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Adult community nursing referrals

Providing nursing care in the local community

Referrals to adult community nursing (district nursing) services should be made using one of the forms below. Please download, complete and return the form by email to:

For non-urgent clinical enquiries, please call 020 3049 4020 during normal work hours. After 5pm, at weekends and on bank holidays, please call 020 7188 3299.

Your referral will be processed by our single point of access team.

Urgent end of life (EOL) patients

Below is the referral process for district nursing EOL patients. This process will ensure:

  • all EOL patients who wish to come home for the last days of their lives are seen within four hours of discharge
  • EOL patients requiring pain and symptom control will be seen within four hours of discharge/referral.

Please call the end of life duty nurse on 020 3049 4774, Monday to Friday, 8am to 5pm.

Urgent clinical referrals

  • Urgent – access within four hours: if the referral is urgent, please telephone your duty nurse to discuss the referral. This is mainly for blocked catheters for patients already on the district nursing caseload.

Non-urgent and routine referrals

  • Non-urgent: access within 24-48 hours, including patients in need of acute and chronic wound management and post-operative patients
  • Routine: access at a convenient time (at busy times this can be up to two weeks), including bereavement visits, flu immunisations, blood tests and continence assessments.
  • Referral criteria

    • aged 16 year and over
    • have a clear need for skilled nursing intervention
    • housebound
    • acutely ill, terminally ill, chronically ill and in need of clinical care, advice and support
    • in need of assessment and prescribing of appropriate equipment to facilitate care in the home and manage risks and prevent complications to patients, carers and staff
    • in need of assessment and treatment of continence and a proactive focus on achieving continence
    • in need of catheter care and management
    • in need of immunisation programs including winter flu, pneumococcal and shingles 
    • diagnose, treat and prescribe from the Nurse Formulary
    • in need of wound management, e.g leg ulcers and surgical wounds
    • tissue viability and pressure area care, with an emphasis on prevention 
    • medication, including intravenous antibiotics (if frequency is no more than once or twice a day) and management of central venous lines, and syringe drivers
    • parental and enteral feeding
    • ear syringing where other methods of wax removal and prevention of accumulation have failed.
  • District nursing escalation process for capacity issues

    Sometimes our district nursing teams experience issues with capacity which impacts on their ability to take new referrals.

    If the service has capacity issues in one team only, the nurse manager from the relevant team will contact local GPs to inform them. If the service has reduced capacity across teams, we will communicate this to you via the CCG communications teams. The communication briefing will include our plans for addressing these issues.

  • Useful numbers

    • Cardiovascular rehabilitation advice line: 020 7188 0946 9am - 5pm, Monday - Friday. Please leave a message if you get our answer phone so we can return your call.
    • Vascular nurse specialists: 020 7188 8056, 9am - 5pm, Monday - Friday
    • Cardiac support group: 07539 775052 or 020 8699 6247.