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Routes Healthcare

Spinal Injury Care at Home

Clinical expertise that helps you live life on your terms after spinal cord injury

Life changes after a spinal injury. Your home doesn't have to. Our specialist teams provide the clinical support you need while helping you maintain control, independence, and the routines that matter most.

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Your home. Your life. Our expertise.


When you're adjusting to life with a spinal cord injury, the last thing you need is more upheaval. Staying home means keeping your routines, your community connections, and your sense of control.


Our care teams understand spinal injury care from the inside. We provide the clinical expertise to manage health risks alongside the practical support to maintain independence - whether you're living with tetraplegia, paraplegia, or incomplete injury.

Spinal Injury Client at home, Care supporting his independence

SPECIALIST CARE WE PROVIDE


How We Can Support You

Our carers are trained by registered nurses to provide specialist interventions for spinal injury

Respiratory & Airway Support

  • Tracheostomy management
  • Cough assist and suction
  • Ventilation support
  • Emergency airway protocols

Bowel & Bladder Care

  • Catheter management
  • Stoma care
  • Continence programmes

Pressure & Skin Integrity

  • Pressure area monitoring
  • Repositioning schedules
  • Wound care
  • Prevention strategies

Mobility & Transfers

  • Safe moving and handling
  • Specialist equipment use
  • Physiotherapy support
  • Positioning for comfort

Medication Management

  • Complex medication regimes
  • Pain management
  • Emergency medication protocols

Daily Living Support

  • Personal care with dignity
  • Meal preparation
  • Household support
  • Social activities and community access
Email our team
Call our team
Clinically-Led Spinal Injury Care At Home - Nurse On Phone

REGISTERED NURSE-LED CARE


Clinical oversight you can trust


Every client with spinal injury has regular reviews from our registered nurse team. They:

  • Train your care team in specialist interventions
  • Complete competency assessments
  • Monitor for complications
  • Update care plans as needs change
  • Coordinate with your consultants and therapists
  • Provide 24/7 clinical support

This isn't basic home care. It's clinical care delivered at home by teams who understand spinal injury.

Getting Started with Spinal Injury Support at Home

1. Free Clinical Assessment

Our registered nurses will visit your home (or hospital) to understand your spinal injury care needs, discuss your goals, and create a comprehensive care plan tailored to your situation - covering everything from respiratory support to daily routines.

2. Specialist Care Team Matching

Meet the specialist carers who'll be supporting you regularly. We carefully match you with carers trained in spinal injury interventions - because consistency and trust are essential when managing complex care like tracheostomy management, catheter care, and pressure area monitoring.

3. Bespoke Training & Competency

Every carer completes specialist training for your specific needs - whether that's autonomic dysreflexia protocols, ventilation support, or safe transfers. They undergo competency assessments before working independently, ensuring clinical expertise alongside compassionate care.

4. Care At Home Begins

Your care starts when you're ready. We'll make sure everyone - you, your family, and your carers - feels prepared and knows what to expect. Questions are normal, adjustments happen, and our clinical team is always available if you need them.

Receive specialist support whilst remaining in the place that matters most - your home.

We understand that arranging complex care feels daunting when you're already managing challenging medical conditions.

Our process starts with a comprehensive assessment where we understand your medical needs, personal preferences, and family situation. We work with your existing medical team to create seamless care plans.

Call our friendly team:
0333 800 1379

Email us directly:
enquiries@routeshealthcare.com

Get in touch with our team

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Why choose Routes for Spinal Injury Care at Home?

We've been supporting people with spinal injuries across Northern England for over 15 years. We know this isn't straightforward care - it requires clinical expertise, quick response when things change, and teams who understand what living with spinal injury actually means. Here's what that looks like in practice:

Rapid Response

Fast-Track team mobilises within hours when needed

Complex Care Specialists

 15+ years supporting spinal injuries across Northern England

Directly Employed Teams

No agency staff - every carer is Routes-employed, trained, and accountable

Directly Employed Teams

Responsive care across Greater Manchester, Merseyside, West Yorkshire, North East, Lancashire, and Cheshire

CQC Regulated and TDDI Registration

Registered to provide Treatment of Disease, Disorder and Injury - the clinical oversight required for complex spinal injury care

How we make a difference

We're proud to have built lasting relationships with our clients. Here's what they have to share about their experience with us.

"I would just like to thank you to all the staff that looked after my Dad. They were all amazing. The care that was given was excellent. They were all respectful and empathetic to our situation right up until the very end."

