Managing gastro-intestinal conditions or nutritional support requirements can feel overwhelming, particularly when care is transitioning from hospital to home. Whether support is needed with Percutaneous Endoscopic Gastrostomy (PEG) feeding, enteral nutrition or wider complex care needs, our experienced teams provide personalised, nurse-led support tailored to the individual.
Living with Complex Gastro-Intestinal Needs
Understanding Gastro-Intestinal Support at Home
Gastro-intestinal conditions can affect how a person eats, drinks, digests food or receives essential nutrition and medication.
For some individuals, this may involve temporary support following illness or treatment. For others, long-term nutritional support becomes part of everyday life.
Many of the people we support receive nutrition and medication through enteral feeding systems, such as PEG tubes, often alongside other complex health needs.
Confidence in Daily Life
When gastro-intestinal needs become more complex, everyday routines can feel very different. Individuals and families may be adapting to new equipment, feeding schedules, medications and clinical requirements, while also trying to maintain normal family life and routines.
With the right support in place, many people can continue living comfortably and confidently at home while managing these needs safely.

Returning Home After Hospital or Treatment
For many families, specialist support becomes most important at the point of discharge from hospital.
Coming home with a PEG tube, enteral feeding regime or other complex nutritional requirements can feel daunting, particularly when family members are managing these responsibilities for the first time.
Our teams regularly support individuals making this transition, helping to create consistency, confidence and reassurance during what can often be a significant period of adjustment.
By working closely with healthcare professionals and families, we help ensure support is established safely and effectively from the outset.

Our Approach to Gastro-Intestinal Care
Clinically-Led, Expert Care
All care packages are overseen by experienced professionals, including Registered Nurses and specialist Care Managers. Regular reviews help ensure care remains safe, effective and responsive to changing needs.
Supporting Everyday Routines
Our focus is not simply on clinical tasks. We work with individuals and families to integrate support into everyday life, helping maintain routines, independence and quality of life wherever possible.
Coordinated, Multidisciplinary Care
We work closely with wider multidisciplinary teams, including dietitians, speech and language therapists, case managers and healthcare professionals to ensure care is coordinated and aligned to wider treatment and rehabilitation goals.
Support for Families
Complex nutritional needs often affect the wider family as well as the individual. Our teams provide practical support, guidance and reassurance, helping families feel more confident and reducing some of the pressure that can come with managing complex care.
What We Can Support With
Every package of care is tailored to the individual, but support may include:
- PEG feeding and enteral nutrition
- Nutritional support and monitoring
- Medication administration
- Personal care and daily living activities
- Swallowing-related support plans
- Rehabilitation and therapy programmes
- Complex care needs alongside gastro-intestinal conditions
- Overnight and live-in care
Our goal is to provide support that is safe, consistent and designed around the individual's wider health, wellbeing and lifestyle.

Supporting Independence at Home
Being able to remain at home can have a positive impact on confidence, independence and overall quality of life.
The right support helps individuals and families focus less on the practical challenges of care and more on the things that matter most — spending time together, maintaining routines and continuing everyday life with greater reassurance.


He's got all the support he needs, particularly for the medical side of things. I can trust the person I leave him with, so I don't have to worry.
Mike
Father of Active Assistance client Aidan
They have made such a difference to our lives - we are very grateful that she is so well supported.
Orla*
Family member of Active Assistance client
Working with Case Managers and Healthcare Professionals
We work closely with dietitians, speech and language therapists, clinicians, case managers and wider healthcare teams to deliver coordinated, high-quality support.
This collaborative approach helps ensure care remains safe, consistent and aligned to the individual's wider health and rehabilitation goals.
Frequently Asked Questions
Yes. With the right support, many individuals receiving PEG feeding can continue living safely and comfortably at home. Our teams are experienced in supporting enteral feeding routines and work within established clinical protocols to help ensure care is delivered safely and consistently.
For many families, having experienced support in place provides valuable reassurance and confidence.
Returning home can feel like a significant adjustment, particularly if tube feeding is new. We regularly support individuals and families during this transition, helping to establish routines, ensure care is delivered safely and provide reassurance during the early stages of adapting to life at home.
Yes. Many of the people we support have gastro-intestinal needs in addition to neurological conditions, acquired injuries, respiratory needs or other complex health requirements.
Our approach is to look at the whole individual and ensure support is coordinated across all aspects of their care.
Consistency is particularly important when managing nutritional support and medication.
Care plans are developed around the individual's requirements and are supported by appropriate clinical oversight, regular review and clear documentation to ensure care is delivered safely and effectively.
Yes. Needs may change over time as health circumstances, treatment plans or wider care requirements evolve. We regularly review support arrangements to ensure care remains appropriate and responsive while maintaining continuity for the individual and their family.
Families are often an important part of the individual's support network.
We work collaboratively with families, helping them feel informed and involved while also providing practical support and reassurance that care is being delivered safely and consistently.
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.
Care may be funded privately, through an insurance or personal injury settlement, or via NHS or local authority funding pathways. Our team can talk you through the options available and help you understand what may be appropriate in your situation.













