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Updated: Aug 16, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Evaluation of Communication Aid Centres in England and Wales
A Chamberlain1, C Rowley, J Stowe
1Rheumatology and Rehabilitation Research Unit, University of Leeds.
Abstract:
This paper reports the findings of an evaluation (funded by the Department of Health) of six Communication Aid Centres established in 1983. The evaluation was undertaken to assess the effectiveness of these Centres in meeting their set objectives, and to examine service costs and client satisfaction. The findings show that the work of each Centre was effective in meeting its stated objectives, but that the work of individual Centres reflected its own specialised interests. Two problems with current funding arrangements were highlighted. First, the need to replace the original funding by locally based finance, and second, the funding of communication aids for clients. The findings also show that the specialist service provided by these Centres can be managed at costs per person assessed at, or below, non-specialist services in health districts. Client satisfaction with the services provided by the Centres was high.
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