FND Care at Home

Care visits start from 30 minutes, from £34, with no hidden fees, and every family receives a written quote before anything begins. Regulated home care is VAT exempt.

Yes, within an agreed plan. FND fluctuates, so support is planned to flex with it: visits can step up during a difficult spell and back as things settle, without starting again from scratch.

Yes. We start from the position that FND symptoms are real, and we plan around fatigue deliberately, timing visits for low-energy points and saving your effort for what matters to you.

Yes. FND often begins in working age, and support at home is shaped around work, family and life, not an older person’s template.

Yes, with your agreement. We liaise with your GP, neurology and community rehabilitation teams so care at home fits the clinical plan. We also take referrals from case managers and professional deputies and can build a consistent care team around one client.

Support steps up quickly: more visits or longer ones, more hands-on help, and clear communication with you and your family. As things settle, support steps back at your pace.

The right timing depends on your situation and on matching you with a suitable carer. We will talk through your needs and explain realistic timescales when you contact us.

No. There are no long-term or fixed-term contracts, and every package carries our 90-day risk-free guarantee: you can cancel at any time.

NHS inform describes FND as a problem with how the brain sends and receives information. In other words, there is no damage to the structure of the brain, but the signals are not working properly. Weakness, tremor, walking difficulty, fatigue and functional seizures are all common. They are real, and they are not under the person's control. Our guide to supporting someone with FND at home explains this in more detail.

In practice, we arrange visiting FND care at home in St Albans, Harpenden, Welwyn Hatfield and Hemel Hempstead, and the villages around them. In addition, live-in care for FND is available across the whole of Hertfordshire.

Yes. Before care begins, we agree with you how episodes usually present and what response you want. With your consent, we check that with your treating team. As a result, every carer responds in the same calm way. Our guide on what to do when someone has a functional seizure sets out what families are usually advised to do. We do not provide clinical treatment, because that stays with your NHS team.

Yes, for the east and north of the county. Hertfordshire Community NHS Trust runs a specialist FND service from the Danesbury Neurological Centre in Welwyn. Specifically, it is for adults registered with a GP in East or North Hertfordshire. In most cases, referrals come through a GP or a neurologist. Our guide to FND support in Hertfordshire explains which service covers each area and how referrals work.

Often, yes, with the right plan. It depends on how symptoms present, how often they change and what happens on a difficult day. We build FND care at home around those points. For instance, that means short visits at set times, a clear plan for a bad day and a way to step support up quickly. We have written about whether someone with FND can live alone and what tends to make it work.

Many families fund care privately. However, council support may be available. It depends on a care needs assessment and a financial assessment from Hertfordshire County Council. Where someone is eligible, Direct Payments can pay for the care. Attendance Allowance may also apply for people over State Pension age. Our care funding guide and our guide to the care needs assessment in Hertfordshire set out the options.

Yes. For example, support can start for a defined period and then stop when it is no longer needed, because there are no fixed-term contracts. Families often use short-term FND care at home during a difficult spell, after a hospital admission or to give a family carer a proper break. As things settle, the support steps back.

We write the care plan with you before care starts. It records how your symptoms present and what helps on a good day and a bad day. In addition, it sets out how you want support with pacing and fatigue, and the agreed response to a flare or a seizure. The carers who visit work from that plan. Because the team is small and familiar, you should not have to explain things from the beginning each time.