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.


Who we see

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.

Referral information

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.

 

Barnet referral information

Phone: 0845 389 0940 (option 3)

Fax: 020 8364 8762

Email: CLCHT.dnservicebarnet@nhs.net

Please complete and fax or email the DN referral form to the Barnet Community Point of Access (BCPA) for processing.

Hammersmith & Fulham, Kensington and Chelsea and Westminster referral information

eFax: 0300 008 3251

Email: CLCHT.SPA.Referral@nhs.net

Out of hours: 020 8969 7777

Queries only: 0300 033 0333

Further information: Single Point of Access (SPA)

Harrow referral information

Single Point of Access phone number: 0300 555 8889

Phone lines open 8am-6pm Monday to Friday and 8am-4pm Saturday

eFax: 0300 008 3198

Email: clcht.HarrowDistrictNurses@nhs.net

Merton referral information

Single Point of Access (SPA) phone number: 0333 004 7555

eFax: 0300 008 2122

Email: clcht.mertonspa@nhs.net

Wandsworth referral information

Single Point of Access (SPA) phone number: 0333 300 2350

eFax: 0300 008 2137

Email: clcht.wandsworthspa@nhs.net

Referral criteria

  • 18 years and over
  • 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.

Needs based assessment form

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:

eFax: 0300 008 3251
Further information: Single Point of Access (SPA)
 

District nursing core hours

The core hours of our district nursing teams are:

Barnet:

Day service: 8am - 6.30pm
Evening district nursing: 6.30 - 10.30pm
Out of hours: 10.30pm - 7.30am

Hammersmith & Fulham:

Day service: 8am – 4.30pm (central locality), 9am – 5pm
Late shift: 12 noon - 8.30pm
Night service (out of hours): 8pm - 8am

Kensington and Chelsea:

Day service: 8am - 4.30pm
Late shift: 5 - 8.30pm
Night service (out of hours): 8pm - 08.00am

Westminster:

Day service: 8.30am - 4.45pm
Late shift: 1pm - 9pm
Night service (out of hours): 8pm - 8am

Home visits

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

End of life care for adults

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.