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Intensive Support
When the stakes are highest…

Intensive support, delivered with humanity  when things feel impossible.

Specialist, recovery-focused support and interventions for adults with severe and enduring complex needs. Built around the person, mobilised quickly, and grounded in dignity.

Make an urgent referral → Explore our pathways
Response within 24–72 hrs Relapse mitigation frameworks Non-punitive & non-judgemental Aligned with Transforming Care
Specialist healthcare practitioners collaborating over care plan maps in an isolated, modern office environment
Person-led · IntensiveWalking alongside, every step.
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24–72hMobilisation
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1:1 → 3:1Bespoke ratios
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92%Admissions avoided
What is Intensive Support?

Intensive support, designed around one person at a time.

Intensive Support is a flexible, high-skill response for people whose needs sit beyond standard community provision — often at moments of transition, escalation or recovery. We empower our service users to make positive decisions around their treatment and support them on their journey to sustained recovery.

Our approach is rooted in NHS England's Transforming Care agenda and the principles of Building the Right Support — moving away from restrictive settings and toward lives lived in the community with choice, control and connection.

"Every person deserves a life that looks like a life — relationships, routines, purpose and a place to call home." — Our human-rights commitment
  • A non-judgemental and non-punitive practice ethos shaped with the person
  • Active harm-minimisation strategies built into high-support accommodation
  • Proactive protocols targeting self-harm reduction and symptom management
  • Co-produced plans designed to minimize clinical relapse and A&E attendance
Three pathways

Whatever the moment calls for, we can meet it.

Three core pathways within our Intensive Support offer used alone or blended to fit the person and the situation.

PATHMENT 01

Crisis Intervention & Stabilisation

When everything feels like it's tipping, we move fast bringing a calm, skilled team to the door, holding the situation steady, managing risk, and minimizing the impact of acute negative symptoms.

  • Rapid response and mobilisation within 24–72 hours
  • Targeted harm-reduction strategies for severe self-harm indicators
  • Joint working with clinical and community teams to minimize relapse loops
  • Clear stabilisation plan with daily reflection and accessible information provision
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Why it matters: early, skilled intervention can prevent hospital admission, breakdown of placement, or the loss of a tenancy that's taken years to build.
Discuss a crisis case →
A support worker offering a calm, reassuring presence during a difficult moment. Rapid · Calm · Skilled
A small, consistent team supporting a person in a warm home setting. 2:1 · 3:1 · Bespoke teams
PATHMENT 02

High-Ratio Staffing Support

For people whose needs require a larger, highly-skilled team around them — including dual-diagnosis presentations requiring joint primary care and substance misuse treatment integrations.

  • 2:1, 3:1 and waking-night provision shaped to complex needs
  • Consistent core team trained in conditional assessment and brief advice tools
  • Risk-positive plans managing visible dependencies in a non-punitive layout
  • Active reflective practice, supervision and clinical oversight
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What it looks like: the same trusted faces, every shift — people who know the small things that make a big difference.
Talk to our team
PATHMENT 03

Hospital Discharge Support

When someone is ready to leave an inpatient setting or general hospital service, every day matters. We work alongside discharge teams to ensure the step-down pathway is timely, safe, and sustainable.

  • Pre-discharge assessment, transition planning and referral management training
  • Safe management of acute alcohol and substance misuse withdrawal symptoms
  • Strong community engagement models to promote confidence and self-esteem
  • A focus on community, relationships and meaningful days
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The goal: a life in the community that holds — not an emergency discharge that bounces back to A&E.
Refer a discharge →
A person being welcomed into their new home, with their support worker beside them. Discharge · Transition · Home
Our human process

How we walk in — and how we walk alongside.

A clear, humane process from first conversation to long-term wellbeing.

1

Hear

We start by listening — utilizing specialized referral tools to evaluate needs, histories, and symptoms.

2

Assess

A skilled, rapid assessment of risks, strengths, and customized care pathway configurations.

3

Deploy

We mobilise a matched team within 24–72 hours, briefed, trained, and non-judgemental.

4

Sustain

We deliver measurable outcomes, promoting long-term recovery and community integration.

Outcomes & impact

Numbers that mean something — because lives sit behind them.

We deliver measurable, improved outcomes, not only to service users but also to families, carers, and the wider community.

%
Admissions avoided
Across crisis referrals (last 24 months)
h
Average mobilisation
From referral to team on the ground
%
Placements still holding
At the 12-month review point
+
People supported
Through intensive pathways since 2022

The team didn't just stabilise things — they brought our brother back to himself. For the first time in years, he's living somewhere that feels like home.

Rachel M.Family member · Step-down referral
Who can refer?

If you're trying to make something work for someone, talk to us.

We work alongside professionals, families and individuals — and we make the referral conversation easy.

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NHS & Clinical Teams

Discharge coordinators, CTR/CETR leads, community LD & mental health teams, clinical commissioners.

  • Pre-discharge assessment & planning
  • Step-down from inpatient settings
  • Crisis-avoidance packages
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Local Authorities & Social Workers

Commissioners, brokerage teams, safeguarding leads and adult social care practitioners.

  • Bespoke high-ratio packages
  • Placement stabilisation
  • Spot & framework arrangements
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Families & Individuals

Family carers, advocates and self-referrers — we'll talk things through, with no pressure and no jargon.

  • Honest conversations about options
  • Help navigating the system
  • Co-production from day one
Regulated, accredited & trusted by
Care Quality Commission Registered Provider Stamp
CQC Registered
Care Quality Commission
Disability Confident Committed Employer Badge
Disability Confident
Committed Employer
Dignity in Care Pledge National Network Seal
Dignity in Care
Pledge member
Association of Healthcare Trainers Official Accreditation Seal
AoHT Accredited
Healthcare Trainers
Information Commissioner's Office Data Protection Shield
ICO Registered
Data protection
Trainer Courses Quality Award Certificate Excellence Mark
Quality Award
Service excellence
Urgent referral line · open 24/7

Need intensive support, today?

Tell us what's happening. Our services are open and accessible so that people feel relaxed and able to talk to us about dependency and care issues.

Call our urgent line → Email the team

Reliant Care · Intensive Support

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Urgent referrals0208 893 6770
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Response timeWithin 4 working hours
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CoverageEngland & Wales · nationwide