This page was last updated on 4 October 2022.

About the dashboards

On this page, we provide a regularly updated CLCH services dashboard, which provides the status of the services we provide.

The dashboards on this page are specifically created for GPs and other health and care professionals.  

  • We aim to ensure the information is as accurate as possible, and at the top of this page you will find when this page was last updated
  • We provide different dashboards for the different areas we operate in: for Hertfordshire, for North West London (NWL), for South West London (SWL) and for North Central London (NCL). Please check the dashboard for your local area.
  • We provide separate dashboards for our adults services and children's services. 

The dashboards use a traffic light rating to indicate the status of each of our services.   

Red.png A red rating means the service is not available or significantly reduced 
Please see the comments for further details

Amber.png

An amber rating means a reduced level of capacity or performance
Please see the comments for details 
Green.png A green rating means the service is operating at normal capacity and performance

Status dashboard for adult services in North Central 

Adults services in North Central
RAG status
Comment
 
Contacts

Bladder & Bowel

Green.png

Service is operating at normal capacity and performance.

CLCHT.ContinenceBarnet@nhs.net
Continence: 020 8349 7465
clcht.stoma@nhs.net
Stoma: 020 8349 7529

COPD

Green.png

All service pathways are operational. COPD waiting times dependent on pathway.

barnetcopd@nhs.net 
020 8349 7539

Post Covid service

 

Green.png

Service is fully operational.

Clcht.plannedcarebarnet@nhs.net

Diabetes

Amber.png

All service pathways are operational but with reduced capacity due to staffing levels and increased referral rates being experienced. Waiting times dependent on urgency. Urgent: CLCHT.barnetdiabetes@nhs.net
020 8732 6824
Routine: clcht.bcs-admin@nhs.net
0208 732 6328

Heart Function Improvement & cardiac pulmonary rehab

Green.png

Service is operating at normal capacity and performance.

barnetheartfunction@nhs.net
020 893 77718

In-patient Units Marjory Warren; Adam’s ward; Jade

Green.png

Updated policies and procedures that include Covid-19 testing of patients.

Referrals from acute via
clcht.barnetdischargespa@nhs.net

 

Learning Disabilities

Amber.png

Service has some staff shortages in LD physiotherapy and LD nursing which is impacting capacity. Additionally, there has been an increase in referrals which is also impacting waiting times. Recruitment underway and new starters will be in post by end September.

bldsintegratedduty@barnet.gov.uk
020 8359 6161

MSK

 

 

 

 

MSK new patient waiting times dependent on urgency and pathway.  Operating above capacity with additional agency staff to bring down waits. 

MSK Physiotherapy
clcht.mskphysiotherapy@nhs.net
0208 937 7509 Referrals via RMS

Barnet-routine.referrals@nhs.net
0208 732 6813  
IC-MSK Green.png ICMSK at capacity. Meeting KPIs.

MSK Physiotherapy
clcht.mskphysiotherapy@nhs.net
0208 937 7509

Referrals via RMS (Referral Management Service)
Barnet-routine.referrals@nhs.net
0208 732 6813  

Nutrition Support

 Green.png

Service is operating at normal capacity and performance.

clch.bnutritionsupport@nhs.net
0208 937 7121

clch.hetfbarnet@nhs.net
020 8349 7323

One Care

Home Team

Green.png

Service is operating at normal capacity and performance. 

clcht.onecarehomebarnet@nhs.net
0300 020 0655

Parkinson's

 Green.png

Waiting times are dependent on referral urgency and pathway. Recruitment challenges in SLT resulting in longer waits for this pathway.

clcht.edgwareparkinsons@nhs.net
020 8937 7150

 Community Phlebotomy

 Green.png

Online bookings 4 weeks ahead - updated daily.

Finchley telephone booking line
Mon-Fri 7am-noon

T:0208 349 7460

Or online bookings
finchleybloodtest.sangix.co.uk     

Opening hours increased Mon to Fri 8-8, last bleed 19.30 Sat & Sun Fri 8-8, last bleed 19.30 

Planned Care Team: District nursing; Falls/ SLT/ ICS therapy)/ESD)

Green.png

 

Green.png

 

 

 

Amber.png

 

Green.png

 

 

Service is operating at normal capacity and performance

 

Service experiencing significant increase in referrals which presents challenges in sustaining routine & urgent waits
 

High demand for therapy. Ongoing recruitment challenges.  Waiting times dependent on priority
 

Recruitment challenges in SLT resulting in longer waits for this service.  Waits dependent on urgency

 

Service is operating at normal capacity and performance

 

 

 

clcht.plannedcarebarnet@nhs.net
03000 20 06 55

Podiatric surgery

Green.png

Wait shown is for outpatient appointment.

Referrals via RMS (Referral Management Service)
Barnet-routine.referrals@nhs.net
0208 732 6813  

Podiatry

 Green.png

Service is experiencing staff shortage but maintaining waiting times. Waits dependent on urgency and pathway.

0208 732 6328

Stroke support

Green.png

Stroke Services operating at normal capacity and performance.

email form to 
clcht.barnetdischargespa@nhs.net as well as cc referral to clcht.barneticsesd@nhs.net and must phone Single Point of Access on 03000 20 06 55 (option 1) to get in contact with ESD team to discuss referral.

Tissue Viability

 Green.png

Waiting times are dependent on referral urgency

clcht.plannedcarebarnet@nhs.net
03000 20 06 55

Unplanned Care Team

Green.png

Unplanned Care is experiencing significant staffing challenges across nursing and therapies alongside staff sickness.

Rapid Response
clcht.unplannedcarebarnet@nhs.net
03000 20 06 55

Walk-in-centres

  Green.png

Both our Walk-in Centres at Edgware Community Hospital and Finchley Memorial Hospital are operating with pre-booked and walk-in services available. There are some challenges with staffing and doctors, which we are working to resolve.

To improve equity of access to unscheduled care services across the London Borough of Barnet, we have changed the opening hours of our two walk-in centres at Edgware Community Hospital and Finchley Memorial Hospital.

This is a temporary change whilst urgent care services are reviewed across North Central London and was made effective in both services from 11 September 2023.

•           The walk-in centre at Edgware Community Hospital is open from 8am to 8pm (last patient booking at 7pm).

•           The walk-in centre at Finchley Memorial Hospital is open from 8am to 8pm (last patient booking at 7pm).

•           Both services are open 365 days a year

•           X-ray services are available at both sites.

Finchley Memorial Hospital Walk in Centre (WIC) is open 8am - 8pm

Edgware Community Hospital Walk in Centre is open 8am - 8pm

Status dashboard for children’s services in North Central London

Children's service in North Central
RAG status
Non-Urgent Waiting Times
Comment
Contacts
Home Enteral Feeding and Appropriate Prescribing (Dietetic Service)
Amber.png
12 weeks
Increasing demand on service with raised referrals.  Service has been supported by Dietetic team from INWL due to long term staffing shortage
020 83497060
Orthotics
Amber.png
14 weeks
Service is fully operational but is experiencing high demand.
Orthoptics
Amber.png
10-12 weeks
Staff shortage increasing waiting times. Bank sessions done as often as possible to try to bring wait times down
02084473532
Looked after children
Green.png
4 weeks
Service is operating as normal
02084926442
Children’s Complex Care service
Green.png
No KPI as seen when needed
Service is operational as usual.
02083497066
Special School Nursing service
Green.png
Access service in school
Currently closed due to school holidays.  Reopening 05/09/2022.
0208 368 5336 Ext 3
0208 455 4111 Ext 1

