For commissioners & partners
A regulated route to place complex packages that hold.
For ICBs, local authorities, CHC and children's continuing-care teams, NHS discharge teams and case managers — GHS is the nurse-led, governed partner for packages that are too complex for conventional domiciliary care.
Our commissioning offer
The value you can put in front of your board
The relevant comparison is not GHS's rate against a lower hourly rate — it is the total system cost of a governed package against the total system cost of a failed one.
Auditable governance
A controlled policy suite, monthly quality dashboard and clear accountability chain — evidence you can place before your board or the regulator.
Stable packages
Continuity by design: small named teams, competency assurance and rota resilience that prevent breakdowns before they start.
Tiered, transparent pricing
Rates that map to clinical acuity and governance — the cost of safety, not an opaque hourly premium.
Responsive mobilisation
Clinical triage, package-specific assessment and safe starts — including urgent, short-notice hospital discharge.
A single accountable partner
One provider owning the package end to end — assessment, delegation, training, supervision and review.
Reduced re-procurement
Packages that hold, so commissioners spend less time re-tendering care that has broken down elsewhere.
Cost-of-safety pricing
Rates are the price of a governed model — not a premium
GHS complex-care rates are not "higher hourly rates". They are the price of a clinically governed, safe, sustainable and commissioner-assured model — the prevention cost of failed discharge, package breakdown and unsafe delegation.
Five-tier rate architecture
-
01
Standard complex care rate
Level 1 — enhanced homecare with health-related support
-
02
Enhanced clinical rate
Level 2 — delegated healthcare under nurse oversight
-
03
High-acuity rate
Level 3 — technology-dependent, high-risk care
-
04
Mobilisation fee
Urgent / short-notice safe starts
-
05
Named nurse oversight fee
Package-specific registered clinical oversight
Mobilisation
Responsive starts, governed from shift one
Speed without safety is how packages fail. Every GHS start follows the same governed path — even for urgent, short-notice hospital discharge.
-
01
Clinical triage
Every referral triaged against registration, competence and capacity.
-
02
Package assessment
No high-acuity package starts without a documented clinical assessment.
-
03
Care plan & delegation
Clinical care plan, deterioration protocols and named delegating professional per task.
-
04
Competency sign-off
Task-specific training and observed competency before deployment.
-
05
Safe start & review
Mobilise, then a structured first-week review and monthly governance thereafter.
Let's discuss your requirements