Our diabetes teams provide support to adults with diabetes in a variety of community locations, and in the homes of housebound patients.

Our teams help patients control their diabetes and reduce the risk of short and long term complications by providing patients with the skills, knowledge and confidence to self-manage their diabetes effectively.

Our diabetes service provides holistic support to type 2 diabetes patients in the management of their condition in community and GP practice setting. The service offers foot protection for moderate and high risk type 1 and type 2 diabetes patients, and education and lifestyle management for type 1 and type 2 diabetic patients.

Our services are provided to help empower patients to self-manage their condition and maintain an independent lifestyle.

For Hammersmith & Fulham, Hounslow, Kensington and Chelsea, Wandsworth and Westminster, services run Monday to Friday from 9am to 5pm (with some evening clinics and education classes until 8pm).

For Merton, services run Monday to Friday from 8.30am to 4.30pm (with some evening and weekend education classes).

Barnet community diabetes service

Parkinsons Unit, 
Lower Ground floor
Edgware Community Hospital
Burnt Oak Broadway 
HA8 0AD

(See map below)

ECH Parkinson unit.png

 

Finchley Memorial Hospital 
Granville Road
Finchley 
N12 0JE

Please note: The Central London Community Health reception desk, is located on the ground floor.

Barnet community diabetes service

Barnet referral form and referral guidance

  • Phone: 020 8732 6824 or to make appointments call 020 8732 6328

Other resources:

Hammersmith & Fulham community diabetes service

Kensington and Chelsea community diabetes service

Westminster community diabetes service

Kensington and Chelsea referrers can download our Kensington and Chelsea Community Diabetes Service Factsheet here or the Kensington and Chelsea referral form.

For more information about referring our diabetes service in these boroughs and for the appropriate referral forms, visit our Hammersmith & Fulham, Kensington and Chelsea and Westminster health professionals’ pages.

Harrow referral information.

About our service

The community diabetes service is a team of diabetes specialists; consultants, specialist nurses and dieticians for people with type 1 and type 2 diabetes. This specialist service builds on your routine care provided by your GP surgery. You have been referred because your GP or nurse would like the opinion of a diabetes specialist to help improve your diabetes control and/or to support you with a specific diabetes related problem.

Diabetes Clinical Advisory Service (DCAS)

DCAS offers healthcare professionals direct contact with the service for timely clinical advice and guidance from Diabetes Specialist Nurses (DSN) with a prescribing qualification.

DCAS can be used for either formal referral or to request advice/guidance/next steps/signposting so that patients are seen in the right service at the right time by the right diabetes clinician.

The DSN can remotely review the patients case and return the referral with a written clinical management plan. Alternatively a request for a telephone case discussion can be made on the form if direct contact details are provided with times of availability.

The key elements of the service are to:

  1. manage patients referred by primary care.
  2. provide advice & guidance on ‘next steps’ in patient management to primary care in a responsive way.
  3. provide advice on using newer therapies in individual cases.
  4. support general practice through practice reviews & quarterly virtual support visits.
  5. Advise patients who request to self-refer  to the service.

Clinic Locations and opening hours: 08:30 – 16:30

The Alton Practice GP Surgery

·        Address: 208-210 Roehampton Ln, London SW15 4LE

Bolingbroke Medical Centre

·        Address: Bolingbroke Medical Centre, London SW11 6BF

The Greyswood Practice

·       Address: 66 Eastwood St, London SW16 6PX

Tudor Lodge Health Centre

·       Address: 8C Victoria Dr, London SW19 6AE

 Morden Road Clinic

·       Address: 254 Morden Road, London. SW19 3DA

Mayfield Surgery

·       Address: 246 Roehampton Lane, SW15 4AA

 

We also offer virtual clinic options via Microsoft Teams or telephone consultations.

Home Visits? Yes, for those who require booked hospital transport to attend other clinical appointments or are defined as housebound.

