Tell us what care is needed—we will explore how we can help

Yes—suitable same-day starts can be considered. Call us as early as possible and we will begin assessing the request immediately. We can work rapidly with the individual, family, hospital, social worker, Continuing Healthcare team or case manager. A start that day depends on receiving enough essential information, completing proportionate safety checks and having workers with the right skills available. We will move quickly without bypassing the safeguards that protect the person.

We consider hospital discharge, carer breakdown, deteriorating mobility, increased personal care, urgent night support, end-of-life care, temporary cover, reablement, crisis response and situations where an existing care arrangement is at risk of failing. TogetherCare provides assessed social care and does not replace emergency or acute medical services.

Yes. An initial conversation can begin with the information currently available. We will identify what else is needed and can liaise with the relevant people while capacity is explored. Missing documents may affect the final start time, but they should not prevent early contact.

We focus on the essentials: consent and communication, immediate care tasks, medication, mobility, equipment, access, significant risks, escalation contacts and suitable staff. A fuller plan and review can follow promptly once the immediate arrangement is stable.

Yes. We consider urgent discharge, reablement and step-down packages. We can work with ward teams, discharge coordinators, therapists, community nurses, social workers and families to understand what must be in place. Equipment, medication, moving guidance and access arrangements need to be clear before the person returns home.

Yes. We welcome a conversation about any package of care. This may be a single visit, several daily calls, short-term help, longer shifts, respite, waking nights, sleep-ins, double-handed care, one-to-one support, two-to-one support, continuous 24-hour care or a large dedicated-team arrangement. Acceptance depends on assessment, regulated scope and our ability to provide the right staff reliably.

We consider home and community care, personal care, medication, dementia, learning disabilities, autism, mental health needs, physical disabilities, acquired brain injury, spinal injury, neurological conditions, rehabilitation, hospital avoidance, end-of-life care, overnight care and complex or changing needs. We assess the actual person rather than deciding suitability from a diagnosis alone.

Yes. Continuous packages may use a structured rota of day, evening, waking-night or sleep-in workers, depending on the assessed need. We plan management oversight, handovers, contingency cover, training and review so the package remains resilient.

Yes, where two workers are required for moving and handling, personal care, community access, behavioural support or another assessed reason. The plan must clearly explain when two workers are required and the responsibilities of each person.

Yes. For larger, continuous or specialist packages, we can recruit, train and manage a dedicated local team. Mobilisation may include targeted recruitment, values-based interviews, package-specific training, shadowing, competency checks and contingency staffing. We will provide a realistic mobilisation plan rather than promise an unsafe start date.

Yes. We assess how frequently support is likely to be needed, whether the worker must remain awake, the tasks involved, the sleeping facilities and the risks overnight. Visit our overnight care page for further information.

Yes. Care can be short term, ongoing, introduced in stages or changed as confidence and needs develop. Packages may increase during illness or discharge and reduce through reablement, or begin with a smaller trusted team before expanding.

Yes. We will consider suitable packages throughout the North West. Our established base is in St Helens, with experience across surrounding boroughs. For packages further away, particularly larger or continuous arrangements, we assess whether we can establish and sustain a suitable local workforce with effective management and on-call oversight.

Enquiries are welcome from across Merseyside, Greater Manchester, Cheshire and Lancashire—including St Helens, Wigan, Knowsley, Halton and Widnes, Liverpool, Sefton, Warrington and surrounding communities. Location alone will not stop us having a conversation; practical delivery and safe staffing determine whether we can proceed.

We consider travel, local recruitment, staff supervision, training, on-call response, management visits, contingency cover and links with nearby professionals. Larger packages may support a dedicated local team, while smaller distant calls must be assessed carefully to ensure punctual and reliable delivery.

Yes. We are open to partnership working, mobilisation meetings, joint assessments, discharge planning, provider transitions and developing a local team around identified demand. We welcome early conversations with commissioners, brokerage teams and health partners.

Individuals and families can contact us directly. We also welcome referrals from local authorities, brokerage and commissioning teams, NHS Continuing Healthcare, integrated care organisations, hospital discharge teams, social workers, community professionals, case managers, solicitors, deputies, insurers, rehabilitation teams and other care providers seeking support or transition.

Care may be privately funded, paid through direct payments or a personal budget, or commissioned by a local authority, NHS Continuing Healthcare, an integrated care body, case manager, insurer or another funding organisation. We can provide the information needed for an estimate or funding discussion, but the funder determines eligibility and approval.

Yes. We can consider spot placements, framework referrals, individual service funds, direct-payment arrangements, private contracts and formally commissioned packages. Send the specification, response deadline, proposed rate and start date as early as possible.

We can provide an initial indication once we know the location, hours, staffing ratio, timing and general complexity. A confirmed proposal depends on assessment and the actual resources required, including nights, specialist training, travel, management oversight or dedicated-team mobilisation.

Potentially. A private arrangement may sometimes begin while statutory or insurance funding is being explored, provided the person responsible for payment understands and accepts the costs. Funding should never be assumed until formally confirmed.

We aim to provide a consistent core team matched to the person’s preferences, communication and needs. No provider can guarantee one individual for every call, so trained contingency cover is planned as well. Larger packages have a defined team rather than relying on one or two workers.

Recruitment includes identity, work-history and reference checks, the appropriate DBS process and values-based assessment. Staff complete induction and ongoing training. Complex packages may also require bespoke learning, shadow shifts, professional guidance and documented competency checks before independent work.

Medication prompts, assistance or administration may be provided following assessment and within the agreed care plan. Staff maintain records and report missed doses, refusals, possible side effects or other concerns. Care workers do not prescribe or independently change medicines.

Communication is agreed with the person and respects consent, capacity and confidentiality. This may include named contacts, review meetings, digital care records, medication information, incident notifications and timely escalation when needs or risks change.

Yes. Family knowledge can be invaluable. With the person’s consent or appropriate legal authority, relatives can contribute to assessments, care planning, reviews and communication. The person receiving support remains central and should not be spoken over.

We monitor delivery, gather feedback and review whether the plan remains suitable. Urgent or newly mobilised packages may need early and frequent review. Care can be adjusted when routines, medication, mobility, risks, professional guidance or personal goals change.

No. If someone is in immediate danger or has a life-threatening emergency, call 999. For urgent medical advice when it is not an emergency, use NHS 111. TogetherCare can consider urgent social care once immediate medical needs are addressed and the required information is available.

The change is recorded and escalated through the agreed route. Depending on the situation, this may involve a manager, relative, GP, district nurse, specialist team, social worker, NHS 111 or emergency services. Staff work within their role and do not attempt to replace clinical assessment.

Staff are expected to recognise, record and report concerns. TogetherCare follows its safeguarding procedure and works with the relevant local authority, police, health professionals or other agencies where required. Read our Safeguarding Policy.

We will explain the reason openly, identify missing information or arrangements and, where possible, say what would need to change before reconsideration. We may suggest a phased start, different staffing model, additional equipment, professional guidance or more mobilisation time. We will not accept care that we cannot deliver safely and reliably.

Contact us directly so the concern can be acknowledged, investigated and responded to. Our Complaints Policy explains the process and routes for escalation. Raising a genuine concern should not disadvantage the person receiving care.