Delegated healthcare
As a CQC-regulated provider registered for Treatment of Disease, Disorder or Injury, Ultimate Complex Care can support the delivery and oversight of delegated healthcare tasks where these form part of an agreed care plan.
Appropriately trained and competency-assessed care staff work within clearly defined protocols, with Registered Nurse leadership and clinical oversight where applicable, and in partnership with the relevant NHS or healthcare professionals. Ultimate Complex Care does not replace GPs, District Nurses, specialist nurses or other NHS clinicians.
How it fits
Delegation is agreed by the responsible healthcare professional. Our role begins once that is in place.
Examples
Examples are subject to the person’s agreed care plan, commissioning arrangements, written protocols, staff training and competency assessment.
Support with medicines in line with the care plan, the prescriber’s instructions and the agreed protocol.
Support with enteral feeding regimes where these are agreed, protocolled and competency-assessed.
Support with catheter and stoma care within the written protocol agreed for the individual.
Support with monitoring and agreed diabetes routines, escalating changes through the agreed route.
Support with respiratory or tracheostomy needs where commissioned, protocolled and competency-assessed.
Repositioning and skin-integrity routines, seizure protocols and other agreed complex support.
Working together
Delegated healthcare works when everyone knows who is responsible for what. We work in partnership with the relevant NHS and healthcare professionals, commissioners, the individual and their family.
Responsibility for the clinical decision stays with the delegating professional. Our responsibility is to deliver what has been agreed, safely and consistently, and to escalate when something changes.
Registered nurses
Registered Nurse involvement supports the care team rather than extending our regulated scope.
Partnership
Four groups shape every delegated healthcare arrangement.
GPs, District Nurses, specialist nurses and therapists who hold clinical responsibility and agree delegation.
Local Authorities, ICBs and continuing healthcare teams who agree the arrangement and its funding.
The person whose plan it is, and the people who know them best.
The colleagues who deliver the agreed task, trained and assessed as competent for that individual.
Governance
The systems that make an agreed task safe to repeat, every time.
Delivery settings
Agreed tasks sit inside an existing service rather than standing alone.
Getting started
Three confirmations before support begins.
Tell us about the person, the agreed pathway and the tasks involved. We will explain what we can support, what it depends on, and give an honest response about training, competency and timescales.
Delegated healthcare questions
No. Delegation is agreed by the responsible healthcare professional for the individual. We support the delivery and oversight of what has been agreed and recorded in the care plan.
No. Ultimate Complex Care does not replace GPs, District Nurses, specialist nurses or other NHS clinicians. We work in partnership with them.
Named colleagues are trained for that individual and assessed as competent against the written protocol before working unsupervised, with reassessment as needs change.
No. Registered Nurse leadership and clinical oversight apply where applicable to the arrangement. Day-to-day delivery is by trained, competency-assessed care colleagues.
Colleagues record what they observe and escalate through the agreed route to the relevant professional. The protocol and plan are then reviewed.
Use the professionals and referrals route on this website, call 01934 416585 or email enquiries@ultimate-complex-care.co.uk. We will confirm the pathway, protocol and competency requirements before support begins.
Make a referral
Tell us about the support required and our team will contact you to discuss the next steps.
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