Health Care



Gastronomy Care and Feeding Support
Margeret Lawal – CEO

NHS England Innovative Practice Award – for developing an admission avoidance service model

  • Advanced Nurse Practitioner
  • Independent Prescriber
  • 30+ Years Experience
  • System One (S1) Health Card

Since 2021, we have prevented 3500+ service users from being re-admitted into hospital through our Rapid Response Service.

Reduced Package of Care (POC) 47%
Discharged with No POC 38%
Taken Over By Reablement Team 5%
Admitted into Hospital 5%
Taken Over By Reablement Team 3%
Moved to Nursing/Care Home 2%

In Bedfordshire, under a sub-contract with ELFT, we provide rapid response and reablement homecare services

We have been awarded zonal partners and shadow strategic partners with Oxfordshire County Council.

We are also preferred and approved providers in Central Bedfordshire & Bedford Borough.

Gastronomy Care and Feeding Support

Gastrostomy care involves managing a surgical opening made directly into the stomach for individuals who struggle to swallow food and liquids. This procedure, often called Percutaneous Endoscopic Gastrostomy (PEG), allows for long-term feeding support and medication administration

When providing gastrostomy care, it's important we monitor:

  • - Blood glucose testing.The condition of the gastrostomy site (redness, bleeding, oozing, irritation, or swelling)
  • - Signs of discomfort or complications after feeding (nausea, cramping, swollen stomach).
  • - Proper placement and function of the feeding device
  • - Potential blockages in the feeding tube.
  • - Changes in bowel movements or vomiting.
gastronomy care

How we can help:

- Trained professionals experienced in managing feeding tubes.

- Assistance with food and fluid intake management.

- Medication administration through the gastrostomy tube.

- Creation of tailored care plans in collaboration with families.

- Regular home visits for PEG feeding and care.

- Support for maintaining device hygiene and preventing complications.

- On-call guidance on troubleshooting common issues (e.g. tube blockages, device displacement).


The benefits of our service:

- Enhanced safety and comfort during feeding procedures.

- Improved nutrition and medication management.

- Increased independence for individuals requiring gastrostomy care.

- Peace of mind for families and caregivers.

- Support from experienced healthcare professionals.

- Personalised care plans tailored to individual needs

- Reduced risk of complications through proper care and monitoring.

Our team is committed to providing compassionate, reliable care that allows individuals with gastrostomy tubes to live comfortably and independently. We work closely with families and other healthcare organisations to ensure the best possible outcomes for our service users.

Reduced Package of Care (POC) 47%
Discharged with No POC 38%
Taken Over By Reablement Team 5%
Admitted into Hospital 5%
Taken Over By Reablement Team 3%
Moved to Nursing/Care Home 2%

In Bedfordshire, under a sub-contract with ELFT, we provide rapid response and reablement homecare services

We have been awarded zonal partners and shadow strategic partners with Oxfordshire County Council.

We are also preferred and approved providers in Central Bedfordshire & Bedford Borough.


“I was very pleased with the care that my husband received. The carers were very professional and thoughtful. Being friendly and chatty also made it a pleasant experience.”

~ Susan H. - Wife of Service User

Gastronomy Care and Feeding Support

Clinician-Led Extensive Health Care Assistant Training

Our Health Care Assistants undergo the highest standard of comprehensive training in medical skills, equipment use, emergency response, patient education, communication, infection control, and cultural competence.

All completed training is signed off by our Advanced Nurse Practitioner

Efficient Operating Hours

Our service runs 7am-10pm daily, including weekends, with 24/7 on-call coverage and a single point of access for all referrals.

Integrated Care Pathways

By collaborating and partnering with various healthcare providers who are already involved in community-based care, this service aims to create integrated, multi-disciplinary care pathways

This allows for smooth care transitions, sharing of information and assessments, and a comprehensive, coordinated approach to treating patients intensively in their home environment while avoiding unnecessary hospital admissions.

Gold Standard Framework

The Gold Standard Framework (GSF) is a widely used training program and accreditation process focused on enabling high- quality delivery of palliative and end-of-life care, both in hospitals and community/home settings


We aim to ensure our clinical teams, protocols, and care pathways meet best practice standards for providing comprehensive, compassionate palliative and end-of-life care to patients being treated at

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