Prestige Nursing and Care is a leading provider of complex care, enabling our clients to remain in the comfort of their own home and cared for by a highly skilled team of professional carers or nurses.

We are trusted by our clients, their families and are the preferred choice for many commissioning groups and case managers to provide skilled and compassionate complex care that is focused on improving health and overall well-being.

Our established complex care service supports adults who are living with chronic health issues, a long-term life limiting illness, a disability, a mental health condition or an acquired brain injury.

Our primary aim and focus is to work alongside multi-disciplinary teams to provide individualised care and support to enable our clients to remain at home. We strive to encourage our clients to retain as much independence as possible, to promote emotional and mental well being and enjoy a fulfilled life which includes social interation.


We are experts in the specialist care of conditions that impact a person’s ability to live well.

This includes neurological conditions like Parkinson’s, multiple sclerosis or motor neurone disease, and physical disabilities such as muscular dystrophy and cerebral palsy. We also provide compassionate palliative care for those who are nearing the end of their life.

Our professional carers are expertly trained to provide nurse-led clinical interventions including respiratory and airway support, tracheostomy management, feeding support including PEG feeding and stoma and catheter care.

We work collaboratively with other healthcare professionals, multidisciplinary teams, commissioning groups and other therapy providers involved in our client’s care. This ensures an integrated and holistic approach underpins the adult complex care we provide.

Family involvement and support are central to our approach to providing adult complex home care. Our care teams ensure families receive high levels of support, as much as is needed. We take time to understand the caring relationship between our clients and their families and our approach is respectful of this and client-focused.

The level of care provided is planned in partnership with everyone involved in a client’s care as we know through our experience this ensures goals are reached and outcomes are improved.

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Nurse-led care or complex care for adults is nursing care which is led and managed by an expert registered nurse who is highly experienced. The registered nurse assigned to a client will be responsible for developing and overseeing the clinical components of the care package. This ensures the carer who provides hands-on care has the requisite training, support and supervision to deliver high-quality home care safely and effectively.

As part of our nursing care service, we assess care needs and plan the care and support required whilst continually monitoring and evaluating outcomes. Our care is flexible and can be quickly adapted to meet changing needs.

Adult complex care includes:

  • Establishing and agreeing on clinical care needs
  • Undertaking risk assessments
  • Developing a plan of care, working with the client and family to set expectations
  • Providing hands-on care at home
  • Evaluating the care provided, ensuring the right care is delivered at the right time so a person’s needs are met – every time
  • Providing advice and support to the client and their family
  • Working in collaboration with other healthcare professionals involved in a person’s care


Our adult complex care service is nurse-led and carers are trained to provide care and support for complex, terminal and other medical conditions that impact how you live your life.They are supported by an expert, dedicated registered nurse who provides unrivalled supervision and support for the clinical care we provide.

With this leadership and oversight carers can perform many delegated healthcare tasks and interventions at home, including:

Respiratory and airway support
  • Oxygen delivery and suctioning
  • Cough assist working in partnership with physiotherapists
  • Tracheostomy management
  • Non-invasive Positive Pressure Ventilation (NIPPV) via masks – CPAP/BiPAP
  • Invasive ventilation via machines – Nippy
Feeding and supplementary support
  • NGT/PEG/gastrostomy management
  • Continuous/intermittent pump feeding
Elimination and toileting
  • Catheter care
  • Stoma care
  • Skin integrity and pressure area care
  • Assistance with mobility aides to encourage safe moving and handling
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At Prestige we know that adults living with long-term complex needs can also be living with challenges relating to their mental health and emotional well-being. This can impact how they think, feel and behave. Poor mental health can affect a person’s day-to-day functioning, relationships, physical health and ability to enjoy life.

Our sensitive carers are supported by our registered nurses, are trained to promote good mental health and take the time to build positive relationships with those they care for. They will gently encourage positive and healthy behaviours and can recognise symptoms relating to mental illness early.

This means we can respond appropriately to ensure adults with complex care needs living with these challenges can get the specialist treatment they need, as and when they need it. The approach we take is as individual as the person we care for, with care highly personalised to you can live a positive and fulfilled life, whilst ensuring any medications are managed effectively.


When you choose Prestige Nursing & Care, you can be reassured that the carer who cares for you or your loved one is experienced and expertly trained to provide the support you need, to the high standards you should expect.

If you are receiving complex care at home, the carers we choose to support your needs will have at least six months care or health sector experience before they come to care for you. In addition to completing our induction training programme, which goes above mandatory requirements, they are trained by our registered nurses, clinical experts and other healthcare professionals involved in providing care to a specific client.

This hands-on nurse training means our carers can competently undertake a range of clinical interventions. We adopt a bespoke approach to training that ensures our carers have the knowledge, skills and aptitude to deliver high-quality complex care that meets the very specific needs of our clients. Through our unrivalled supervision and clinical oversight carers can adapt their approach and evolve the care they provide to meet changing needs.