Service
Status
Non-Urgent Wait Times
 
Comment
Contact Point
SDS: Oral Surgery
 
Green.png
3 weeks
On the respiratory and non- respiratory pathway. Respiratory patients are booked in clinic at the end of the day with IPC guidelines followed.
Clinically urgent patients to be prioritised with next priority to be given to those who have been waiting the longest. Patients are being seen in clinic for consultation and treatment.
SDS: Endodontic
 
Amber.png
21 weeks
On the respiratory and non- respiratory pathway.
Respiratory patients are booked in clinic at the end of the day with IPC guidelines followed.
Significant wait list. Plans are currently being put in place to reduce the non-urgent wait times.
Clinically urgent patients to be prioritised with next priority to be given to those who have been waiting the longest. Patients are being seen in clinic for consultation and treatment.
SDS: Periodontal
 
Amber.png
16 weeks
On the respiratory and non- respiratory pathway.  Respiratory patients are booked in clinic at the end of the day with IPC guidelines followed.Plans are currently being put in place to reduce the non-urgent wait times. Clinically urgent patients to be prioritised with next priority to be given to those who have been waiting the longest.First contact is a telephone assesment. Subsequent appointments are in clinic.
Community Dental Service: Adult special care
 
Green.png
4 weeks
On the respiratory and non- respiratory pathway.
Respiratory patients are booked in clinic at the end of the day with IPC guidelines followed.
Clinically urgent patients to be prioritised with next priority to be given to those who have been waiting the longest. Assessment and treatment appointments are in clinic.
Community Dental Service:
Pediatrics
Green.png
3 weeks
On the respiratory and non- respiratory pathway. Respiratory patients are booked in clinic at the end of the day with IPC guidelines followed.First contact is a Telephone assessment. Following telephone assessment patients are prioritsed based on urgency with 3 priority levels. Patients are seen in clinic for treatment
CLCHT.Dental@nhs.net
02075346524
Emergency Dental Service
Green.png
No wait list
Service has been running throughout.
111 nurse lead triage centre who book patients directly into clinic on the same day. Reduced capacity for patients as per infection control guidelines.
Patients referred via 111
Homeless Dental Service
 
Green.png
6 weeks
On the respiratory and non- respiratory pathway.  Respiratory patients are booked in clinic at the end of the day with IPC guidelines followed.
Clinically urgent patients to be prioritised with next priority to be given to those who have been waiting the longest. Assessment and treatment appointments are in clinic.
Oral Health Promotion
Amber.png
Not a patient facing service
 
Virtual only.

Status dashboard for adult services in Central London 

Adult service in Central London

RAG status

Non-Urgent Wait Times

Comment

Contact Point

Bedded Rehabilitation

Green.png

Referral to Admission - 1 day

Non-Covid patients (Covid Protected) units

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Community Matrons

Green.png

4 weeks

Prioritising admission avoidance work and supporting District Nurses.

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Continence

Amber.png

<4 weeks

Small wait list, all due to be seen by September 2020. Virtual and face to face appointments

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Diabetes Education

Green.png

1-4 weeks

Limited capacity for in-person groups due to ongoing recommended covid IPC measures.Mixed model of virtual and face to face offered to patients. 

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

District Nursing

Green.png

28 days

Same model

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Falls

Amber.png

High priority within 4 weeks, low priority up to 10 weeks

Limited capacity for in-person groups due to ongoing recommended covid IPC measures.New referrals are triaged and prioritised on a 4-point scale based on reported falls history, injury because of a fall and/or risk of hospital admission. Intervention includes clinic follow up, home visits, and virtual and in-person group exercise classes. 

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Learning Disabilities

Green.png

<18 weeks

Mixed model of virtual and domiciliary

215 Lisson Grove
Mezzanine, London, NW8 8LW
020 764 17411

Neuro-rehabilitation

Green.png

<4 weeks

Full restoration of service by end July, mixed model of virtual and domiciliary

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Nutrition and Dietetics

Green.png

4-5 weeks

Mainly virtual model

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Parkinson’s

Green.png

4 weeks

Mixed model of virtual and domiciliary

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Pembridge Bereavement

Green.png

Referrals processed within 24 hours

Virtual model

Service contact:
020 8102 5000 (0900 –1700 M-F)

Pembridge Community

Green.png

Referrals processed within 24 hrs

Mixed model of virtual and domiciliary

Service contact: 020 8102 5383 (0900–1700 M-Sun)

Pembridge Day Care

Amber.png

Referrals processed within 24 hours

New model: virtual and domiciliary. Clinic appointments offered of clinically indicated.

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Pembridge End of Life Inpatients

Red.png

N/A at present

The inpatient beds at Pembridge are being temporarily re-designated for the care of patients with Covid-19. This is part of NWL system response.

It’s important to note no decision has been taken about the future of the Pembridge in-patient unit. The timelines and next steps of the palliative care review currently under review.

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Podiatric Surgery

Amber.png

Non urgent patients on hold

Treatment offered to priority 2 patients; priority 3/4 patients on hold as per guidance. Will need access to additional theatre space to clear waitlist.

Imperial.podiatric.surgery@nhs.net

Podiatry

Amber.png

4-6 weeks

​Improving position, wait list down from 6-8 weeks to 4-6 weeks within two months as a result of additional resource recruited. Continue to prioritise urgent patients. 

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Soho WIC

Amber.png

N/A at present

From 27 November 2021, booked face-to-face and virtual appointments will be available for patients (registered and unregistered) in all North West London boroughs. Appointments can be booked via a referral from NHS 111 or via self-referral by telephoning the clinic on 020 7534 6500. The booked service will operate Saturday and Sunday, from 10.00am - 4.00pm (closed bank holidays) and will treat patients with minor illness. The walk-in service remains suspended for patient and staff safety

020 7534 6500

Surge Beds

Green.png

Referral to Admission -3 days

Covid positive (Covid Risk Managed) patients - beds available for surge if required

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Tissue Viability

Green.png

3 weeks

Same model

Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

 

Status dashboard for children's services in Central London

Children’s Service in Central London

RAG status

Non-Urgent Wait Times

Comment

Contact Point

Healthy child clinics

Amber.png

N/A

Drop in baby clinics not yet running due to IPC guidance. Service user advice and support line set up 9am to 5pm, Mon-Fri.

Single Point of Access (SPA) on
020 8200 2500 option 1 or email
clcht.childhealthinformationhub@nhs.net

Health Visiting – 
4 mandated checks
New birth visit
6 to 8 week HV review
1 and 2 year health review

Green.png

None

The new birth visit, 6 to 8 week Health Visitorreview and 1 and 2 year health reviews are all being delivered via virtual contact initially,  then a face to face contact can be arranged as necessary.

clcht.childhealthinformationhubkcwf@nhs.net
or 0208 200 2500 option 2

Health Visiting
Antenatal group appointments

Red.png

N/A

We are not able to offer group sessions but have developed a webinar that all new mums are linked to via letter.  Signpost to Antenatal Video

Visit our parent and baby resources page 

 

School nursing

Amber.png

N/A

Focusing on safeguarding and supporting schools with ICP
Targeted support to children/young people with asthma.

clcht.childhealthinformationhubkcwf@nhs.net
or 0208 200 2500 option 2

Safeguarding

Green.png

N/A

The services continue to prioritise visits for families on LCON 3 and 4; any safeguarding referrals; writing reports for conferences  and attendance at multiagency meetings 

Single point of contact (SPOC)
0208 102 4218

Speech and Language therapy:

Education

Amber.png

Wait times vary- 6mth+ for new EHCP W/K&C

CYP with EHCP highest clinical packages, and transitions, annual reviews& EHCNAs seen remotely& training offer
Remote support to families& joint work with education staff to support school age CYP

Children’s Complex care & SLT admin hub: 0207 266 8777

Speech and Language Therapy: Children with complex health needs –dysphagia /CDS complex needs including

SCD diag. pathway)

Green.png

 

Amber.png

Dysphagia- green

 

SCD pathway

Red: wait 6mth-1year

CYP – dysphagia & SLT vulnerable families with complex needs seen& supported throughout.

