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Welcome to Direct Local Health


Direct Local Health (DLH) covers all 18 GP practices across Watford and Three Rivers, located in areas including Watford, Rickmansworth, Croxley Green, South Oxhey, Bushey and Abbots Langley.

The Direct Local Health Ltd GP Federation was established in 2008 to deliver patient-centred enhanced services in the local community to benefit the 221,000 patients we cover, and improve health services in the wider Hertfordshire area.

We aim to work together, at scale, to develop patient services, develop how we partner with our other local providers to develop truly joined up services, and to support and enthuse our local GPs to drive improvement and innovation locally.


Direct Local Health are, and have been involved in:

  • Extended Access service; arranging GP, Nurse, Phlebotomist and reception staff at multiple locations in the Watford and Three Rivers area in the weekdays and at weekends.

  • Primary Care Mental Health 'GP Plus' service - providing access to a Community Mental Health Worker for patients across Watford and Three Rivers, and onward access to a Community Support Worker if appropriate.
  • Respiratory Covid-19 Assessment 'Hot Hub' - aligning with West Herts Covid'19 Pathways to Assess moderate cases, to assist local GP Practices.

  • Organisation of Integrated Urgent Treatment Service appointments and facilitation of local transformational plans from October 2018-March 2019.

  • Organisation of Paediatric clinics for patients 0-4 years old, between November 2019 and May 2020.
  • Provision of GPs in the Emergency Department at Watford General Hospital, December 2017-April 2018, October 2018-October 2019.


(Site updated 10/08/2022)
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