Specialist Complex Care at Home Across the UK

Specialist, clinically-led care for people with complex health needs, disabilities and life-changing injuries.

Specialist Care Services Needs at Home

Many people assume that complex needs can only be managed within hospital, residential or specialist care settings.

With the right support in place, many individuals can continue living at home, maintaining independence, family connections and participation in everyday life.

Many of the people we support have multiple and co-existing conditions. Every package is tailored to the individual, helping ensure support reflects their health needs, lifestyle, preferences and long-term goals.

Our teams regularly support individuals living with:

  • Brain Injury Care

    Helping individuals rebuild confidence, maintain independence and continue rehabilitation following acquired or traumatic brain injury.

  • Mental Health Support

    Supporting people with mental health conditions to live independently, maintain stability, and rebuild confidence in everyday life.

  • Neurological Care

    Specialist support for people living with neurological and neurodegenerative conditions, helping them maintain independence, wellbeing and quality of life at home.

  • Physical Disability Support

    Specialist support for people with disabilities, that promotes independence, opportunity and quality of life.

  • Spinal Cord Injury Care

    Supporting recovery, independence, and quality of life through specialist, clinically-led care.

Watch Alex's Story

We’re proud of the exceptional care we provide but don’t just take our word for it – hear from some of the people we support

Clinically-Led Support

Active Assistance is registered for both Personal Care (DC) and Treatment of Disease, Disorder or Injury (TDDI). This means we can support individuals with more complex clinical needs and provide care that extends beyond standard domiciliary support.

Depending on the individual's requirements, support may include:

  • Tracheostomy care
  • Ventilation support
  • PEG feeding
  • Complex medication management
  • Mobility support
  • Rehabilitation programmes
  • Specialist clinical interventions

Every package is supported by robust governance processes and clinical oversight.

Dedicated Care Teams

The quality of a complex care package depends on the quality of the team delivering it.

Wherever possible, we recruit care teams specifically around the individual rather than relying solely on existing staffing pools.

This allows us to consider clinical requirements, skills and experience, personal and compatibility, and long-term continuity. By building teams around the individual, we help create more sustainable and person-centred packages of care.

How we ensureClinical Governance

All complex care packages benefit from:

  • Nurse-led clinical oversight
  • Care planning and risk management
  • Competency assessment and management
  • Governance and quality assurance processes
  • Regular care plan reviews by qualified healthcare professionals
  • Digital care monitoring and reporting

This helps ensure support remains safe, effective and responsive as needs evolve.

Our Approach to Complex Care at Home

  • Clinically-Led Support

    Our nurse-led approach, dual registration for Personal Care and TDDI, and robust governance processes help ensure care is safe, effective and responsive to changing needs.

  • Supporting Complex Needs at Home

    We enable people with complex health needs, disabilities and life-changing injuries to live safely and independently within their own homes and communities.

  • Personalised, Flexible Care

    Every package is tailored around the individual's needs, goals, preferences and lifestyle, adapting as circumstances change.

  • Dedicated Care Teams

    Wherever possible, we recruit and develop care teams specifically around the individual to promote continuity, compatibility and long-term stability.

  • Working as Part of a Multidisciplinary Team

    We work closely with therapists, clinicians, case managers and families to ensure support remains coordinated and aligned with wider outcomes.

  • Part of a Wider Care Pathway

    As part of Active Care Group, we can support individuals through rehabilitation, case management, supported living and residential pathways as needs evolve.

Make an enquiry

When someone you know needs complex care at home, finding the right provider matters.

Our team is here to answer your questions, talk you through the next steps, and help you understand what care could look like for your family. Active Assistance (part of Active Care Group) has been providing specialist complex care for over 30 years.

Get in touch with our team today using the form below and we’ll be in touch within one working day!

What is your relationship to the person requiring care?

*Required field

Frequently Asked Questions

Complex care is designed for individuals whose needs extend beyond traditional domiciliary care and may involve clinical interventions, rehabilitation support, specialist equipment or coordinated multidisciplinary input.

