Specialist Complex Care at Home across Surrey and London
Complex care at home supports people with high-dependency clinical needs who wish to remain in their own home rather than a hospital or residential care setting. Our specialist carers are trained to work alongside healthcare professionals, managing clinical tasks and supporting the whole person with compassion and consistency.
What is Complex Care at Home?
Complex care refers to support for individuals whose health and care needs go significantly beyond standard domiciliary care. This includes people living with neurological conditions, acquired brain injuries, spinal injuries, ventilator dependency, or those requiring clinical interventions such as PEG feeding, tracheostomy management, or catheter care. These needs require carers with specialist clinical training — not only compassion and dedication, but genuine technical competence.
At SD Care, we work closely with NHS community nursing teams, GPs, consultants, and rehabilitation professionals to deliver care that is safe, dignified, and co-ordinated. Remaining at home with the right level of complex care is not only possible for most people — it is often the best clinical and personal outcome available. Our team supports clients across Surrey and London with complex needs of every kind.
- Tracheostomy care and airway management support
- Ventilator management and respiratory support
- PEG and NG tube feeding management
- Catheter and bowel management
- Stoma care and wound management
- Epilepsy management and seizure response
- Medication administration including controlled drugs where qualified
- Post-operative and hospital discharge rehabilitation support
- Spinal injury and acquired brain injury care
When Should You Consider Complex Care at Home?
Complex care at home is appropriate whenever a person’s clinical and support needs exceed what standard domiciliary care can safely provide. These are the situations in which families and healthcare teams most frequently contact us.
Clinical care needs
Your loved one requires clinical interventions such as tracheostomy care, PEG feeding, ventilator management, or complex wound care that standard carers are not trained to deliver.
Neurological condition
Your loved one has a progressive neurological condition such as MND, MS, or Huntington’s disease and their care needs have reached a level requiring specialist management at home.
Acquired brain injury
Your loved one has sustained a brain injury through accident, stroke, or illness and requires specialist rehabilitation support and consistent skilled care at home.
Spinal cord injury
Your loved one is living with a spinal cord injury and requires complex personal care, pressure area management, and support with mobility and independence at home.
Hospital discharge planning
Your loved one is being discharged from hospital or a specialist rehabilitation unit with ongoing complex clinical needs that require a skilled care team at home.
NHS continuing healthcare
Your loved one has been assessed as eligible for NHS Continuing Healthcare and a package of complex care at home has been agreed with the local clinical commissioning team.
Respiratory dependency
Your loved one is dependent on respiratory support equipment and requires a carer with specific competencies in ventilator management and airway support around the clock.
Avoiding hospital readmission
Your loved one has a history of hospital readmissions and a proactive package of complex care at home has been recommended to provide the clinical oversight needed to keep them safely at home.
Why Choose SD Care for Complex Care at Home?
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CQC Registered and Regulated
SD Care is fully registered with the Care Quality Commission. For complex clinical care, CQC registration means our governance, training, and safeguarding processes meet the highest national standards and are subject to independent inspection.
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ISO 9001:2015 Certified by DNV
Our quality management is certified to ISO 9001:2015. In complex care, the processes behind every placement — training verification, risk assessment, care planning, and clinical liaison — must be rigorous and documented. Ours are.
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Specialist Clinical Training
We recruit carers with existing clinical competencies and invest in ongoing specialist training. Each carer placed in a complex care role is assessed against the specific clinical tasks required. No carer carries out a clinical task they have not been formally trained and assessed to perform safely.
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Multidisciplinary Team Integration
Our carers work as part of your loved one’s wider healthcare team. We liaise regularly with district nurses, physiotherapists, speech and language therapists, and consultants to ensure care is co-ordinated, documented, and adapted as needs evolve.
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Experienced Local Management
Every complex care package is overseen by an experienced local care manager who conducts regular reviews, responds rapidly to changes in condition, and acts as the primary point of contact for the family and clinical team alike.
What Families Say About SD Care
Families across Surrey and London trust SD Care with some of the most demanding and important care decisions they will ever face. Here is what some of them have shared.
Your carers are wonderful. They come three times a day to look after my husband, who is 98 and is bed-bound. Every single one that comes is kind and considerate, and smiling. They look after my husband so beautifully. I cannot wish for better people to look after us.