Long wait times for SCD diagnostic assessment pathway; starting July20

Diagnostic assessment pathway- Covid revised.

2 separate pathways for WRC and Cheyne.

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

 

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Speech and Language Therapy: Early Years (EY)

Amber.png

12 weeks for re-referrals 16-20 weeks for follow ups

Groups not yet restored due to IPC guidance. Plan to restore groups from September 2022. Rest of service managing high levels of cancellation for individual appointments. In addition, there is increased complexity in family situations, with liaison and referrals onwards needed, which is reducing clinic capacity.

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Looked after children

Green.png

N/A

A full service has remained in place with virtual assessments & some face to face

0207 266 8774 / 8862

Children’s Community Nursing

Green.png

N/A

Enhanced hours of service being delivered 08:00 to 18:00 7 days/week

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Special School Nursing

Green.png

N/A

Nurses are supporting the return of children to Special Schools

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Children’s Nutrition and Dietetics

Green.png

No waiting list

Has continued throughout with virtual assessments

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Children and Young People’s OT

Green.png

Up to date with referrals

Has continued throughout with virtual assessments and parent groups

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Child Development Service

Green.png

Waiting list management in place

Has continued throughout with virtual assessments and parent groups

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.cdsrim@nhs.net

Haemoglobinopathy

Green.png

Up to date with referrals

Has continued throughout with virtual assessments and partner blood tests (Genetic Counselling) done in clinic

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Status dashboard for adult services in Hammersmith and Fulham

Adults Service

Status

Non-Urgent Wait Times

Comment

Contact Point

Bedded Rehabilitation

Green.png

Referral to Admission - 1 day

Non-Covid patients (Covid Protected) units.

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Community Matrons

Green.png

<28 days

Supporting new Integrated Domiciliary Service.

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Diabetes Education

Green.png

1-4 weeks

Limited capacity for in-person groups due to ongoing recommended covid IPC measures.Mixed model of virtual and face to face offered to patients. 

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

District Nursing

Green.png

<28 days

Same model

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Falls

Amber.png

High priority within 4 weeks, low priority up to 10 weeks

Limited capacity for in-person groups due to ongoing recommended covid IPC measures.New referrals are triaged and prioritised on a 4-point scale based on reported falls history, injury because of a fall and/or risk of hospital admission. Intervention includes clinic follow up, home visits, and virtual and in-person group exercise classes. 

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Learning Disabilities

Amber.png

<18 weeks for majority of clinical services - see comments 

Significant wait list in Psychology and Occupational Therapy to be cleared by March 2021.

Learning Disabilities
Parkview Centre for Health
shirley.george@lbhf.gov.uk
020 8753 1900

Neuro-rehabilitation

Green.png

<4 weeks

Full restoration of service by end July, mixed model of virtual and domiciliary.

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Nutrition and Dietetics

Green.png

4-5 weeks

Mainly virtual model.

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Parkinson’s

Green.png

4 weeks

Mixed model of virtual and domiciliary.

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Parsons Green WIC

Amber.png

N/A at present

Due to COVID-19, the walk-in service at Parsons Green remains temporarily suspended to ensure the safety of our patients and staff. A booked clinic for residents in North West London is operating in place of the walk-in service. This is available via referral from GPs (in Hammersmith and Fulham) and via 111 and self-referral (in North West London). For more information about the referral process, visit our Walk-in Centres page

Service contact: 0208 102 4000

Pembridge Bereavement

Green.png

Referrals processed within 24 hours

Virtual model.

Service contact:
020 8102 5000 (0900 – 1700 M-F)

Pembridge Community

Green.png

Referrals processed within 24 hours

Mixed model of virtual and domiciliary.

Service contact:
020 8102 5383 (0900 – 1700 M-Sun)

Pembridge Day Care

Green.png

Referrals processed within 24 hours

New model: virtual and domiciliary. Clinic appointments offered if clinically indicated.

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Pembridge End of Life Inpatients

Red.png

N/A at present

The inpatient beds at Pembridge are being temporarily re-designated for the care of patients with Covid-19. This is part of a NWL system response.

It’s important to note no decision has been taken about the future of the Pembridge in-patient unit. The timelines and next steps of the palliative care review are currently under review.

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

 

Podiatry

Amber.png

4-6 weeks

Improving position, wait list down from 6-8 weeks to 4-6 weeks within two months as a result of additional resource recruited. Continue to prioritise urgent patients.

H&F Single Point of Access​
clcht.spa.referral@nhs.net
0208 102 5520

Surge Beds

Green.png

Referral to Admission -3 days

Covid positive (Covid Risk Managed) patients - beds available for surge if required.

H&F Single Point of Access​
clcht.spa.referral@nhs.net
0208 102 5520

Tissue Viability

Green.png

3 weeks

Same model

 

H&F Single Point of Access​
clcht.spa.referral@nhs.net
0208 102 5520

Status dashboard for children's services in Hammersmith and Fulham

Children's service in Hammersmith and Fulham

Status

Non-Urgent Wait Times

Comment

Contact Point

Healthy child clinics

Amber.png

N/A

Drop in baby clinics not yet running due to IPC guidance. Service user advice and support line set up 9am to 5pm, Mon-Fri.

Single Point of Access (SPA) on
020 8200 2500 option 1 or email
clcht.childhealthinformationhub@nhs.net

Health Visiting –

4 mandated checks
New birth visit
6 to 8week HV Review
1 and 2 year health review

Green.png

None

The new birth visit, 6 to 8 week Health Visitorreview and 1 and 2 year health reviews are all being delivered via virtual contact initially,  then a face to face contact can be arranged as necessary.

clcht.childhealthinformationhubkcwf@nhs.net
or 0208 200 2500 option 2

Health Visiting

Antenatal group appointments

Red.png

N/A

We are not able to offer group sessions but have developed a webinar that all new mums are linked to via letter - view our antenatal video

Visit our parent and baby resources page 

School nursing

Amber.png

N/A

Focusing on safeguarding and supporting schools with ICP
Targeted support to children/young people with asthma.

clcht.childhealthinformationhubkcwf@nhs.net
or 0208 200 2500 option 2

Safeguarding

Green.png

N/A

The services continue to prioritise visits for families on LCON 3 and 4; any safeguarding referrals; writing reports for conferences  and attendance at multiagency meetings 

Single point of contact (SPOC)
0208 102 4218

Speech and Language therapy:

Education

Amber.png

Wait times vary- 6mth+ for new EHCP W/K&C

CYP with EHCP highest clinical packages, and transitions, annual reviews& EHCNAs seen remotely& training offer

Remote support to families& joint work with education staff to support school age CYP

Children’s Complex care & SLT admin hub: 0207 266 8777

Speech and Language Therapy: Children with complex health needs –dysphagia /CDS complex needs including

SCD diag. pathway)

Green.png

 

 

Amber.png

Dysphagia- green

 

SCD pathway

Red: wait 6mth-1year

CYP – dysphagia & SLT vulnerable families with complex needs seen& supported throughout.

Long wait times for SCD diagnostic assessment pathway; starting July20

Diagnostic assessment pathway- Covid revised.

2 separate pathways for WRC and Cheyne.

