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About Nursing Direct

Nursing Direct is a trusted, nurse led provider of complex homecare for adults, children and young people across the UK. As a CQC registered organisation within the Galago Group, we deliver safe, skilled and compassionate care that enables people with high acuity needs to live securely and meaningfully in their own homes.

 

We believe that high quality care should fit the person’s life, not the other way round. Every package is shaped around the individual and supported by our in house Clinical Hub

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Whether you are exploring care for yourself, supporting a family member, or managing a complex case, our team is here to help.

Our Principles of Care

Nursing Direct takes pride in delivering the highest quality care services that are person-centred, compassionate, and effective, all aimed at enhancing the quality of life. Effective communication is integral to our service, enabling us to thoroughly understand the specific needs of our service users. This understanding allows us to develop bespoke care packages creatively, ensuring the highest standard of care.

C

COMMUNICATION

Open, honest, transparent, incorporating equality & inclusion.

I

INTEGRITY

High ethical standards, dignity, privacy & respect

H

HOLISTIC

Recognise uniqueness, person-centred care, inclusive & respectful

C

COMPASSION

Core value, kindness, empathy & understanding

O

OPENNESS & HONESTY

Trusting relationships, honesty, reliability & transparency

E

EMPOWERMENT

Active involvement, collaborative care, consent & independence

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VISION

We aim to be the leading provider of choice, renowned for our excellence in delivering high-quality care and our ability to swiftly deliver effective and safe care solutions. We are dedicated to transparency and continuous improvement, ensuring that every individual receives timely and appropriate care from the right team. Our commitment aligns with our long-term vision of transformative care, where innovative approaches transform healthcare delivery, improve patient experiences, and achieve better outcomes.

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MISSION

Here at Nursing Direct, we are dedicated to delivering person-centred, high-quality homecare solutions that enhance the wellbeing and independence of the children, young people, and adults we provide care to.

 

Through collaborative partnerships with professional healthcare organisations and direct engagement with our service users, our extensive range of services are tailored towards care packages that prioritise individual needs and preferences, whist remaining within their own homes and communities.

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VALUES

At Nursing Direct, our values serve as the cornerstone of our operations, influencing every aspect of our work.

 

They represent our steadfast dedication to empowering service users and providing unparalleled care experiences. These values are encapsulated in the acronym CHOICE.

At Nursing Direct, our values guide us in providing exceptional care experiences that prioritise the dignity, autonomy, and wellbeing of every individual we serve.

Nurse-Led Model

At Nursing Direct, we understand that inviting care into your home is a deeply personal decision. Many of our clients and families place a high value on privacy, discretion and absolute confidentiality. Our service is delivered with the utmost respect for personal boundaries, routines and family life. Care is provided quietly, professionally and without unnecessary intrusion, allowing clients to continue living with dignity, independence and peace of mind.

As a nurse-led, CQC-registered provider, we combine refined, personalised care with strong clinical oversight, ensuring support is not only compassionate, but safe, well-governed and trusted. Every care arrangement is bespoke and handled with sensitivity, whether support is required following hospital treatment or as a longer-term live-in solution. From first conversation to ongoing care, discretion and confidentiality are integral to everything we do.

Nurse Led Model
Our Clinical Hub

Our Clinical Hub

Our Clinical Hub is a team of experienced, employed nurses whoprovide continuous clinical oversight across every package of care. Their backgrounds include neurology, paediatrics, PICU, intensive care nursing, respiratory, palliative care, spinal care, community nursing, mental health, learning disabilities and rehabilitation.

 

The Clinical Hub is responsible for:

  • Clinical assessments and risk evaluation

  • Clinical case management

  • Bespoke care planning

  • Training and competency sign off for staff

  • Ongoing clinical review and outcome monitoring

  • Day to day advice and escalation support

  • Liaison with GPs, specialist teams and wider MDTs

 

This structure gives families and professionals clear reassurance that every package is clinically governed and regularly reviewed.

To learn more about our clinical governance framework, policies and quality assurance processes, explore our Information Hub

Our Team

Nursing Direct is supported by a skilled, structured office team who ensure every package of care issafe, coordinated and clinically governed. Our leadership and operational teams work together todeliver a reliable, responsive service for ICBs, Local Authorities, case managers and families.
 

