Working with Case Managers
Specialist Complex Support for Clients Across Northern England
When you're arranging support for a client with brain injury, spinal cord injury, or complex neurological needs, you need a provider with the clinical expertise to get it right and the communication to keep you informed.
Since 2009, we've partnered with case managers across Northern England to deliver registered nurse-led support packages. Clinical oversight on every case, rapid response when timelines are tight, and the straightforward communication that makes your job easier.
What Case Managers Can Expect from Routes
How We Work Together
Working with case managers means clear communication, realistic timelines, and being honest about what we can deliver. We take time to understand your client's needs, explain our approach, and keep you informed every step of the way. It's about partnership, not just providing a service.
If you'd like to speak to our team about working together for a client you have, you can call us on: 0333 800 1379 or email enquiries@routeshealthcare.com
Your Initial Call
Tell us about your client's needs, the timeline you're working to, and any concerns you have. We'll be honest about whether we're the right fit, realistic timescales, and how we'd approach the support.
We'll discuss:
- The injury and current medical status
- Clinical interventions needed (tracheostomy, PEG, ventilation, catheter care)
- Behavioural or cognitive considerations
- Family dynamics and home environment
- Your timeline and any urgent pressures
- Budget framework
2. Clinical Assessment
Our registered nurse meets your client at hospital, rehab unit, or home. We assess clinical needs, daily routines, communication abilities, and psychological state. You receive a comprehensive report with proposed care plan, staffing approach, and detailed costs.
Assessment covers:
- Full clinical review with medical history
- Moving and handling needs
- Communication and cognitive function
- Home environment and adaptations
- Psychosocial factors
- Risk assessments and safety planning
You receive:
- Detailed assessment report
- Proposed care plan with clinical rationale
- Staff profiles with qualifications and experience
- Comprehensive cost breakdown
- Realistic implementation timeline
Support Team Recruitment and Training
We match your client with Support Workers who have the right clinical skills and temperament. Every team member is Routes-employed, DBS checked, and trained through Routes Academy with bespoke training for your client's specific condition.
Our approach:
- Recruit for clinical competence and personal compatibility
- Specialist training (tracheostomy, ventilation, PEG, challenging behaviour)
- Supervised introductions with your client
- Gradual settling-in period with nursing oversight
- Ongoing clinical supervision and competency assessments
Support Package Implementation
Once you're ready to proceed, we move quickly. Rotas planned, equipment coordinated, family liaison established. Our registered nurses supervise the first few days closely, making adjustments to ensure everything works smoothly from the start.
We manage:
- Staff scheduling with contingency cover
- Equipment and supply coordination
- Clinical procedures and protocols
- Family communication and updates
- Liaison with your other professionals
- 24/7 on-call from day one
Ongoing Support and Reviews
Our registered nurses review support every 6 weeks face-to-face. Care plans stay current. If your client's needs change, we adapt. If concerns arise, we address them proactively and keep you informed throughout.
Regular oversight:
- 6-weekly face-to-face reviews by registered nurse
- Updated care plans and risk assessments
- Quarterly reports for you and legal teams
- Annual cost reviews
- Ongoing staff supervision and training
- Proactive communication about any changes
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.
Complex Care Cases We Support
We specialise in supporting people with complex support needs arising from traumatic injury, neurological conditions, or lifelong disabilities. Our registered nurse-led teams have the clinical expertise to manage the full range of complex support interventions.
Conditions We Specialise In
We provide support for complex care conditions including:
- Traumatic brain injury support
- Spinal cord injury (complete and incomplete)
- Neurological conditions (MS, MND, Parkinson's, cerebral palsy)
- Stroke with complex rehabilitation needs
- Multiple trauma with neurological injury
- Ventilation, tracheostomy, and PEG care
- Mental health needs alongside physical injury
- Challenging behaviour and cognitive impairment
Clinical Interventions We Provide:
Our registered nurses oversee clinical interventions including:
- Tracheostomy care and suction
- Ventilation support (invasive and non-invasive)
- PEG feeding and medication
- Catheter care and bowel management
- Oxygen therapy and monitoring
- Cough assist
- Complex moving and handling
- Medication management
- Clinical observations
Working with Your Professional Network
We work alongside each client's wider support network to ensure the best outcomes. This includes therapists, consultants, legal teams, and the other professionals involved in your client's support.
Our Collaborative Approach:
- Regular written updates for your records and legal files
- Attendance at MDT meetings and case conferences when helpful
- Direct liaison with therapists for treatment plans
- Clinical reports in formats your team needs
- Proactive communication about changes or concerns
- 24/7 on-call access for urgent queries
We Work Successfully Alongside:
- Private case management companies
- NHS discharge teams and community services
- Private therapy teams
- Legal teams preparing for Court of Protection or compensation claims
- Equipment providers and home adaptation specialists
- Mental health services
- Community rehabilitation services
CASE MANAGERS FAQ
Questions Case Managers Ask Us
Have More Questions?
We're happy to discuss your client's specific needs and how Routes can support. Our team is here to answer your questions and provide straightforward advice about complex support options. Call us: 0333 800 1379 Email: enquiries@routeshealthcare.com
Looking for a Reliable Care Provider? Let's Work Together
We get that you need a provider you can trust. Fast-Track response when it matters, transparent communication, and clinical expertise your clients deserve. Whether it's an urgent discharge or ongoing complex care, we'll work with you to get the right package in place.
Call our referrals team:
0333 800 1379
Email us directly:
enquiries@routeshealthcare.com