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

 

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Speech and Language Therapy: Early Years (EY)

Amber.png

12 weeks for re-referrals 16-20 weeks for follow ups

Groups not yet restored due to IPC guidance. Plan to restore groups from September 2022. Rest of service managing high levels of cancellation for individual appointments. In addition, there is increased complexity in family situations, with liaison and referrals onwards needed, which is reducing clinic capacity.

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Looked after children

Green.png

N/A

A full service has remained in place with virtual assessments and some face to face

0207 266 8774 / 8862

Children’s Community Nursing

Green.png

N/A

Enhanced hours of service being delivered 08:00 t0 18:00 7 days per week

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Special School Nursing

Green.png

N/A

Nurses are supporting the return of children to Special Schools

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Children’s Nutrition and Dietetics

Green.png

No waiting list

Has continued throughout with virtual assessments

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Children and Young People’s OT

Green.png

Up to date with referrals

Has continued throughout with virtual assessments and parent groups

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Child Development Service

Green.png

Waiting list management in place

Has continued throughout with virtual assessments and parent groups

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.cdsrim@nhs.net

Haemoglobinopathy

Green.png

Up to date with referrals

Has continued throughout with virtual assessments and partner blood tests (Genetic Counselling) being done in clinic

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Status dashboard for adult services in West London

Adult’s Service

Status

Non-Urgent Wait Times

Comment

Contact Point

Bedded Rehabilitation

Green.png

Referral to Admission - 1 day

Non-Covid patients (Covid Protected) units.

West London Single Point of Access​
0208 102 5520
clcht.spa.referral@nhs.net

Continence

Amber.png

<4 weeks

Small waiting list, all scheduled to be seen by September 2020. Virtual and face to face appointments.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Diabetes Education

Green.png

1-4 weeks

Limited capacity for in-person groups due to ongoing recommended covid IPC measures.Mixed model of virtual and face to face offered to patients. 

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

Falls

Amber.png

High priority within 4 weeks, low priority up to 10 weeks

Limited capacity for in-person groups due to ongoing recommended covid IPC measures.New referrals are triaged and prioritised on a 4-point scale based on reported falls history, injury because of a fall and/or risk of hospital admission. Intervention includes clinic follow up, home visits, and virtual and in-person group exercise classes. 

H&F Single Point of Access
clcht.spa.referral@nhs.net
0208 102 5520

HIV

Green.png

2 weeks

Virtual only.

Mary.makarau@nhs.net

Learning Disabilities

Green.png

<18 weeks

Mixed model of virtual and domiciliary.

215 Lisson Grove, Mezzanine Floor, London, NW8 8LW
020 764 17411

My Care My Way
Case Managers

Green.png

 

Mixed model of virtual and domiciliary. Involvement in PCN virtual MDTs.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

My Care My Way

District Nursing

Green.png

28 days

Same model

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

My Care My Way

Memory Assessment Service

Green.png

8 weeks

Waiting list has been cleared, now doing F2F and virtual assessments.

CNWL Single Point of Access
The Gordon Hospital, Bloomburg Street, Westminster, SW1V 2RH
cnw-tr.spa@nhs.net

0800 023 4650

Neuro-rehabilitation

Green.png

<4 weeks

Full restoration of service by end July, mixed model of virtual and domiciliary.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Nutrition and Dietetics

Green.png

4-5 weeks

Mainly virtual model.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Parkinson’s

Green.png

4 weeks

Mixed model of virtual and domiciliary.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Pembridge Bereavement

Green.png

Referrals processed within 24 hours

Virtual model.

Service contact
020 8102 5000
(0900 – 1700 M-F)

Pembridge Community

Green.png

Referrals processed within 24 hours

Mixed model of virtual and domiciliary.

Service contact:
020 8102 5383
(0900 – 1700 M-Sun)

Pembridge Day Care

Green.png

Referrals processed within 24 hours

New model: virtual and domiciliary. Clinic appointments offered if clinically indicated.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Pembridge End of Life Inpatients

Red.png

N/A at present

The inpatient beds at Pembridge are being temporarily re-designated for the care of patients with Covid-19. This is part of a NWL system response.
Important to note no decision has been taken about the future of the Pembridge in-patient unit. The timelines and next steps of the palliative care review are currently under review.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Podiatric Surgery

Amber.png

Non urgent patients on hold

Treatment offered to Priority 2 patients, Priority 3/4 patients on hold as per guidance. Will need access to additional theatre space to clear wait list.

Imperial.podiatric.surgery@nhs.net

Podiatry

Amber.png

4-6 weeks

Improving position, wait list down from 6-8 weeks to 4-6 weeks within two months as a result of additional resource recruited. Continue to prioritise urgent patients.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

St Charles UCC

Amber.png

N/A at present

From Thursday 28 July 2022, our urgent care unit at St Charles Hospital will re-open to a walk-in service for patients.

N/A at present

Surge Beds

Green.png

Referral to Admission -3 days

Covid positive (Covid Risk Managed) patients - beds available for surge if required.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Specialist Weight Management Service

Amber.png

<4 weeks

Small waitlist, which should be cleared by end of September 2020. Mainly virtual model.

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Tissue Viability

Green.png

3 weeks

Same model

 

West London Single Point of Access​ 0208 102 5520
clcht.spa.referral@nhs.net

Status dashboard for children's services in West London

Children's service in West London

RAG status

Non-Urgent Wait Times

Comment

Contact Referral Information

Healthy child clinics

Amber.png

N/A

Drop in baby clinics not yet running due to IPC guidance. Service user advice and support line set up 9am to 5pm, Mon-Fri.

Single Point of Access (SPA) on
020 8200 2500 option 1 or email
clcht.childhealthinformationhub@nhs.net

Health Visiting –
4 mandated checks
New birth visit
6 to 8 week HV Review
1 and 2 year health review

Green.png

None

The new birth visit, 6 to 8 week Health Visit or review and 1 and 2 year health reviews are all being delivered via virtual contact initially,  then a face to face contact can be arranged as necessary.

clcht.childhealthinformationhubkcwf@nhs.net
or 0208 200 2500 option 2

Health Visiting

Antenatal group appointments

Red.png

N/A

We are not able to offer group sessions but have developed a webinar that all new mums are linked to via letter.
Also signpost to our Antenatal Video

Visit our parent and baby resources page 

 

School nursing

Amber.png

N/A

Focusing on safeguarding and supporting schools with ICP

Targeted support to children/young people with asthma.

clcht.childhealthinformationhubkcwf@nhs.net
or 0208 200 2500 option 2

Safeguarding

Green.png

N/A

The services continue to prioritise any safeguarding referrals and attendance at multiagency meetings 

Single point of contact (SPOC)
0208 102 4218

Speech and Language therapy:

Education

Amber.png

Wait times vary- 6mth+ for new EHCP W/K&C

Children with EHCP highest clinical packages, and transitions, annual reviews& EHCP Needs Assessments seen remotely, plus training offer.

Remote support to families& joint work with education staff to support school age children.

Children’s Complex care & SLT admin hub: 0207 266 8777

Speech and Language Therapy: Children with complex health needs –dysphagia /CDS complex needs including

SCD diag. pathway)

Green.png

 

Amber.png

Dysphagia- green

SCD pathway

Red: wait 6mth-1year

Children/infants with dysphagia & SLT vulnerable families with complex needs have been seen& supported throughout Covid

Long wait times for Social Communication Disorder (SCD) diagnostic assessment pathway; starting July 20
Diagnostic assessment pathway- Covid revised.
2 separate pathways for WRC and Cheyne.

