Complex care at home
The care most providers can't safely deliver.
From enhanced homecare to high-acuity, technology-dependent packages — GHS delivers nurse-led complex care for children aged 0–18 and adults, in their own home, school or community setting.
The three-tier care model
Matched to need. Governed to level.
A shared language for matching need to capability, governance and price — so commissioners and families always know exactly what level of care a package requires.
Level 1 · Personal care with a health dimension
Enhanced Homecare
Personal care with a health dimension, delivered by trained care staff. The foundation of safe support at home for people with a stable, health-related need.
- Governance
- Trained care staff with health-related support competencies, overseen by the care coordination team.
- Workforce
- Values-based, enhanced-DBS care workers trained to a task-specific standard.
Representative scope of care
- Medication support & monitoring
- Diabetes prompting & observation (no delegated insulin)
- Catheter & stoma observation
- Nutrition, hydration & pressure-area monitoring
- Dementia, learning-disability, autism & mental-health support
- Palliative personal care
Clinical specialties
Who we support
Care areas span the full breadth of complex need — each delivered only under current, person-specific clinical instructions by verified-competent staff.
Respiratory & airway
Tracheostomy, suctioning, ventilation, BiPAP, CPAP, oxygen therapy.
Neurology & epilepsy
Cerebral palsy, acquired brain injury, seizure & rescue-medication management.
Nutrition & hydration
PEG, gastrostomy, jejunostomy, enteral feeding, aspiration-risk management.
Diabetes & endocrine
Blood-glucose monitoring and delegated insulin under nurse oversight.
Continence & stoma
Catheter, bowel and stoma care to a governed clinical standard.
Skin, wounds & pressure
Pressure-area care, wound care and skin-integrity assessment.
Palliative & end-of-life
Comfort-focused care, ReSPECT planning, family and hospice liaison.
LD, autism & mental health
Positive Behaviour Support, trauma-informed care and crisis planning.
The wraparound model
Wraparound care, built around the person
Seven stages take a referral from first contact to a stable, reviewed, quality-assured package — with clinical assessment, competency sign-off and review built in.
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1
Referral & triage
Rapid clinical triage of every referral against registration, competence and capacity.
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2
Clinical & holistic assessment
Package-specific clinical and holistic assessment — no complex package starts without it.
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3
Family & MDT planning
Co-produced planning with the family and the wider multidisciplinary team.
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4
Care planning & risk management
A clinical care plan with deterioration and emergency protocols, and a package-specific risk register.
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5
Staff matching
Matching a small, named team to the person, their needs and their home.
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6
Training & competency sign-off
Package-specific training, observed practice and signed competency before deployment.
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7
Review & quality assurance
Structured reviews, supervision and audit feeding the monthly quality dashboard.
Ready to place a package?