Dignified Independence | Person-Centred Care, Treatment, Coordination and Long-Term Life Support
Integrated Life Care
Integrated Life Care
Its purpose is not simply to care for people. It is to build an organised support system around one individual.
Integrated Life Care (ILC) is a specialised professional department of Dignified Independence established to provide coordinated, person-centred support to individuals who require assistance because of disability, ageing, illness, medical treatment, rehabilitation needs, or temporary or long-term dependency.
Its purpose is to build an organised support system around one individual so that personal support, clinical care, treatment, therapy, nutrition, technology, family communication, case management and access to institutions work together rather than as disconnected services.
The objective is the highest reasonably achievable level of dignity, safety, health, comfort, participation and independence. The individual should receive the right professional, the right service, the right product and the right support arrangement at the right time.
A person-centred, function-centred approach
Dignified Independence follows a person-centred and function-centred approach. A diagnosis alone does not determine a person's support requirement. Assessment considers what the individual can do independently, what requires assistance, which risks are present, which environmental barriers exist, what technologies or professional interventions may improve function, and what continuing support is necessary.
Integrated Life Care works alongside Inclusive Adaptation. Instead of requiring a person to fit a standard care arrangement, the support arrangement is customised around the person's health, abilities, preferences, culture, language, environment, family circumstances and personal goals.
Who may require Integrated Life Care
- Persons with physical, intellectual, developmental, neurological, sensory, psychosocial or multiple disabilities.
- Older persons experiencing frailty, reduced mobility, chronic illness, memory-related conditions or difficulty with daily activities.
- Patients undergoing surgery, long-term treatment, cancer care, neurological care, trauma recovery or chronic-disease management.
- Individuals requiring rehabilitation after illness, injury or medical procedures.
- People with temporary mobility or functional restrictions.
- Individuals who require long-term or lifelong personal, clinical or case-management support.
- Families seeking an organised, accountable care system rather than multiple disconnected service providers.
Guiding principles
Dignity
Every individual must be treated with respect during personal, clinical and social support.
Independence
Professionals assist only to the degree required and support the highest level of safe independence reasonably achievable.
Person-Centred Planning
No two support plans are identical. The plan is built around the individual's actual functional needs and goals.
Informed Consent
Services are delivered with informed consent or, where legally applicable, through an authorised representative.
Safety
Beneficiary safety, clinical appropriateness, safeguarding and risk prevention take priority.
Privacy and Confidentiality
Personal, medical, financial and family information is protected under applicable law and professional standards.
Professional Accountability
Regulated activities are performed only by appropriately qualified, trained, licensed and authorised personnel.
Multidisciplinary Coordination
Professionals work toward one integrated plan rather than operating independently.
Continuous Review
Care plans are reviewed whenever the beneficiary's condition, environment or requirements change.
Feasibility & needs assessment
Every engagement begins with a feasibility study
Every Integrated Life Care engagement begins with a feasibility and needs assessment. The feasibility study is provided without charge. The relevant specialist team reviews the beneficiary's condition, abilities, risks, environment, current treatment, support network, required products and likely service intensity.
- The report explains what was identified and which services are recommended.
- The report identifies the responsible Dignified Independence departments where another department already represents a requirement.
- The assessment may be physical, remote, document-based or multidisciplinary depending on the case.
- A requested service will not be provided where the specialist team concludes that it is unsafe, legally impermissible or not feasible.
- Final service scope remains subject to professional assessment, informed consent, applicable law, clinical appropriateness and operational feasibility.
Three core professional categories
Integrated Life Care is built around three principal professional categories. These professionals coordinate with doctors, nurses, therapists, rehabilitation professionals, educators, social workers, technical teams, family members and authorised representatives.
Personal Hygiene & Daily Living Specialist
Minimum booking — 1 hour
The PHDLS is the foundational daily-living support professional. The role is to assist with activities the beneficiary cannot safely or independently perform, while preserving privacy, dignity, comfort and independence.
- Bathing, showering, oral hygiene, grooming, dressing and continence-related personal hygiene.
- Toileting support and safe assistance with intimate personal care.
- Eating, drinking, hydration and diet-plan implementation.
- Safe mobility, transfers, positioning, pressure-area prevention support and use of mobility aids.
- Maintaining a clean, safe and comfortable immediate environment.
- Structured daily routines, engagement, recreation and social participation.