Children’s Complex care & SLT admin hub: 0207 266 8777
clcht.chirp@nhs.net

 

Children’s Complex care & SLT admin hub: 0207 266 8777
clcht.chirp@nhs.net

Speech and Language Therapy: Early Years (EY)

Amber.png

12 weeks for re-referrals 16-20 weeks for follow ups

Groups not yet restored due to IPC guidance. Plan to restore groups from September 2022. Rest of service managing high levels of cancellation for individual appointments. In addition, there is increased complexity in family situations, with liaison and referrals onwards needed, which is reducing clinic capacity.

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Looked after children

Green.png

N/A

A full service has remained in place with virtual assessments and some face to face

0207 266 8774 / 8862

Children’s Community Nursing

Green.png

N/A

Enhanced hours of service delivered 8am to 6pm 7 days per week

Children’s Complex care & SLT admin hub: 0207 266 8777
clcht.chirp@nhs.net

Special School Nursing

Green.png

N/A

Nurses are supporting the return of children to Special Schools

Children’s Complex care & SLT admin hub: 0207 266 8777
clcht.chirp@nhs.net

Children’s Nutrition and Dietetics

Green.png

No waiting list

Has continued throughout with virtualassessments

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Children and Young People’s OT

Green.png

Up to date with referrals

Has continued throughout with virtualassessments and parent groups

Children’s Complex care & SLT admin hub: 0207 266 8777 clcht.chirp@nhs.net

Child Development Service

Green.png

Waiting list management in place

Has continued throughout with virtual assessments and parent groups

Children’s Complex care & SLT admin hub: 0207 266 8777
clcht.cdsrim@nhs.net

Haemoglobinopathy

Green.png

Up to date with referrals

Has continued throughout with virtual assessments and partner blood tests (Genetic Counselling) being done in clinic

Children’s Complex care & SLT admin hub: 0207 266 8777
clcht.chirp@nhs.net

Children’s services in Ealing

Service

Current Status

Non-Urgent Waiting Times

Comment

Contact Point

 

Healthy child clinics

Green.png

N/A

Bookable face to face appointments are available

Single Point of access (SPA) Mon-Sun 09.00 - 17.00 call on 0208 102 5888
clcht.ealingadminhub@nhs.net

Individual antenatal appointments for L3&4

Green.png

None

To continue offering this assessment virtually in the first instance but offering face to face if any concerns flagging

Signpost to CLCH baby and parent resources 

Single Point of access (SPA) Mon-Sun 09.00 - 17.00 call on 0208 102 5888

clcht.ealingadminhub@nhs.net

New Birth Visit 

 

Green.png

None

Offering a full service

Single Point of access (SPA) Mon-Sun 09.00 - 17.00 call on 0208 102 5888

clcht.ealingadminhub@nhs.net

6 to 8 week

 

 

Amber.png

None

Offering contact with targeted mothers

Single Point of access (SPA) Mon-Sun 09.00 - 17.00 call on 0208 102 5888

clcht.ealingadminhub@nhs.net

1 year developmental review

 

Green.png

None

Ofering this assessment virtually and face to face

Single Point of access (SPA) Mon-Sun 09.00 - 17.00 call on 0208 102 5888

clcht.ealingadminhub@nhs.net

2 year developmental review

Green.png

None

Ofering this assessment virtually and face to face

Single Point of access (SPA) Mon-Sun 09.00 - 17.00 call on 0208 102 5888

clcht.ealingadminhub@nhs.net

Health promotion sessions

Green.png

N/A

We are piloting virtual health promotion sessions for parents through August

Single Point of access (SPA) Mon-Sun 09.00 - 17.00 call on 0208 102 5888

clcht.ealingadminhub@nhs.net

School nursing

Green.png

N/A

Offering a full service

Single Point of access (SPA) Mon-Sun 09.00 - 17.00 call on 0208 102 5888

clcht.ealingadminhub@nhs.net

FNP

Green.png

N/A

Offering FNP service via virtual contact , phone, and face to face

020 8102 5887

clcht.ealingfnp@nhs.net

Healthy Weight Service

Green.png

N/A

Full service

Single Point of access (SPA) 09.00 - 17.00  on 0208 102 5888

clcht.ealinghealth4life@nhs.net

Children’s and Young People Services in Brent

Service

Current Status

Non-Urgent Waiting Times

Comment

Contact Point

Healthy child clinics

Green.png

N/A

Virtual Clinic open Monday to Sunday 9am to 5pm

Bookable face to face appointments are available

020 8102 4900
clcht.brentadminhub@nhs.net
Signpost to New Baby & Parent Resources

Health Visiting
Antenatal group appointments

Red.png

N/A

Offering 1-1 contact with targeted mothers and links to resources universally

Group sessions to resume in the Autumn in conjunction with Family Wellbeing Centres and Maternity

020 8102 4900
clcht.brentadminhub@nhs.net
Signpost to New Baby & Parent Resources

New Birth Visit 

 

Green.png

None

Carried out in Home or in Clinic

020 8102 4900
clcht.brentadminhub@nhs.net
Signpost to New Baby & Parent Resources

Infant Feeding Team

Green.png

N/A

Offering 1-1 contacts virtually and in person

020 8102 4900
clcht.brentinfantfeeding@nhs.net
Signpost to Brent infant feeding resources

6 to 8 week

 

 

Amber.png

None

Offering contact with targeted mothers

Virtual Clinic open Monday to Sunday 9am to 5pmGP 6-8 week physical examinations and maternal postnatal checks are available via GP

020 8102 4900
clcht.brentinfantfeeding@nhs.net 
Signpost to Brent infant feeding resources

1 year developmental review

 

Green.png

None

Offering 1-1 contacts virtually and in person

020 8102 4900
clcht.brentadminhub@nhs.net

2 year develop-mental review

Green.png

None

Offering 1-1 contacts virtually and in person

020 8102 4900
clcht.brentadminhub@nhs.net

Health promotion sessions

Green.png

N/A

Virtual Introduction to Solids Sessions

Inperson Session delivered in Family Wellbeing Centres

020 8102 4900
clcht.brentadminhub@nhs.net

School nursing

Green.png

N/A

Offering a full service

020 8102 4900
clcht.brentadminhub@nhs.net
Signpost to CLCH Health Matters 

Special School nursing

Green.png

N/A

Offering a full service

020 3235 2079

Brent 4 Life Healthy Weight
Team

Green.png

N/A

Offering a full service

020 8102 4900
clcht.brenthealth4life@nhs.net 

Occupational Therapy 

Green.png

4 months Offering a full service

SPA contact 020 8102 3546

clcht.brentspa.nhs.net

Speech and Language Therapy Amber.png 8 months wait for follow up An updated service in place for school aged children without Education Health and Care plans

SPA contact 020 8102 3546

clcht.brentspa.nhs.net

Physiotherapy 

Green.png 4 months Offering a full service

SPA contact 020 8102 3546

clcht.brentspa.nhs.net

Children's Community Nursing Green.png N/A Offering a five day a week service 8am-4pm

SPA contact 020 8102 3546

clcht.brentspa.nhs.net

Looked after Children Green.png N/A Offering a full service

SPA contact 020 8102 3546

clcht.brentspa.nhs.net

Child Development Service Amber.png N/A Delays for social communication assessments, first and follow up appoitnments

SPA contact 020 8102 3546

clcht.brentspa.nhs.net

Service

Status

Non-Urgent Waiting Times

Comment

 

Contact Point

 

Brent Falls and Bone Health

Green.png

2 weeks

Mixed model of virtual, clinics and domiciliary.