LEADERSHIP & GOVERNANCE
 
Marc Stiff – Managing Director & Nominated Individual
Provides overarching governance and strategic oversight for all regulated activity. Ensures compliance with the Health and Social Care Act, supports the Registered Manager and oversees quality, safety and organisational performance.
 
Leanne Harris – Director of Nursing & Registered Manager
Responsible for the day-to-day running of the service. Leads homecare operations, clinical oversight, safeguarding, staff governance, quality assurance and compliance with CQC Fundamental Standards. Together, Marc and Leanne ensure Nursing Direct is safe, accountable and commissioner-ready.

Clinical Management Team

CLINICAL MANAGEMENT TEAM (THE CLINICAL HUB)

 

Our Clinical Hub provides the core clinical governance that underpins all complex care packages. This includes:

 

  • Clinical Nurse Manager
    Provides clinical leadership across all packages, oversees competencies conducts assessments, reviews care plans and supports safeguarding and governance processes.

  • Senior Clinical Leads & Clinical Leads
    Deliver specialist oversight, risk management, MDT coordination and escalation support.

  • Clinical Administrative Support
    Ensures seamless coordination of clinical documentation, reporting and communication.

 

The Clinical Hub ensures every package is clinically safe, responsive and delivered to a consistently high standard.

COMPLIANCE

 

Head of Compliance & Registration

 

Responsible for:

  • Regulatory compliance

  • Safer recruitment and vetting

  • Policy management

  • Audit preparation

  • Registration requirements

  • Data governance

  • Staff compliance monitoring 

 

This team ensures Nursing Direct meets CQC, ICB and Local Authority expectations.

Compliance
Quality Assurance Team

QUALITY ASSURANCE TEAM

 

Led by the Quality Assurance Manager, supported by:

  • Quality Assurance Lead Nurse

  • Quality Assurance Coordinators

 

The QA team manages:

  • Internal audits

  • Incident review and learning

  • KPI monitoring

  • Quality improvement planning

  • Reflective practice

  • Outcome reporting

 

Their work ensures ongoing safety, transparency and continuous improvement.

HOMECARE OPERATIONS

 

Led by the Homecare Managers, supported by:

  • Deputy Homecare Managers

  • Senior Care Coordinators

  • Care Coordinators

  • Operations support staff

 

This department manages:

  • Rota planning

  • Staff matching

  • MDT communication

  • Daily workflow

  • Package mobilisation

  • Continuity and stability of care

 

They ensure the right staff are in place, trained and supported.

Homecare Operations
Operations Manager

OPERATIONS MANAGER 

 

Oversees: 

  • Client onboarding 

  • Funding arrangements 

  • Service agreements 

  • Purchase orders 

  • Contract governance 

 

Works closely with commissioners to ensure transparent financial and contractual management. 

OUT-OF-HOURS SUPPORT 

 

Kate Shrivell – OOH Manager 

Provides emergency staffing support, escalation management and service continuity outside standard office hours with a fully staffed office team between 05:30 to 22:30, 365 days a year, with a emergency contact number outside of these main hours. 

 

Works closely with clinical and coordination teams to maintain safety at all times.

Out of Hours Support
How This Supports Commissioners and Families

HOW THIS SUPPORTS COMMISSIONERS AND FAMILIES 

 

Our structure ensures: 

  • Clear lines of accountability 

  • Strong clinical governance 

  • Rapid response and escalation when needed 

  • Reliable rota management and staffing continuity 

  • Transparent communication 

  • Full compliance with ICB and LA requirements 

  • Safe, sustainable homecare packages

Quality & Regulation

Nursing Direct operates within a robust governance framework as a CQC registered service.

 

This includes:

  • Comprehensive clinical policies and procedures

  • Safeguarding frameworks for adults and children

  • Incident reporting and learning processes

  • Regular clinical audits and quality reviews

  • Competency frameworks and training records

  • Family and client feedback loops

  • Clear escalation routes for concerns

Looking for our policies, governance documents or regulatory information? You'll find further information in our Information Hub

Quality and Regulation

Start a Private, Confidential Conversation

Whether you are exploring care for yourself, supporting a family member, or managing a complex case, our team is here to help.

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