 2021. How long does it take to get this done? It started in December 2021, and here we are in December 2025.

What matters now is delivery. We need a statutory right to rehabilitation, consistent national provision, proper data collection and sustainable funding for community services. Above all, we must ensure that people with brain injuries are not written off because recovery is complex. Brain injuries change lives, but failure to act destroys them. Jonathan Purnell shows what is possible, and the Government must now do what is responsible. I urge the Minister to set out a clear timescale for that action plan, the necessary funding commitments and the accountability mechanisms. When it comes to acquired brain injury, warm words are no longer enough: people need support, and they need it now.