 Via SPA

clcht.brentfalls@nhs.net

 

03005558889 option 4

 

Surge Beds at Pembridge

Green.png

Referral to Admission: 1 day

Covid positive (Covid Risk Managed) unit for patients in Hammersmith and Fulham, Central London, West London, Harrow and Brent 

SPA 
clcht.spa.referral@nhs.net 
Phone: 0208 102 5520

Pembridge Community  Green.png Referral to Admission: 1 day  

SPA 
clcht.spa.referral@nhs.net 
Phone: 0208 102 5520

Diabetes Clinic and DESMOND Education Green.png    

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

District Nursing Green.png N/A Offering a full service

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Community Rehab 11 weeks Virtual and face-to-face appt available

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Rapid response Green.png   Offering a full service

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Respiratory    

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Cardiology Green.png    

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Podiatry Green.png    

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Tissue Viability Green.png   Offering a full service

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Dietetics and Nutrition Green.png    

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Brent Health Matters

Green.png     073872 30485
Complex Patient Management Green.png    

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Bladder and Bowel  18 weeks Offering a full service

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

Integrated Care Coordination Service Green.png    

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

In-reach to Aster IMC Green.png No delays Offering a full service 020 8385 1115 
Robertson Neuro Rehab Green.png No delays Offering a full service 020 8438 7000
Speech and Language Therapy 43 weeks Offering a full service

SPA 

clcht.brentspa.nhs.net

Phone: 0208 102 3456 

 

Status dashboard for adult services in Harrow

Adult service in Harrow

RAG status

Non-Urgent Wait Times

Comment

Contact Referral Information

Diabetes Clinic

Green.png

< 28 days

Appointments given within 28 days of referral virtually with F2F follow up if required.

To commence community Consultant clinics once agreed with LNWUHT. Currently Consultant clinics in the community are not taking place.

SPA for adult services
0300 555 8889 
please press number for service required

Diabetes DESMOND education

Amber.png

3 months to clear to 18 weeks.

Discussion being held with system partners in ICP regarding resourcing of Diabetes team to manage demand- business case developed for ICS. Virtual DESMOND classes commenced and being offered at weekends for convenience and as extra capacity. Please only refer if patient agrees to undertake the education programme and feel free to use the prompt sheet shared on the GP bulletin to assist with this. Please discuss alternative options prior to referral.

SPA for adult services
0300 555 8889 
please press number for service required

District Nursing

Green.png

0

Offering a full service

SPA for adult services
0300 555 8889 
please press number for service required

Falls

Amber.png

1 months for clinics

Falls classes to be resumed in September 2022

SPA for adult services
0300 555 8889 
please press number for service required

Therapy

Amber.png

12 months

Currently delivering low risk only

SPA for adult services
0300 555 8889 
please press number for service required

Epilepsy

Green.png

< 28 days

Mixed model of virtual and domiciliary

SPA for adult services
0300 555 8889 
please press number for service required

Multiple Sclerosis

Green.png

< 28 days

Mixed model of virtual and domiciliary

SPA for adult services
0300 555 8889 
please press number for service required

Rapid Response

Green.png

0

Offering a full service

SPA for adult services
0300 555 8889 
please press number for service required

Respiratory

Amber.png

14 weeks for PR

< 3 weeks for clinics

Virtual PR offered.

Clinics virtually with F2F as required via home visit or clinic.

SPA for adult services
0300 555 8889 
please press number for service required

Cardiology

Green.png

Urgent patients in 72hrs

Routine within 10 days

All clinics through virtual model but seen as required F2F.

Exploring virtual cardiac rehab but currently suspended.

SPA for adult services
0300 555 8889 
please press number for service required

Podiatry

Green.png

4 months

Temporary staffing being deployed to help reduce the waiting list. Please support the service by only referring those patients who are absolutely necessary.
Actively working with patients to encourage   them to attend clinics.
The service is offering home visits for housebound and assessing the risk regularly for any patients refusing the service.

SPA for adult services
0300 555 8889 
please press number for service required

Surge beds at Pembridge

Green.png

Referral to admission: 1 day

Covid positive (Covid Risk Managed) unit for patients in Hammersmith and Fulham, Central London, West London, Harrow and Brent


SPA

clcht.spa.referral@nhs.net 
Phone: 0208 102 5520

Tissue Viability

Green.png

 

Offering a full service

SPA for adult services
0300 555 8889 
please press number for service required

Palliative Care Green.png   Offering a full service 020 8382 8084 (8.30am-4.30pm)
Dietetics and Nutrition Green.png     SPA for adult services
0300 555 8889 
please press number for service required
Care Home Team Green.png   Offering a full service SPA for adult services
0300 555 8889 
please press number for service required
Therapy Green.png 14months Offering a full service SPA for adult services
0300 555 8889 
please press number for service required

Status dashboard for childrens services in Harrow

Children's service in Harrow

RAG status

Non-Urgent Wait Times

Comment

Contact Referral Information

School Aged Immunisation Service 

Amber.png

 

N/A

Schools currently closed

BCG vaccine administered in the home during Covid 19.

Service Recovery Plan submitted to NHSE. Flu programme commences in September.

Catch up clinics in place.

Harrow
catriona.noble@nhs.net or 07943807114

Single Point of Access for 0 to 19 children's services
Angela Cody angela.cody@nhs.net

Status dashboard for services in Hertfordshire

 

Services in Hertfordshire RAG Rating  Comments Contact 

Podiatry - Herts

Green.png

Service operating within normal waiting times.

03000 200 656
clcht.westherts.podiatry@nhs.net

Specialist Palliative Care - Herts

Green.png

Service operating within normal waiting times.

03000 200 656
clcht.westherts.palliativecare@nhs.net

 

Speech and Language Therapy - Herts

Green.png

Service operating within normal waiting times​​​​​​​.

03000 200 656
clcht.westherts.slt@nhs.net

Cardiac Rehab - Herts

Green.png

Service operating within normal waiting times.

03000 200 656
clcht.westherts.communitycardiology@nhs.net

Heart Failure - Herts

Green.png

Service operating within normal waiting times.

03000 200 656
clcht.westherts.communitycardiology@nhs.net

Bladder and Bowel Green.png

Service operating within normal waiting times. ​​​​​ 

03000 200 656
clcht.westherts.bladderandbowel@nhs.net

Respiratory Amber.png

Long waits related to Consultant led sleep clinics & Pulmonary Rehab (PR).

01442 287604
westherts.resp@nhs.net

Tissue Viability

Green.png

Service operating within normal waiting times.

03000 200 656
clcht.westherts.tvn@nhs.net

Lympheodema Red.png

Routine appointment wait times have increased.

03000 200 656
clcht.westherts.lymphoedema@nhs.net

Leg Ulcer

Green.png

Service continue to operate as normal.

03000 200 656
clcht.westherts.legulcer@nhs.net

Planned Care – Therapy

Amber.png

Service experiencing long waits within some localities.

03000 200 656

Planned Care – Nursing

Green.png

Service is operating within normal waiting times.

03000 200 656

Neuro Rehabilitation Red.png

Service operating within waiting times for general neurological rehabilitation.


Up to 68 week wait for MS & PD Nurse Specialist pathways. Urgent patients are prioritised.

03000 200 656

clcht.westherts.tvn@nhs.net

Early Supported Discharge Red.png

Routine appointment wait time has increased.

0208 102 5897 
clcht.hertsvalleyesd@nhs.net

Community Treatment Unit Green.png

Service operating within normal waiting times.


01727 897 034
 

 

Sexual Health Green.png

Service operating within normal waiting times.

0300 008 5522

http://www.sexualhealthhertfordshire.clch.nhs.uk/ (all online services can be accessed here)

Email:

Watford: clcht.shwreception@nhs.net 

Hatfield: clcht.hat-reception@nhs.net

Stevenage: clcht.ste-reception@nhs.net

Long Covid Service Green.png

Service operating within normal waiting times.

