Specialist Care

We understand complex care in a way few others do. We have over 30 years specialist knowledge and experience in managing and supporting people with complex conditions, including brain injury, spinal injury, epilepsy, neurological conditions, learning disabilities & respiratory and ventilation.
We support children, young people and adults, with acquired or congenital conditions, through expert clinical care. As a Group, we are able to provide integrated care pathways which evolve as our users’ do, supporting and empowering them at every stage to lead the life they want to.

Brain Injury

We are the UK’s leading provider of specialist case management, neuro-rehabilitation, and complex care support for people of all ages who have sustained a brain injury.

We have many years of experience in providing life-changing specialist treatment, rehabilitation and support packages, enabling and empowering individuals to optimise functioning, independence, and to enjoy a better quality of life. Our broad range of services across the UK - from specialist rehabilitation centres to residential facilities and in home support - means we can support an individual with an acquired brain injury, and their family, every step of the way.

Accredited by Headway UK across a number of our services, we have proven our ability to meet our users’ needs through progressive and holistic person-centred care that helps each individual to achieve their goals and improve outcomes. Experts in re-enablement, our multi-disciplinary team works together to help people develop core skills and behaviours that build confidence and independence in every part of their daily lives.


Spinal Injury

We are dedicated to improving quality of life for individuals living with spinal injury. This might mean minimal support in the comfort of one’s own home, or transitional, maintenance and long-term residential care in one of our specialist residential or supported living services.

As spinal injury specialists, in addition to providing physical support, we offer personal care support including bowel and bladder management and autonomic dysreflexia; we also provide psychological support to help people with mental, social and emotional effects of a spinal cord injury, closely tailoring our level of care as needs change.

We’re at the forefront of innovation in spinal injury care and management. Working in partnership with thought leaders and specialist charities and support organisations like Aspire, The Back Up Trust and Spinal Injuries Association, we continuously develop and refine our service so that we’re able to deliver the best care.


Epilepsy can affect people in different ways and everyone’s experience of living with this condition is different. Epilepsy can present some unique challenges, but we support people to live as independently as possible. We tailor our care to the needs of each individual – this can range from minimal support to 24/7 provision, and we provide a round-the-clock safe environment for people living within their own homes, or within one of our residential or supported living services.

Our teams receive extensive training in epilepsy to enable them to provide effective and responsive support, including understanding and administering emergency medication. Our innovative, holistic approach means we work closely with other specialists to create bespoke care plans and we have access to the latest advances in technology and medication, so people always receive the best care available.


Neurological conditions

We support people with a range of complex neurological conditions resulting from neurodegenerative diseases, including:

Locked-in Syndrome - Motor Neurone Disease - Multiple Sclerosis - Muscular Dystrophy - Huntington’s Disease - Cerebral Palsy - Spinal Cord injury

The support required for a neurological condition depends on the person, the condition and its stage of development. We take great care to understand the needs of each individual before creating a personal care plan that covers all aspects of their health and wellbeing, and helps them to manage their condition and maintain their lifestyle in the way they want to. This may involve daily care delivered in a person’s own home, or within a full time residential or supported living setting.

Ventilation and Respiratory

We provide ventilation and airway management support for people who have difficulties with their breathing due to a complex health condition. This is a clinical process involving helping people who need support for home mechanical ventilation, non-invasive ventilation, and airway management.

We take a holistic approach to ventilation and airway management care, considering both the physical and psychological effects of the condition and carefully adapting our level of support according to an individual’s needs.

All our carers complete an in-house training course led by a specialist nurse. They use researched, best practice guidelines to gain the necessary understanding and skills to provide ventilator support, cough assist, tracheostomy care, oxygen therapy, pulse oximetry, suctioning, nebulizers and enteral feeding tube care.


Learning Disabilities & Autism

We support people with learning disabilities and associated support needs related to the autistic spectrum, personality disorders, mental health conditions, forensic support and complex neurodevelopmental conditions, or a physical disability.

As every individual is unique, the support required can vary significantly. We provide bespoke and tailored services designed to offer the right level of support to meet each person’s needs and improve their personal outcomes, helping them to lead as much of an independent life as is possible and to feel happy, safe and empowered.

We enable each person to achieve their individual goals through personalised care plans which include a range of support, from therapeutic sessions to develop cognitive, behavioural and functional skills to guided leisure and social time in the community and vocational training.