COMPLEX CARE
Specialist Complex Care in the Community
Tailored, Compassionate Support and Care Packages for Children, Young People, and Adults with Complex Needs.
A COMMITTED TEAM
Complex Care That Reduces Risk, Protects Dignity and Builds Long-Term Stability at Home
Eleventh Hour Group delivers specialist complex care packages for children, young people, and adults with highly complex clinical, behavioural, emotional, and social needs. Our support is built for individuals who require far more than standard domiciliary care, including those with autism, SEMH, learning disabilities, acquired brain injuries, spinal injuries, epilepsy, dementia, palliative needs, CAMHS transitions, and adult mental health presentations.
Whether the need is a rapid-response 1:1 package, enhanced 2:1 or 3:1 support, step-down from hospital, a solo provision, or a long-term community placement, every model is designed around the individual’s risks, routines, communication style, sensory profile, and long-term outcomes.
For commissioners, case managers, local authorities, ICBs, and families, this means safer transitions, fewer placement breakdowns, stronger safeguarding, reduced crisis escalation, and care pathways that evolve as needs change.
A SAFE APPROACH
Specialist support for people other providers struggle to safely support
Complex care referrals are rarely straightforward. Many involve previous placement breakdowns, escalating behaviours, hospital discharge risks, unsupported family environments, or individuals whose needs have outgrown traditional care models.
Eleventh Hour Group exists to provide safe, structured, and sustainable solutions in exactly these situations.
Our teams support individuals with:
Autism Spectrum Disorder (ASD)
SEMH, Including children and young people who require emotional regulation support and trauma-informed care.
Mental Health Disorders, from anxiety, depression and other complex psychiatric conditions That require more specialist support and intervention.
Complex medical needs, including ventilated dependency, PEG feeding, tracheostomy care, diabetes management, epilepsy management, and other high dependency requirements.
CAMHS and adult mental health step-down pathways.
Every package begins with a robust assessment process, ensuring the right staffing ratios, governance framework, escalation routes, and reporting structure are in place from day one.
BESPOKE & PERSON-CENTRED
THE RIGHT SUPPORT, DELIVERED IN THE RIGHT WAY & REVIEWED REGULARLY
We believe that care should be built around the individual, their needs and their aspirations. Our community-based approach ensures that every service user:
Receives person-centred, individualised care then enhances their independence and quality of life.
Benefits from the continuity of care, with the dedicated team of professionals who understand their unique challenges and strengths.
Accesses and multi-disciplinary network, including nurses, mental health specialists and care workers, who ensure a holistic approach.
We work closely with families, local authorities, and clinical teams to create care plans that are only medically effective but also promote emotional and social well-being.
For Commissioners, ICBs and Local Authorities
High-quality complex care packages that reduce operational risk and improve placement sustainability.
Our experience across autism, SEMH, mental health, ABI, and high-intensity behavioural support allows us to safely manage referrals that often sit outside the scope of generalist providers.
Our service is designed to support:
Rapid discharge pathways
Urgent package mobilisation.
Prevention of avoidable hospital admissions
Reduction in out-of-area placements
Stabilisation of high-risk community placements.
Cost-effective alternatives to residential settings.
Clear reporting for funding reviews and panel decisions.
Safeguarding-led governance and oversight.
Our experience across autism, SEMH, mental health, ABI and high-intensity behavioural support allows us to safely manage referrals that often sit outside the scope of generalist providers.
DESIGNED FOR COMPLEXITY
Built for the Most Complex Presentations
Complex care requires more than standard domiciliary support. Individuals with highly complex clinical, behavioural, and emotional needs require care that considers communication, trauma, safeguarding, family dynamics, and long-term outcomes. At Eleventh Hour Group, we design bespoke complex care packages for children, young people, and adults with autism, SEMH, learning disabilities, acquired brain injuries, mental health conditions, and other high-acuity presentations. Every package is tailored to the individual, combining specialist expertise, clinically informed oversight, trauma-informed practice, and flexible staffing models, including 1:1, 2:1, 3:1, and solo provision where required.
Our person-centred approach delivers meaningful outcomes for the individuals we support and the organisations that refer to us. By building care around each person’s needs, goals, and environment, we help reduce placement breakdowns, minimise crisis escalation, strengthen safeguarding, and support safer transitions into the community. Working closely with commissioners, local authorities, case managers, clinicians, and families, we create sustainable care pathways that promote stability, improve quality of life, and maximise independence wherever possible.
PROFOUND EXPERTISE
Highly Trained, Compassionate Professionals
Our team is carefully selected and undergoes rigorous training in areas such as:
Trauma informed care
Positive behaviour support
Mental health and crisis intervention
Diabetes training
Epilepsy training
De-escalation training
Autism-specific communication strategies
Specialist medical intervention for complex needs
This ensures that our nurses and care professionals are not just clinically skilled but also compassionate, adaptable, and committed to making a meaningful difference in the lives of those they support.
Get In Touch
If you are a job seeker or employer, please get in touch to see how we can help.
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Office 601
6th Floor
30 Dukes Place
EC3A 7LP