Commissioned care
We work directly with NHS commissioners, ICBs and case managers to build, staff and manage packages of care for clients with complex needs who want to live well at home and in their communities across England.
Every package is shaped around the person. From rapid response support to a lifetime of care, we take the time to get it right for the individual and for the families who love them.
Our complex and specialist care at home
Whatever the need, whatever the funding framework, we specialise in building complex care packages that are clinically led and centred entirely around the individual.
Care needs
- Adult complex care
- Paediatric complex care
- Care for neurological and degenerative conditions
- Spinal injury support
- Acquired brain injury care
- Palliative and end of life care
- Post-operative care
- Care away from home including support for holidays and travel
Funding frameworks
- Personal health budgets (PHBs)
- Continuing healthcare (CHC)
- ICB funded packages of care
Care that works towards independence
Our aim is always to do more than just provide care. Through carefully considered interventions, we work with individuals to build the skills and confidence they need to regain independence, stepping down support gradually where possible and always at a pace that feels right for them.
It’s not just about the care we put in place today. It’s about the life we help people build for tomorrow.
Why choose us
Every package we manage comes with strong operational and clinical foundations, reducing your administrative burden and keeping care running smoothly.
Rapid response
As needs change, we adapt quickly and safely, without disruption. During any transition, clients retain the same clinical lead who knows them best.
Always-on support
We provide round-the-clock clinical and operational support for every client and their care team, every day of the year.
Flexible step-up and step-down
As needs change, we adapt quickly and safely, without disruption. During any transition, clients retain the same clinical lead who knows them best.
Simplified invoicing
Every invoice carries a unique client ID, making reconciliation straightforward and reducing your finance team’s workload.
Proactive stock monitoring
We check and report on medicines and medical equipment regularly, flagging low stock before it becomes a problem.
Structured care planning
Clinical leads conduct clinical assessments and reassessments, creating care plans the entire team work to, which are tailored to each client and regularly reviewed.
Clinical governance and oversight
Every stage of a package is designed around clinical quality and safety, from the initial assessment through to structured care planning, ongoing monitoring and clear escalation when needed.
Dedicated clinical leadership
Each client has a service delivery manager, regional clinical lead and care coordinator. Complex packages are created and overseen by a qualified clinical lead with high-acuity care experience.
Legislation and CQC compliance
We operate in line with all relevant legislation and CQC standards. Robust processes cover care delivery, staffing and record-keeping across every package.
Clear escalation pathways
We use a structured escalation framework to identify early deterioration, trigger clinical reviews and coordinate with external services, while families and commissioners are kept fully informed.
Incident and complaint management
All incidents are handled through a structured process, fully investigated and reported on transparently, with learnings shared to prevent recurrence.
Data-led quality improvement
We regularly review data across care delivery, incidents and outcomes to identify patterns and drive continuous improvement.
Robust staff training
Our clinical team holds expertise in airway management, neurological care, spinal injury, end-of-life care and post-operative recovery, with continuous training in place via our clinical platform.
Testimonials
Our experience working with Pulse has been fantastic. I have found the team to be very helpful, dedicated and enthusiastic. They have shown real commitment and passion when helping us search for cover.
I cannot begin to think where my Dad and I would be without the carers and exceptional care that Pulse Nursing at Home provide. The carers are wonderful and give my dad the respect and dignity he deserves.
Working with us
We make placing a complex care package straightforward. Here is exactly what to expect from your initial referral right through to care delivery.
Our referral process
Initial discussion
The first step is an initial discussion to understand the client’s care requirements.
Proposal and costings
We’ll then put together a tailored proposal, outlining suggestions and care options along with costings for review.
Carry out assessment
Once you’ve reviewed and approved the proposal, your allocated clinical lead will arrange an assessment to fully understand the client’s needs.
Personalised care plan
Our clinical lead will develop a tailored care plan covering services, schedules and any special requirements. This may involve input from healthcare professionals and other parties to complete the necessary documentation.
Identify suitable workers
Our team of care coordinators will identify suitable workers and arrange the necessary training which will be aligned with the client’s needs.
Agreement and contract
Prior to a package of care starting, we’ll require a contractual agreement in place. This will outline the terms and conditions of the services and any other relevant information.
Service commencement
Once the agreement is signed, the care plan and clinical documentation finalised and care workers have completed their training and sign-off process, we’ll work with all parties to agree on a suitable start date.
Ongoing support
We maintain regular communication and reviews with the client and care workers, providing updates, addressing concerns and adjusting the care plan as needed to ensure it continues to meet the client’s needs.
Our people
We focus on building and retaining a skilled team of nurses and support workers so that packages are safe and clinically robust from day one.
Robust recruitment
Every nurse and support worker is recruited with enhanced DBS checks, full referencing and a clinical competency assessment.
Ongoing training
Continuous supervision and training ensures our workforce remains equipped to deliver safe, high-quality complex care.
Clinical-led support
Every team is backed by clinical leads, service delivery managers and care coordinators to maintain safety and performance.
Case study
Supporting Marley and his family
Marley lives with Tay-Sachs, causing seizures and difficulty clearing secretions, so regular suctioning is essential.
Nights were once the hardest part for Marley’s mum, managing constant repositioning and seizures.
Since our nurses began coming into the home, nervousness turned to relief, with trained professionals watching over Marley and managing his care.
As Mum says: “They’re our lifeline. They’re like our family.”
Commission a package of care
Complete the form below and a specialist business manager will be in touch to discuss how we can support you.