Agincare’s Complex Injury Partnerships provides specialist home based care built around clinical oversight and governance. We work alongside NHS clinicians and community teams to help maintain continuity between hospital and home, reduce avoidable deterioration, and support safe discharge and long term stability.

Our care and support is clinically led and designed to be responsive as needs change, with clear escalation pathways, structured training and competency sign off for delegated tasks, and regular review so risks are identified early and managed proactively. Where appropriate, we can also provide nursing input within the care, which can be a more cost efficient option than relying on multiple external district nurse visits, while still maintaining safe clinical oversight.

For case managers, this means fewer care and support breakdowns and better visibility of what is happening day to day. You receive clear reporting that supports decision making, reviews and funding discussions, including objective information on clinical presentation, risks, progress and adherence to the agreed plan. For legal professionals, it means reassurance that care is delivered within a robust framework, with defensible governance, documented competencies and a clear line of accountability when clinically related support is being provided at home.

Download our Complex Injury Partnership Brochure

Clinical expertise you can rely on

We support adults, children and young people living with complex injuries and long term conditions, including brain injury, spinal injury, complex neurological conditions, multiple trauma, and progressive conditions. Our care teams are trained to deliver clinically led care in the home, combining safe day to day support with clear clinical oversight, so people can stabilise, recover and make meaningful progress in a familiar environment.

By putting the right team, training and governance around each care plan, we help reduce avoidable deterioration and admissions, support safer discharge and transition from hospital, and provide the consistency clients and families need for long term stability.

Typical clinical needs we support:

Nurse-led care

Some community based healthcare activities are delivered through nurse-led care. This matters for case managers and legal professionals because it strengthens governance, clarifies accountability, and supports defensible decision making when clinical tasks are delivered at home.

Our approach aligns to CQC expectations around delegation, competence and oversight, including where tasks are delegated by a regulated healthcare professional and must be demonstrably safe and within the worker’s competence.

What this means in practice

  • Clear clinical rationale for each delegated task
  • Competency based training with practical assessment, not just theory
  • Signed competency records and refreshers, with escalation routes
  • Clinically led risk management, infection prevention, medicines governance, and incident learning
  • Confidence for families and professionals that interventions are delivered safely and legitimately

Working with multidisciplinary teams

We work collaboratively with the wider multidisciplinary team, including NHS clinicians, community teams, discharge teams, therapy services, to create continuity across setttings.

Hospital Discharge and Transition Planning

We regularly support urgent and high risk transitions, mobilising care quickly and stabilising care plans that reduce the risk of readmission or regression. In the brochure we describe rapid mobilisation and clinically overseen care designed to support safe discharge and continuity at home.

Communication that Supports Case Management

  • A single accountable provider model to reduce fragmentation
  • Proactive updates, changes in presentation, and escalation documentation
  • Input into reviews with objective information that supports funding decisions

Clinical leadership

Every individuals care is supported by clinical leadership to drive safe practice, consistent standards and effective risk management. Our Clinical Lead provides oversight and guidance across complex care plans, supporting safe delegation, ensuring competence, and strengthening clinical governance.

For case managers, clinical leadership supports care plan stability, reduces avoidable risk, and improves visibility of day to day delivery. For legal professionals, it provides reassurance that care is delivered within a robust framework, with documented competencies, clear accountability, and defensible decision making when clinical support is part of the package.

Meet our Clinical Lead Cher Goodyer-El Meheiry (RN DipHE IDE)

Cher has spent her entire career in health and social care, with expertise spanning neuro-orthopaedic rehabilitation, cardiothoracic surgery, community nursing, dementia, mental health, addiction, and disability analysis. She has worked across Europe and the UK, including establishing her own domiciliary care service in Monaco and expanding it into France to support people with complex care needs. Before joining Agincare in April 2023, she worked with the DWP in disability analysis and as a Mental Function Champion.

At Agincare, Cher leads on quality assurance, technical competency, and training for our live-in care teams. Living with a spinal cord injury herself, she embodies resilience and dedication, inspiring everything we do and showing what’s possible when care is done right.

Meet our Quality Director Suzanne Barnard

Suzanne Barnard has joined Agincare as Group Quality Director, leading our approach to quality assurance, governance and continuous improvement across the organisation’s diverse portfolio of services.

As a Registered Nurse, Suzanne brings extensive senior leadership experience, having held director level roles across clinical leadership, safeguarding, quality assurance, community care and hospital settings.

Governance, training and competency

Quality in complex care is not accidental, it is built through recruitment, training, supervision and review. We use structured governance to support safe practice, consistent delivery, and continuous improvement.

Training Built Around the Person

Training is matched to the individual, then reinforced through supervision and review. This typically includes:

  • Mandatory training plus client specific clinical training
  • Practical competency assessment and sign off
  • Ongoing supervision, spot checks and refresher training
  • Clear guidance for escalation, emergency response and incident reporting

Audit and Assurance

Our governance approach supports:

  • Clear care planning and risk assessment
  • Medicines processes and documentation
  • Incident reporting and learning
  • Safeguarding and quality monitoring
  • Continuous improvement, with actions tracked through to completion

Case study: Clinically governed care that keeps people safe at home

Neill has Cerebral Palsy and lives at home with Agincare live-in care from Ron. When his needs became more complex after aspiration pneumonia in 2023, Agincare worked with the hospital and community clinicians to provide specialist training and a coordinated care plan, enabling a safe discharge home.

Today, Neill is back enjoying days out, concerts and football, with fewer hospital admissions, showing how continuity and person-centred matching make complex care work at home.

To discuss how we can partner with your firm, please contact us:

Email: [email protected]
Call us today: 08081 756597

Download our Complex Injury Partnership Brochure

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