Stroke Care
at Home

Specialist nurse-led homecare following ischaemic stroke, haemorrhagic stroke, and subarachnoid haemorrhage — supporting hospital discharge, community rehabilitation, and long-term complex care. Across England, Wales and Scotland.

CQC Rated Good Hospital Discharge Support Rehabilitation Partnership 24/7 Urgent Referrals

Call 0330 678 3014 Email a Referral

Stroke Care at Home

Stroke is the leading cause of complex disability in the UK. The clinical and support needs following a significant stroke can be profound — affecting mobility, communication, swallowing, cognition, and continence. Many stroke survivors require skilled nursing support to live safely at home.

Ambition24direct provides homecare at every stage following stroke — from acute hospital discharge through community rehabilitation to long-term complex care. We work alongside stroke teams, physiotherapists, speech and language therapists, and occupational therapists to deliver care that supports recovery and quality of life.

Hospital discharge teams: We work with stroke units and early supported discharge teams to plan and execute safe return home. Our clinical team accepts urgent referrals 24/7 — call 0330 678 3014 to discuss a discharge package.

Stroke types we support:

  • Ischaemic stroke

  • Haemorrhagic stroke (intracerebral)

  • Subarachnoid haemorrhage (SAH)

  • Brain stem stroke

  • Transient ischaemic attack with residual deficit

  • Paediatric stroke

Let's Talk

Clinical Care We Provide

Stroke care packages vary considerably. We design each package around the individual's specific deficits and rehabilitation goals.

Clinical Interventions

  • PEG and enteral feeding for dysphagia management

  • Tracheostomy care where required post-stroke

  • Catheter management — urethral and suprapubic

  • Bowel management and neurogenic bowel programmes

  • Seizure management — post-stroke epilepsy

  • Pressure area care and complex wound management

  • Complex medication management including anticoagulation

  • Spasticity management in coordination with physiotherapy

Rehabilitation Support

  • Implementing physiotherapy, OT and SaLT programmes at home

  • MDT attendance and liaison with stroke rehabilitation teams

  • Cognitive rehabilitation support — memory, attention, executive function

  • Communication support — aphasia, dysarthria

  • Moving and handling — correct technique to support neuroplasticity

  • Falls prevention and safety management

  • Fatigue management and activity pacing

  • Supporting return to community activities

Who Commissions Stroke Packages

Case Managers & Legal

  • Case managers managing stroke packages arising from medical negligence

  • Solicitors acting for claimants following haemorrhagic stroke linked to clinical error

  • Financial deputies managing long-term stroke care funds

NHS & Continuing Healthcare

  • ICBs commissioning CHC packages post-stroke

  • Stroke units and early supported discharge teams

  • Community stroke teams planning ongoing support

  • Hospital discharge teams for complex stroke patients


Private Families

  • Self-funding families requiring nursing support after stroke

  • Personal Health Budget holders

  • Interim packages while CHC assessment is completed

Paediatric Stroke

  • Children's Continuing Care for paediatric stroke

  • Children's hospitals and PICU step-down

  • Case managers for paediatric stroke compensation packages

Frequently Asked Questions

  • Yes. We work alongside stroke physiotherapists, occupational therapists, and speech and language therapists — implementing their programmes in the home environment as part of daily care. Our nurses and healthcare assistants carry rehabilitation goals into every aspect of the care routine, not just during therapy sessions.

  • Yes. We work with stroke units and early supported discharge teams to plan and execute safe discharge home. We accept urgent referrals 24/7 and can mobilise packages within 48–72 hours for planned discharges. Call 0330 678 3014 to discuss a step-down package.

  • Following a severe stroke, many individuals meet the threshold for NHS Continuing Healthcare — particularly where clinical needs include enteral feeding, catheter management, seizure management, or high-dependency personal care. We can provide clinical evidence to support a CHC assessment.

  • Yes. Seizures are a recognised complication after stroke — particularly haemorrhagic stroke and SAH. Our nurses are trained in seizure management and emergency rescue medication administration, with written seizure management plans in place for every individual where this is a clinical risk.

Refer a Stroke Patient

Our clinical team is available 24 hours a day for hospital discharge referrals, planned 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