Live-in & Home Care
Clinical needs, met at home
Tracheostomy, ventilation, PEG feeding, spinal injury, acquired brain injury — care that would normally mean a unit, delivered in the person's own home by a trained, competency-signed team.
What makes care complex
Complex care means clinical tasks delegated by a healthcare professional and carried out by carers who have been trained and formally assessed as competent to do them — not simply care for someone with a lot of needs.
It usually involves a package built around one person: a small dedicated team, written competencies for every clinical task, oversight from a clinician, and a plan agreed with the commissioning body.
Done properly it lets people live at home who would otherwise be in hospital or a specialist unit. Done badly it is dangerous, which is why the governance around it matters more than anything on this page.
Complex Care may be right if…
- Ventilation or tracheostomy care is required
- Nutrition is delivered by PEG, PEJ or NG tube
- There is a spinal cord injury or acquired brain injury
- Bowel and bladder management needs trained intervention
- Epilepsy needs rescue medication and a seizure protocol
- A discharge is blocked because there is no package in place
Speak to a care advisor
OFFICE HOURS
+44 20 4634 2291
No obligation. Most people who call aren't sure what they need yet.
What a complex care package includes
A dedicated team
A small, named team trained specifically for this person and this equipment — not a general rota.
Delegated clinical tasks
Carried out only where a clinician has delegated them and competency has been signed off. CONFIRM which delegated clinical tasks Bellus is currently competent to deliver
Clinical oversight
Named clinical responsibility, supervision and spot checks. CONFIRM clinical lead / registered nurse oversight arrangements
Equipment and environment
Working with the community teams on beds, hoists, suction, ventilators and consumables.
Hospital discharge support
Working with the ward, the CCG or ICB and the family to get the package standing before discharge.
Emergency protocols
Written, rehearsed, and known by every member of the team.
Getting started is simpler than you'd expect
Talk to us
A no-pressure conversation about what's happening. No paperwork, no commitment.
Free assessment
We visit at a time that suits you and understand the practical detail. TYPICAL DURATION
Your care plan
A plan built around the person's routine and goals, agreed with you, and a matched carer.
Care begins — and adapts
We review at REVIEW INTERVAL and whenever things change.
Why Bellus
Governance you can inspect
For complex care, the right question is not whether a provider says yes — it is whether they can show you the training records, the competency sign-offs, the supervision schedule and the escalation route. We expect to be asked for all of them.
CONFIRM complex care governance model, clinical supervision and evidence available to commissioners
- Matched, not allocated — on personality and interests as well as skills
- Thoroughly vetted — DBS LEVEL AND REFERENCES
- Properly trained — INDUCTION AND MANDATORY TRAINING
- A named care manager and regular reviews
- Support out of hours — ON-CALL ARRANGEMENT
Photo 20Care team member reviewing a written care plan with a clinician
What it costs
Cost depends on the level of support needed, so we quote after the free assessment rather than before it. Our quote is the full cost — no agency fees, no hidden charges, and no obligation to proceed.
DECIDE whether to publish rates for this service
Help with funding
- Local authority funding after a Care Act assessment
- NHS Continuing Healthcare where needs are primarily health-related
- Attendance Allowance — not means tested, often unclaimed
- Personal Health Budgets and direct payments
- Charitable grants, including condition-specific funds
- Self-funding
Talk to us about complex care
No pressure, no obligation. Just a conversation about what you need.
Your details are handled in line with our privacy policy.
Common questions
Who pays for complex care at home?
Can you take a referral direct from a hospital ward?
How long does it take to set a package up?
Are your staff nurses?
What happens if a carer is off sick?
Can you support children and young people?
Explore our other home care services
Let's talk about what would actually help
One conversation, no obligation. We'll tell you honestly if we're not the right fit.