Amazing! Thanks again for all your help sorting out care for my mum. The team is amazing and I cannot thank everyone enough. It has made such a difference knowing she is in safe and caring hands every single day.
Excellent! No complaints. They are looking after me extremely well. I love them all; they cheer me up. I always look forward to who is coming. They all come here with a lively and cheerful smile on their face.
Frequently Asked Questions About Complex Care
What conditions does complex care at home support?
Complex care at home supports a wide range of high-dependency conditions. This includes motor neurone disease, multiple sclerosis, acquired brain injury, spinal cord injury, Huntington’s disease, advanced Parkinson’s disease, respiratory conditions requiring ventilator support, and those requiring post-operative or post-hospital clinical care at home.
We assess each individual’s needs carefully before any placement to ensure we have the right carers with the right clinical competencies. View all the conditions we support.
How much does complex care at home cost in Surrey and London?
Complex care costs vary depending on the level of clinical need, the hours of support required, and whether the package includes live-in or visiting care. Because complex care involves specialist carers with additional clinical training, the cost reflects that expertise.
Many people with complex needs are eligible for NHS Continuing Healthcare funding, which can cover the full cost of care. We will guide you through all funding options during your free assessment. See all funding options.
Are your carers trained to carry out clinical tasks?
Yes. We only place carers in complex care roles who have been formally trained and assessed as competent in the specific clinical tasks required for that individual client. This may include tracheostomy care, PEG feeding, catheter care, stoma management, seizure management, or ventilator management.
Training is conducted and signed off by qualified healthcare professionals. No carer carries out a clinical task without verified, documented competency.
How does complex care at home work alongside the NHS?
Our complex care carers work as part of your loved one’s wider healthcare team. We liaise closely with district nurses, community palliative care teams, physiotherapists, occupational therapists, speech and language therapists, and the client’s GP and consultant. We document all observations carefully and report any changes in condition promptly to the appropriate clinical professional.
Many of our complex care packages are funded through NHS Continuing Healthcare, in which case we work directly with the Integrated Care Board commissioning team to meet the agreed care specification.
What is NHS Continuing Healthcare and can it fund complex care?
NHS Continuing Healthcare is a package of care funded entirely by the NHS for people whose primary need is a health need. If eligible, the NHS funds the full cost of care — including complex care at home — rather than the individual or the local authority.
Complex conditions frequently meet the threshold for NHS Continuing Healthcare. We have extensive experience supporting families through the assessment process and can advise you on how to approach an application. Learn more about funding options.
Can complex care at home replace a hospital or rehabilitation placement?
In many cases, yes. Complex care at home is an increasingly recognised alternative to prolonged hospital stays or specialist residential rehabilitation placements for people who are medically stable but require ongoing clinical support. Remaining at home is frequently associated with better wellbeing outcomes and reduced risk of hospital-acquired infection.
Our care managers work with hospital discharge teams across Surrey and London to facilitate timely, safe transitions home. If you are planning a discharge and need a complex care package in place quickly, please call us immediately.
How quickly can complex care at home be arranged?
We understand that complex care is often needed urgently, particularly in the context of hospital discharge or a rapid deterioration in condition. In these situations, we work as quickly as possible — often within 48 to 72 hours — to identify the right carers, verify their competencies for the specific clinical tasks required, and begin care.
Please call us as soon as you know care is needed. The earlier we can begin the assessment process, the faster we can put the right package in place.
Do you provide complex care as live-in or visiting care?
We provide complex care in both formats depending on the individual’s needs and the clinical requirements of the package. Some clients require a live-in carer present at all times. Others are best supported by a team of visiting specialist carers across multiple visits each day, working alongside the community nursing team.
We will assess your loved one’s specific situation and recommend the most appropriate care structure during the free assessment.
Which areas do you cover for complex care in Surrey and London?
We provide complex care across 30 locations in Surrey and Greater London, including Guildford, Woking, Godalming, Richmond, Ealing, Kingston, Chiswick, Twickenham, Merton, Bromley, and Croydon, as well as many surrounding areas.
Have a Quick Question About Complex Care?
Our AI assistant is available around the clock to answer your questions about complex care at home, including clinical tasks, funding options, and how quickly we can begin. It is a helpful first step at any time of day, but our specialist team is always just a phone call away if you would prefer to speak with a care manager directly.
Our AI can answer general questions but is not a substitute for professional care advice. Always speak to a qualified care manager before making decisions about complex care at home.