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Community Nursing

District Nurses are central to the ability of individuals to remain in their own or a residential setting, for those patients which are housebound.  District Nurses play a key role in assessing and treating patients in their home environment or Community Health building, co-ordinating care and being clinical team leaders. District Nurses manage patients with multiple and complex conditions, supporting self-care and self-management by promoting independence.

The District Nursing service is flexible and responsive.  It is committed to continually improving the delivery of care to people requiring nursing care in the community.  The District Nursing team delivers a service that is flexible, integrated and patient centred, providing high quality, holistic nursing care to patients and their carers.

The District Nursing service is committed to providing care to enable people to remain in their chosen care environment wherever possible. 

The District Nursing service is not an emergency service and all visits are prioritised according to need.

Who is your service provided for?

All patients registered within North East Essex GP services who require nursing care to be provided in their own homes, residential homes and clinics.    


Where is the service provided from? 

The teams across North East Essex are based in a variety of community locations.  


How do I contact the service?

Please call the Community Gateway telephone number shown below.


How do you access the service?

You will need a referral from your GP or Hospital clinical staff.


District Nurse Referral Criteria

Meets criteria:

  • Are unable to travel to the surgery/hospital due to serious illness or disability
  • Bed bound
  • Rely on hospital transport for appointments


Does NOT meet criteria:

  • If you can get to your GP/clinics
  • If family members take you out or you visit them
  • If you are able to get into a vehicle independently or use public transport services i.e bus, taxi, train
A housebound patient is one who:
has a physical or psychological condition with documented evidence which states that it would be detrimental to the patient's condition or recovery to travel OR who requires assistance from more than one person to get in and out of a vehicle OR who needs medical/clinical support during the journey OR who is wheelchair bound and has no carer available to assist them An individual who will not be eligible for a home visit if they are able to leave their home environment in the own or with minimal assistance to visit public or social recreational public services (including shopping).

Individual circumstances should be assessed before referral to home care services and ongoing assessment of these circumstances will be carried out to review housebound status.


To refer a patient, click on the icon below to access the Community Gateway.