Case Studies

Complex care in action

These are real cases from our own work, anonymised, covering the situation we were referred, how we built the care around it and what changed once it was in place. They’re written from the person’s story, with the clinical detail underneath.

Adult, Ventilation

Round-the-clock ventilation for a progressive neurological condition

AE, 39, has Duchenne muscular dystrophy with severe muscle weakness and respiratory compromise.

Need

Nocturnal bilevel ventilation, intermittent daytime support, assisted cough, PEG feeding, chronic sinus tracts needing daily dressing, and a high pressure-injury risk. His previous provider couldn’t cover escalating needs.

Package

Began March 2022 with weekend clinical cover over three 12-hour shifts; expanded to 36 hours a week; moved to full 168-hour weekly coverage with specialist ventilatory nursing in October 2022.

Outcome

Safe, stable, at home. “I feel safe, respected, and truly cared for every day.”

Paediatric, Emergency

Emergency cover for a child with a rare degenerative condition

Child A has adrenoleukodystrophy, a rare degenerative neurological condition affecting the myelin sheath.

Need

Full respiratory support with airway management and suction, PEG care, seizure management with rescue medication, and full support with mobility and personal care. Two previous providers couldn’t maintain staffing.

Package

Emergency cover from June 2023 at 30 hours a week; reassessed with the commissioning authority; expanded to a full 172-hour weekly plan by August 2023 with a skilled paediatric team.

Outcome

Reassurance and routine restored at home. “NL Group has brought reassurance and routine into our home.”

Adult, Learning Disability

One-to-one support for a young adult with complex learning disabilities

A young man of 18 with severe learning disabilities, autism and ADHD, living at home with his family.

Need

One-to-one support at all times, at home, in the community and at college; full personal care; consistent behavioural management; and safety supervision.

Package

Urgent assessment and 100 hours a week from February 2020; scaled to 336 hours a week by April 2020 to add overnight and seven-day support; held at 336 hours a week.

Outcome

Calm, routine and safety at home. “The carers have brought calm, routine, and a real sense of safety to our home.”

Adult, Tetraplegia

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

A 57-year-old man with complete tetraplegia following a spinal cord injury, needing full ventilator support, tracheostomy care and PEG feeding.

Need

A tracheostomy and continuous ventilator support, with careful respiratory management, PEG feeding and full assistance with daily living.

Package

NL Group took over the package in 2021 and now delivers 24/7 care — 336 hours a week — with a specialist team trained in tracheostomy, ventilation and complex manual handling.

Outcome

More confident and more in control. “Since NL Group took over my care, I’ve felt more confident and more in control of my life.”

What Partners Say

In our commissioners’ own words

"

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

"

NL Group is a ‘go to’ provider when we need to get complex service users out of hospital quickly and into specialist packages.”

Brokerage Officer

Hull City Council

"

Whenever we need to raise any issues, they are dealt with efficiently and easily managed.”

Commissioning Officer

Hull City

Enquiries

Tell us about your case

If one of these looks like a case you’re trying to place, tell us about yours and we’ll come back within one working day.

Case studies

Case Studies

Adult, Ventilation

Paediatric, Emergency

Adult, Learning Disability

Adult, Tetraplegia

What Partners Say

"

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

"

NL Group is a ‘go to’ provider when we need to get complex service users out of hospital quickly and into specialist packages.”

Brokerage Officer

Hull City Council

"

Whenever we need to raise any issues, they are dealt with efficiently and easily managed.”

Commissioning Officer

Hull City

Enquiries