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Integrated Community Health Care Teams (includes District Nurse, Rehabilitation OT and Physiotherapy): CNWL

Camden

Three are five neighbourhood integrated healthcare teams that provide district nursing, community rehabilitation therapy, (physiotherapy, occupational therapy) complex care nursing and community twilight and overnight nursing service to housebound patients.

The team creates a care plan to include: 

  • urinary catheter care for housebound patients and provides an ambulant catheter clinic
  • tissue viability and wound care
  • palliative care/end of life support 
  • assessment for continence product
  • case management
  • injectable medication administration (if patient is unable to self-manage)
  • falls prevention service
  • home-based OT/PT therapy assessment and rehabilitation to promote enablement and improve independence.

New referrals must be sent to the service following the referral process outlined in How to Refer. However, the teams can be contacted directly if you need to send information or discuss a patients in their care, or to inform them if a referral being sent is urgent. Each team has a Clinician of the Day (COD) and a Triage Therapist on duty. 

Please note: If you need to refer a patient to the twilight team, and they need to be seen on the same day. If it is towards the end of the working hours for the referral to be picked up by the team, please also send a copy of your referral to the twilight team directly to ensure that it has been received.  


Service contact details

Central Team
t: 020 3317 2309
e: cnwl.central.camdencommunityhealth@nhs.net 

North Team
t: 020 3317 5915
e: cnwl.north.camdencommunityhealth@nhs.net 

East Team
t: 020 3317 3357
e: cnwl.east.camdencommunityhealth@nhs.net

South Team
t: 020 3317 2309
e: cnwl.south.camdencommunityhealth@nhs.net

West Team
t: 020 3317 5705
e: cnwl.west.camdencommunityhealth@nhs.net


Eligibility Criteria

Inclusions

  • patients aged 18 years and over
  • registered with a Camden GP (If the patient has a Camden GP but lives in another borough, the service will visit one mile over the border)
  • housebound and cannot easily attend clinics

Exclusions

  • no nursing need or rehabilitation potential
  • not housebound
  • only need is social care
  • need immediate admission to secondary care
  • require administration of psychiatric medication or main presenting problem is mental health issue
  • need help with tasks (e.g. collection of prescriptions, delivery of incontinence equipment)
  • referral for provision of OT equipment only
  • routine screening 
  • collection of specimens only 

How to Refer

EMIS form

Referral methods: Email

Complete the Camden Integrated Adult Community Services - CNWL referral form and send to the Camden Central Access Team: camdenreferrals.cnwl@nhs.net. Attach any relevant discharge or outpatient reports.

For catheter referrals, complete the Urinary Catheter Referral Form – NCL and send to the email address above.

Referrals for same or next-day appointments must be received by 4pm, Monday to Friday. If you are sending a referral close to the end of the working day, please also send a copy directly to the twilight team directly to ensure that it has been received.

Twilight and Overnight service (Seven days a week, 5pm-7.30am): twilight.nursing@nhs.net t: 07711015850.

Where to find the forms

  • Camden: Camden Global Documents > Adult & Elderly Services
  • NCL: NCL Global Documents > Urology (Urinary Catheter Referral Form – NCL)

Once a patient is under the care of the district nursing service, they will receive a care pack and are informed about how to contact the team for any additional support needed between scheduled visits. Patients can call 020 2331 73400 during regular hours, or if it is outside those hours, they can contact the twilight COD number.


Locations

North Team

Gospel Oak Health Centre

East Team

Kentish Town Health Centre

South and Central Team

Basement, Hunter Street Health Centre

West Team

Belsize Priory Health Centre

Service Feedback



Review date: Thursday, 02 July 2026