Local authority referrals
Planned home care, complex packages, crisis response, supported living or other commissioned arrangements subject to the applicable contract route.
Referrers, case managers and private clients
A dependable local partner for personalised and complex care
A clear referral route for professionals, families and individuals seeking safe, outcome-focused support across St Helens.
Every referral is assessed individually. Acceptance depends on complete information, funding authorisation, safe staffing, training, equipment and the precise regulated activities required.
Honest capacity decisionsWe assess before promising a start
Clear mobilisationResponsibilities, skills and risks confirmed
Outcome reportingUseful information for authorised partners
Local coordinationA St Helens-based management team
A straightforward referral route
More than identifying available capacity
The right provider must understand the individual, recognise the risks, communicate openly and deliver what has been agreed. TogetherCare considers regular home care, short-term support, complex packages, overnight care, urgent referrals and continuous staffing.
We would rather explain that more preparation is required than accept prematurely and place the person or wider arrangement at risk.
Information for assessment
Helping us reach a safe decision
Clear, current information reduces delay and prevents assumptions about staffing or scope.
Care requirementHours, visit times, overnight arrangements, double-handed tasks and intended start date
Health and medicationDiagnoses, medicines, clinical responsibilities, deterioration signs and professional contacts
Mobility and equipmentMoving-and-handling plan, transfers, slings, aids, access and environmental risks
Communication and cognitionHow the person communicates, makes decisions and should be involved
Risk and contingencyBehaviour, safeguarding, missing care, family breakdown, emergencies and backup arrangements
Authority and fundingCommissioner, budget, purchase order or contract route, representatives and information sharing
Referral pathways
Different arrangements, one careful assessment standard
NHS and CHC
Continuing Healthcare, discharge, fast-track, end-of-life, rehabilitation and other health-funded packages with clear clinical responsibilities.
Case-managed care
Bespoke recruitment, package induction, therapy-led outcomes, reports, MDT review and communication with deputies or solicitors.
Private clients
Flexible home support for individuals and families who arrange and fund care directly, with the same assessment and safeguarding standards.
Hospital discharge
Short-term or ongoing support planned around equipment, medication, access, staffing and the community professional network.
Urgent referrals
Prompt consideration where care has broken down or needs have changed, without bypassing essential safety checks.
Complex and specialist referrals
Defining responsibilities before the first shift
Complex packages may include neurological needs, physical disability, brain or spinal injury, learning disability, mental health, respiratory support, enteral nutrition, continence routines or rehabilitation goals.
Specialist tasks are accepted only where assessment, professional instruction, delegation or authorisation, staff training, competence, clinical oversight and TogetherCare’s regulated scope are all clear.
Explore TogetherCare’s complex-care serviceThe mobilisation plan confirms
- Who provides clinical oversight
- What staff may and may not do
- Required training and competency
- Medication responsibilities
- Moving-and-handling guidance
- Equipment and consumables
- Record-keeping requirements
- Deterioration and escalation routes
- Out-of-hours contacts
- Contingency cover
Our referral process
From enquiry to safe mobilisation
Initial review
We confirm the broad requirement, location, timescale, funding route and whether the referral appears to fit our services.
Information gathering
Current plans, assessments, medication, risk, equipment, professional contacts and legal arrangements are reviewed.
Person-led assessment
We meet the individual wherever practicable and understand preferences, communication, outcomes and home environment.
Capacity decision
Operations and, where relevant, appropriate clinical professionals confirm staffing, scope, training and a realistic start date.
Mobilisation
Workers are matched, briefed, trained and shadowed; records, contacts, access and contingency arrangements are established.
Early review
The plan is checked after support begins and revised with the person and authorised partners as needed.
No automatic acceptanceAn urgent timescale or available worker does not by itself make a package safe. TogetherCare confirms the full requirement before accepting responsibility.
Private client services
Flexible care with professional safeguards
Private funding can offer greater choice over timing, continuity and additional support, but it does not reduce the need for assessment, consent, risk planning and safe staffing.
Case management and rehabilitation
Care delivery connected to wider outcomes
Case-managed packages often require detailed coordination, structured reporting and sustained attention to rehabilitation goals.
Package development
- Bespoke staff recruitment
- Compatibility and matching
- Package-specific induction
- Specialist training and competency
- Therapy-led care plans
- Community and appointment support
- Overnight or continuous staffing
- Contingency planning
Reporting and review
- Meaningful progress summaries
- Outcome and goal tracking
- Incident and risk updates
- Health and medication changes
- Staffing and continuity issues
- MDT attendance
- Communication with authorised representatives
- Recommendations for plan review
Communication with referrers
Concise, useful and proportionate
Reporting arrangements are agreed at the start. We provide information relevant to delivery, risks and outcomes rather than simply reproducing every daily note.
Quality, challenge and continuity
A provider should speak up when something is unsafe
Professional challenge
If hours, equipment, guidance or the proposed plan appear insufficient, we raise this with the referrer and explain the evidence. Accepting an unsafe arrangement helps no one.
- Safeguarding concerns escalated
- Conflicting plans clarified
- Missing information requested
- Changes in need reported
Digital oversight
Care and medication records support operational monitoring, reviews and authorised reporting. Records are factual, respectful and completed at the correct time.
We aim for a consistent core team with trained contingency cover; no provider can guarantee the same worker for every shift.
Why refer to TogetherCare?
Local decisions backed by practical delivery
- Family-run since 2012
- St Helens-based management
- Direct access to decision-makers
- Detailed assessment and planning
- Complex and urgent referral experience
- Bespoke recruitment and training
- Digital care and medication records
- Case manager and MDT working
- Overnight and continuous options
- Honest safe-capacity decisions
Frequently asked questions
Referring to TogetherCare
Professionals can speak to us before sending full documents, without sharing unnecessary personal information at the initial stage.
Who can make a referral?
Individuals, families, social workers, commissioners, NHS teams, case managers, solicitors, deputies and other authorised professionals.
What information do you need?
Care hours, current assessments, medication, risks, moving-and-handling needs, equipment, professional contacts, outcomes, funding and the intended timescale.
Do you accept private clients?
Yes. Individuals and families can contact us directly for an assessment and discussion of available options and fees.
Can you work with a case manager?
Yes. We can provide bespoke recruitment, therapy-led support, reviews and agreed outcome, risk and incident reporting.
Can you accept complex care referrals?
Potentially. Acceptance depends on the tasks, regulated scope, clinical responsibilities, equipment, training, competency, staffing and contingency plan.
How quickly do you respond?
We acknowledge and review referrals as promptly as possible. A safe start date cannot be confirmed until the full requirement and resources are understood.
Can you support urgent hospital discharge?
We can consider urgent referrals, but essential assessment, medication, equipment, staffing and professional guidance cannot be bypassed.
Do you provide overnight or continuous care?
Yes, subject to assessment and suitable staffing. Options may include waking nights, sleep-ins, extended shifts and continuous rotas.
Do you work outside St Helens?
St Helens is our main area. Suitable packages in Widnes, Knowsley and Wigan can also be considered.
Discuss a referral
Start with the essential requirement
Tell us the location, hours, start date, key risks, medication or clinical needs and funding route. We will explain what information is needed next.
The lifestyle images on this page are original illustrations created for TogetherCare. They may not actual service users or staff.