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Specialist Support: Treatment of Disease, Disorder or Injury (TDDI)

Routes Healthcare is registered with the Care Quality Commission for TDDI care. This registration means our registered nurses can provide specialist clinical and complex care in your own home.


TDDI registration isn't common among home care providers. We've earned ours because we employ qualified healthcare professionals who can deliver clinical procedures alongside personal care support. When your health needs are complex, this makes a real difference to what's possible at home.

What TDDI Registration Means for Home Care

What TDDI Registration Means


TDDI registration allows us to provide ongoing medical and therapeutic care for people with complex health needs at home. Our registered nurses can oversee and deliver clinical procedures that require professional healthcare qualifications.


This type of care can only be provided by healthcare professionals working within their scope of practice. It's why Routes maintains clinical oversight through our registered nursing team across all our specialist support services.

Clinical Procedures We Can Support at Home

Respiratory Care

  • Tracheostomy care & suctioning
  • Ventilation support
  • Oxygen therapy management
  • Nebuliser administration

Nutrition Support

  • PEG feeding & gastrostomy care
  • NG tube feeding
  • Complex dietary management

Medication Management

  • Injectable medications
  • IV therapy administration
  • Complex medication regimes
  • Controlled drug administration

Wound & Skin Care

  • Pressure area care
  • Complex wound management
  • Catheter care
  • Stoma care

Nutrition Support

  • Diabetes monitoring & management
  • Seizure management
  • Pain management
  • End-of-life clinical care

Looking for clinical procedures at home that aren't on this list? 

If you need clinical support at home and you're not sure whether it's possible, talk to us about your specific situation to find out how we can help.

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Who Benefits from TDDI Care?

Our TDDI services support people across all our specialist conditions. If you're living with complex health needs, having registered nurses who understand your condition and can respond quickly makes a real difference.

Neurological Conditions

We support people living with MS, Parkinson's, motor neurone disease, and epilepsy. These conditions often need careful symptom management and someone who understands when things are changing.

Brain and Spinal Injuries

Recovery continues long after hospital discharge. Our team provides ongoing clinical care and rehabilitation support at home.

Complex Respiratory Needs

Tracheostomy care and ventilation support need a team with the right training and confidence. Our nurses supervise all respiratory care.

Progressive Conditions

When conditions change over time, care needs to adapt. We adjust your care plan as your needs evolve.

End-of-Life Care

Clinical symptom management delivered with expertise and compassion, helping people stay comfortable and dignified at home.

The common thread across all these conditions is that clinical expertise genuinely matters. These conditions need registered nurse oversight and a team who can respond quickly when things change. That's what our TDDI registration allows us to provide.

Why Choose Routes for Specialist Clinical Support

Our complex care service oversees care for a wide range of complex and clinical needs:

Clinical Expertise - Routes Healthcare

Clinical Expertise

Our registered nurses bring hospital-level clinical knowledge into your home. They understand complex conditions, can interpret changes in your health, and know when to escalate concerns.

Clinical Expertise - Routes Healthcare

Transparent Communication

We keep your medical team, family members, and other professionals informed. Good care relies on good communication, especially when needs are complex.

Continuity of care - Routes Healthcare

Continuity of Care

We work to provide a small, consistent team who get to know you, your routines, and your preferences. When care is complex, having familiar faces who understand your needs makes everything easier.

Clinical Expertise - Routes Healthcare

Fast-Track Response

Our Fast-Track service means we can set up complex care packages quickly when circumstances change unexpectedly. Whether that's a sudden hospital discharge or a change in health, we can respond.

Getting Started with Complex Care at Home

1. Free Clinical Assessment

Our case manager will visit your home to understand your medical needs, discuss your goals, and create a comprehensive care plan that works for your situation.

2. Care Team Introduction

Meet the specialist carers who'll be supporting you regularly. We believe consistency of care is essential when managing complex conditions.

3. Family Support & Training

We provide guidance and training for family members who want to be involved in your care, helping everyone feel confident and informed.

4. Ongoing Clinical Review

Regular reviews with our nursing team ensure your care adapts as your needs change, maintaining the highest standards of safety and comfort.

Call our team to discuss your complex care support