020 8102 6226

clcht.communityrespiratoryservicecovid@nhs.net

 

     

 

Adults services in Merton

Merton Adult Services, Single Point of Access
Telephone: 0333 004 7555
Email: clcht.mertonspa@nhs.net

Adult Service

Status

Non-Urgent Waiting Times

Comment

Community Nursing

Green.png

3 days

Providing full service with the majority of patients being seen face to face in their homes. Triage and support calls are provided via phone.

Continence

Green.png

20 days

A large number of appointments are provided via phone. Essential physical assessments and treatment are completed via domiciliary visits. Clinics are currently suspended.

Dementia

Green.png

5 days

Patient reviews and support calls are being provided via phone or video consultation. Domiciliary assessments and visits are provided where essential.

End-of-Life Care

Green.png

3 days

The service is supporting patients and care homes virtually where appropriate although the majority of contacts are domiciliary visits.

Tissue Viability

Green.png

20 days

Support to care homes and practice nurses can be provided via telephone or video consultation where this is set up.

Patient reviews and support calls are provided via phone or video consultation. Essential physical assessments and treatment will be completed via domiciliary visits.

Care Navigators and Case Managers

Green.png

27 days

Patient reviews and support calls are provided via phone or video consultation. Domiciliary assessments and visits are provided where essential. Team is currently supporting Care Homes in Merton.

Adult Dietetics

Green.png

12 days

Majority of appointments are via phone or Video Consultation. Only long term Enteral Tube Feeding patients, Head and Neck Cancer patients who have difficulties communicating, those with dementia and wheelchair bound patients are being assessed for a home visit.

Adult SLT (incl. Dysphagia)

Green.png

6 days

Majority of appointments are phone or video consultations. Domiciliary appointments for patients with acute swallowing changes or patients with communication problems. No clinic appointments are being offered at this stage.

Cardiology

Amber.png

12 days

Virtual first or domiciliary visit if necessary. No groups currently running.

Diabetes MDT

Amber.png

11 days

Majority of appointments are virtual consultations with some domiciliary appointments dependent on clinical need.

These are for frail and elderly patients, patients needing injections, technique training and those needing face to face where their diabetes control is poor.

Clinics are running at Morden Road Health Centre. Face to face structured education continues to remain on hold, however patients are offered a virtual version of DESMOND called “My Desmond”. This is a Webinar Module for patients and is offered via the Book and Learn SWL System.

Neuro therapies (incl. ESD)

Green.png

10 days

Majority of appointments are virtual consultations. Domiciliary appointments are provided for patients with Parkinsons Disease, MND, new stroke and severe stroke.

Podiatric Surgery

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20 days

The service has re commenced in August 2020.

Podiatry (General)

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38 days

All patients are being triaged virtually. Domiciliary appointments available, clinics running from The Nelson Health Centre and Morden Road Health Centre only. Currently holding high number of patients on COVID waiting list, with longer waiting times. The long waiters are reviewed weekly and includes a contact to offer support or advice as may be required

Podiatry (Biomechanics)

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On hold

Biomechanics (insole and orthotics) service remains on hold whilst resource is focused on delivering general podiatry.

Podiatry (at risk foot)

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5 days

All patients with a diabetic at risk foot are being seen in a domiciliary setting by preference or in clinic with appropriate IPC measures

Respiratory

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11 days

All patients are being triaged virtually. Service is being offered via phone/video consultation with domiciliary visits as required. Clinics are being provided at The Nelson Medical Centre predominantly for patients needing oxygen assessment who need 12 metres to undertake a walk test where it is not possible to undertake this at the patient’s home.

HIV

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0 days

Majority of appointments are undertaken via phone or video consultation.

Bedded Rehabilitation (Heathland Court)

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N/A

Unchanged – supports COVID negative pathway 2 patients discharged from Hospital.

MERIT Urgent

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0 days

Criteria pre-covid continues. The Integrated Community Response (ICR) pathway ended end of July 2020 which included seeing domiciliary COVID patients on the Primary Care caseload that do not require a rapid response.

HARI Service

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10 days

Currently stepping up with limited capacity through ANP led virtual consultations and domiciliary visits. Diagnostics at the Nelson is not available for use. Geriatrician is unable to run clinics at The Nelson but instead is supporting virtually for complex patient reviews. Currently there is no therapy rehabilitation as resources were moved to support the Discharge to Assess (D2A)* - contact for further information

Domiciliary Therapies

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N/A

 BAU

 

Falls

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1 day

Capacity is limited due to service supporting Discharge to Assess (D2A)*. Virtual or domiciliary only appointments are provided for high risk patients. Falls classes have ceased.

Home-Based Rehab (Intermediate

Care)

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1 day

Capacity will be limited due to service supporting Discharge to Assess (D2A)* 

In-reach

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0 days

Remains unchanged.

 

South West London Sexual Health services in Merton

The Sexual Health patient appointment line is open as usual from 8am – 7pm for people to call and book a telephone appointment with a clinician.  Sexual health Patient line: 0300 300 2100

Adult Service

RAG Status

Non-Urgent Waiting Times

Comment

Walk In Clinics

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CLOSED

  • All walk-in services have ceased with the exception of young person’s walk-in.

Clinic Based Service

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No Wait

  • All clients are triaged via a telephone consultation with a clinician and given the most appropriate clinical advice. Urgent cases, vulnerable or at risk individualswill be offered a clinic appointment.
  • The service is providing a clinic based service for urgent complex STI and contraception need, Emergency contraception, PEP, sexual assault and medication collection. Any individual needing an examination to determine diagnosis and treatment is offered a face to face appointment
  • The service has now restarted routine LARC procedures, depoprovera injections and routine contraception

Online testing

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N/A

  • On line testing and on line contraception options have been expanded.
  • All patients who are asymptomatic are asked to access at home online testing via SHL testing www.falcon.shl.uk. Anyone who tests positive can be booked into a telephone appointment and appropriate treatment will be arranged.

Young Persons Clinic

 

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No wait

  • Maintained timeslots for our borough specific YP clinics, adhering to social distancing and use appropriate PPE where needed.
  • The clinics are only offering emergency or urgently needed care to YP.

Psychosexual therapy

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6-8 weeks

  • All appointments are offered virtually via video consultation.

Spectra/Metro Services

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N/A

  • Offered virtually.

Children’s services in Merton

Merton Children’s Services, Single Point of Access
Telephone Number: 0330 053 9264
Email address:

Children’s single point of contact for safeguarding telephone: 0208 102 4218

Children’s Service

Status

Non-Urgent Waiting Times

Comment

Healthy child clinics

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N/A

Service user advise and support line set up instead 9am to 5pm, days a week, 7 days a week

Health Visiting –

4 mandated checks New birth visit

6 to 8 week

1 and 2 year developmental review

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None

The new birth visit, 6 to 8 week check and 1 and 2 year developmental reviews are all being delivered via virtual contact initially then a face to face contact can be arranged as necessary.

Health Visiting Antenatal group
appointments

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N/A

We are not able to offer group sessions but have developed a webinar that all new mums are linked to via letter.
Also signpost to CLCH Antenatal Video

Family Nurse Partnership

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FNP have been providing a full service through a mixture of face to face and Video conferencing. There is currently a waiting list of 16 clients, this is not COVID related, current service capacity.

Specialist – Infant feeding

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N/A

A full service continued.

MASH- health Navigator

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N/A

A full service continued.

School nursing including special schools

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N/A

Focusing on safeguarding and supporting schools with ICP Targeted support to children/young people with asthma.