- Monitoring availability of essential personal supplies and reporting concerns.
- Respecting cultural, religious, privacy and communication preferences.
Routine medication administration is not transferred to the PHDLS merely because the professional is present.
Medication and regulated clinical procedures remain within the authorised clinical pathway. PHDLS personnel may however receive emergency-response training, including CPR and activation/use of permitted emergency equipment, for genuine emergency situations and only within applicable law and training.
Nutrition, Food Procurement and Preparation. Where a dietitian, doctor or approved care plan specifies a diet, the responsibility extends beyond reminding the beneficiary what to eat. Unless the contract expressly places procurement on the beneficiary, the required food and nutritional products are sourced, made available, prepared and served according to the approved plan. This may include specialised diets such as low-carbohydrate or ketogenic-style food where clinically or professionally recommended. If special preparation facilities are required, arrangements may also be coordinated.
PHDLS Service Guarantees
- Infection Prevention Guarantee.
- Dignity and Privacy Guarantee.
- Safe Handling and Mobility Guarantee.
- Personal Hygiene and Cleanliness Guarantee.
- Nutrition, Meal and Hydration Support Guarantee.
- Daily Routine, Engagement and Happiness Guarantee.
- Environment Hygiene and Safety Guarantee.
- Continuity of Care Guarantee.
- Emergency Response Guarantee.
- Personal Care Schedule and Timeliness Guarantee.
- Supplies and Essential Care Items Availability Guarantee.
- Scheduled Reporting Guarantee, including updates as frequently as hourly where agreed.
- Custom Medical Equipment Coordination Guarantee where a required item must be specially sourced or customised through the relevant department.
- Pure Food Guarantee: required food is made available and prepared without unnecessary preservatives or chemicals where the approved plan requires such food.
- Inclusive Adaptation Coordination Guarantee.
- 24/7 Communication and Customised Update Guarantee according to the agreed reporting schedule.
Clinical Care & Treatment Coordination Specialist
Minimum billing — 30 minutes
The CCTCS is the clinical pillar of Integrated Life Care and must be a suitably qualified and legally authorised medical or nursing professional for the clinical activities performed. The service is not automatically a 24/7 bedside nursing service. Frequency depends entirely on the beneficiary's clinical need.
- Clinical assessment and monitoring.
- Medication management within legal scope.
- Wound dressing, catheter, stoma, injection or other authorised clinical support where required.
- Treatment-plan implementation and compliance monitoring.
- Identification and escalation of deterioration.
- Hospital and physician communication.
- Clinical documentation and a report for every visit.
- Accompanying the beneficiary to doctors or hospitals when the beneficiary wants this support.
- Communicating identified clinical concerns and complete observations to the treating doctor.
- Explaining medical terminology and specialist opinions to the beneficiary and authorised persons.
- Coordinating opinions from suitable specialists, including internationally located specialists where appropriate.
- Coordinating lawful sourcing of prescribed medicines and medical equipment from appropriate locations worldwide.
- Supporting lawful transplant-related coordination, including donor-process coordination only through legally permitted and ethical channels.
- Supporting the beneficiary's choice of doctor and helping coordinate treatment pathways.
- Insurance and healthcare-navigation support.
The minimum billing unit for CCTCS standalone service is 30 minutes. A brief medication-only case may require periodic clinical review rather than daily nursing attendance; routine non-clinical medication support may then be completed by the appropriate daily-living professional under the approved plan.
Integrated Facilitation & Care Management Specialist
Quarterly package — 3 month minimum
The IFCMS is the principal non-clinical case-management and facilitation professional. The role connects healthcare, therapy, family communication, insurance, benefits, documentation, appointments, environmental requirements, government/community services and other practical needs into one managed case.
- Weekly case review as a normal minimum planning standard.
- Appointment, hospital, therapy and treatment coordination.
- Insurance, benefit and claim facilitation.
- Documentation and communication with relevant institutions.
- Family and authorised-representative communication.
- Government and community-service coordination.
- Environmental and accessibility coordination.
- Travel required for case-management duties, including meetings that do not require the beneficiary to be present.
- Long-term monitoring of the complete support plan.
IFCMS is normally provided as a quarterly case-management package rather than as a simple hourly service. The minimum package is three months because the work includes continuing weekly review, external coordination and responsibilities that cannot be fairly measured only by face-to-face hours.
