Paediatric Complex Care

Complex care At home

We provide nurse-led support for children with complex health needs, delivering safe, specialist care in the comfort of their own home. Our teams work closely with families, paediatric nurses, and wider professionals to ensure each child receives personalised clinical care that supports safety, development, and day-to-day wellbeing. With a focus on stability, compassion, and high-quality nursing, we help children live safely, grow confidently, and thrive within their home environment.

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 paediatric complex care packages?

Most children’s packages are commissioned and funded by Integrated Care Boards (ICBs) through Children’s Continuing Care. We also work with Local Authorities, case managers, charities, solicitors and privately funded families. Our team can guide parents through the assessment and funding process.

What paediatric conditions do you support?

We support children with a wide range of complex needs including neurological conditions, respiratory support needs, feeding difficulties, genetic conditions, cerebral palsy, epilepsy, tracheostomy care, ventilation, PEG/JEJ feeding, bowel and bladder needs, and other long-term or high-acuity health requirements.

How do you keep children safe at home?

All care is nurse-led, with paediatric nurses overseeing care plans, risk assessments and competencies. Every member of staff is trained in the child’s specific clinical needs, and ongoing monitoring, supervision and governance ensure safe, consistent practice at all times.

How do you ensure staff are suitable for my child?

Children are supported by small, consistent teams so they can bond with familiar faces. Each team member is clinically trained, DBS-checked, competency-assessed and matched to the child’s personality, routine, communication style and family environment.

Can you support my child in school or the community?

Yes. We work with schools, early years settings, colleges and community teams to provide safe, integrated support throughout the day. This includes classroom assistance, educational activities, appointments, therapy sessions and social engagement.

How involved are parents and families in the care plan?

Parents remain at the centre of every decision. We involve families in assessments, reviews, risk planning, medication changes, routines and daily communication. We work around each family’s preferences, culture and home environment to ensure truly personalised care.

Do you support transitions into adulthood?

Yes. We work closely with families, ICB Children’s Continuing Care teams and Adult CHC teams to plan safe, well-structured transitions into adult services. This includes updating assessments, preparing staff, coordinating professionals and ensuring continuity of care.

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.