Multiple Sclerosis
Care at Home

Expert nurse-led homecare for adults living with relapsing-remitting, secondary progressive, and primary progressive MS. Clinical support that adapts as the condition evolves — across England, Wales and Scotland.

CQC Rated Good All MS Types CHC Specialist 24/7 Clinical Team

Call 0330 678 3014 Email a Referral

MS Care at Home

Multiple Sclerosis affects people in profoundly different ways. For some, care needs remain modest for years. For others — particularly those with secondary or primary progressive MS — the condition creates significant clinical dependency requiring skilled nursing input.

Ambition24direct supports people with MS across the clinical spectrum — from complex catheter and bowel management to high-dependency care packages for individuals who are fully bed-based or require PEG feeding and ventilatory support. We build packages that flex as the condition changes, without the disruption of switching providers.

MS types we support:

  • Relapsing-Remitting MS (RRMS)

  • Secondary Progressive MS (SPMS)

  • Primary Progressive MS (PPMS)

  • Clinically Isolated Syndrome (CIS) with complex needs

  • Highly active or rapidly evolving MS

CHC-funded MS packages: Progressive MS with significant clinical needs frequently meets the threshold for NHS Continuing Healthcare. We work with ICBs and MS specialist nurses to support CHC assessments. Call our clinical team to discuss.

Let's Talk

Clinical Care Our Nurses Provide

MS care packages range from targeted clinical visits to 24-hour nursing. The model is determined by clinical need, not by what is easiest to staff.

Clinical Interventions

  • Catheter management — urethral, suprapubic, and intermittent self-catheterisation support

  • Neurogenic bowel management programmes

  • PEG and enteral feeding

  • Complex medication administration including disease-modifying treatments

  • Non-invasive ventilation where respiratory function is affected

  • Pressure area care and complex wound management

  • Seizure management where co-existing

  • Subcutaneous medication administration

Daily Living & Rehab Support

  • Personal care — washing, dressing, and hygiene

  • Moving and positioning — specialist equipment and techniques

  • Fatigue management and energy conservation

  • Spasticity management alongside physiotherapy

  • Implementing OT, physiotherapy and SaLT programmes

  • Supporting communication aids and technology

  • Community participation and social engagement

  • Family support and carer training

Who Commissions MS Packages

NHS & Continuing Healthcare

  • ICBs commissioning CHC packages for progressive MS

  • MS specialist nurses and neurology teams

  • Hospital discharge teams following acute relapse admission

  • Community neuro-rehabilitation services

Private & PHB

  • Self-funding individuals requiring clinical homecare

  • Personal Health Budget holders choosing their own provider

  • Top-up care alongside NHS provision

  • Interim packages while CHC assessment is underway

Frequently Asked Questions

  • Yes. During a relapse, care needs can increase significantly and quickly. We can rapidly increase package hours or introduce new clinical interventions to manage a relapse at home — reducing the likelihood of hospital admission. Call our clinical team on 0330 678 3014 to discuss an urgent increase in support.

  • It can — particularly secondary and primary progressive MS where the clinical picture includes significant nursing needs such as catheter management, bowel programmes, pressure care, or enteral feeding. The CHC assessment considers the nature, intensity, complexity, and unpredictability of needs. We can provide clinical documentation to support a CHC application.

  • Yes — and this is one of our key strengths for MS. We design packages that can scale without the individual having to change providers. As needs increase, we add clinical hours, introduce new interventions, or move from visiting care to live-in or 24-hour shift nursing — without disrupting the care team the individual knows and trusts.

  • Yes. Bladder dysfunction is extremely common in MS. We manage urethral catheters, suprapubic catheters, and can support intermittent catheterisation programmes — working alongside continence nurses and urology teams to keep catheter management safe and comfortable at home.

Refer an MS Patient

Our clinical team is available 24 hours a day for new package referrals, urgent increases in care, and CHC support.

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