District nursing provides nursing assessments and care for housebound patients with a physical healthcare need. We see patients at home and in residential care settings.

The service supports and encourages people with disabilities and long-term conditions to recover their health, cope with health problems, and achieve the best possible quality of independent life.

We provide services in Barnet, Hammersmith & Fulham, Harrow, Kensington and Chelsea, Merton, Wandsworth and Westminster.

This service is for:

  • 18 years and over
  • Housebound (permanently or temporarily)
  • Have a physical nursing need

Our district nursing teams work closely with hospitals, GPs, social services and other healthcare teams involved in our patients care. We also work closely with physiotherapists and occupational therapists, social workers, Macmillan/Marie Curie and other specialist health care professionals to provide care to meet a wide range of health care needs.

Case management

Our Kensington and Chelsea district nursing teams also provide case management services to non-house bound patients with long term conditions. Case management services in Barnet, Hammersmith & Fulham, and Westminster are provided by our community matron teams.

Who can refer:

  • GPs
  • Hospital consultants
  • Healthcare professionals
  • Social services

Patients must be registered with a GP in Barnet, Hammersmith & Fulham, Harrow, Kensington and Chelsea, Merton, Wandsworth or Westminster.

This service is for professionals only  - we do not accept patient referrals.

Contact details

Download the referral form

Contact details

  • Phone: 0208 102 3456
  • Address: Brent Single Point of Access (SPA), 116 Chaplin Road, Wembley, HA0 4UZ
  • Email: clcht.brentspa@nhs.net

Routine referrals will come through to the Brent SPA. The SPA is available from 08:00 to 17:00 (Monday - Friday). Outside of the SPA's operating hours, please call the SPA number, and your call will be routed directly to the clinical teams who are available out of these hours.

The referral forms for the services and forms for referring adult and children's can be downloaded from this page. 

Contact details

  • eFax: 0300 008 3251
  • Email: clcht.spa@nhs.net
  • Out of hours: 020 8969 7777
  • Queries only: 0300 033 0333

Further information: Single Point of Access (SPA)

Contact details

  • Single Point of Access phone number: 0300 555 8889
    • Phone lines open 8am to 6pm Monday to Friday and 8am to 4pm Saturday.
  • eFax: 0300 008 3198
  • Email: clcht.HarrowDistrictNurses@nhs.net

The district nursing service in Hertfordshire is run by Central London Community Healthcare NHS Trust. For any queries relating to district nursing, you can make referrals via the Single Point of Access on 03000 200 656 (select option 1). 

The SPA operates the phone lines seven days a week from 8am to 8pm. The service is available 24 hours a day with calls after 8pm being routed to overnight teams.

Contact details

If you live in Wandsworth but your GP is registered in Lambeth you can still be referred to the Wandsworth Single Point of Access

You can find our referral forms for community nursing and for phlebotomy (housebound patients only) on your DXS.

Contact details

Contact details

  • 18 years and over
  • 16 years and over for Wandsworth district nursing only
  • Housebound (permanently or temporarily)
  • Have a physical nursing need
  • Registered with a GP in Barnet, Hammersmith & Fulham, Harrow, Kensington and Chelsea, Merton, Wandsworth or Westminster.

All acute Trusts in North West London can use the Needs-Based Assessment Form to refer patients to our intermediate care services in Hammersmith & Fulham, Kensington and Chelsea, and Westminster.

Referrers can download and complete the form when referring to one of our relevant services. These are:

Queries and referrals for district nursing

Queries relating to CLCH district nursing in Hammersmith & Fulham, Kensington and Chelsea and Westminster will be processed through the single telephone number - 0300 033 0333.

The new 0300 033 0333 telephone number for CLCH Services is to be used for queries only.

Referrals for district nursing should be sent to:


The core hours of our district nursing teams are:


  • Day service: 8am to 6:30pm
  • Evening district nursing: 6:30 to 10:30pm
  • Out of hours: 10:30pm to 7:30am

Hammersmith & Fulham

  • Day service: 8am to 4:30pm (central locality), 9am to 5pm
  • Late shift: 12 noon to 8:30pm
  • Night service (out of hours): 8pm to 8am

Kensington and Chelsea

  • Day service: 8am to 4:30pm
  • Late shift: 5pm to 8:30pm
  • Night service (out of hours): 8pm to 8am


  • Day service: 8:30am to 4:45pm
  • Late shift: 1pm to 9pm
  • Night service (out of hours): 8pm to 8am

Yes. We see patients at home and in residential care settings.

Our district nursing team is comprised of district nurses, community nurses and health care assistants who provide a range of nursing care including palliative and end of life care as well as care in the last days and hours of life to support those who wish to stay at home.

Our end of life care strategy outlines how as an organisation we will ensure that all our end of life care services provide care in a compassionate way based on and tailored to the needs, wishes and preferences of the dying person and, as appropriate, their family and those identified as important to them. In order to achieve this there are some key principles which include:

  • Putting the person and their family at the centre of decision making to produce a plan of care that is right for them.
  • Being aware of the role of the wider community in the dying person and other important networks.
  • Regular communication between the dying person and their family and health and care staff and between health and care staff themselves ensuring that care is co-ordinated.
  • Early identification of patients at the end of life involving assessment of the person’s condition whenever that condition changes with timely and appropriate resources to those changes.
  • Care is led by a senior responsible doctor and a lead responsible nurse, who can access support from specialist palliative services when needed.
  • Care is delivered by doctors, nurses, carers and others who have high professional standards and the skills, knowledge, competence and experience needed to care for dying people and their families.