Care and Support


Established in 1997, NCM is a team of Health Care Professionals that provides specialist case management services throughout the North of England, with offices in Leeds and North Manchester. NCM supports clients with complex needs (specialising in acquired brain injury and spinal cord injury) as well as clients with more subtle cognitive and behavioural problems.


  • NCM work closely with the client and their family or representative to provide tailored support packages to provide care a specialist support to clients and their families.
  • NCM takes a flexible approach to tailoring support packages giving clients choice and control over how they are supported to live their lives.
  • NCM will help with the whole process from recruitment to day to day management, payroll and personnel matters OR any single element.
  • The client or their deputy can be the employer or NCM can be the employer.


Client as Employer (via a Deputy)


The case manager will carry out a detailed initial needs assessment and produce a case management plan and support plan with the client. These will be updated with the client when necessary but at least annually.


NCM will then assist the client to recruit their own support team through: 


  • Producing job description and person specification.
  • Creating and placing recruitment adverts.
  • Short listing, arranging and attending interviews, job offers and employment contracts.
  • To help protect the client, we will also carry out all pre-employment checks in line with the Care Quality Commission’s (CQC) essential standards of quality and safety.
  • As the client is the employer, we will also arrange employer protection insurance and employer’s liability insurance.


NCM will also setup payroll to enable the client to pay the support workers directly, supervise and support the client’s employees and arrange for comprehensive training and qualifications to be obtained by them to ensure they meet the client’s needs and ensure comprehensive policies and procedures are in place.


NCM will deal with and disciplinary and grievance matters on your behalf by utilising the employment advice provided by your insurers.


Case management intervention is only billed for the time spent working on a client’s case as set out in our fees and key terms. Insurance and training fees are charged separately.




  • Client focused tailor made service.
  • Directly recruited support teams for the individual.
  • Support teams specifically trained to enable the individual.
  • Goal focussed rehabilitation programmes.
  • All case managers are health professionals.
  • Where the client or deputy are the employer we have found that our service is more cost effective and better value for money by comparison to "traditional" care agencies particularly in the medium to long term.
  • NCM is an active case management service that actually gets things done.
  • NCM in house training department.


NCM as Employer


We follow the exact same process with the client as above except NCM will take on legal responsibility as employer. In this case we charge an hourly rate for care or support provided (similar to a conventional agency). 


Included in the fees we will provide:


  • Care/support plan and risk assessments (presenting condition and functional, support worker and environment)
  • Policies and procedures for the home
  • Patient moving and handling risk assessment and training for the care team
  • Statutory training and some specialist training for the care team
  • Future recruitment
  • Employ, pay, manage and maintain a care team specifically for the client
  • All recruitment checks
  • 3 monthly supervisions and team meetings including an annual appraisal all in line with CQC’s fundamental standards.  


Any other case management (i.e. not relating to care team management) will be billed only for time spent on the client’s case as set out in our fees and key terms.




  • Easier to budget with known care and support fees – no surprise expenses from having to deal with employment issues or re-recruitment and training.
  • NCM have legal responsibility as the employer reducing the risk to the client
  • Specifically recruited support teams for the individual.
  • Support teams specifically trained to enable the individual.
  • Goal focused rehabilitation programmes.
  • All case managers are health professionals.
  • CQC registered.
  • In house training department.


Contact one of our team today on 0161 763 4734 for some friendly and professional advice. Whatever your situation, we promise we will do our best to help.