Parkinson's Disease
Care at Home

Expert nurse-led homecare for people living with Parkinson's disease — at all stages of the condition. Precision medication management, falls prevention, dysphagia support, and specialist end-of-life care. England, Wales and Scotland.

CQC Rated Good Medication Timing Critical Palliative-Capable 24/7 Clinical Team

Call 0330 678 3014 Email a Referral

Parkinson's Care at Homez

Parkinson's disease is a complex, progressive neurological condition where care needs intensify significantly over time. Advanced Parkinson's can involve high-dependency physical care, complex medication regimes with exquisitely time-sensitive dosing, swallowing difficulties, cognitive changes, and serious falls risk.

The critical distinction between standard domiciliary care and Ambition24direct's clinical homecare is medication management. Getting Parkinson's medication timing wrong — even by 30 minutes — can have serious consequences on motor function, risking falls, aspiration, or hospital admission. Our nurses understand this.

Medication timing is not negotiable in Parkinson's care. Levodopa and dopamine agonists must be administered to the minute — not when a carer happens to arrive. Our nurses treat Parkinson's medication as a clinical priority, not a domestic task.

Parkinson's variants we support:

  • Idiopathic Parkinson's disease

  • Progressive Supranuclear Palsy (PSP)

  • Multiple System Atrophy (MSA)

  • Corticobasal Degeneration (CBD)

  • Lewy Body Dementia with Parkinsonism

Let's Talk

Clinical Care We Provide

Medication & Clinical Management

  • Precision-timed oral medication administration

  • Apomorphine infusion management (subcutaneous)

  • Rotigotine and other transdermal patch management

  • Duodopa/Lecigon continuous intestinal gel infusion (PEG-J)

  • Syringe driver management at end of life

  • PEG feeding where dysphagia is severe

  • Catheter and bowel management — autonomic dysfunction

  • Seizure management where co-existing

Physical & Cognitive Support

  • Falls prevention and post-fall management

  • Freezing episodes — gait cueing and support

  • Personal care with Parkinson's-specific moving and handling

  • Dysphagia management and safe swallowing support

  • Implementing physiotherapy and OT programmes

  • Cognitive and behavioural support — hallucinations, psychosis

  • Sleep disturbance and overnight safety monitoring

  • Emotional support for individuals and families

Who Commissions Parkinson's Packages

NHS & Continuing Healthcare

  • ICBs commissioning CHC packages for advanced Parkinson's

  • Parkinson's specialist nurses and neurology teams

  • Hospital discharge teams following Parkinson's-related admission

  • Palliative care teams for end-stage Parkinson's

Private Families

  • Self-funding families requiring nursing-level Parkinson's care

  • Personal Health Budget holders

  • Interim packages while CHC is assessed

  • Specialist nursing to complement existing care packages

Frequently Asked Questions

  • Yes. Duodopa and Lecigon continuous intestinal infusions — delivered via PEG-J — require specialist nursing management. Our nurses are trained in device management, cassette changes, infusion site care, and troubleshooting pump alarms. We liaise directly with the Parkinson's specialist team managing the infusion programme.

  • Yes. Subcutaneous apomorphine infusion requires trained nursing management — including site rotation, pump management, and monitoring for adverse effects. We work with the prescribing Parkinson's specialist team to ensure the infusion is managed safely and effectively at home.

  • Advanced Parkinson's disease can meet the primary health need threshold for NHS Continuing Healthcare — particularly where clinical needs include complex medication management, enteral feeding, falls risk, cognitive impairment, or end-of-life care. We can support ICBs and families through the CHC assessment process.

  • Yes. We provide end-of-life care for people with advanced Parkinson's and Parkinson's-plus syndromes (PSP, MSA, CBD) — including syringe driver management, palliative symptom control in coordination with specialist palliative teams, and sensitive family support. Many people with Parkinson's have a strong preference to die at home, and we support that where clinically possible.

Refer a Parkinson's Patient

Our clinical team is available 24 hours a day for new referrals, hospital discharge packages, and urgent care needs.

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