Paediatric Complex
Care at Home

Nurse-led clinical support for children and young people from birth through transition to adult services. Trusted by NHS ICBs, Children's Continuing Care teams, and private families across England, Wales and Scotland since 1996.

CQC Rated Good Established 1996 England, Wales & Scotland 24/7 Urgent Referrals

Call 0330 678 3014 Email a Referral

What Paediatric Complex Care Means

Your child's clinical nursing needs met at home — within the family environment where children thrive, not a hospital bed or residential unit.

Clinical interventions our nurses provide

  • Tracheostomy care and suctioning (routine and emergency)

  • Ventilator management — invasive and non-invasive (BiPAP, CPAP, home ventilators)

  • PEG and jejunostomy feeding — administration, flushing, and tube management

  • Complex epilepsy and seizure management including emergency rescue medication

  • Cough assist and chest physiotherapy support

  • Bowel management programmes

  • Urinary catheter care

  • Moving, positioning and postural care for high-dependency children

  • Medication administration including complex multi-drug regimes

  • Oxygen therapy and saturation monitoring

  • Skin and wound care including pressure injury prevention

  • Stoma management

From infancy to transition. We support children from birth through to adult services. As clinical needs change, we evolve the care package with them — working alongside Children's Continuing Care and Adult CHC teams to ensure continuity.

We also support children in:

  • Specialist educational settings and mainstream schools

  • Early years and nursery

  • College and further education

  • Community activities, outings, and social engagement

  • Respite and holiday care

Let's Talk

Conditions We Support in Children

We provide paediatric complex care at home for children and young people with:Consistent Teams

Cerebral Palsy

Spinal Muscular Atrophy (SMA)

Duchenne Muscular Dystrophy

Spinal Cord Injury

Acquired Brain Injury

Spina Bifida

Complex Epilepsy

Epidermolysis Bullosa

Metabolic & Genetic Conditions

Long-term Ventilation

Tracheostomy Dependency

Post-surgical Step-down

Prematurity Complications

Muscular Dystrophy

Palliative & End-of-life

Not sure if your child's condition is listed? Call our clinical team on 0330 678 3014. We cover the full range of paediatric complex care needs — this list is not exhaustive.

The Ambition24direct Approach

Having a care team in the family home is a significant adjustment. Our approach is built on three non-negotiable commitments.

01

Consistent Teams

We build and train a small, named team around each child. The same faces, the same routines, the same understanding of your child's specific clinical and personal needs. Not a rota of unfamiliar agency staff.

02

Client-Specific Training

Every team member working with your child is clinically trained to that child's exact needs before care begins. Generic training is not enough. We sign off specific competencies — tracheostomy, ventilator, PEG — before anyone goes live.

03

Named Clinical Lead

A designated nurse manager oversees every paediatric package. They attend MDT meetings, review care plans, sign off competencies, and are directly accessible to families and commissioners at any time.

Who Commissions Paediatric Packages

Most children's packages are funded through NHS or local authority routes. We accept referrals through all pathways.

Private & Compensation Funded

  • Case managers and solicitors — catastrophic injury and birth trauma compensation packages

  • Financial deputies and Court of Protection

  • Personal Health Budget (PHB) holders

  • Private families self-funding care

NHS & Local Authority

  • NHS ICBs via Children's Continuing Care (CCA) pathway

  • Local authority children's services under the Children Act

  • Joint-funded packages (NHS + Local Authority)

  • Hospital discharge teams and step-down from PICU or NICU

Commissioners: We provide full governance documentation — staff training records, competency sign-offs, incident logs, care plan reviews — for CCA annual reviews and audits. Call our clinical team directly on 0330 678 3014.

Who We Collaborate With

Paediatric complex care works best as a team effort. We work closely with:

  • Children's Continuing Care teams and ICBs

  • SEND teams and specialist educational settings

  • Community paediatricians and hospital consultants

  • Physiotherapy, occupational therapy and speech & language teams

  • Local authority children's social care

  • Children's hospices and palliative care teams

  • Case managers, solicitors and financial deputies

  • School nursing teams and SENCO coordinators

Frequently Asked Questions

  • Most children's packages are funded by the NHS through Children's Continuing Care — a separate pathway to adult CHC. Local authorities also fund care under the Children Act. Compensation-funded and private packages are also arranged. We can guide you through the assessment and funding process.

  • We accept urgent paediatric referrals 24 hours a day. For planned packages, mobilisation typically takes 2–4 weeks to allow for clinical assessment, team selection, and client-specific training. Emergency packages can be mobilised faster — call 0330 678 3014 at any time.

  • Yes. Our nurses and trained healthcare assistants support children in educational and community settings as well as at home. We liaise directly with school nursing teams, SENCOs, and specialist provisions.

  • Yes. All staff working with children are clinically assessed and trained to the specific needs of each child before care begins — this includes condition-specific training in tracheostomy management, ventilator care, PEG feeding, seizure management, and any other clinical procedures required. Generic mandatory training is not sufficient for paediatric complex care, and we do not treat it as such.

  • Yes. We work closely with families, ICB Children's Continuing Care teams, and Adult CHC teams to plan well-structured, safe transitions. This includes updating assessments, preparing staff for changing clinical needs, coordinating with adult services, and ensuring continuity of the care team where possible.

  • Yes. We manage package transfers regularly. Contact our clinical team to discuss a transition plan — we handle the coordination with the current provider, the family, and the commissioner.

Make a Paediatric Referral

Our clinical team is available 24 hours a day, 7 days a week for urgent paediatric referrals and planned package enquiries.

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