A package of care for adults with short, medium or long term complex healthcare needs, funded solely by the NHS.



How can Bespoke Health and Social Care help?

BHSC have a proven track record of setting up CHC care packages around the UK. We pride our selves on recruiting the right team who have the right personality and skills, ensuring we match them to the individual’s needs and personality.

Why Bespoke Health and Social Care?

Here at BHSC we believe on giving the individual as much or as little control over their care package as they would like. We work with individuals who want us to manage all aspects of their care and we also work with individuals who wish to manage elements of their care themselves.
Case Study — Adults

The individual (Client A) has suffered a spinal injury, they have staffing on a 2:1 ratio at all times. The client has a tracheostomy and is on a ventilator. We care for all of their needs meaning the MDT community team no longer have to intervene with their care needs.

Prior to BHSC taking over this package of care, the client had been through every provider in their locality. Each provider lasted no longer than 6 months. The client and his mother were running the rota. When BHSC took over the care package, there we cares and nurses supporting the client from 4 different care providers.


We asked the client which carers and nurses he wanted and transferred them over to BHSC. We then recruited new members for the team. BHSC did the initial screening and interviews, allowing the client to have the final say in who he wanted on his team. We took over putting the rota together. The client gets to approve it before it is circulated. This has enabled the client and his mum to have back that mother/child relationship.

In July 2013, we managed to get the client to Florida for a 2 week holiday with family and a team of 1 nurse and 2 carers. This was their first trip abroad in over 9 years.

This client is currently still being supported by BHSC and their care package has been the most stable it has ever been.

Are you eligible for NHS continuing care?


To be eligible for NHS continuing healthcare, your main or primary need for care must relate to your health. For example, people who are eligible are likely to: have a complex medical condition that requires a lot of care and support.

How to assess your eligibility?


To decide if you’re eligible for NHS continuing healthcare, your care needs will be assessed by a health or social care professional. If the assessment confirms that you’re eligible for NHS continuing healthcare, the NHS will pay for your care.

Where is NHS CHC provided?


If you are eligible, you can receive NHS continuing healthcare in any setting, for example: in your own home: the NHS will pay for healthcare, such as services from a community nurse or specialist therapist, and personal care, such as help with bathing, dressing and laundry.

You can download the framework here

List of current NHS users of Bespoke’s services:

NHS Surrey CCG
NHS Lambeth CCG
NHS Southwark CCG
NHS Lewisham CCG
NHS Hillingdon CCG
NHS Hampshire CCG
NHS Bromley CCG

NHS Hertfordshire CCG
NHS Solent CCG
NHS Calderdale CCG
NHS Kirklees CCG
NHS Doncaster CCG
NHS Lincolnshire West CCG
NHS North Lincolnshire CCG
NHS Stoke On Trent CCG
NHS Staffs & Surrounds CCG
NHS Birmingham Cross City CCG
NHS South Worcestershire CCG
NHS Herefordshire CCG