Adult Complex Care

We provide specialist complex care for adults across Yorkshire at home and out in the community.

We support people with complex health needs, learning disabilities, autism and behaviours that may require additional support, including people whose needs cross more than one of these areas.

From a minimum of four hours at a time to waking nights and 24-hour packages, care is built around the individual, their needs and how they want to live their life.

The care might be complex. Life doesn't have to revolve around it.

Complex care isn't always clinical.

Someone may have significant health needs, a learning disability, autism, behaviours that require additional support or a combination of these.

Depending on the individual, our teams can support with:

Clinical care

Tracheostomy care & emergency tube changes • Oral, nasal & tracheal suctioning • Enteral feeding – PEG, gastrostomy button, NG & PEJ • Epilepsy & rescue medication • Nebulisers & respiratory treatments • Cough assist & airway clearance • Prescribed oxygen & humidification • Clinical observations • Medication support

Learning disability & autism support

Communication • Sensory needs • Predictable routines • Emotional regulation • Developing and maintaining independence • Daily living skills • Community access

Behavioural support

Understanding triggers • Recognising early signs of distress • Following individual behaviour/support plans • Positive and consistent approaches • De-escalation • Supporting the person and others to remain safe

Everyday support

Personal care • Moving & handling • Eating and drinking support • Daily routines • Activities • Appointments • Community access

Where other specialist support is needed, we'll look at this as part of the individual referral and assessment.

Staff receive the person-specific training they need and are competency assessed for the care and support they're expected to provide.

Training is only the start. Knowing the person and being competent to support them safely is what matters.

Complex care should support someone to live their life, not take it over.

At home

Supporting clinical & behavioural needs, personal care, medication, routines and the things that matter day to day.

Out and about

Supporting appointments, activities, relationships and time in the community, with the right support alongside them.

Overnight & 24-hour care

Providing waking-night and round-the-clock support where this forms part of the person's care package.

Wherever the care happens, the person stays at the centre of it.

Independence doesn't mean the same thing to everyone.

For one person, it might mean managing as much of their own care as possible. For someone else, it might mean choosing how they spend their day, where they go, what they eat, who supports them or being able to remain in their own home.

We don't decide what independence should look like.

We listen to the person, understand how they communicate and work within their agreed care and support plans to promote as much choice, control and involvement as possible.

Having complex care can mean having other people involved in some very personal parts of your life.

Consistency matters.

Wherever possible, we build a small team around the person so they can get to know the people supporting them, and their team can properly get to know them too.

For people with learning disabilities, autism, communication differences or behaviours that require additional support, that familiarity can be particularly important. Knowing someone's communication, routines, preferences and signs of distress can make a real difference.

Good care is easier when you're not constantly explaining yourself to someone new.

Complex care can involve a lot of people.

We work alongside the person, those important to them and the professionals already involved in their care. That might include NHS Continuing Healthcare teams, community nurses, GPs, therapists, consultants, case managers, hospices and social care.

Good communication matters. So does knowing who is responsible for what.

Our job is to deliver the care we're responsible for safely, recognise when something changes and make sure concerns and important information get to the right people.

We support people of all ages with life-limiting conditions and palliative care needs, working alongside the person, those important to them and their wider clinical and hospice team.

The clinical care matters enormously.

So does everything that makes someone who they are.