We are very proud of our carers – each and every one of them is dedicated to providing compassionate, sensitive and dignified complex care at home that means our clients live a fulfilled and meaningful life, with independence and choice, for all of life.


The cost of complex care for adults is dependent on the level of care and support you require. If you are receiving our hourly adult complex care the overall cost will be determined by the number of visits and frequency of visits to you at home. Our experts will conduct a comprehensive assessment of your needs at your home, or in hospital if you are awaiting discharge, to truly understand what you need and therefore how much complex care at home will cost.

We know that our cost of professional adult complex care is very competitive when compared with other home care providers.  It is worth noting that when comparing the cost of nursing care with a nursing care package in a nursing home, that the fee you pay for nursing care at home is actually for the care and support you receive.  In a nursing home your weekly fee mainly covers your accommodation, food and social activities with the care package being only a small part of what you pay.If you are living with a disability or life-limiting condition that affects your health and ability to live daily life, you may be entitled to either healthcare funding, social care funding or Government funding to contribute to the cost of complex care at home.  If you are faced with having to finance your own home care (known as self-funding care), there are initiatives available to you, including care fees annuities or equity release schemes that could provide the funds you need for your care and support

Find out why our clients choose Prestige Nursing & Care for a high quality, responsive complex care service.

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Chris has been living with muscular dystrophy for many years.


Chris has been living with muscular dystrophy for many years. Recently his lung collapsed and following a tracheostomy, he required 24-hour care. Chris was determined to return home from hospital and live as independently as possible.

His critical medical condition gave him bouts of anxiety that impacted how he felt, so he needed to trust his care team. He worried about the loss of personal space from 24-hour adult complex care arrangement, so it was key that Chris and his carers got on well, so they could be honest with each other about the level of care he wanted.

Prestige Nursing & Care responded quickly with a team of carers to support Chris who would best meet his needs.  So that Chris could feel reassured and he had continuity we happily employed Chris’ live-in PA of 8 years, James, as part of the team. This approach enabled Chris to have control over his care team which was very important to him.  James was medically trained at the hospital, with additional training from Prestige.  Another carer was provided to deliver care in the morning and evenings, as well as a carer through the night to attend to his medical needs and personal care.

The complex care provided by the team at Prestige to support his muscular dystrophy symptoms included tracheostomy care, BPAP, suctioning, cough assist, ventilator and nebuliser support, handling and hoisting, as well as personal care and domestic care of his home.  Chris now lives a fulfilled life at home with his dedicated team of carers, and his mother is able to enjoy her life again.

Chris said: “My carers give me much-need emotional support, as well as practical help.  My views are completely respected and I feel understood.  My carers are more like friends, and most of all I have my life back.”


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Clinical excellence is at the heart of our culture and approach to service delivery at Prestige Nursing & Care. Our nurse-led home care service is monitored and supported by our experienced regional nursing teams. Our team of qualified regional nurses are registered with the Nursing and Midwifery Council (NMC). Each holds a registered nursing qualification in at least one nursing specialism, including general adult nursing, learning and disability nursing, mental health nursing and children’s nursing. They enable the planning and delivery of safe and effective complex care to our clients.

Our nurses work in partnership with our care coordinators, carers, clients and families to identify specific care needs and plan the most appropriate care provision, whilst ensuring all our carers have the skills they need to deliver high standards of nurse-led care. They also provide families with ongoing advice and continual support to ensure they feel reassured about the service we provide.



Our trusted and established care adult complex care service can be provided in the following ways for someone needing nurse-led care:

  • Hourly care or visiting care is for those who need care and support with tasks of daily living or clinical care at certain times during the day.  Care at home can be provided from a 30-minute visit to as many hours/visits throughout the day as you require. One day or several days of the week depending on your care and support needs. For those who have complex needs, hourly care can be provided over a 24-hour period.
  • Respite care for those needing a short-term arrangement after hospital discharge to rehabilitate or when a family carer needs a break from their caring role. It is also an ideal service for families who wish to assess whether care at home is the right care choice for them.
Case Study_Robert


Robert sadly suffered a spinal cord injury having fallen down a


Robert sadly suffered a spinal cord injury having fallen down a flight of stairs, resulting in multiple fractures including a spinal fracture to his back.

Following the accident, he had surgery which involved the insertion of pins and plates as well as wrist fusions. This left Robert with paralysis from the chest down, with limited movement in his shoulders, his hands and wrists.
He also had Autonomic Dysreflexia directly related to his spinal cord injury, which causes high blood pressure coupled with slow heart beats. After the acute surgical phase, Robert was discharged from hospital to a specialist spinal injury unit for treatment and rehabilitation, but he was desperate to get back to his much-loved home.

