Specialist Care for Complex and Unique Needs
Some individuals need more than standard personal care. Our specialist care service provides expert, person-centred support for a wide range of complex conditions — delivered by trained, experienced carers who understand the full picture.
About This Service
What Is Specialist Care?
Specialist care provides support for adults with complex, high-acuity, or multi-faceted needs that go beyond standard domiciliary care. Unlike general home care, specialist care requires carers with additional training, deeper condition-specific knowledge, and the professional resilience to work effectively with individuals who may have challenging presentations, dual diagnoses, or highly variable support needs.
At Premier23, our specialist carers hold verified training and demonstrable experience across a wide range of conditions — including mental health, learning disabilities, acquired brain injury, physical and sensory impairments, neurological conditions, autism spectrum disorder, eating disorders, and substance misuse. Every placement is individually matched: we identify carers not only by qualification, but by personal suitability, lived understanding, and the right professional temperament for each person we support.
We work closely with NHS community teams, local authority social care commissioners, independent case managers, and families to deliver fully integrated, evidence-informed support. Whether an individual is transitioning from inpatient services, holding a direct payment, or being referred by a statutory team, we have the infrastructure, clinical relationships, and expertise to respond.
“We do not place carers without the relevant knowledge, experience, and personal suitability for the individual's specific condition. Every specialist placement is earned.”
Our Specialisms
Conditions We Support
Our specialist carers hold verified training and hands-on experience across a broad range of complex conditions. Every placement is matched to the individual — not just by qualification, but by genuine expertise and personal suitability.
Dementia & Memory Loss
Structured, familiar routines that maintain orientation and reduce distress — from early-stage support through to advanced dementia care.
Learn More →Mental Health Conditions
Person-centred support for depression, anxiety, bipolar disorder, schizophrenia, and personality disorders — promoting stability and recovery at home.
Learning Disabilities
Enabling independence, social participation, and daily living skills for adults with mild to profound learning disabilities, in collaboration with specialist LD teams.
Sensory Impairments
Trained support for individuals who are blind, deaf, deafblind, or have significant sensory processing needs — using appropriate communication methods.
Physical Disabilities
Complex physical care including moving and handling, medication management, catheter care, and support for progressive conditions such as MS and MND.
Neurological Conditions
Specialist support for acquired brain injury, Parkinson's disease, epilepsy, cerebral palsy, stroke recovery, and other neurological presentations.
Eating Disorder Support
Sensitive, non-judgemental support delivered by carers trained in eating disorder awareness — working alongside clinical teams and dietitians.
Substance Misuse Support
Consistent, boundaries-aware care for individuals in recovery or active addiction — working alongside drug and alcohol services and community teams.
Our Approach
How We Deliver Specialist Care
Complex care demands a higher standard of rigour at every stage — from the first conversation to the daily delivery of support. These are the four principles that define how we work.
Thorough Assessment
Before care begins, we invest time in understanding the full picture — the individual's history, strengths, goals, risk factors, and any professional involvement. Our assessments are collaborative, not transactional.
Expert Carer Matching
We match carers by condition-specific training, lived professional experience, and personal suitability. A carer who is technically qualified but temperamentally mismatched will not be placed. Every specialist match is earned.
Multi-Agency Collaboration
We work within your existing professional network — community mental health teams, LD services, social workers, district nurses, and case managers — communicating clearly and acting as a reliable, coordinated partner.
Adaptive, Evolving Care
Complex needs do not stay still. Our care plans are reviewed regularly and updated whenever circumstances change — ensuring that the level of support is always calibrated to the individual's current situation.
Who We Work With
Specialist Care for Individuals, Families, and Professionals
Our specialist care service supports a wide range of referral routes — from private family enquiries to statutory and commissioned placements. Whoever you are, we will give you a straight, knowledgeable answer.
Individuals & Families
- Adults with complex or multi-faceted care needs
- Family members seeking specialist support at home
- Individuals managing direct payments or personal health budgets
- Those who have not found adequate support through standard care
- Adults leaving residential, inpatient, or secure settings
- People with co-occurring conditions and complex presentations
Professionals & Commissioners
- Local authority social care and commissioning teams
- NHS community mental health and learning disability services
- Community nurses, physiotherapists, and allied health professionals
- Independent advocates and support coordinators
- Private case managers and rehabilitation specialists
- Continuing healthcare and ICB commissioning teams
Professionals making a referral are welcome to call us directly on 01256 338456 or email enquiries@premier23careservices.com to discuss a potential placement with a senior member of our team.
How It Works
Four Simple Steps
Detailed Referral Discussion
We speak with you, any referrers, and relevant professionals to fully understand the individual's history, needs, and goals before any assessment takes place.
Specialist Assessment
A comprehensive care assessment is completed — including risk assessment, condition-specific considerations, and specialist professional input where required.
Expert Carer Matched
We identify a carer with the specific training, condition experience, and personal qualities required for this individual. We do not compromise on the match.
Care Commences & Is Reviewed
Care begins with close monitoring, regular multi-agency reviews, and ongoing communication with all involved professionals — adapting as the individual's needs evolve.
Why Choose Us
Why Choose Premier23 Care Services
CQC Registered & Independently Monitored
Our standards are set and verified by the Care Quality Commission — giving you independent assurance of quality.
Founded by Social Workers
Our leadership team brings decades of frontline Adult Social Care experience — shaping care that is genuinely person-centred.
Available Daily
Our management team is accessible every day — to clients, families, and care workers alike.
Our Carers
Carers Who Are Chosen for Their Character
Every carer at Premier23 Care Services is carefully selected not only for their skills, but for their empathy, patience, and genuine commitment to making a difference. We carefully match each client with the right person.
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Client Stories
What Our Clients Say
“My brother has a complex combination of physical disability and mental health needs that made finding suitable care incredibly difficult. Premier23 took the time to truly understand his situation and matched him with a specialist carer who has the right experience and the right character. For the first time in years, he is settled, confident, and happy at home.”
Daniel F.
Enfield, Essex
FAQ
Frequently Asked Questions
Have a question not covered here? Call us on 01256 338456 — we are happy to speak with individuals, families, and professionals alike.
Full Range of Specialisms
If Your Condition Isn’t Listed Above, Ask Us
This list represents the conditions we most commonly support — but it is not exhaustive. If you have a complex or unusual presentation, call us. We will give you an honest answer about whether we can help.
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Ready to Talk?
Ready to Discuss Specialist Care?
Whether you are an individual, a family member, or a professional making a referral — we welcome your call. Our team will give you a clear, knowledgeable response and help you understand whether specialist care from Premier23 is the right fit.
- Basingstoke: 01256 338456
- Essex: 020 3828 9290
- Email: enquiries@premier23careservices.com
- Areas Served: Hampshire & Essex
Get in Touch
Start Your Care Journey Today
Complete the form and a member of our care team will be in touch within one business day. All enquiries are handled with complete care and confidentiality.
- We respond within one business day
- Free, no-obligation care assessment
- CQC-registered — independently assured quality
- Management team available every day