By Tinga Umera, Managing Director, Nexus Care Services
In the past, people with highly specialised health needs were often cared for in hospital or a residential setting, largely because that was where the right clinical support was available.
That picture is changing, as advances in clinical practice and home-based equipment mean many people with complex health needs can now receive high-quality clinical care in their own home, close to their families and on their own terms.
At Nexus Care Services, we deliver this care through Nexus Nursing, our specialist clinical team, who support people with a wide range of complex conditions.
Nexus Nursing brings registered nurses and clinically trained care teams together to support people whose needs go beyond everyday home care, across Sutton Coldfield, Lichfield, Tamworth and the wider West Midlands.
It is a shift that matters more each year, as the number of people living with long-term and complex conditions continues to grow.
Complex care describes support for people with significant, ongoing health needs that call for clinical skill and careful day-to-day management.
The people we support may be living with neurological conditions, the effects of a stroke, an acquired brain injury or spinal cord injury and long-term respiratory conditions.
Some also rely on enteral feeding or other clinical interventions as part of their daily care.
Depending on a person’s needs, support from Nexus Nursing may include:
The exact support each person receives is agreed following their initial nursing assessment and we are always clear with families and professionals about what we can safely provide.
Many people have their care funded through NHS Continuing Healthcare or arranged with support from their local authority.
Others choose to arrange and fund their care privately. We support people through all routes, delivering the same standard of clinical care for each package.
The Health Foundation projects that 9.1 million people in England will be living with major illness by 2040, 2.5 million more than in 2019.
Around 80 per cent of that increase is expected among people aged 70 and over.
Demand for funded complex care is already considerable. NHS England figures show 50,753 people were eligible for NHS Continuing Healthcare at the end of December 2025, while more than 164,000 people were found eligible over the course of 2024/25.
At the same time, equipment that was once only found on hospital wards is increasingly suitable for safe use at home, making care in the community a realistic option for more people.
The NHS wants care closer to home
The government’s 10 Year Health Plan for England, published in July 2025, puts the move from hospital to community at its heart, with more care delivered in people’s homes and local neighbourhoods.
For many people, receiving complex care at home brings a better quality of life. They can stay close to family and keep the routines and independence that matter to them.
Home care will not be the right answer for everyone. Where it is clinically appropriate and backed by the right expertise, though, it can be a safe and effective alternative to hospital or residential care.
Our team follow an established process to ensure you receive the highest quality of care:
Every package of care begins with a comprehensive assessment carried out by one of our nurses, usually in the person’s home.
We look closely at their clinical needs and medication, the equipment they use and any risks to manage. Just as importantly, we take time to understand their daily routines and what they want to achieve.
When someone is coming home from hospital, we work with the discharge team and other professionals involved in their care, so nothing is lost in the handover.
The assessment shapes a personalised care plan. It sets out how each clinical task should be carried out, alongside the person’s wishes for their day-to-day life.
The person and their family are involved in agreeing it and it is written around who they are rather than simply their condition.
The plan is a working document. Our team follows it on every visit or shift and it is updated whenever something changes.
Complex care relies on skilled people. Our care teams receive clinical training in the specific interventions each person needs and no one carries out a clinical task until a nurse has assessed them as competent to do so for that individual.
Competencies are reviewed regularly. Staff also receive ongoing supervision and can call on our nursing team for clinical advice.
Wherever possible, we build a small, consistent team around each person. Familiar faces make a real difference to trust and comfort and carers who know someone well are quicker to notice small changes in their health and raise them early.
Nexus is registered with the Care Quality Commission for the regulated activity Treatment of Disease, Disorder or Injury, which covers the nursing care we provide at home.
Our nurses keep oversight of every package, regularly reviewing care plans and outcomes and adapting support as needs change.
We keep the person’s GP and wider healthcare team informed, so care at home stays joined up with the rest of their treatment.
Our focus today is the nurse-led complex care at home described above. Looking further ahead, we are exploring how we might support newer models of community care, such as virtual wards, as they develop locally. Any future service would be built on the same clinical standards we apply now.
Complex needs should not automatically mean a life spent in hospital. With the right clinical support, many people can receive the care they need at home and stay connected to the people and places that matter most to them.
Whether you are arranging care for a relative or commissioning a package for someone you support, our nursing team is happy to talk through the options. Please get in touch.
We genuinely believe that our carers provide the best service available.
If you need care in Sutton Coldfield, Tamworth or Lichfield, please get in touch with our friendly and approachable team.