Janine P

Daughter of Client

"These girls were amazing, not only were they professional and did everything for my mam but they also listened to me and my worries and anxiety nothing was too much for them I would and have highly recommended them to everyone I know. I will never forget their patience and kindness."

Julie J

Daughter of Client

"Routes are a fantastic care company i just cannot fault them at all. They are 100 times better than my two previous care companies and I will always recommend Routes Healthcare to everybody who is looking for a care company."

Alan D

Client

"My father recently had to start having care at home. I have dealt with Routes for over a month and I have to say they have been really good. Whenever I call the team they are always so nice and helpful. They always work with me and are always willing to help which is a massive positive."

Dahlia B

Daughter of Client

"I am delighted with the services offered by Routes Healthcare for one of my clients. They have managed to source a capable and enthusiastic team, who are resourceful and supportive to the client and their family. I have no reservations in recommending Routes Healthcare to other case managers."

Case Manager

Anonymous Review

"We have very good care and service with Routes from both the lovely carers and the management. They look after my mum's needs very well including her challenging little dog!! We are very grateful and very pleased with the service. Thank you"

Helen C

Daughter of Client


SPINAL INJURY CARE FAQ


Questions families ask us

How quickly can spinal injury care be arranged at home?

For urgent situations like hospital discharge or care breakdown, our Fast-Track team can mobilise specialist spinal injury care within hours. This includes carers trained in tracheostomy management, catheter care, and autonomic dysreflexia protocols. 

For planned care arrangements, we can potentially complete assessment and begin care within a week. We understand delays can mean extended hospital stays or unsafe situations at home, which is why rapid response is built into how we work.

What qualifications do carers need for spinal injury care?

No, we don't tie families into long-term contracts.

All carers supporting spinal injury clients complete specialist training delivered by our registered nurses. This includes tracheostomy care and suction, autonomic dysreflexia recognition and emergency response, catheter and stoma management, pressure area care and repositioning, safe moving and handling for spinal injuries, and ventilation support where needed. 

Each carer must pass competency assessments before working independently, and training is updated regularly as your needs change. Our registered nurses provide ongoing clinical oversight and are available 24/7.

Do Routes carers work with my existing spinal injury medical team?

Absolutely. Coordinated care is essential for spinal injuries. Our registered nurses maintain regular communication with your spinal consultant, physiotherapists, occupational therapists, case managers, GPs, and any other healthcare professionals involved in your care. 

We attend multidisciplinary team meetings (typically every 4-6 weeks), share care notes and observations with your medical team, implement recommendations from consultants and therapists into daily care, alert your medical team to any changes in your condition, and coordinate equipment provision and home adaptations. 

We see ourselves as part of your healthcare team, not separate from it.

How much does spinal injury care at home actually cost?

Costs vary depending on the level of clinical intervention required, hours of support needed (visiting care vs 24/7 live-in care), staff ratios (some clients need 2:1 support during waking hours), and your location across Northern England. 


Many people with spinal injuries are eligible for NHS Continuing Healthcare funding, which covers the full cost of care. Other funding options include Personal Health Budgets, Personal Injury Compensation settlements, Local Authority funding, or private funding. 

We provide a clear, itemised cost breakdown following your free clinical assessment, with no hidden fees or setup charges.

Can I continue work, education or hobbies with spinal injury care support?

Yes. We support many clients to maintain employment, continue education, pursue hobbies, and stay socially active.

 This might include morning care routines timed so you can get to work, support during the day if needed at your workplace or educational setting, assistance accessing community venues and activities, or help with adaptive equipment for hobbies.

 We've supported clients to attend university, return to modified work roles, participate in sports like archery and shooting, go on family holidays and cruises, and maintain active social lives. Your care plan should enable the life you want, not restrict it.

How do you manage autonomic dysreflexia emergencies?

Every spinal injury client has a comprehensive emergency healthcare plan that all carers are trained on. For autonomic dysreflexia, this includes:

  • Recognising early warning signs (sudden high blood pressure, severe headache, flushing, sweating)
  • Rmmediate response protocols (sitting upright, loosening tight clothing, checking and emptying bladder)
  • Identifying and removing triggers
  • Blood pressure monitoring
  • Clear criteria for when to contact our 24/7 clinical team or call 999. 

Your emergency plan is developed with your consultants and includes all your specific triggers and medical information. Carers carry this information at all times.

Have More Questions About Spinal Injury Support?

We're happy to help you find the answers and support you need. Our team is here to answer your questions and provide straightforward advice about spinal injury support options. Call us: 0333 800 1379  Email: enquiries@routeshealthcare.com