Long-Term Injury Case Management in Enfield

Clinical case management companies often coordinate care for people with complex needs, where the right support at home plays an important part in progress and wellbeing. Home care may be helpful for clients living with:

• Traumatic Brain Injury (TBI) or Acquired Brain Injury (ABI)
• Spinal cord injury
• Amputation
• Multiple Sclerosis (MS)
• Motor Neurone Disease (MND)
• Huntington’s Disease
• Cerebral palsy
• Dementia with additional health needs
• Long COVID with complex needs
• Mental health needs alongside physical support requirements

Every situation is different, so we focus on understanding what matters to the individual, what outcomes are being worked towards, and how care at home can support those goals day to day.

Some Home Instead offices are able to undertake delegated healthcare tasks where training, governance, insurance, and oversight are in place, and where the commissioning professional permits. These can include routine personal care activities such as PEG care, catheter care, and stoma support.

In England, Wales, and Scotland, Care Professionals may also support with more complex delegated clinical tasks where appropriate planning and oversight are in place. Examples may include:

• Nebuliser support
• Wound care support (including dressing changes and basic pressure care)
• Clinical observations (such as blood pressure, blood glucose, temperature, pulse, respiration)
• Oxygen therapy (cylinder or concentrator)
• Non-invasive ventilation (NIV), with clear care plans and oversight
• Buccal midazolam
• Prescribed bowel care interventions where appropriate
• Tracheostomy care
• Topical negative pressure therapies (if supported)

This list is not exhaustive. Any clinical tasks must be agreed, delegated, and supported through appropriate clinical governance and competency processes.

Important note for Northern Ireland: the Regulation and Quality Improvement Authority (RQIA) does not currently permit Healthcare at Home services to be delivered by Care Professionals. Offices in Northern Ireland must not undertake delegated clinical tasks unless they have express permission from their regulator.

Joined-up communication matters. We are used to working alongside professionals involved in a person’s care and can support practical integration with the wider plan, including:

• Following structured care plans and risk assessments
• Supporting goal-based routines at home, aligned with therapy recommendations
• Attending agreed MDT discussions or meetings where appropriate
• Keeping clear records that support continuity and oversight
• Being open to client-specific training and agreed competency frameworks

Our aim is to make care delivery dependable and transparent, so case managers feel confident in the home element of the package.

When exploring a potential referral pathway, it can help to clarify a few practical points early on:

• What type of home-based support is needed right now, and what outcomes are being worked towards?
• Are there any delegated clinical tasks required, and what training and oversight process is preferred?
• Is continuity a key concern for this client, and what has worked well for them in the past?
• Would Live-in Care be useful at this stage, or is an hourly package more appropriate?
• How will progress and day-to-day observations be shared with the wider team?

These conversations help ensure care is set up in a way that feels organised, realistic, and supportive for everyone involved.

If you would like to discuss a current case, explore a package of care, or understand how we support delegated clinical tasks and complex home care routines, contact Home Instead Enfield. We will listen carefully, answer questions clearly, and help you work out a sensible plan for support at home.