Complex Care At Home support for NHS, ICB AND CHC COMMISSIONERS

A CQC-registered TDDI provider for complex discharge and community care packages.

We work with hospital discharge teams, community matrons, CHC coordinators and ICB commissioning teams to arrange safe, well-governed complex care at home, quickly and without the complications that often accompany high-acuity packages.

The challenge you are working with every day.

People are being discharged from hospital faster and with more complex needs than ever before. Families are expected to manage procedures they have never been trained for. And the number of home care providers genuinely equipped to deliver safe, nurse-supervised clinical care in the community remains small.

When a TDDI-registered provider with real clinical governance cannot be found quickly, patients stay in beds they do not need to occupy. Discharge is delayed. Packages break down. Families are put under pressure that is not sustainable.

Here is how CareLink Direct supports NHS, ICB and CHC teams.

CareLink Direct is registered with the Care Quality Commission for Treatment of Disease, Disorder or Injury.

This is not a standard domiciliary care registration. It requires nurse oversight, specific clinical training, appropriate governance structures, and the ability to safely deliver and supervise complex clinical procedures at home.

  • CQC registered for TDDI – verified clinical governance, not just a policy document
  • ITU-trained nurses with around 40 years of combined clinical experience
  • Nurses present in care delivery, not managing remotely
  • Risk assessments, care plans, incident reporting and audit trails as standard
  • Awareness and application of PSIRF, MCA, DoLS and safeguarding requirements
  • Digital records and real-time documentation
Compassionate care and support for individuals with mobility needs

Complex clinical procedures at home.

Safe and timely discharge support, mobilisation without unnecessary delay.

Because we already have qualified nurses and trained carers in place, we can often assess and mobilise complex packages more quickly than providers who need to recruit and train from scratch.

Reducing admissions and preventing package breakdown.

Well-run complex care at home reduces unnecessary hospital attendance. Our nurses monitor for clinical changes, escalate early, and coordinate with GPs and hospital teams before situations become crises. This is what the NHS rightly expects from a TDDI provider and it is how we operate.

Reduce Risk

Packages break down when the clinical oversight is not real, when carers are not properly trained, and when communication between the provider and the wider health team is poor. CareLink Direct is built to prevent all three.

  • Regular vital signs monitoring using the NEWS scoring system
  • Early escalation pathways built into every care plan
  • Coordination with GPs, community nurses, hospital consultants and specialist teams
  • Contingency planning for staffing disruption, emergencies and unexpected deterioration
  • Families kept informed so concerns are raised early

Full clinical capability for complex community packages.

CareLink Direct supports a full range of complex clinical procedures at home, each delivered by carers who have been specifically trained and signed off by our nursing team.

  • Ventilation support
  • Tracheostomy care and suctioning
  • Enteral feeding, including PEG and JEJ
  • Catheter care, urethral and suprapubic
  • Bowel care, including digital rectal examination and manual evacuation
  • Stoma care
  • Vital signs monitoring and NEWS scoring
  • Seizure management and complex medication regimes
  • Wound and pressure area care
  • Palliative and end of life care

How to refer or commission a package.

Call, email or use the referral form. Provide details of the patient’s needs, current clinical situation and discharge timeline. We will acknowledge your referral promptly and confirm whether the package is within our clinical scope.

Registered for TDDI

“Registered to provide Treatment of Disease, Disorder or Injury (TDDI)”, meaning we are approved to deliver complex clinical care at home for people living with serious illness, disability, or injury.

Common questions from NHS and commissioning teams.

Yes. CareLink Direct is registered with the Care Quality Commission for Treatment of Disease, Disorder or Injury, as well as for personal care. Our CQC registration details are available on request.

We support a full range of complex clinical procedures including ventilation, tracheostomy care, enteral feeding, catheter care, bowel care, stoma care, suctioning, vital signs monitoring and seizure management. If you are unsure whether a specific procedure falls within our scope, please contact us directly.

We operate across Sussex and Surrey, based in Worthing, including Brighton, Chichester and Crawley, within approximately a 40-mile radius. We are expanding into Surrey and already support patients there. Please contact us to confirm coverage for a specific postcode.

This depends on the complexity of the package and the procedures involved. Because we have nurses and trained carers in place, we can often move more quickly than providers who need to recruit and train from scratch. We will give you an honest timeline at the point of referral.

Yes. We work with CHC commissioning teams and are experienced in the requirements that come with CHC-funded packages. Please contact us to discuss a specific case.

Getting in touch doesn’t commit you to anything. It’s just a conversation.

Our clinical team will listen to your situation, explain what we can offer, and be honest about whether we are the right fit.