Skip to content
    Support professional talking with a young woman at home

    A Structured Route Back to Community Life

    Tier 4 Step-Down Care UK

    Our Tier 4 step-down care supports young people across the UK moving from inpatient mental health settings into community life, with clinical oversight and family coordination.

    In detail

    For commissioners and ICBs, that structure is the point: young people can move on from costly inpatient beds with confidence the community support in place is properly staffed and won't break down within weeks.

    For families, it means a plan explained in advance, not a sudden discharge and a phone number to call if things go wrong.

    How to refer

    1. 01Get in touch. Contact us by phone, email or via our website. Our team is available Monday-Friday, 9am-5pm.
    2. 02Initial consultation. We discuss the individual's needs, current circumstances and the level of support required, usually within the same working day.
    3. 03Needs assessment. Our Clinical Lead conducts a thorough assessment, working alongside the referrer, family and any existing professionals involved in the person's care.
    4. 04Care package design. We develop a bespoke care plan in collaboration with the Local Authority, ICB and family. All plans are person-centred and reviewed regularly.
    5. 05Mobilisation. Once agreed, we can mobilise a care package: in many cases within 24 to 48 hours for urgent referrals, and within 5 working days for planned packages.

    Emergency Referrals

    We aim to respond within 2 hours.

    Mobilisation within 24 hours where operationally possible.

    Urgent Referrals

    We aim to respond within 4 hours.

    Mobilisation within 48 hours.

    Planned Packages

    We aim to respond within 1 working day.

    Mobilisation within 5 working days.

    As a new provider, these are the targets every referral is measured against, not a claim of years doing it.

    Support professional talking with a young woman at home

    The pathway

    Everystep-downplanstartswiththeindividual,notagenericpathway:individualcareplanning,clinicaloversightthatcontinuespastthehandover,andclosecoordinationwithCAMHS,socialworkersandfamilythroughout.

    How we support

    What this pathway includes.

    Open a row to see what each part of the package covers.

    Make a referral
    1. Every step-down is built around the young person, not slotted into a fixed pathway.

    In practice

    Care in practice.

    Young woman talking with a support professional at home
    Support professional talking with a young woman at home
    Support worker reassuring a young person seated at home
    • 0 yrs

      Combined leadership experience in healthcare staffing & care

    • Mon-Fri

      8am-6pm booking and enquiry line

    • 0-step

      Vetting process before anyone joins a team

    • UK

      Wide Coverage

    Next step

    Ready to refer?

    Whether you're a commissioner, professional or family, get in touch and our Clinical Lead will talk you through next steps.