24/7 clinical support for a service user with tetraplegia

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Case Study · Adult, Tetraplegia

Round-the-clock clinical support for a service user with tetraplegia

Service user D is a 57-year-old man with complete tetraplegia following a spinal cord injury. He needs full ventilator support, tracheostomy care and PEG feeding. NL Group took over his package in 2021 and now delivers 24/7 care — 336 hours a week.

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Case Introduction

A complete spinal cord injury

Service user D is a 57-year-old man who sustained a severe spinal cord injury at the C4/5 vertebrae after falling from a ladder while working as a window cleaner. The injury resulted in complete tetraplegia, and he is now fully dependent on others for all aspects of daily life and clinical care.

As his support needs grew more complex, NL Group was asked to take over his care package in 2021, and now delivers 24/7 care.

“Providing 24-hour care for someone with such complex needs is a responsibility we don’t take lightly. Our goal is always to deliver consistent, expert support that empowers the individual to live life on their terms.” — NL Group Team Lead

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The Challenge

What Service user D’s care required

His needs were high-acuity and continuous:

  • A tracheostomy and continuous ventilator support — he can breathe independently for only a few minutes
  • Frequent muscle spasms and a risk of aspiration pneumonia, needing careful respiratory management including oxygen therapy and cough assist
  • PEG feeding overnight, alongside the oral intake he enjoys during the day
  • Full assistance with hygiene, including hoisting to and from a shower chair, and cleaning of his tracheostomy, PEG and stoma
  • Support with all aspects of daily life, including social interaction and activities inside and outside the home
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What We Did

How the package grew

Aug 2018

Ad Hoc Clinical Support

NL Group first provided ad hoc support to assist with clinical tasks and build rapport.

On Request

Asked to Take Over

At the service user’s own request, NL Group was asked to assume full responsibility for his care.

Oct 2021

Full 24/7 Package — 336 Hours

A specialist team trained in tracheostomy care, ventilator management, PEG feeding and complex manual handling.

Since

More Active, More in Control

A consistent team supports a more active, socially fulfilling life while expertly managing his clinical needs.

The Outcome

“Since NL Group took over my care, I’ve felt more confident and more in control of my life — even with the challenges I face every day.”

Service user D

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What Partners Say

In our commissioners’ own words

“NL Group Generally Manage Their Care Packages Very Well. They Took Over a Client That Had a Lot of Issues, and There Has Been No Issue with Them.”

Anita Broadwell, CHC Senior Clinician, East Riding of Yorkshire CCG

“For the More Complex Service Users, NL Group Is the Main Provider We Use in This Area.”

Diane Murray, Home Ventilation Service Lead, Hull University Teaching Hospitals NHS Trust

“We Often Use NL Group When Our Packages Are in Crisis; NL Group Will Stabilise the Packages and Return Them to Order.”

Head of NHS Funded Care, North Lincolnshire

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