Prestige Nursing & Care was contacted by Robert’s case worker with a view to establishing a 24-hour care and support package.  Robert required a team of fully trained carers to meet his complex needs around the clock.  They received bespoke training to meet his physical needs and additional clinical training to monitor and support his Autonomic Dysreflexia.  A plan of care was then developed for Robert that not only met his care needs, but reflected how he wished to live his life to support his independence, choices and wishes.

Prior to Robert moving home, the team at Prestige worked in partnership with the care management team at the spinal injury unit to ensure a smooth transition back home for Robert.  A clear action plan was created to ensure an efficient and effective discharge from the spinal injury unit, with the right adult complex care package in place.  Once home Robert’s carers completed training, with the expert oversight of Prestige’s registered nursing team to ensure they were competent to provide the care that Robert needed.  The local team worked with other healthcare professionals involved in Robert’s care to ensure he had essential equipment needed to improve the quality of his life at home.

After three years, Robert was able to move back home and his condition is well-managed by the Prestige care team, and its clinical experts. Living at home, with support, has enabled Robert to reclaim and retain as much independence as possible.


Our responsive and reliable local care at home service for those adults with complex care needs means we can put a care pathway and plan in place quickly. In many cases, within 24-hours.

We work in partnership with healthcare professionals, case managers, families and personal injury lawyers to ensure we have an in-depth understanding of a client’s needs. Our local registered nurse will conduct a comprehensive assessment of your needs at home or in any specialist care setting enabling a plan of care and support to be developed that meets all your needs.


Our approach to care planning, whether it is for hourly, respite or a permanent live-in care arrangement, ensures we capture all your preferences and wishes so you can live a contented life in the comfort of your own home.

We take time to find the nursing carer that would best meet your adult complex care needs, making sure they are closely aligned with how you wish to live your life. Once care is in place, our local teams made up of care and clinical experts provide you, your family and our carer with an abundance of ongoing support, reassuring you that you or your loved one is receiving the very best complex care at home.


Prestige Nursing & Care is not an agency. Unlike a home care agency, we are a fully managed and regulated complex care provider, which means our clients, their families and our professional partners can be reassured that the care and support we provide those living with adult complex care needs are of the very highest quality.   Our service is inspected by the Care Quality Commission (CQC) in England and the Scottish Care Inspectorate (SCI) in Scotland.  We are proud that 96% of our inspected services have been rated as providing a ‘Good’ service, with 4% rated ‘Outstanding’. All our services in Scotland have been awarded a five-star rating.

Our accredited service for adult complex care, which meets local and national quality standards and ensures a consistent approach to the care we provide, provides peace of mind and reassurance that our service is of the highest quality.

Find out why our clients choose Prestige Nursing & Care for a high-quality, responsive complex care service.

Complex Care FAQS


If you are an adult living with a complex need and require nurse-led care, you may be entitled to healthcare funding to receive this care at home. NHS Continuing Healthcare funding is organised and funded by your local Clinical Commissioning Group (CCG).

The process of finding out whether you are eligible for NHS Continuing Healthcare funding can be a lengthy one as the qualification criteria is rigorous and can be overwhelming for some families.   As we have formed strong relationships with CCG teams locally, we are able to work effectively together to deliver the best outcome possible for our families.

So, what are the steps in securing healthcare funding:

  1. The first step is to ask for a continuing care assessment from your social worker or GP.
  2. A medical professional will be assigned to your application and will arrange with you to undertake an initial screening at home, or if you are in hospital, they will visit you there.
  3. Each of your needs if determined as healthcare needs, will be categorised as low, moderate, high, severe, or priority. You will be eligible for support if you have one priority and more than one severe need.

They will consider the following needs:

  • Breathing
  • Nutrition
  • Continence
  • Skin integrity
  • Mobility
  • Communication
  • Psychological needs
  • Emotional needs
  • Cognition
  • Behaviour
  • Medication and drug therapies
  • Altered state of consciousness
  • Other significant care needs
  1. You will then receive the results from your assessment via your CCG. They will then make the final decision as to what level of funding you will receive.  They will write to you and explain how they made their decision.
  2. If you are deemed as not eligible you can appeal this decision.

Find out why our clients choose Prestige Nursing & Care for a high quality, responsive complex care service.

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We provide complex care in over 30 locations in the heart of communities across England and Scotland. The fully managed service we provide is highly responsive and our experts local to you can put care packages in place quickly, working in collaboration with local healthcare professionals, multidisciplinary teams, therapeutic care providers and other community support services. We know this holistic approach ensures our clients get the best out of life, for all of life.

Find a care service near you

Find out why our clients choose Prestige Nursing & Care for a high quality, responsive complex care service.

We are here to take your call and will provide impartial support and guidance – contact our friendly care experts today to discuss your adult complex care needs.

0808 239 1525