Community nursing at home
Clinical care delivered in your home rather than a clinic waiting room, by a nurse who knows your history.
Community nursing is clinical care that comes to you. For a lot of people it is the difference between managing a condition at home and spending a day getting to and from an appointment for twenty minutes of care.
Nursing here is not subcontracted when a plan happens to fund it. It is the clinical spine of the organisation, governed by a Registered Nurse, and it is why support workers have a clinician to call when something looks wrong.
What we deliver
Wound assessment and dressing, including chronic and pressure wounds. Catheter care and changes. Continence assessment and bowel care. Medication administration and management, including webster pack oversight. Diabetes management, including insulin. Enteral feeding, including PEG care. Post-operative care after a hospital discharge. Clinical assessment and review, and writing the reports that plan reviews ask for.
Why it matters who delivers it
A wound that is not healing the way it should is a clinical judgement, not an observation. The value of clinical governance is that the judgement happens early, in your living room, instead of six weeks later in an emergency department.
It also means the support workers who see you most often are supervised by someone clinical. A worker who notices a pressure area, a change in appetite or a medication that is not agreeing with you has somewhere to take it the same day.
How it is funded
Nursing sits in the Core supports budget under Assistance with Daily Life, and complex or high intensity nursing carries its own line items and price limits. If your plan does not currently fund nursing and you think it should, that is a conversation for your next review, and the clinical evidence for it is something we can help document.
Questions
Do you provide nursing overnight?
Yes, where a plan funds it, including as part of supported independent living. Sleepover and active night supports are quoted separately from day supports because the NDIA prices them differently.
Can you support a PEG or enteral feeding?
Yes. Enteral feeding and PEG care are delivered under Registered Nurse oversight, and support workers involved are trained and signed off for the specific person rather than in general.
Do you take ventilation?
No. Ventilation is the one high intensity support we do not deliver. Everything else in the high intensity list we can discuss.
Can you help after a hospital discharge?
Yes, and it is one of the more useful times to bring us in. Discharge is when supports are most likely to fall through the gap between the hospital and the plan. Talk to us before the discharge date if you can.
Do you write reports for plan reviews?
Yes. Clinical documentation supporting a request for more funded hours, or for nursing to be added to a plan, is part of the service rather than an extra.
Make a referral or ask about a placement
Tell us the supports the plan funds and when they need to start. We respond the same business day.