By Innovate Complex Care Services
Choosing a complex care provider is one of the most important decisions a family can make. Whether you’re organising care for a ventilated child, an adult with an acquired brain injury, or someone with long-term progressive conditions, it’s vital to know that the provider you choose has the clinical capability, regulatory compliance, and real-world experience to deliver care safely at home.
At Innovate Complex Care Services, we work across the UK with families, NHS teams, and case managers to deliver care that is clinically robust, person-centred, and outcomes-driven. Here’s what to look for when selecting a capable complex care provider.
What to Look for in a Complex Care Provider
CQC and TDDI Registration (a legal requirement)
A provider delivering complex care must be registered with the Care Quality Commission (CQC). This ensures their services are regularly inspected and meet national standards of quality, safety, and governance.
In addition, they must hold a specific registration for the Treatment of Disease, Disorder or Injury (TDDI). This is required when providing care involving clinical interventions such as:
- Tracheostomy and ventilation management
- Enteral feeding
- Epilepsy and seizure care
- Complex medication administration
Choosing a provider without TDDI registration puts clients at unnecessary risk and removes essential regulatory oversight. You can check a provider’s registration status via the CQC website.
Nurse-Delivered and Nurse-Delegated Services
A capable complex care provider should be able to offer both:
- Nurse-delivered care, where registered nurses provide direct care, typically for highly complex or unstable conditions.
- Nurse-delegated care, where trained support workers deliver clinical tasks under the supervision and governance of a registered nurse.
Innovate Complex Care Services provides both models, depending on clinical need, funding pathway, and personal preferences. Our governance framework ensures:
- Every task delegated is risk-assessed and only delivered by trained, competent staff
- Ongoing nurse supervision, spot checks, and competency reassessments
- Clear protocols for escalation, safety, and contingency planning
This flexible approach allows us to design care packages that are safe, efficient, and aligned with each client’s evolving needs.
Relevant Clinical Experience
Complex care should never be generic. Your provider must have experience supporting individuals with similar medical needs—whether that’s adults living with progressive neurological conditions or children requiring respiratory support.
A credible provider should be able to demonstrate:
- Case studies or examples of similar care packages
- Outcomes achieved for clients with comparable conditions
- Familiarity with local NHS Continuing Healthcare (CHC) or Children’s Continuing Care (CYPCC) teams
Competent, Specialised Staff
A skilled team is the foundation of safe care. Ensure that your provider:
- Delivers condition-specific training for every staff member
- Uses practical assessments and simulations, not just theory
- Ensures nurse-led oversight and clear escalation procedures
- Supports ongoing staff development through reflective practice and supervision
At Innovate, our carers and nurses are trained for the individual needs of the client, not just general care scenarios.
Comprehensive Assessments and Personalised Care Plans
A good provider will begin with a comprehensive, in-person assessment, covering medical, functional, social, and environmental needs. They should develop a personalised care plan in collaboration with NHS teams, families, and (where appropriate) the individual themselves.
These care plans must be:
- Reviewed regularly in line with changing needs
- Backed by clear documentation and governance processes
- Adjusted quickly and safely if conditions improve or deteriorate
Strong NHS and MDT Collaboration
Complex care often requires input from multiple professionals, including:
- CHC or CYPCC case managers
- Community nurses and therapists
- Hospital discharge teams
- Social workers and education professionals (for children)
Your provider must be able to coordinate effectively across these teams, share information safely, and ensure everyone is aligned to support the client’s care.
Quality Monitoring and Feedback-Driven Improvement
A provider committed to excellence should demonstrate:
- Regular auditing and supervision
- Clear incident reporting and learning processes
- Ongoing feedback from clients, families, and professionals
- A culture of continuous improvement
At Innovate, we embed outcome-based thinking into all our services, aiming to increase independence, improve quality of life, and reduce avoidable hospital admissions.
Flexibility to Adapt as Needs Change
Health conditions can improve or worsen over time. A provider must be responsive, offering:
- Regular reviews and reassessments
- Scalable staffing and support
- Fast implementation of new clinical tasks or protocols
- Smooth transitions between nurse-delegated and nurse-delivered care when required
Why Choose Innovate Complex Care Services?
With years of experience supporting clients with complex and high-acuity needs, Innovate Complex Care Services is built on clinical excellence, safety, and compassion. We are fully registered with the CQC for TDDI and offer:
- Both nurse-delivered and nurse-delegated care models
- Bespoke training and staff matching for each individual client
- 24/7 clinical oversight and care coordination
- Transparent collaboration with NHS and legal funding bodies
- A strong reputation for building trusted, long-term relationships with families and commissioners
We support both adults and children, delivering care that is safe, respectful, and empowering—right where people feel most comfortable: at home.
To view our CQC registration or to discuss how we can help:
📞 Contact us to speak with a care specialist or clinical lead.
