TEL: 0330 056 6000
Commissioned Services
NURSE-LED COMMISSIONING SOLUTIONS FOR COMPLEX CARE SERVICES.
We partner with Integrated Care Boards (ICBs), NHS Trusts, Local Authorities, case management companies and other healthcare providers to deliver flexible, clinically governed complex care services. Whether you're commissioning fully managed care packages or seeking specialist clinical governance support, our solutions are designed to meet the needs of modern healthcare.
Clinical Hub
THE CLINICAL EXPERTISE BEHIND EVERY PACKAGE OF CARE
At Nursing Direct, our Clinical Hub is the foundation of every commissioned service we deliver. Led by experienced Registered Nurses and supported by specialist clinicians, it provides continuous clinical oversight, governance and operational support throughout the lifetime of every package of care.
From mobilisation through to ongoing service delivery, our Clinical Hub works in partnership with commissioners, healthcare professionals and frontline staff to ensure care remains safe, effective, responsive and centred around the individual.
Unlike traditional staffing providers, we don't simply supply healthcare professionals—we remain actively involved throughout the journey, providing clinical leadership, governance and assurance every step of the way.
To learn more about our clinical governance framework, policies and quality assurance processes, explore our Information Hub
Clinical Hub at a Glance
PROVIDING COMMISSIONERS WITH CONFIDENCE THROUGH CONTINUOUS CLINICAL OVERSIGHT.
Clinical Governance
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Nurse-led clinical oversight
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Person-centred care planning
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Clinical risk assessments
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Medication governance
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Regular clinical reviews
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Quality audits
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Incident investigation & learning
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Staff competency & supervision
Operational Support
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Rapid mobilisation of new care packages
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Hospital discharge support
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Clinical advice and escalation
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MDT coordination
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Partnership with commissioners
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Responsive package reviews
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Ongoing service development
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Support throughout the life of the package
How Our Clinical Hub Supports Every Commission
CLINICAL LEADERSHIP
Every commissioned package benefits from dedicated clinical oversight, ensuring care is delivered safely, consistently and in accordance with best practice, regulatory requirements and individual outcomes.
GOVERNANCE & QUALITY ASSURANCE
Our governance framework includes routine clinical reviews, audits, incident oversight, competency monitoring and continuous quality improvement, giving commissioners confidence that services remain compliant and responsive.
SUPPORTING OUR WORKFORCE
Our Clinical Hub provides ongoing supervision, competency assessments, clinical guidance and escalation support, ensuring our healthcare professionals remain confident, competent and well supported in delivering complex care.
PARTNERSHIP WORKING
We work collaboratively with Integrated Care Boards (ICBs), NHS Trusts, Local Authorities, case management companies, GPs, community teams and wider multidisciplinary professionals to ensure coordinated, joined-up care.
RESPONSIVE CLINICAL SUPPORT
Needs change over time. Our Clinical Hub continuously reviews care packages, responds to changing clinical requirements and supports transitions, helping individuals remain safely supported within their own homes whenever possible.
Why Commissioners Choose Nursing Direct
Our Clinical Hub enables us to provide more than a staffing solution. It provides a clinically governed service that delivers reassurance, accountability and measurable quality throughout every stage of care delivery. Whether mobilising an urgent package, supporting a complex long-term placement or managing changing clinical needs, our team remains actively involved to ensure every service continues to meet the highest standards of clinical excellence.
Governance & Quality Assurance
Our services are underpinned by a flexible, clinically led governance framework, designed to provide commissioners with clear assurance while adapting to the complexity and risk of each individual package.
As a CQC-registered provider, we operate in line with regulatory standards and best practice guidance. However, our model goes beyond traditional delivery by offering scalable levels of clinical oversight, enabling commissioners to balance safety, outcomes and cost-effectiveness.
A Flexible Governance Model
We offer different levels of clinical oversight depending on the needs of each package:
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Fully Managed Care Packages
End-to-end service delivery with comprehensive clinical oversight and dedicated workforce provision -
Enhanced Governance Support
Clinical oversight of existing care teams, including training, supervision and competency management -
Targeted Clinical Involvement
Focused input such as assessment, review and escalation support, without full service delivery
Supporting Flexible Commissioning Models
We also provide structured clinical governance and compliance support for Personal Health Budget (PHB) arrangements and hybrid care models.
This includes:
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Workforce compliance and training assurance
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Competency-based sign-off and audit trails
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Clinical review and risk management support
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Ongoing governance oversight without full service delivery
This approach allows commissioners to maintain flexibility and independence within PHB arrangements, while ensuring care remains safe, clinically appropriate and defensible.
This approach is particularly effective for high-acuity, paediatric and behaviourally complex cases, where flexibility and clear accountability are essential.
We maintain full visibility across all services through audit trails, incident management processes and regular review cycles, ensuring care is safe, responsive and continuously improving.
Our focus is not only on compliance, but on delivering care that is clinically robust, proportionate to risk, and defensible in practice.