How to refer or request clinical support:

  • Wandsworth - please send usual referral form (found on the ‘Ardens CLCH Community directory’), via normal ‘managed referral’ route to Single Point of Access (SPA)
  • Merton - please send usual referral form (found on the ‘Ardens CLCH Community directory’) via email to SPA

Our SPA will offer more information about appointment availability/venue at the time of booking/processing the referral:

Merton Adult Services:  Tel: 0333 241 4242 e: CLCHT.MERTONSPA@nhs.net

Wandsworth Adult Service: Tel: 0333 300 2350 e: clcht@wandsworthspa@nhs.net
           

Patient requirements for entry into the service:

Patient inclusion criteria

 

Patient exclusion criteria

 
 

GPs should continue to use the existing emergency pathways for same day care to A&E/AMU if the patient is deemed medically unstable, e.g. new Type 1, DKA, severe hypos

HbA1c persistently (on at least 2 occasions or more) over 58 mmol/mol despite best efforts from primary care with management on 3 medications

 

Diagnosis of Type 1 or Type 2 is unclear

Complex Type 2 patients e.g. have severe frailty, multi-morbidity management

Rapidly deteriorating chronic kidney disease  and renal transplant

Acute podiatry e.g. Charcot or Foot ulcer

Eye clinic/retinopathy screening

Initiating and supporting injectable therapies

Pregnant

Children & young adults

Support for insulin initiation and hypo management for group 2 Drivers

 

Type 1 patients who:

·       do not wish to go to hospital for their care or are unable  to attend.

·       those in residential/nursing homes

·       who have learning disabilities

·       Flash glucose monitoring e.g. freestyle Libre 

Secondary care  for care of patients with Type 1 should be offered as first choice to the patient.

Insulin Pump

  

Request DCAS for advice if new diagnosis Type 2 with symptoms

 

Newly diagnosed Type 2 Diabetes without symptoms

 

Type 2 structured education – please refer to Diabetes Book & Learn portal to make a referral https://diabetesbooking.co.uk/refer

Ensure HbA1c and other blood results are available that are less than 6 months old

 Blood tests over 6 months old

 

Merton and Wandsworth Structured Education

Merton and Wandsworth provide structured education for both Type1 (DAFNE) and Type 2 (DESMOND)

DAFNE (Type 1)

DAFNE involves attending a 5-day group session to help those with Type 1 diabetes to lead as normal a life as possible, while controlling their blood glucose levels, hence reducing the risk of long-term diabetes complications. The course includes exploring practical skills of how to make carbohydrate estimations, insulin adjustment and so much more under the supervision of DAFNE trained experienced educators consisting of a doctor, nurse, and dietitian.

If you’re interested in attending a DAFNE course, please discuss this with your healthcare professional who can refer you to the team. The DAFNE courses are delivered either Monday to Friday (standard) or one day per week (5x1), with a variety of virtual or face to face options available.

Useful documentation

DESMOND (Type 2):

DESMOND is an evidence-based group education programme designed to help those with type 2 diabetes to gain the knowledge and skills to enable better self-management of diabetes for the long-term. You can be referred by your GP or self-refer yourself onto a course of your choosing at a location and date that is convenient for you in Merton and Wandsworth or South London. 

Referrals are processed through 'Diabetes Book & Learn'. This is a NHS booking service which is designed to improve access to diabetes education courses across South London borough (Merton, Wandsworth, Sutton, Bexley, Bromley, Croydon, Greenwich, Kingston, Lambeth, Lewisham, Richmond and Southwark). You can either by referred by your healthcare professional or you can self refer.

To book onto an education group, you can visit the diabetes booking website or call the Diabetes Book and Learn service on 0203 474 5500 (for patients). 

Useful documentation

Any healthcare professional can refer into this service.

Patient inclusion criteria

Patient exclusion criteria

If referrer and/or patient need is unclear and care is not needed within 72 hours.

