Our Services

Specialist nursing and personalised care for people with complex health needs, planned around life at home.

Clinical care at home

What can we support with?

Explore the areas of clinical support below. Each care arrangement is assessed individually, with staffing and interventions agreed around the person’s needs.

For children and young people, explore our dedicated Children’s Care service →

The examples here describe our adult clinical services; children’s care is planned through its dedicated service.

Airway and respiratory care

Support with tracheostomies, ventilation and respiratory needs, planned around the person’s clinical assessment.

Clinical details
  • Tracheostomy care
  • Invasive ventilation
  • Non-invasive ventilation
  • Oxygen therapy
  • Oral and tracheal suctioning
  • Cough assist
  • Nebuliser support
  • Respiratory observations and monitoring
  • Tracheostomy emergency planning
  • Airway equipment checks
  • Support with secretion management

Neurological and acquired brain injury care

Care for people with neurological conditions or brain injury, supporting daily routines, rehabilitation goals and clinical needs.

Clinical details
  • Acquired brain injury
  • Progressive neurological conditions
  • Seizure management
  • Buccal rescue medication where prescribed
  • Changes in cognition, communication or behaviour
  • Postural support
  • Spasticity management
  • Temperature regulation support
  • Rehabilitation-focused support
  • Support with daily routines and independence

Spinal cord injury care

Personalised support with the physical and clinical effects of spinal cord injury, including mobility, skin integrity and daily living.

Clinical details
  • Spinal cord injury
  • Autonomic dysreflexia awareness and emergency response
  • Bowel management
  • Bladder management
  • Catheter and suprapubic catheter care
  • Pressure area prevention
  • Skin integrity monitoring
  • Postural support
  • Spasticity and contracture management
  • Moving and handling
  • Respiratory support where required

Nutrition and enteral feeding

Care for people who need feeding-tube support, with an agreed nutrition, hydration and medication plan.

Clinical details
  • PEG care
  • PEJ or JEJ care
  • Gastrostomy button care
  • Enteral feeding
  • NG and NJ feeding where clinically appropriate
  • Tube care and monitoring
  • Feeding and hydration plans
  • Fluid balance monitoring
  • Medication administration through an enteral tube where prescribed
  • Recognition and escalation of tube-related concerns

Continence and bowel care

Sensitive support with bladder and bowel needs, following assessed requirements and prescribed care plans.

Clinical details
  • Urinary catheter care
  • Suprapubic catheter care
  • Catheter valve and drainage-bag care
  • Bladder irrigation where prescribed and clinically appropriate
  • Stoma care
  • Prescribed bowel-management programmes
  • Suppositories and enemas where prescribed
  • Bowel irrigation where assessed and agreed
  • Digital rectal interventions where clinically assessed, appropriately delegated and included in the care plan
  • Monitoring and escalation of changes in bowel or bladder function

Daily clinical support

Help with medication, observations, skin care and everyday clinical needs, coordinated with the wider healthcare team.

Clinical details
  • Medication support and administration
  • Diabetes monitoring
  • Insulin administration where prescribed
  • Recognition and management of hypoglycaemia
  • Pressure-area care
  • Skin integrity monitoring
  • Wound care within the agreed scope of the package
  • Clinical observations
  • Moving and handling
  • Positioning and repositioning
  • Pain and symptom monitoring
  • Coordination with community and specialist teams

Palliative and end-of-life care

Compassionate, comfort-focused care in familiar surroundings, with support for the person and their family.

Clinical details
  • Personalised palliative support at home
  • Comfort-focused care
  • Symptom observation and escalation
  • Medication support
  • Pressure-area and personal care
  • Emotional support for the person and family
  • Support with advance wishes and preferred routines
  • Coordination with GPs, district nurses, palliative-care teams and hospices
  • Registered nursing input where required
  • Care during the final days and hours of life, within the agreed care plan and professional scope

The right team for your needs

How your care package can be delivered

Assessment helps us agree whether care professionals, registered nurses or a combined team are needed. We review the arrangement as needs change.

Trained care team with registered nurse oversight

For people whose care can be safely delivered by trained care professionals following person-specific training, competency assessment and an agreed care plan.

Registered nurse oversight does not mean that a nurse is present on every shift.

