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.
NHS Continuing Healthcare (CHC)
Complex homecare packages for adults with primary health needs. We provide full governance evidence for CHC reviews and annual assessments.
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.
Fast-Track CHC
Urgent packages for individuals with rapidly deteriorating conditions or end-of-life needs. We mobilise within 24–48 hours of referral.
Section 117 Aftercare
Post-discharge packages for individuals detained under the Mental Health Act requiring continued clinical support at home.
Personal Health Budgets (PHB)
Supporting PHB holders to commission and manage their own complex care packages — with Ambition24direct as the nominated provider.
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.
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.
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.
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.
Governance & Compliance
What commissioners receive as standard — not as an exception.
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.
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.
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.
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.
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.
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
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Contact our team on 0330 678 3014 to discuss framework arrangements and preferred provider agreements in your ICB area. Many ICBs commission directly from Ambition24direct outside of framework agreements where clinical need or geography requires it — call us to discuss.
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Fast-Track referrals are fielded directly by our on-call clinical lead, available 24/7. We conduct a rapid telephone or in-person clinical assessment and can confirm provisional staffing within hours. For end-of-life packages, we treat mobilisation as a priority. Call 0330 678 3014 and state it is a Fast-Track referral.
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Yes. We produce structured clinical evidence to support CHC decision support tool (DST) assessments — including nursing summaries, care plan histories, risk assessments, and functional observations. We work with ICB CHC teams to ensure the evidence reflects the patient's primary health need accurately.
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Yes. We manage package transfers regularly — including cases where families have raised concerns about their current provider or where ICBs need to re-commission following provider failure. We coordinate with the outgoing provider, the family, and the ICB to make the transition as smooth as possible. Call to discuss a transfer.
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Yes. We are registered with the Care Quality Commission (CQC) in England and the Care Inspectorate in Scotland. We deliver packages across England, Wales and Scotland — commissionable through a single provider relationship.
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Staffshift is the A24 Group's proprietary compliance and workforce management platform. It provides a real-time, auditable record of staff attendance, competency status, incident logs, and care plan compliance. ICBs can request reports from Staffshift at any time — removing the need to rely on verbal assurances about compliance.
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