Therapy and rehabilitation
Therapy and rehabilitation are integrated according to assessed need. The objective is not merely symptom reduction, but improved function, communication, mobility, emotional well-being, participation and quality of life.
- Physiotherapy
- Speech and language therapy
- Occupational therapy
- Behavioural therapy and other recognised behavioural interventions
- Other rehabilitation, communication, psychological, creative or complementary therapies where legally recognised, professionally appropriate and included in the approved plan
Therapy must be provided by appropriately qualified professionals, remain within legal scope, have defined goals, be documented and periodically reviewed, and form part of the beneficiary's integrated care plan.
Global sourcing and practical support
Integrated Life Care is designed to solve practical barriers, not merely provide advice. Even where a customer does not hold an AMC, Dignified Independence may coordinate lawful sourcing and delivery of required prescribed medicines, medical equipment, nutritional products and specialised food from suitable locations worldwide — subject to import, prescription, customs, regulatory and other applicable legal requirements.
Hospital support may include booking, admission coordination, accompanying the beneficiary, communicating with doctors, managing documentation, explaining clinical information and coordinating follow-up.
A beneficiary who attends a hospital with CCTCS support should not need to arrange a separate informal bystander for the functions covered by the service.
Standalone / Pay-As-You-Use services
Pay as you use
Standalone services
Customers are not required to purchase a full annual contract. Individual services may be selected according to actual need. Public hourly rates are final customer-facing professional service rates and already include the applicable 25% administration/platform component. The 25% is not added again at checkout.
- PHDLS: minimum booking unit — 1 hour.
- CCTCS: minimum billing unit — 30 minutes.
- Therapy: minimum booking unit — 1 hour.
- IFCMS: normally a quarterly package, not an hourly service.
For standalone customers, the professional service charge covers the professional and organisational service.
Medicines, hospital/treatment costs, insurance premiums, food, products, equipment, clinical consumables and other direct third-party costs remain separately payable unless the specific quotation expressly includes them.
Annual Maintenance Contract — complete care model
Complete care model
Annual Maintenance Contract
The AMC is the comprehensive Integrated Life Care option. Instead of separately billing each professional, medicine, treatment, equipment item or recurring support requirement, the beneficiary receives an integrated care arrangement under one contract, subject to the approved feasibility and customised care plan.
For the AMC beneficiary, clinically and operationally approved treatment is included in the package. Insurance is commonly arranged as an internal cost-management and protection mechanism, but the beneficiary's access to included treatment is not made dependent on whether an insurer approves a particular claim.
- PHDLS personal hygiene and daily-living support according to assessed intensity.
- CCTCS clinical and treatment coordination.
- IFCMS case management and facilitation.
- Required therapies and rehabilitation.
- Doctor and specialist consultations required under the approved plan.
- Diagnostics, laboratory investigations, treatment and hospitalisation required under the approved plan.
- Prescribed medicines.
- Nutritional products and specialised diet support.
- Hygiene and clinical consumables.
- Medical equipment and support equipment for use during the contract, including items such as patient beds, mobility support devices and other approved equipment.
- Hospital accompaniment, booking, coordination and follow-up.
- Relevant transport and mobility support within the approved care arrangement.
- Applicable comprehensive tour and participation benefits under the programme.
- Other approved care requirements identified through feasibility and customisation.
AMC-exclusive benefits
- Medical Insurance Included
- Normally arranged by Dignified Independence as part of the care framework.
- Complete Treatment Inclusion
- Approved treatment requirements are included without separate customer billing under the AMC scope.
- Medical Equipment Included
- Approved equipment is provided for use without a separate rental charge; ownership may remain with the provider unless otherwise agreed.
- Price Protection and Long-Term Price Lock
- According to the payment structure and prepaid period.
- Disability Education, Training and Development Support
- For beneficiaries who require developmental, functional, educational or vocational pathways.
- Older-Person Property and Personal-Affairs Management Support
- Subject to authorisation, safeguarding and applicable law.
- Experience-to-Opportunity Support
- For older or other beneficiaries able and willing to use their professional experience through suitable employment, consultancy, mentoring, entrepreneurship, volunteering or productive engagement.
Inclusive Adaptation for AMC beneficiaries
Inclusive Adaptation is a separate specialised framework, but AMC beneficiaries may already receive many of the components that would otherwise contribute to adaptation cost. For example, patient beds, mobility-support items, sensors, smart lighting and other approved support equipment may already be included through the AMC.