What this includes
  • Initial clinical assessment
  • Individual care planning
  • Person-specific staff training
  • Competency assessment
  • Registered nurse reviews
  • Supervision and spot checks
  • Clinical escalation pathways
  • Review after incidents or changes in condition
  • Coordination with the wider clinical team

Combined registered nurse and care team

For packages where trained care professionals provide ongoing daily support while registered nurses deliver specified interventions, clinical reviews or selected shifts.

What this includes
  • Planned nursing visits
  • Registered nurses covering identified shifts
  • Nurse-delivered clinical interventions
  • Trained carers providing ongoing daily care
  • Shared care records
  • Clinical review and escalation
  • Coordination with GPs, community nurses and other professionals
  • Staffing adjusted to the person’s changing needs

Registered nursing care

Registered nurse-delivered care

For people whose needs require ongoing registered nursing assessment, clinical judgement or interventions that cannot safely be delegated to a care professional.

What this includes
  • Packages delivered fully by registered nurses
  • Packages where nurses provide most shifts
  • Complex clinical assessment and monitoring
  • Advanced respiratory care
  • Tracheostomy and ventilation support
  • Complex medication management
  • Complex diabetes care
  • Complex enteral-feeding support
  • Complex wound care within SHNC’s agreed scope
  • Palliative and end-of-life nursing
  • Hospital-discharge support
  • Clinical deterioration recognition and escalation
  • Ongoing nursing review
  • Coordination with the multidisciplinary team
Discuss registered nursing care

Registered nursing at home

When care needs to be delivered by a registered nurse

Registered nurses deliver care that requires nursing judgement or cannot safely be delegated. Their involvement may include planned visits, particular shifts or ongoing nursing care, depending on the assessment.

Examples of registered nursing support

View nursing interventions
  • Advanced respiratory assessment and monitoring
  • Tracheostomy management
  • Invasive and non-invasive ventilation support
  • Complex medication administration
  • Diabetes care, insulin administration and hypoglycaemia management
  • Complex enteral-feeding care
  • Complex wound assessment and care within the agreed service scope
  • Palliative and end-of-life nursing
  • Clinical observations and deterioration monitoring
  • Hospital-discharge and step-down support
  • Ongoing clinical review
  • Liaison with GPs, community teams and other clinicians
  • Training and competency assessment for the wider care team

How the package is managed

View assessment and review arrangements
  • A clinical assessment before the package starts
  • Review of the person’s diagnosis, risks and required interventions
  • Identification of which tasks require a registered nurse
  • Selection of nurses with suitable experience
  • Person-specific induction and competency checks
  • Clear escalation and emergency plans
  • Regular nursing review
  • Review when needs or risks change

Other registered nursing interventions may be considered following clinical assessment and confirmation that SHNC can safely meet the person’s needs.

Where registered nursing care is required, we match the package with nurses who have relevant experience and have demonstrated competence in the care being provided.

Discuss a nurse-delivered package

Flexible support at home

Ways we can support you

Support can be arranged for planned visits, overnight care, short-term cover or continuous care. The frequency, staffing and level of nursing input are agreed following assessment.

Visiting care

Planned visits at agreed times for personal care, medication support, clinical tasks, monitoring or help with daily routines.

Overnight care

Waking-night or sleeping-night support for people who need observation, reassurance, repositioning, personal care or clinical monitoring overnight.

Live-in care

A care professional living in the home to provide ongoing support and continuity. Nursing visits or a combined staffing model can be arranged where registered nursing interventions are required.

24-hour care

Round-the-clock support delivered by a coordinated team across day and night shifts. The team may include trained care professionals, registered nurses or both.

Respite care

Short-term support that gives family carers time to rest or provides cover during holidays, illness, emergencies or changes in circumstances.

Palliative and end-of-life care

Comfort-focused support that respects the person’s wishes, routines and dignity. Care may be delivered by trained care professionals, registered nurses or a combined team according to clinical need.

Every care package starts with a clinical conversation

No two people have the same needs. Speak with our clinical team about the person’s diagnosis, daily support, clinical interventions, risks and preferred outcomes. We will consider whether SHNC can safely provide the required care and explain the next steps.

Arrange a clinical discussion