This is more about the after effects of an incident and highlighting follow up actions. I fell approximately 10 metres and hit the ground on the first route of the day. This is all I can really tell you as I had a serious head injury, in addition to 2 broken vertebra, and have no memory of the incident or much of the following 3 weeks. I do know the Yorkshire Air Ambulance, Coastguard helicopter and local mountain rescue did a superb job in getting me to Leeds hospital, I know this because it was later televised on Helicopter ER. My reason for submitting this is to make people aware of the long term effect of a head injury. I received a referral to a specialist for my back injury but nothing for my head injury. I work free lance in the outdoors and did not work for 4 months, I also took the decision not to drive for a month as I did not feel safe. I am fortunate that my wife is a senior physio and could ask advice from other professionals to help me out. I recovered sufficiently to return to work but knew I was not operating at the level I had previous to the accident, 2 years down the line I felt I had plateau'd and went to my GP who referred me to an Acquired Head Injuries Unit and am now waiting for an appointment due to the high demand.