GP’s should continue to use the existing emergency pathways for same day care to A&E/AMU if the patient is deemed medically unstable, e.g. new Type 1, DKA, severe hypos

HbA1c persistently (on at least 2 occasions or more) over 58 mmol/mol despite best efforts from primary care with management on 3 medications

Diagnosis of Type 1 or Type 2 is unclear

Complex Type 2 patients e.g. have severe frailty, multi-morbidity management

Rapidly deteriorating Chronic Kidney Disease and renal transplant

Acute podiatry e.g. Charcot or Foot ulcer

Eye clinic/retinopathy screening

Initiating and supporting injectable therapies

Pregnant

Children/ young adults

Support for insulin initiation and hypo management for group 2 Drivers

 

Type 1 patients who are unable  to attend Tier 4 , those in residential/nursing homes or who have learning disabilities, Flash glucose monitoring e.g. freestyle Libre 

Tier 4 for care of patients with Type 1 should be offered as first choice to the patient

Insulin Pump

  

 

Other exclusion criteria where referral will be returned to referrer with advice:

  • Newly diagnosed Type 2 Diabetes.
  • Type 2 structured education; please refer the patient to the ‘Diabetes Book and Learn’ portal. 
  • Blood results over 3 months old.

 

Single Point of Access (SPA)     

Telephone

E-mail

Merton Adult Services

0333 004 7555

clcht.mertonspa@nhs.net

Wandsworth Adult Services

0333 300 2350

0333 300 0950

clcht.wandsworthspa@nhs.net

 

Our SPA will offer more information about appointment availability/venue at the time of booking/processing the referral.

Merton and Wandsworth provide structured education for both Type1 (DAFNE) and Type 2 (DESMOND)

DAFNE (Type 1)

DAFNE involves attending a 5 day group session to help those with Type 1 diabetes to lead as normal a life as possible, while controlling their blood glucose levels, hence reducing the risk of long-term diabetes complications. The week includes practical skills of carbohydrate estimations, insulin adjustment and so much more under the supervision of DAFNE trained experienced educators consisting of a doctor, nurse and dietitian.

If you’re interested in attending a DAFNE course, please discuss this with your healthcare professional who can refer you to the team.

Useful documentation

 

DESMOND (Type 2):

DESMOND is an evidence-based group education programme designed to help those with type 2 diabetes to gain the knowledge and skills to enable better self-management of diabetes for the long-term. You can be referred by your GP or self-refer yourself onto a course of your choosing at a location and date that is convenient for you in Merton and Wandsworth or South London. 

Referrals are processed through 'Diabetes Book & Learn'. This is a NHS booking service which is designed to improve access to diabetes education courses across South London borough (Merton, Wandsworth, Sutton, Bexley, Bromley, Croydon, Greenwich, Kingston, Lambeth, Lewisham, Richmond and Southwark). You can either by referred by your healthcare professional or you can self refer.

To book onto an education group, you can visit the diabetes booking website or call the Diabetes Book and Learn service on 0203 474 5500 (for patients). 

Useful documentation

Yes, for those who require booked hospital transport to attend other clinical appointments.

St Charles Centre for Health and Wellbeing

  • Address: Exmoor Street, London, W10 6DZ

Violet Melchett Clinic

  • Address: 30 Flood Walk, London, SW3 5RR

Health @ the Stowe

  • Address: 260 Harrow Road, London, W2 5ES

Lisson Grove Health Centre

  • Address: Gateforth Street, London, NW8 8EG

Pimlico @ the Marven

  • Address: 46-50 Lupus Street, Pimlico, London, SW1v 3EB

Parkview Health Centre for Health and Wellbeing

  • Address: 56 Bloemfontein Road, London, W12 7FG

Parsons Green Health Centre

  • Address: 5-7 Parsons Green, London, SW6 4UL

Richford Gate Primary Care Centre

  • Address: Richford Street, London, W6 7HY

Morden Road Clinic

  • Address: 254 Morden Road, SW19 3DA
  • Opening times: Monday – Friday (8.30am – 16.00pm)

Feltham Centre for Health

  • Address: 210 High St, Feltham TW13 4BH

Holly Road Medical Centre

  • Address: 2A Holly Road, Chiswick, London W4 1NU

The Alton Practice GP Surgery

  • Address: 208-210 Roehampton Ln, London SW15 4LE

Tudor Lodge Health Centre

  • Address: 8C Victoria Dr, London SW19 6AE

The Greyswood Practice

  • Address: 66 Eastwood St, London SW16 6PX

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