Support at Home’s clinical pivot could redraw the map – and leave “lighter-touch” providers behind.

Support at Home has arrived with a decisive nudge away from domestic assistance toward clinical care, wellness and reablement. The question is whether that nudge becomes a shove – and whether operators built on lower-level services can survive when they’re suddenly competing with Jim’s Mowing on one side and hospital-grade care on the other.

For many Support at Home providers, the numbers are flashing red. Consultant Lorraine Poulos says the reduction in funded care and package management is already biting – and the coming price caps (from July 2026) magnify the risk.

“Providers are very concerned,” she told SATURDAY. “Say