Active Assistance is registered for both Personal Care and Treatment of Disease, Disorder or Injury (TDDI), enabling us to support more complex needs within the home environment.

Absolutely. Many of the people we support are adapting to life following a brain injury, spinal cord injury, stroke or other significant illness or injury. We regularly support individuals transitioning home following hospital treatment, specialist rehabilitation or significant changes in their condition.

Returning home can be a major milestone, but it often requires additional planning, support and rehabilitation. We work closely with families and professionals to put the right care in place and support successful transitions from hospital or rehabilitation into everyday life.

In many cases, yes. With the right support, individuals with complex needs can often continue living safely within their own homes and communities. Every situation is assessed individually to ensure the proposed package is appropriate, safe and sustainable.

Yes. We support individuals with a wide range of complex clinical requirements, including respiratory care, tracheostomy care, ventilation support, PEG feeding and complex medication management.

Packages are supported through nurse-led oversight, competency management and robust clinical governance.

Absolutely. Many of the individuals we support are working towards rehabilitation goals following injury, illness or changes in health.

We work closely with therapists, clinicians and case managers to help ensure care remains aligned with agreed outcomes and supports progress wherever possible.

Absolutely. In fact, many of the individuals we support have multiple and co-existing conditions, such as a brain injury alongside physical disabilities, learning disabilities alongside complex health needs, or respiratory needs combined with neurological conditions.

Rather than focusing on a single diagnosis, we take a holistic approach that considers how different needs interact and the impact they have on everyday life. Support is then tailored around the individual, their goals and the wider professionals involved in their care.

We recruit specifically for the individual wherever possible, rather than relying solely on an existing staffing pool.

This allows us to consider not only the clinical requirements of the package, but also personality, communication style, interests and long-term compatibility. Once recruited, care teams receive specialist training and ongoing competency assessments to ensure they can safely support the individual's needs.

Complex care often involves a range of professionals working towards shared goals.

We regularly collaborate with therapists, clinicians, case managers, nurses, social workers and other specialists to ensure support remains coordinated and aligned with the individual's wider care and rehabilitation plans.

This multidisciplinary approach helps improve communication, reduce duplication and ensure everyone involved has a clear understanding of the individual's needs, progress and desired outcomes.

Complex care should be flexible enough to evolve alongside the individual. A person's needs often do change over time due to recovery, rehabilitation progress, changing health conditions or personal circumstances.

Care plans are reviewed regularly by qualified healthcare professionals and can also be updated whenever there is a significant change in needs, health, risks or rehabilitation goals.

As part of Active Care Group, we can also help individuals, families and professionals explore wider support pathways where appropriate, helping ensure continuity and reducing disruption if circumstances change.

Yes. Our services are regulated by the relevant care regulators, including the Care Quality Commission (CQC) in England and the Care Inspectorate Wales (CIW) in Wales.

This provides reassurance that care is delivered within robust clinical, governance and safeguarding frameworks, and is regularly assessed against recognised standards for quality, safety and effectiveness.

Active Assistance is registered for both Personal Care and the Treatment of Disease, Disorder or Injury, reflecting our ability to support individuals with complex health needs as well as day-to-day care requirements.

Your first conversation doesn't need to be a commitment to care.

We will take time to understand your situation, answer any initial questions, and discuss the support you may need. From there, we can arrange an assessment and recommend a care plan tailored to the individual.

For many families, that initial conversation provides valuable clarity and reassurance at a time when there can be a lot of uncertainty.

Funding arrangements vary depending on individual circumstances.

Complex care may be funded privately, through NHS Continuing Healthcare, local authority funding, direct payments, case management arrangements or personal injury and insurance settlements.

Our team can help explain the different options available and guide you through the process.

Our Awards, Memberships & Accreditations

Need Help Arranging
Specialist Care at Home?

Talk to a member of our team today. We'll listen first, explain your options clearly and take the next step at your pace.