Complex Homecare
You Can Commission
With Confidence

Ambition24direct partners with Integrated Care Boards across England, Wales and Scotland to deliver CQC-rated complex homecare packages for adults and children. CHC, CCA, Fast-Track, Section 117, and Personal Health Budgets — available 24/7.

CQC Rated Good England, Wales & Scotland Adult & Paediatric Urgent Packages Available

Call 0330 678 3014 Email a Referral

About Ambition24direct

A national complex care provider — registered, audited, and built for NHS commissioning requirements.

1996

Established — 30 years of complex care delivery

Why ICBs Commission Through Ambition24direct

Governance, consistency, and clinical quality — the three things commissioners tell us matter most. Here is how we deliver them.

CQC-Registered and Rated Good

We are registered with the Care Quality Commission (CQC) and rated Good across all domains. Our reports are publicly available. Commissioners do not need to conduct additional provider due diligence from scratch.

Full Governance Documentation

We produce and maintain the full documentation set required for CHC and CCA reviews: staff training records, competency sign-offs, risk assessments, incident logs, care plan reviews, and compliance reports. Available on request.

Consistent Staffing Allocation

We build dedicated care teams around each patient — not a rolling rota. Consistent allocation reduces clinical risk, reduces family complaints, and reduces the burden on CHC case managers managing frequent staff issues.

Genuine National Coverage

We cover England, Wales and Scotland through a single contract. No need to commission separate providers for patients who live outside a local patch. One provider, one governance framework, one point of contact.

Urgent & Fast-Track Capability

Our clinical team accepts urgent referrals 24 hours a day. Fast-Track CHC packages — including those requiring mobilisation within 24–48 hours — are handled by our on-call clinical lead. We do not route urgent cases through a standard referral process.

Technology-Enabled Compliance

Our clinical and compliance processes run through Staffshift — the A24 Group's proprietary platform — providing a real-time audit trail of staff attendance, competency status, incident reporting, and care plan compliance accessible to commissioners on request.

Funding Pathways We Accept

We are experienced in managing complex care packages across all NHS and local authority commissioning routes.

ADULT

NHS Continuing Healthcare (CHC)

Complex homecare packages for adults with primary health needs. We provide full governance evidence for CHC reviews and annual assessments.

PAEDIATRIC

Children's Continuing Care (CCA)

Nurse-led complex care at home for children and young people from birth to 18 — and through transition to adult CHC.

URGENT

Fast-Track CHC

Urgent packages for individuals with rapidly deteriorating conditions or end-of-life needs. We mobilise within 24–48 hours of referral.

MENTAL HEALTH

Section 117 Aftercare

Post-discharge packages for individuals detained under the Mental Health Act requiring continued clinical support at home.

CHOICE

Personal Health Budgets (PHB)

Supporting PHB holders to commission and manage their own complex care packages — with Ambition24direct as the nominated provider.

DISCHARGE

Hospital Discharge Packages

Post-acute and post-ICU step-down packages where clinical complexity prevents a standard discharge. We partner with hospital discharge teams directly.

Clinical Capabilities

We manage high-acuity packages where most domiciliary care providers cannot operate.

High-Acuity Clinical Procedures

  • Tracheostomy care and emergency tube changes

  • Invasive and non-invasive ventilator management

  • PEG, NG, and jejunostomy enteral feeding

  • Complex epilepsy and seizure management

  • Spinal cord injury and autonomic dysreflexia

  • Cough assist and airway clearance

  • Pressure area and complex wound management

  • Catheter and bowel care

  • Medication administration including IV and subcutaneous

Conditions We Manage at Home

  • Acquired Brain Injury (TBI, hypoxic, stroke)

  • Spinal Cord Injury (all levels)

  • Motor Neurone Disease and SMA

  • Muscular Dystrophy and neuromuscular conditions

  • Cerebral Palsy and complex neurodisability

  • Multiple Sclerosis

  • Parkinson's Disease

  • Huntington's Disease

  • Complex epilepsy

  • Palliative and end-of-life

How to Refer

Three steps from first contact to care in place.

STEP 1

Contact Our Clinical Team

Call 0330 678 3014, email bookings@a24direct.co.uk, or WhatsApp 07723 503 976. For Fast-Track or urgent discharge, tell us it is time-sensitive — our on-call clinical lead will respond directly. No referral forms or procurement portals required to start the conversation.

STEP 2

Assessment and Costings

We conduct a clinical assessment — reviewing the individual's care needs, clinical procedures required, and preferred staffing model. We provide a written costing and care specification within a defined timescale. For CHC and CCA packages, we work within ICB pricing frameworks and can supply evidence for prior-approval submissions.

STEP 3

Mobilisation

Once commissioned, we assemble and train a dedicated team, complete the care plan, and establish a named clinical lead. We target mobilisation within 2–4 weeks for standard packages, and 24–72 hours for urgent Fast-Track or hospital discharge cases. We keep you updated throughout.

"Our excellent reputation for good service, reliability and consistent safety

is based upon the support team, the technology, the training and the facilities we have built over three decades, and three generations.”

- Founder, Penny Streeter OBE.

PHONE (24/7) 0330 678 3014

Clinical team available around the clock

EMAIL

Include the patient's location and primary clinical needs

WHATSAPP 07723 503 976

For urgent queries and Fast-Track referrals

Governance & Compliance

What commissioners receive as standard — not as an exception.

01

Staff Compliance

DBS-checked, NMC/HCPC-registered where applicable, with condition-specific competency sign-off before any package commences. Compliance tracked in real time via Staffshift.

02

Care Plan Reviews

Regular structured care plan reviews with written records available to the commissioner and clinical teams. We flag clinical changes proactively — we do not wait for the annual CHC review.

03

Incident Reporting

Structured incident and near-miss reporting with root cause analysis. Commissioners receive copies of serious incident reports and are informed promptly of any escalations.

04

MDT Participation

Our named clinical leads attend hospital and community MDT meetings on request. We treat MDT participation as part of the package — not an add-on service.

05

CHC & CCA Review Support

We produce a structured evidence pack for annual CHC and CCA reviews — nursing summaries, clinical notes, competency records, and risk assessments — reducing the administrative burden on ICB case managers.

06

Regulatory Registration

CQC-registered in England, Care Inspectorate-registered in Scotland. Our inspection reports and registration details are publicly available on both regulators' websites.

Frequently Asked Questions

Make a Referral or Request a Costing

Our clinical team is available 24 hours a day. For urgent Fast-Track or hospital discharge referrals, call us directly — do not use email.

Phone (24/7) 0330 678 3014

Email: bookings@a24direct.co.uk

WhatsApp: 07723 503 976

Call 0330 678 3014 Email a Referral

Ambition24direct

CQC Rated Good  |  Established 1996  |  A24 Group Ltd