Looked after children

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N/A

A full service has remained in place with virtual assessments and some face to face

 

Safeguarding

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N/A

The services continue to prioritise visits for families on LCON 3 and 4; any safeguarding referrals; writing reports for conferences and attendance at multiagency meetings.

Family Start

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No urgent wait list.

Service is suspended. Reliant on re -commencement of NCMP.

Physio Therapy

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Immediate: no wait time

Urgent - no wait time Routine-MSK- 24 weeks

Community- 23 week

Clinical triage for urgent cases in place. Group’s sessions have been suspended. Booked home visits/clinic visits for priority cases and virtual assessments/treatment continue including EHCP.

Occupational Therapy

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Immediate: no wait time

Urgent - no wait time

Routine -19 weeks

Clinical triage for urgent cases in place. Group’s sessions have been suspended. Booked home visits for priority cases and virtual assessments/treatment continue including EHCP.

Speech and Language Therapy

 

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Immediate: no wait time
Urgent - no wait time Routine -21 weeks

Clinical triage for urgent cases in place. Group’s sessions have been suspended. Booked home visits for priority cases and virtual assessments/treatment continue including EHCP.

Dietetics

 

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Immediate: no wait time

Urgent - no wait time Routine -4 weeks

Clinical triage for urgent cases in place. Booked home visits for priority cases and virtual assessments/treatment continue including EHCP.

EHCP – Health Lead

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0-6 weeks 
22 EHCPs outstanding

Initial EHCP assessments and outcomes continue with reasonable endeavors across all therapy services.

Adult services - Wandsworth

Wandsworth Single Point of Access (Adults)
Central London Community Healthcare NHS Trust Referral Line: 0333 300 2350
Patient Line:  0333 300 0950
Email: clcht.wandsworthspa@nhs.net

Adults Service

RAG Status

Non- Urgent Waiting Times

Comment 

Community Nursing

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3 days

Providing full service with the majority of patients being seen face to face in their homes. Triage and support calls are provided via phone or via video consultation.

Continence

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20 days

All continence appointments are being completed virtually via telephone or video consultation, waiting list back-log which is being worked through.

Tissue Viability

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5 days

A full service is being provided   Support to care homes and practice nurses can be provided via video consultation. Patient reviews and support calls will be provided via phone or video consultation. Essential physical assessments and treatment will be completed via domiciliary visits.

Phlebotomy

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20 days

The service is currently experiencing a high demand due to increased referrals for shielding patients. The service is seeing patients requiring essential and/or urgent blood tests, BP checks and urine samples.

Referrals will only be accepted for housebound patients.

Heart Failure

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10 days

Virtual First, domiciliary visit available.

Diabetes

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11 days

Majority of appointments are being delivered virtually. Domiciliary appointments are available where clinically necessary.

Clinics to be available at Alton practice once consultant MDT commences.

Face to face structured education remains on hold, however patients are offered a virtual version of DESMOND called “My Desmond”. This is a Webinar Module for patients and is offered via the Book and Learn SWL System.

Respiratory

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8 days

All patients are being triaged virtually. Predominantly providing a domiciliary based service. No patients currently being seen in a clinic.

Complex Case Management

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5 days

The service is accepting referrals for complex care patients (within the 1 day/5 day response). However to optimise resources, in line with unpredictable demand, the staff will work as 2 teams (North/South and East/West). The Virtual first approach will be followed, minimising unnecessary face to face contact.

Priority will be given to patients:

  • with 2 or more uncontrolled medical conditions, plus/minus social care need

  • that have clear goals

  • who are expected to be on the caseload/have their needs met within a maximum of 3-6 weeks

Complex care MDT discussions (weekly) has resumed as a virtual offer from August.

ECPs on the waiting list will now be seen from August. Weekly virtual MDT invitations will be booked and offered from September.

FSD and Maximising Independence

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D2A response time is 4 hours

All referrals are being clinically triaged to confirm urgency of priority and a telephone call will be made to patients to promote self-management/redirected to alternative support as appropriate. Capacity will be limited due to the service supporting Discharge to Assess pathways which have been implemented in response to COVID pandemic to ensure a quick, safe discharge for medically optimised patients.

Quick Start

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4 hours

We are continuing to support patients to manage their care at home

Care Home Support Team

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2 hours (urgent)

The care home team are continuing support to residents living in care homes, prioritising virtual contact and via MDTs, supporting care homes staff training.

 

The Sexual Health patient appointment line is open as usual from 8am – 7pm for people to call and book a telephone appointment with a clinician.
Sexual health patient line: 0300 300 2100

 

Sexual Health Service

 

 

Status

Non- Urgent Waiting Times

 

 

Comment

Walk In Clinics

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CLOSED

  • All walk-in services have ceased with the exception of young person’s walk-in.

Clinic Based Service

 

 

Amber.png

No Wait

  • All clients are triaged via a telephone consultation with a clinician and given the most appropriate clinical advice. Urgent cases, vulnerable or at risk individuals will be offered a clinic appointment
  • The service is providing a clinic based service for urgent complex STI and contraception need, Emergency contraception, PEP, sexual assault and medication collection.
  • Any individuals needing examinations to determine diagnosis and treatment are offered a face to face appointment
  • The service has now restarted routine LARC procedures , depoprovera injections and routine contraception.

Online testing

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N/A

  • On line testing and on line contraception options have been expanded.
  • All patients who are asymptomatic are asked to access at home online testing via SHL testing www.falcon.shl.uk. Anyone who tests positive can be booked into a telephone appointment and appropriate treatment will be arranged.
  • Any individuals needing examinations to determine diagnosis and treatment are offered a face to face appointment
  • The service has now restarted routine LARC procedures, depoprovera injections and routine contraception

Young Persons Clinic

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No wait

  • Maintained timeslots for our borough specific YP clinics, adhering to social distancing and use appropriate PPE where needed.
  • The clinics are only offering emergency or urgently needed care to YP
  • Running Monday 3.30-6.00pm Patrick Doody Clinic Merton

Psychosexual therapy

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6-8

weeks

  • All appointments are offered virtually via video consultation

Spectra/Metro Services

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N/A

  • Offered virtually

Children's services in Wandsworth 

Point of Access Contact Details
CLCHT.0-19wandsworthandrichmondadmin@nhs.net
0330 058 1679

Children’s Service

RAG
Status

Non- Urgent Waiting Times

Comment

Healthy child clinics

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N/A

Service user advise and support line set up instead 9am to 5pm, days a week, 7 days a week.

Health Visiting including Homeless HV 4 mandated checks

New birth visit 6 to 8 week

1 and 2 year

developmental review

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None

The new birth visit, 6 to 8 week check Health Visitor Review and 1 and 2 year developmental health reviews are all being delivered via virtual contact initially, and then a face to face contact can be arranged as necessary.

Health Visiting Antenatal group appointments

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N/A

We are not able to offer group sessions but have developed a webinar that all new mums are linked to via letter. Also signpost to CLCH Antenatal Video

Infant Feeding

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None

Not offering group sessions but offering 121 support in the home.

Perinatal mental Health

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None

Offering virtual group sessions and 121 support in the home.

School nursing including special schools

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N/A

Focusing on safeguarding and supporting schools with ICP Targeted support to children/young people with asthma.

Safeguarding

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N/A

The services continue to prioritise visits for families on LCON 3 and 4; any safeguarding referrals; writing reports for conferences and attendance at multiagency meetings.

Haemoglobinopathy

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None

Virtual appointments with clients & attending virtual MDT meetings.

Homeless Adult & Asylum

Seekers

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None

Full service in place.

Weight Management Service

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N/A

We are not able to offer group sessions.