Mega Nursing & Care's Home Recovery service helps people leave hospital safely and recover in the place they know best - home . Our nurse-led teams work hand in hand with hospital discharge teams, local authorities and NHS partners to get the right support in place quickly, so beds are freed up and people aren't left waiting longer than they need to.
Whether someone needs a short period of support to get back on their feet, a structured programme of therapy-led reablement, or a bridging package while a longer-term care plan is arranged, our Home Recovery pathway is built around one principle: doing with, not doing for - get people home, get them moving, and get them independent again.
Over the last decade we have supported more than 25,000 individuals through reablement and recovery services, delivering over 2.5 million hours of support with around 60% of people regaining full independence or achieving a significant reduction in their ongoing care needs, typically within an average of 15 days. We consistently accept 100% of referrals, respond within 2 hours, including weekends, and get support started within 24 hours.
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Discharge to Assess supports people to leave hospital as soon as they are medically fit, with assessment of their ongoing care needs carried out at home rather than on a ward.
Our D2A service provides intensive short-term support for the first 3 days at home, giving people and their families breathing space while a fuller picture of their needs is built. This includes:
This short, focused window reduces hospital readmissions and gives an accurate, real-world assessment of what support is actually needed, not just what's assumed on a ward.
We have delivered rapid response and hospital discharge services for nearly a decade across West Northamptonshire, Oxfordshire and Bedfordshire, managing caseloads of over 150 service users a week, with as many as 15 discharges supported in a single day. We have also run reablement services for East London Foundation Trust for six years, working daily alongside multidisciplinary teams to support discharge, reduce care packages and promote independence.
Reablement is a structured, time-limited programme designed to help people relearn skills and rebuild confidence and independence following illness, injury, or a hospital stay.
Programmes typically run from 2 to 6 weeks, depending on individual need, and are delivered through close collaboration between our care teams and Physiotherapists and Occupational Therapists (OTs), working together rather than in silos. This joined-up approach means:
The aim is always the same: support people to do things for themselves again, rather than doing things for them. We use a two-stage goal-setting approach, agreeing broad enabling goals at the start, then refining these into specific, measurable outcomes as confidence develops with progress tracked using recognised independence measures such as the Barthel Index and Goal Attainment Scaling, and support planned to reduce progressively and reviewed weekly.
Community Reablement supports people referred from the third sector, community organisations, charities and voluntary services who need reablement-style support but are stepping in from the community rather than directly from a hospital bed.
This service applies the same principles as our hospital-linked reablement programmes - collaborative therapy input, skills-building, and a clear path to independence, but is shaped around referrals and relationships built with local third sector partners, helping to catch people before a crisis leads to hospital admission.
We have been selected by Gloucestershire County Council and Gloucestershire Health & Care NHS Foundation Trust as a Test and Learn provider, helping to shape the future of Community Reablement in the county.
“Mega Nursing & Care transformed my dad's life. His carer, Jane, introduced music therapy, which calmed his agitation and brought back smiles we hadn't seen in months. The team kept us updated every step of the way.” – Emma, Northampton
“When Mum's dementia worsened, we needed help fast. Mega had a trained carer at our door the same day. Their compassion gave us peace of mind.” – David, Milton Keynes
Our Bridging Service supports people who are medically fit to discharge but need a short period of care in place before a longer-term package can be arranged.
Rather than delaying discharge while a permanent care plan is finalised, our Bridging Service steps in immediately to provide safe, reliable care at home - preventing unnecessary extended hospital stays and ensuring people aren't stuck waiting in the wrong setting.
Every Home Recovery referral begins with a thorough, nurse-led assessment carried out by our clinical team, ensuring care plans are built around the individual's actual needs, risks and goals - not a generic template. Assessments consider mobility, medication, cognition, home environment and family/support networks, with input from physiotherapy and OT colleagues where relevant. Clinical oversight of every case sits directly with our CQC-registered Nurse Practitioner and registered prescriber, giving genuine clinical accountability rather than remote sign-off.
Our Home Recovery carers are trained to a higher standard than standard domiciliary care, equipping them to deliver genuinely therapeutic, recovery-focused support:
We understand that every day someone stays in hospital unnecessarily is a day of lost independence. That's why our Home Recovery service is built to respond within 2 hours, including weekends, and get everything started within 24 hours of referral: assessment, care plan and carers in place, fast.
Continuity of care depends on the people delivering it. We have a proven track record of managing staff transfers smoothly, including successfully transferring teams under TUPE while consulting throughout and maintaining service continuity, giving commissioners and families confidence that care stays consistent and reliable through any transition.
Home Recovery is a genuinely collaborative service. We work closely alongside local authority and health partners, including:
These partnerships allow us to respond quickly to referrals, align with local discharge pathways, and ensure care is joined up across health and social care systems supporting safe, timely discharge and reducing pressure on hospital beds across our regions.
Mega Nursing & Care is a nurse-led, CQC-registered home care provider, supporting people across Northamptonshire, Bedfordshire, Hertfordshire, Gloucestershire, Oxfordshire and Bristol.
We're here to support you every step of the way. Whether you have questions about our services or need assistance in finding the right care for your loved one, our compassionate team is ready to help.
We understand that this journey can be challenging and we're committed to providing you with the information and support you need.
“Reablement is about far more than providing care. It is about helping people regain confidence, rebuild independence and achieve the best quality of life possible. At Mega Resources, we combine compassionate support with a strengths-based, outcome-focused approach, enabling people to do more for themselves wherever possible. By working closely with individuals, families and health and social care partners, we aim to deliver meaningful outcomes that promote independence, reduce long-term reliance on care and support people to live well at home.”
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