Accordingly, these components are not billed again under Inclusive Adaptation. The beneficiary pays only for remaining non-covered adaptation requirements, such as specific bathroom fittings, structural work, permanent construction or other components not already represented by the AMC. In many cases this can reduce the effective adaptation cost substantially, sometimes to around 30% of the comparable standalone adaptation project, but this is not a universal fixed 30% tariff. The actual amount is determined by the feasibility report.
Comprehensive tour & participation benefit
Where included in the approved AMC programme, the beneficiary may receive both domestic/national and international supported travel benefits. These are participation and quality-of-life supports, not merely transport bookings.
Every six months
Domestic supported trip
Normally once every six months, typically around one week. Indicative standalone value benchmark approximately USD 5,000 for a normal national trip.
Every two years
International supported trip
Normally once every two years, typically around one month. Indicative standalone value benchmark approximately USD 20,000 for an international trip.
The package may include accessible transport, flights or other travel, accommodation, food, companion/caregiver support, required clinical/medical support, accessibility arrangements, local transport and care coordination. For eligible AMC beneficiaries the applicable package is included without separate billing; non-AMC customers may purchase the service at the applicable special rate.
AMC contract duration and payment frequency
| 1 year | Monthly |
|---|---|
| 2 years | Quarterly |
| 3 years | Half-yearly |
| 4 years | Annual |
| 5–20 years | Annual |
Customers may prepay more than the minimum required period. The prepaid period receives the applicable price protection. For example, where a long-term period is fully prepaid, that prepaid period may be protected from subsequent service-price revisions according to the contract.
Long-term instalment arrangements may be reviewed at defined pricing intervals, with a normal maximum review cycle of five years unless the prepaid price-protection terms provide otherwise.
Multiple beneficiaries and family coverage
A standard Full AMC is priced for one primary beneficiary. Additional family members or other eligible beneficiaries may be added.
Where only selected services are required for the additional person, the charge is based on the selected service scope. Where a complete Full AMC is added for another beneficiary, the normal additional charge is 80% of the standard Full AMC price for each additional beneficiary. The same principle may be applied to third, fourth and further full beneficiaries, subject to feasibility and contract terms.
Transfer, closure and cross-border continuity
Permanent relocation. Where a beneficiary permanently relocates to another country in the same Tier, the AMC may ordinarily continue subject to local law and operational feasibility. If the destination is in a different Tier, the applicable pricing difference is adjusted upward or downward according to the destination Tier.
Temporary international stay. Temporary cross-border continuation is also possible. If the beneficiary stays in another country for a limited period, only that period is subject to the destination country's law, licensing requirements, operational rules and applicable Tier difference. On return, the original country/Tier arrangement resumes.
Transfer or closure. If the primary beneficiary dies or no longer requires the contracted service, remaining eligible contract value may be transferred to another eligible beneficiary or family member, or the contract closed and unused eligible value settled through the applicable refund or service-credit mechanism after deducting services already delivered.
Temporary pause. A pause, extension, service modification, credit or other adjustment may be considered where the beneficiary temporarily does not use part of the service. This is not a universal automatic entitlement and is decided case by case according to the circumstances, committed resources, care continuity and contract.
Authorised Decision-Maker and capacity safeguards
A beneficiary may nominate a Primary Authorised Decision-Maker and a Secondary Authorised Decision-Maker. They do not need to be family members. While the beneficiary has decision-making capacity, authority remains with the beneficiary.
Where a serious capacity concern arises, activation of representative authority is subject to a structured medical and governance review. The medical review uses appropriately qualified specialists, with a minimum three-member specialist board, a normal seven-member board, and up to eleven specialists for exceptional cases. The final process also considers applicable legal and organisational requirements.
Where the review concludes that representative authority should be activated, implementation should normally occur within 72 hours of the final decision. Where capacity is later considered restored, the reversal process should be completed promptly, normally within 48 hours after the applicable review. During review, representative authority is restricted to essential and urgent matters. A beneficiary may opt out of the organisational nomination mechanism, in which case applicable statutory/legal guardianship rules govern.
Guarantees, complaints, refunds and compensation
Normal decision period for a formal complaint alleging a service-guarantee breach.
Ordinary completion period for valid refund processing after the applicable decision.
Normal additional compensation ceiling per customer. Tier-specific ceilings may differ.
