injury Tag

NHS England and MOD had been working together since 2017 to design and test a programme to support the small number of Armed Forces personnel who have complex and enduring physical, neurological and mental health conditions that are attributable to injury whilst in Service. On 29th March 2019, the new Armed Forces personnel in transition, Integrated Personal Commissioning for Veterans Framework (IPC4V) was launched.


Individuals who are eligible for this new approach are proactively identified by medical staff whilst they are on the Defence Recovery Pathway. This will occur while they are in an Armed Forces Personnel Recovery Unit.


This approach will ensure that eligible individuals transitioning out of the Armed Forces into civilian life will continue to receive comprehensive support. IPC4V will help deliver personalised care in line with the health commitments of the Armed Forces Covenant. This is part of the expansion of support under the NHS Long Term Plan.


IPC4V seeks to ensure that a range of organisations (i.e. health and social care, MOD, Service Charities) will work collaboratively with the individual and their family and/or carer to ensure the provision of personalised care, support and treatment that meets their needs, in ways that work for them.


The benefit of IPC4V will also include ongoing support to help ensure that each individual is an active participant in the planning and management of their own health and wellbeing, with outcomes and solutions having meaning and context within their life. A dedicated Veterans Welfare Manager will also be assigned to provide a range of support, including ‘guided conversations’ to help with identifying goals and actions in their life and family situation. It gives individuals more choice and control over how their care is planned and delivered.


As well as the establishment of this new framework, the MOD will also provide extra funding to a very small number of individuals injured in service, and Armed Forces Compensation Scheme recipients who require 24 hour, one to one care from a trained individual.


The funding, which has currently been set as £24,000 per year, for life, can be spent on health and wellbeing activities which are above those already provided by statutory services to enable a better quality of life for this small number of individuals.

Further information and reading
IPC4V poster
Guide to IPC4V, produced by NHS England
IPC4V poster
Information for healthcare providers
IPC4V informational poster
Information for patients
Injured personnel informational poster.
Short Summary of IPC4V (Homeport Summer '19, p.48)

Please visit NHS England’s site here, or contact for more information.


Posted on: 10th April, 2019
Updated on: 18th June, 2019


** 14/8/20 update: Please note that this article is currently under review to ensure all information are still correct**


The Naval Service Recovery Pathway (NSRP) delivers a conducive military environment for the management and support of Naval Service wounded, injured and sick (WIS) personnel in need of long term (greater than 3 months) support. The NSRP is designed to assist a WIS individual in their return to effective service employment, or to provide support through the transition process to civilian life, if it is deemed that they are unable to continue to serve within the Naval Service.


Key Points:

  • No matter where you are in the Naval Service, there is a specialised recovery facility to support your needs. Whether serving on operations, injured on or off duty, suffering a physical or mental health injury or diagnosed with a serious illness, the Naval Service Recovery Pathway will support you in your recovery. You can find your nearest recovery centre here.
  • You are automatically eligible for support from the Naval Service Recovery Pathway if you have been wounded, injured or sick (WIS) for more than 90 days. 
  • Crucial to the concept of recovery is the creation and implementation of an Individual Recovery Plan, which you can download here.


This leaflet provides a guide to recovery for all wounded, injured and sick Naval Service personnel and their families. It details each stage of the recovery progress, looks at temporary employability during the Recovery Pathway, and lists the contact details for numerous support organisations.

If you have any questions or enquires please email NAVYPERS-PFCSCRMMAILBOX@MOD.UK.


Adaptive Sport & Adventurous Training- Battle Back

  • Battle Back is an adaptive sport and adventurous training programme for wounded, injured and sick service personnel designed to accelerate recovery whilst building confidence and independence. It is a MOD led programme supported by Help for Heroes and The Royal British Legion.
  • It is available to all Naval Service personnel in the Naval Service Recovery Pathway (NSRP) as part of their Individual Recovery Plan (IRP).
  • The Centre conducts AS&AT Multi-Activity Courses (MAC) at the National Sports’ Centre, Lilleshall. In addition to sports and AT, coaching experts from Carnegie Great Outdoors, are available to work with individuals to increase self confidence, motivation, awareness, problem solving, communication and decision making skills; all aiding the development of strategies to cope with future situations.
  • Adapted residential accommodation is provided for personnel whilst they are taking part in activities which include indoor climbing and caving, watersports, wheelchair basketball, archery, mountain biking, sitting volleyball and clay pigeon shooting.
  • If you wish to attend the Battle Back Multi-Activity Course (MAC) at Lilleshall you need to apply through your Chain of Command; request to attend should not be made directly to the Battle Back as you will need to undergo a Medical Risk Assessment and have approval to travel.


Useful Links:

The Armed Forces Charities website offers a fully searchable database with details of over 2200 Armed Forces charities in the UK and may be a useful place to start if you’re looking for further information or assistance, however we have listed some key organisations below:


Royal Navy and Royal Marines Charity

The Ripple Pond

Naval Children’s Charity

NHS England – Healthcare for the Armed Forces

Help for Heroes

The Royal British Legion


Combat Stress

Togetherall (formerly know as Big White Wall)

Career Transition Partnership

Regular Forces Employment Association

Greenwich Hospital

Veterans UK

Future for Forces


Posted on: 9th June, 2016
Last updated on: 14th August, 2020