Or call 0203 794 9599 to talk about what you need
TDDI stands for treatment of disease, disorder or injury – specialist clinical care delivered in a person’s own home. It covers a wide range of nurse‑led and healthcare‑professional interventions that help manage illness, support recovery after an injury or operation, and reduce avoidable hospital admissions.
If you or your loved one is living with a complex medical condition, recovering from surgery or injury, or needs ongoing clinical procedures at home, our TDDI service can provide the expert support you need in a familiar environment.
We support adults over and under 65 with a wide range of conditions and situations, including:
Long‑term conditions such as diabetes, heart or lung disease, epilepsy or Parkinson’s disease
Recovery after surgery, injury or hospital admission
Wound care needs, including pressure areas, post‑operative wounds and complex dressings
Neurological conditions and progressive illnesses
People who need help to manage complex medication regimes or clinical monitoring at home
We work closely with GPs, community nurses and hospital teams where appropriate, so that treatment at home is safe and coordinated.
Respite care is usually a temporary package that we tailor to your specific situation. Our carers can provide live‑in, hourly and nightly in‑home respite services.
Planned visits during the day or evening to deliver specific treatments, review symptoms and provide practical and personal support.
Night‑time support for people who need monitoring, pain management, reassurance or help with complex needs overnight.
For people with higher or continuous needs, a live‑in carer (with nurse oversight) provides round‑the‑clock support, combining day‑to‑day care with agreed clinical tasks so you can remain safely at home.
TDDI can also be arranged as short‑term intensive support after hospital discharge or during a period of unstable health.
All clinical care is provided by, or under the direct supervision of, qualified healthcare professionals you can trust.
Clinical tasks such as wound care, injections, catheter care, stoma support and other agreed procedures
Monitoring of vital signs and symptoms, with escalation plans if things change
Medication administration, prompting and reviews in line with the care plan
Support with personal care, mobility, nutrition and hydration alongside clinical treatment
Education and reassurance for you and your family about managing your condition safely
Liaison with GPs, hospital consultants and community teams as needed
Conditions
Post‑operative recovery and injury rehabilitation
Diabetes and insulin‑dependent care
Heart failure, COPD and other long‑term cardiac or respiratory conditions
Neurological disorders (e.g. Parkinson’s disease, epilepsy)
Cancer and other serious or life‑limiting illnesses (often alongside palliative care)
Treatments / interventions
Complex wound care and dressing changes
Catheter and stoma care
Injection administration and other prescribed procedures
Symptom monitoring and escalation (e.g. breathlessness, pain, infection concerns)
Structured treatment plans shared with other professionals
Respite care protects both the person receiving care and the people who support them, by preventing burnout and gaps in support.
Professional oversight reduces the risk of complications, missed doses and unrecognised warning signs.
Well-managed treatment at home can reduce avoidable admissions and readmissions.
You remain in familiar surroundings, with more control over your routines and environment.
We bridge the gap between hospital and home, helping you follow medical advice and keeping relevant professionals informed.
Yes. TDDI at home is designed to sit alongside, not replace, existing NHS or community nursing input. We will ask for details of any current services involved (for example district nurses, specialist clinics or hospital outreach teams) and, with your consent, we will coordinate with them so that roles are clear and care is not duplicated. Wherever possible we follow the treatment plans they have put in place and keep them informed of any significant changes or concerns.
We can provide both clinical and personal care, depending on what has been agreed in your assessment and care plan. Clinical tasks might include wound care, injections, catheter or stoma care and medication administration, while personal care might cover washing, dressing, continence support, mobility and help with meals. For many people, combining these elements in one visit is more comfortable and efficient, so our nurses and care workers work together to deliver safe treatment and day‑to‑day support in a single, joined‑up package.
Yes. TDDI is often arranged as a time‑limited package after surgery, injury or a hospital stay to support safe recovery at home. In these cases, we focus on the specific treatments, monitoring and rehabilitation tasks required during the recovery period, and then step down or end the package once you are stable and confident to manage with less support. We can also convert short‑term TDDI into an ongoing plan if longer‑term clinical input at home is needed.
With your consent, we are happy to share relevant information with your GP, consultant or other professionals involved in your care. We aim to base our work on the treatment plan they have recommended, and we will follow any written instructions you provide. If we notice changes in your symptoms, wound, vital signs, or general well-being, we follow an agreed escalation plan, which may include contacting your GP, NHS 111, community nurses, or emergency services if necessary. This joined‑up approach helps keep your care safe and consistent across home and hospital.
The start date depends on the level of clinical need, the complexity of the package and availability of suitably trained staff, but we always respond as quickly as we can. For straightforward visiting TDDI, support can often begin within about a week of your initial enquiry, sometimes sooner in urgent situations. For more complex or live‑in clinical packages, we may need longer to complete assessment, planning and staff matching, and we will always be honest with you about realistic timescales and any interim options.