Integrated Life Care treats service guarantees as operational responsibilities. The objective is prevention, continuity and correction rather than compensation. Where a formal complaint alleges a service-guarantee breach, a decision should normally be reached within 10 working days. Refund and compensation are separate. Where a refund is due, the applicable refundable amount is based on the amount actually paid under the contract, subject to deduction of services already delivered or other contractually applicable amounts. Valid refund processing should ordinarily be completed within 30 days after the applicable decision/request. Where a verified breach causes compensable loss, compensation may be provided as money, additional/extended service, continued contractual support or an appropriate combination. The normal Tier 1 additional compensation ceiling is up to USD 1,000,000 per customer. Tier-specific ceilings may differ. Exceptional verified losses above the normal ceiling may be considered under the Chief Coordinator's Special Fund mechanism according to the applicable internal decision process.
Public pricing framework
Public pricing is presented in rounded US-dollar equivalents for consistency across countries. Internal costing may use local currency. Rates are subject to feasibility, customisation, local professional requirements and the country-specific policy framework. Select a tier to see the applicable rates.
* IFCMS is normally sold as a minimum three-month quarterly case-management package. The hourly figures used internally for staffing/costing are not intended to convert IFCMS into a simple hourly customer service.
Alternative option: Delegate
Customers seeking a longer-term residential, livelihood and life-support ecosystem may also consider Delegate.
Delegate is not merely an AMC with accommodation. It combines the applicable care ecosystem with facilitated living, education/training, livelihood or business pathways and, in the long-term membership model, a property ownership component.
Delegate capacity is inherently limited by project infrastructure and accommodation availability. Long-term membership or purchase applicants may receive allocation priority. Full Delegate terms, property registration, renewal structure, employment/business support and project-specific availability should be read on the dedicated Delegate page.
Important pricing and tax note
All prices are exclusive of applicable taxes. Applicable taxes may be added according to the country of service.
All prices are indicative publication benchmarks and remain subject to feasibility, customisation, actual service intensity, lawful professional scope, local licensing, operational availability, country classification and the final written contract.
Where a country-specific price is published or quoted, that country-specific quotation prevails.
Professional boundaries and legal compliance
- No professional may diagnose, prescribe, alter treatment or perform a regulated procedure unless legally qualified and authorised to do so.
- Experience cannot replace a professional licence where local law requires registration.
- Emergency interventions are limited to genuine emergencies and the responder's training and lawful scope.
- Privacy-sensitive monitoring, cameras, sensors and electronic systems require applicable consent and legal compliance.
- Organ transplantation and donor coordination must remain within lawful, ethical and authorised medical channels.
- Cross-border medicines, equipment and treatment coordination remain subject to prescription, customs, import, licensing and regulatory requirements.
Why Integrated Life Care is different
- One coordinated plan rather than disconnected providers.
- Care intensity based on function and actual need rather than diagnosis alone.
- Daily living, clinical care, therapy and case management under one framework.
- Global coordination for medicines, equipment, doctors and specialist opinions where lawful and feasible.
- Custom food and nutrition support, including procurement, preparation and delivery where required.
- Hospital support from booking and admission through doctor communication and follow-up.
- Hourly/selected-service access for customers who do not need a full contract.
- A comprehensive AMC for customers who want predictable, integrated long-term coverage.
- Cross-border continuity subject to destination-country law and Tier adjustment.
- Clear service guarantees, reporting, complaint handling, refund and compensation mechanisms.
- A pathway to Inclusive Adaptation and, where appropriate, the Delegate long-term ecosystem.
Final statement
Integrated Life Care is founded on a simple principle: professional care is not an act of pity. It is a responsibility requiring knowledge, ethics, discipline, accountability and respect.
Every human life has value. Every individual deserves dignity. Every person should have the opportunity to live as independently as reasonably possible. Integrated Life Care therefore brings personal support, clinical care, treatment, therapy, technology, nutrition, family participation, case management and community resources around the needs of one individual — with the objective of making life safer, more independent, more comfortable and more dignified.
Source and publication basis
This publication is based on the current Dignified Independence ‘What We Do — Integrated Life Care’ framework reviewed on 28 August 2026, together with the subsequently clarified Integrated Life Care service, AMC, pricing, guarantee, customer-protection and cross-border policies supplied for this publication revision.
Awareness
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Leadership
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