For Commissioners & NHS Referrers

Lamora Healthcare is a nurse-led, CQC-registered specialist complex care provider accepting referrals from NHS Continuing Healthcare teams, hospital discharge coordinators, local authority commissioners, and case managers. We mobilise care within 24–72 hours.

Lamora Healthcare clinical directors reviewing commissioner documentation

The Provider You Call When Clinical Stakes Are Highest

Lamora Healthcare is not a volume provider. We are a specialist complex care and live-in care organisation, led at director level by a Registered General Nurse and a Registered Mental Health Nurse with over 30 years of combined senior clinical experience.

Our model is designed for the cases that fall outside standard provision — complex neurological presentations, dual diagnosis, high-dependency physical care, treatment-resistant mental health conditions, and high-risk hospital discharge situations where standard packages are unsuitable or unavailable.

We work with commissioners as clinical partners — providing transparent reporting, proactive escalation, and evidence-based care planning that supports your governance obligations and protects the individuals in our care.

Submit a Referral NHS CHC Information
Response Commitments
Urgent referral acknowledgement 4 hours
Standard referral acknowledgement 1 working day
Initial clinical assessment Within 5 days
Emergency care mobilisation 24–72 hours
Care review reporting Monthly minimum

Referral to Active Package — Our Process

A structured, transparent pathway from initial referral to active care — built to meet NHS and local authority commissioning timescales.

1
Referral Received

Online or direct call. Acknowledged within 4 hours (urgent) or 1 working day (planned).

2
Clinical Review

Nursing director reviews clinical information. Suitability confirmed and assessment booked.

3
Assessment

Nurse-led care needs assessment. Risk stratification, medication review, and MDT liaison.

4
Package Design

Bespoke care plan. Staff competency matched. Governance documentation completed and agreed.

5
Package Live

Care commences. Director-level oversight. Regular review and transparent reporting.

What We Offer Commissioners

Clinical Specialisms

Our clinical leadership team has direct hands-on experience in:

  • Acquired brain injury — cognitive, behavioural, and physical sequelae
  • Mental health and dual diagnosis — RMN-led, PICU and community experience
  • Physical disability and spinal cord injury — high-dependency personal care
  • Palliative and end-of-life care — including Fast Track CHC
  • Learning disabilities and autism — community-based, person-centred approach
  • Post-discharge complex care — rapid mobilisation to prevent readmission

Workforce Model

Our workforce is recruited, trained, and supervised to deliver against the presentations we accept:

  • All staff recruited against a clinical competency framework
  • Enhanced DBS and right to work verified before deployment
  • Mandatory training: safeguarding, MCA, medication, moving and handling, IPC
  • Regular clinical supervision by nursing directors
  • Condition-specific competency sign-off before complex care deployment
  • Staffing ratios determined by clinical need, not cost minimisation

Clinical Governance

Governance frameworks aligned to CQC fundamental standards and NHS commissioning expectations:

  • Nurse-led care planning and risk assessment for all complex packages
  • Mental Capacity Act assessments completed where clinically indicated
  • Deprivation of Liberty Safeguards referrals made promptly where required
  • Safeguarding adults and children frameworks in place and tested
  • Incident reporting, investigation, and learning processes
  • Business continuity plan covering workforce, technology, and public health emergencies

Commissioning Arrangements

We work flexibly within standard NHS and local authority commissioning frameworks:

  • Spot purchase and block arrangement models accepted
  • NHS Continuing Healthcare packages — governance aligned to national framework
  • Local authority Section 75 and social care funded packages
  • Personal health budgets and direct payments supported
  • Regular review meetings with commissioners on request
  • Full governance documentation available for framework applications

Our Governance Structure

Regulatory Compliance

  • CQC registered — regulated for Personal Care under HSCA 2008
  • Registration date: 28 February 2023
  • CQC Registered Manager: Norah C Chawarika RGN
  • NMC-registered leadership team
  • Employer’s liability, public liability, and professional indemnity insurance held

Safeguarding & Risk

  • Safeguarding Adults policy aligned to local authority thresholds
  • Safeguarding Children policy for relevant services
  • Mental Capacity Act and DoLS framework operational
  • Risk assessment and management framework
  • Lone worker policy and safety procedures
  • Medication management policy including controlled drugs
  • Information governance and GDPR compliance

Quality Assurance

  • Regular internal audits — care records, medication, risk assessments
  • Supervision and appraisal framework for all staff
  • Complaint and feedback management process
  • Learning from incidents — investigation and action planning
  • Service user and family satisfaction monitoring
  • Annual service review and governance report
  • Whistleblowing policy for staff

What to Expect From Us

Commissioners frequently tell us that what distinguishes Lamora Healthcare is not just our clinical capability — it is how we communicate. We believe commissioners deserve the same transparency and clinical rigour in our relationship as the individuals in our care receive from our workforce.

We provide regular structured reporting, proactive escalation of any changes in clinical presentation, and direct access to our nursing directors for clinical discussions. Commissioner communications are not routed through a call centre.

Submit a Referral
What We ProvideFrequency
Care plan — initial versionBefore care commences
Risk assessment — reviewedOn change / min. 3-monthly
Progress report to commissionerMonthly minimum
Safeguarding referral notificationSame working day
Incident reportingWithin 24 hours
MDT liaison and attendanceOn request / clinically indicated
Care review with commissionerMinimum 6-monthly / on request
Full governance documentation packOn request
✓ CQC Registered Provider
Registered28 February 2023
Regulated ActivityPersonal Care
Registered ManagerNorah C Chawarika RGN

Ready to Discuss a Referral or Request Our Capability Statement?

Our Registered Manager welcomes direct clinical discussions with NHS teams, local authority commissioners, and case managers. Call 0333 004 0177 or submit a referral online.