Working with ICBs and Commissioners

We regularly work with discharge teams, rehabilitation services, clinicians and commissioners to support individuals transitioning from hospital, rehabilitation settings and other care environments into their own homes.

Our focus is on creating safe, sustainable packages of care that provide continuity, reduce delays and help individuals adjust successfully to life in the community. We work collaboratively with all stakeholders involved to ensure care arrangements are aligned with clinical needs, rehabilitation goals and discharge plans.

As part of Active Care Group, we can also support individuals transitioning from Active Neuro rehabilitation services, helping to create a more joined-up pathway from rehabilitation to home.

We support adults, children and young people with a wide range of complex needs, including:

• Brain injury
• Spinal cord injury
• Neurological and neurodegenerative conditions
• Respiratory and ventilation needs
• Physical disabilities
• Learning disabilities and autism
• Mental health conditions
• Gastro-intestinal and nutritional needs

Many of the individuals we support have multiple diagnoses, complex clinical requirements and input from a range of professionals. Rather than focusing solely on a diagnosis, we build support around the individual, their goals and their wider care needs.

Many home care providers are focused primarily on delivering personal care. Active Assistance is registered for both Personal Care and Treatment of Disease, Disorder or Injury (TDDI), enabling us to support individuals with more complex clinical requirements and rehabilitation needs within the community.

In addition, we provide fully managed packages that include recruitment, training, clinical oversight, governance, competency management and ongoing package reviews. This allows us to support individuals with higher levels of complexity while maintaining quality, continuity and oversight.

All packages benefit from structured clinical and operational oversight. This includes care planning, risk management, competency assessments, supervision, governance processes, quality assurance activity and regular package reviews by qualified healthcare professionals.

We also utilise digital care planning and reporting systems that provide real-time visibility of care delivery, medication management and service performance, helping us identify issues proactively and respond quickly when circumstances change.

Needs rarely remain static, particularly for individuals with complex conditions or rehabilitation goals.

Care plans are formally reviewed at regular intervals and can also be updated whenever there is a significant change in health, circumstances, risk, outcomes or support requirements.

Our teams work closely with the individual, their family and wider multidisciplinary professionals to ensure support continues to reflect current needs while promoting long-term independence and quality of life.

Yes. As a dual-registered provider, we support a range of clinically-led packages involving specialist interventions and complex health needs.

This may include support relating to respiratory care, tracheostomy care, ventilation, PEG feeding, medication management and other condition-specific requirements.

Care is delivered within robust governance frameworks and supported by nurse-led oversight, training and competency management.

Yes. We regularly support individuals with highly complex needs who may require specialist clinical support, dedicated recruitment, enhanced training or multidisciplinary involvement.

Rather than applying a standard model of care, every package is assessed individually to ensure support is built around the person's needs, risks, goals and circumstances.

Our experience supporting people with complex clinical, neurological, behavioural and rehabilitation needs enables us to develop bespoke care solutions for individuals who may not fit traditional service models.

We understand that needs can evolve over time, whether as a result of rehabilitation progress, changes in health, increasing independence, or additional support requirements.

Care plans are reviewed regularly by qualified healthcare professionals and can be adapted whenever circumstances change. Through ongoing package management, clinical oversight and multidisciplinary collaboration, we ensure support remains appropriate, effective and aligned with agreed outcomes.

Timeframes will vary depending on the complexity of the package, staffing requirements and individual circumstances.

Following referral, our team will work closely with commissioners and other stakeholders to understand priorities, identify risks and agree an appropriate mobilisation plan.

Our dedicated recruitment model and national reach enable us to build teams around individuals while maintaining a focus on quality and continuity.

We recruit specifically for the individual wherever possible, rather than relying solely on existing staffing pools. This allows us to consider clinical requirements, experience, personality, interests and compatibility when building care teams.

Once established, packages are supported through structured induction, ongoing training, supervision, competency reviews and package management processes that help promote stability and continuity.

Quality is monitored through a combination of clinical oversight, governance processes, service reviews, digital reporting and ongoing communication with individuals, families and professionals.

We use electronic care planning and reporting systems to provide real-time visibility of care delivery and package performance. This enables clear oversight, supports continuous improvement and helps ensure care remains aligned with agreed objectives and outcomes.

In many cases, yes. We regularly support individuals with complex needs to live safely within their own homes and communities where this is appropriate for their circumstances.

Community-based care can often help maintain independence, promote family involvement and support better long-term outcomes while providing an alternative to more restrictive environments.

Every situation is different, and our role is to work collaboratively with commissioners and multidisciplinary teams to identify the most appropriate solution for the individual.

Once a referral is received, a member of our team will discuss the client's circumstances, goals and requirements in detail.

We will review available information, identify the most appropriate care solution and, where appropriate, arrange an assessment. From there, we can begin recruitment, care planning, training and mobilisation of the package.

Throughout the process, we work closely with the case manager and wider multidisciplinary team to ensure the package is aligned with agreed outcomes and objectives.

We have extensive experience supporting a wide range of commissioned arrangements, including:

• NHS Continuing Healthcare (CHC)
• ICB-funded packages
• Local authority funding
• Joint-funded packages
• Personal Health Budgets
• Direct Payments

We work collaboratively with commissioners to establish funding arrangements that are appropriate to the individual's needs and support requirements.