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Routes Healthcare

Working with Local Authorities

Partnering for Reliable Care Delivery Across Northern England

We've worked alongside local authorities across Northern England since 2009, delivering home care when it matters most. Whether it's supporting hospital discharge, managing complex clinical needs, or providing rapid response during winter pressures, we're here to help keep people safe at home.


Our CQC regulated services are led by experienced registered managers who work in partnership with commissioners and social care teams to deliver care that's clinically sound, quickly mobilised, and genuinely person-centred.

Our Care Solutions
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Why Local Authorities Choose from Routes

Capacity Across Northern England

With ten local hubs from Merseyside and Lancashire and across to the North East, we've got regional coverage and local knowledge. We can scale up during winter pressures and maintain packages long-term. Our 1,400 staff give us the flexibility to respond when demand spikes.

Rapid Response When You Need It

Our Fast-Track team can mobilise care packages within hours, not days. This means fewer delayed discharges, reduced hospital admissions, and people getting home where they want to be. We understand the pressure on acute services, and we're set up to respond quickly.

Clinical Expertise You Can Rely On

For clients who need clinical care, we provide registered nurse oversight as part of their care package. We specialise in complex care including brain injury, spinal injury, tracheostomy care, PEG feeding, and ventilation support. If it needs clinical knowledge, we've got the capability.

Transparent Pricing and Direct Employment

All our carers are directly employed and trained in-house with our award-winning Routes Academy. This means consistency for clients and accountability for outcomes. We're upfront about what care costs and what you're getting for it.

CQC Regulated and Quality Driven

Routes Healthcare are regulated by the CQC and registered for TDDI. Regular audits, ongoing training, and a culture that prioritises safety and dignity mean you're partnering with a provider that takes quality seriously.

Local Teams Backed By Central Support

Our managers know their regions inside out, and so do their office teams. Our care network is also backed by central services from HR to finance, meaning they can focus on what matters most - delivering excellent care

Call our team for a free, honest assessment from one of our friendly professionals.

The Services We Provide


  • Domiciliary care - personal care, medication support, daily living assistance
  • End of life care - dignity and comfort in final days
  • Complex clinical care - brain injury, spinal injury, major trauma recovery with registered nurse oversight where needed
  • Respite care - short-term support to give family carers a break
  • Hospital discharge packages - fast mobilisation to get people home safely
  • Reablement programmes - helping people regain independence after illness or injury

The Challenges We Help To Solve


  • Running over capacity with existing providers
  • Delayed discharges putting pressure on acute services
  • Inconsistent quality and missed calls
  • Unclear pricing structures
  • Unresponsive providers when urgent packages are needed
  • Need for clinical expertise in complex cases


    • We can't solve every problem, but we can offer capacity, clinical capability, and clear communication when you need a provider you can rely on.

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    Routes Healthcare registered manager coordinating home care services for local authority partnership

    ​​Care Solutions For Our Local Authority Partners

    We work in partnership with commissioners across Northern England to provide flexible, reliable home care solutions. We offer commissioning models that adapt to your changing needs.


    Our registered managers work directly with your teams to ensure smooth referrals, clear communication, and care that keeps people safe and independent at home.

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    Spot Purchases

    Framework agreements with local authorities and NHS partners that allow you to commission ongoing home care services when you need them. People can leave hospital and return to their own homes with the right support in place.

    Block Contracts

    Guaranteed capacity funded by the local authority based on a specific number of care hours. This means a set amount of care hours is available whenever you need it - ideal for managing demand and winter pressures.

    Projects & Reablement

    Short-term commissioned packages, usually as live-in care, with six weeks of care calls after which ongoing home care support can be arranged if needed. Our teams support people in their own homes to help them regain skills and confidence.

    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

    Supporting Your Priorities

    • Reducing Hospital Admissions Proactive care planning and clinical oversight where needed means we can spot problems early. Falls prevention, medication management, and daily monitoring help keep people out of A&E where appropriate.
    • Managing Winter Pressures We plan staffing ahead of peak demand and maintain capacity for urgent packages. Our Fast-Track team is available 24/7 for crisis response when hospital beds are needed.
    • Value for Money Direct employment means no agency fees eating into budgets. Clinical oversight on complex cases can reduce emergency callouts. Transparent pricing means you know exactly what you're paying for.
    • Person-Centred Outcomes Care that respects what matters to people. Cultural needs, personal preferences, family involvement - we listen and adapt to support people's independence at home.

    Routes Healthcare care team member providing support for local authority commissioned home care package

    Let's discuss how we can support your commissioning needs:

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