Our rapid care and response teams manage a range of conditions including acute exacerbations and acute complications of long-term conditions in the community.

They also support frail and elderly people:

  • Who have experienced a fall and do not require hospital care
  • Who have pneumonia or a UTIs

The service is available at short notice, into the evenings and at weekends.

Our Barnet service also supports rapid transfer home from UCC/A&E to avoid hospital admission. Care is handed over to mainstream services within a few days - typically on day three, maximum day five.

Download a leaflet detailing what the service does

Harrow rapid response is a prevention of admission service that visits patients at home, to assess and provide treatment to prevent an unnecessary admission to hospital.

We are a multi-disciplinary team that consist of nurses, physiotherapists, occupational therapists, therapy technicians, rehabilitation assistants, with links to a social worker.

We assess patients within two hours of the referral and can provide nursing and therapy input, and also provide personal care if required.

There is a team member located in the A&E department at Northwick Park Hospital, assessing patients for discharge to prevent an unnecessary admission to an acute bed, with follow up at home from the team.

Our rapid response team provides your patient with urgent community health care within 2 hours to avoid a health crisis and possible hospital admission.

Call 0845 389 0940 any day between 8am and 8pm.

You can speak to a clinician for advice and book a visit from the service.

Referral forms

Waiting times

Referrals will be received and processed between 8am and 8pm, within two hours.

Who can refer?

Harrow GPs, out of hours doctors, London Ambulance Service (LAS), district nurses, specialist nurses and local A&E departments.


  • Over 18
  • Resident in London Borough of Barnet
  • Assessed as safe to be at home with this service by a GP

The service will also accept referrals if a reciprocal SLA are in place with neighbouring commissioners.

The service is unable to support people whose primary presenting problem is for mental health services, but the service is able to work with mental health colleagues if the person has both mental health and physical health needs and where a joint plan with local Mental Health teams can be rapidly implemented.

Any patients who appear to pose a risk of violence towards nurses may also be excluded from the service, if an acceptable risk management plan cannot be implemented, and in line with the requirements of the contract.


  • Harrow GP
  • Over 18 years of age


  • Patients under 18
  • No Harrow GP
  • Sudden acute medical problems such as abdominal pain, chest pain, PE or severe difficulty in breathing (DIB)
  • Acute, severe asthma
  • Illness or Infections where the patient is systemically unwell has suspected sepsis OR red flags
  • Mental health problems as primary presentation
  • Alcohol or substance abuse or intoxication, non-compliant patient or self-discharged

Harrow referral information

Patients are seen in their own home.

Patients are seen in their own home.