Adult Complex Care

Complex care at home

Our adult complex care service provides nurse-led support for individuals living with high-acuity and long-term health needs. We deliver clinical care in the comfort of each person’s home, ensuring they receive safe, consistent, and personalised support every day. With a focus on dignity, independence, and quality of life, our teams work closely with families and healthcare professionals to create tailored care plans that meet both medical and emotional needs.

Ventilation Cerebral Palsy Bladder Catheter Oxygen Therapy Gastrostomy Management Spina Bifida LD & Autism Tracheostomy Care DMD Autonomic Dysreflexia Muscular Dystrophy Bowel Management CPAP/BiPAP Motor Neurone Disease Cough Assist Disabilities Lymphangiectasia Tracheal Suction Palliative Care Ambu Bag Acquired Brain Injury Chest Physiotherapy Spinal Muscular Atrophy Epilepsy & Asthma Metabolic Disorders Spinal Cord Injury Diabetes Guillain-Barré Syndrome

Nurse Leadership

All care is overseen by our trained nurses who ensure all of our care is safe, clinically accurate, and tailored to the individual. This leadership provides families with confidence that care is delivered to the highest standards.

Clinical Confidence

With experienced nurses leading every package, families know care is safe, accurate, and clinically sound. From complex procedures to everyday support, everything is delivered with skill, consistency, and professional oversight.

Trusted People

Clients are supported by a small, consistent team who become familiar faces in the home. This stability builds trust, reduces anxiety, and creates a genuine sense of security for the person receiving care.

Always Accountable

Quality isn’t an afterthought, it’s built into everything we do. Regular reviews, clear comms, and clinical governance mean families always know what’s happening and why, with complete reassurance.

Flexible routes to commissioning care

We work with NHS Continuing Healthcare, Children’s Continuing Care, Local Authority and jointly funded packages, Personal Health Budgets, private funding, insurance and compensation arrangements. Our team can discuss funding routes, contracting requirements and the information needed to progress a care package.

NHS Funding

NHS Continuing Healthcare and Children’s Continuing Care funding pathways.

Council & Joint Funding

Local Authority funding and jointly commissioned NHS support arrangements.

PHBs & Other Funding

Personal Health Budgets, insurance, compensation and private care funding.

Complex care that supports different circumstances

Komplex Care works with NHS and Local Authority commissioners to plan and mobilise nurse-led complex care at home across a range of pathways. From hospital discharge and step-down rehabilitation to long-term, respite and palliative care, every package is shaped around assessed clinical needs, risks, outcomes and timescales.

Hospital Discharge to Home Planning support around clinical needs, equipment, staffing and timescales.

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Step-Down and Rehabilitation Support Helping individuals continue recovery and build independence at home.

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Long-Term Complex Care Sustainable support for ongoing clinical and daily living needs.

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Planned Respite Care Flexible support for agreed short-term care arrangements.

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Palliative and End-of-Life Care Compassionate care shaped around clinical needs, wishes and comfort.

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Frequently asked questions

Who commissions adult complex care packages?

Most adult complex care packages are commissioned and funded by Integrated Care Boards (ICBs) through Continuing Healthcare (CHC). We also work with Local Authorities, case managers, solicitors, and privately funded clients. Our team can guide families through the whole process.

What adult conditions do you support?

We provide nurse-led care for adults with a wide range of complex and high-acuity conditions, delivering safe and consistent support in their own homes. Our clinical teams are experienced in caring for individuals with palliative care needs, metabolic disorders, acquired brain injuries, spinal cord injuries, muscular dystrophy including DMD, and neurological conditions such as cerebral palsy, learning disabilities and autism, Guillain-Barré syndrome, motor neurone disease and spinal muscular atrophy.

We also support adults who require respiratory and airway management including ventilation, CPAP/BiPAP, tracheostomy care, tracheal suction, oxygen therapy, cough assist, chest physiotherapy and ambu bag use.

In addition, we provide specialist intervention for bowel management, bladder catheter care, gastrostomy management, diabetes and lymphangiectasia, ensuring every clinical need is met with precision and compassion.

We support every condition, no matter how complex.

How quickly can care be put in place?

Following referral and clinical assessment, we build a mobilisation plan tailored to the client’s needs. Timeframes depend on funding authorisation, equipment requirements, and appropriate staff recruitment, but we aim to implement safe, fully compliant care as quickly as clinically possible. Please contact us for more information.

How do you ensure staff are clinically competent?

Every staff member assigned to a package undergoes training specific to the client’s clinical needs, delivered through our specialist Training Academy. Competencies are signed off by Nurse Managers, and ongoing observations, supervisions, and refresher training maintain safe and high-quality practice.

Will we have consistency in carers and nurses?

Yes. We build small, dedicated care teams around each client to ensure continuity, trust, and stable relationships. This reduces anxiety, promotes safety, and supports long-term wellbeing.

How are families involved in the care process?

Families are central to the process. We involve them in assessments, care planning, risk reviews, and regular meetings. Their lived insights help us deliver person-centred support that respects preferences, routines, and cultural considerations.

Do you provide waking nights and 24-hour care?

Yes. We support adults with both waking night and 24-hour packages depending on clinical need. Staffing levels are defined through assessment and agreed with commissioners.

Complex care across England

Explore where we currently deliver care and speak to our team about availability in your client’s area.

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Referral received

Share the client’s needs, location, funding and required timescale.

Clinical assessment

Our clinical team reviews the referral and assesses suitability.

Team and mobilisation

We recruit, train and prepare a dedicated care team.

Care begins

Care begins with regular, reviews, updates and communication.

Real stories from our clients

Diving into a Pool Changed Hugh’s Life!

In 1988, Hugh went on holiday to Tunisia. A normal trip. A chance to switch...

Jamie Hood, former Yorkshire cricket player, supported by Komplex Care after becoming fully paralysed

From Losing Purpose to Rediscovering Stability and a Sense of Control

At just 20 years old, Jamie’s life changed forever when a car accident in...

Do you need support?

Whether you’re ready to make a referral, have questions about our complex care services or would simply like to discuss the support you need, our experienced team is here to help you understand the options and decide what happens next.