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Welcome to Direct Local Health


Direct Local Health (DLH) covers all 20 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 217,000 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:

  • GP Federation Extended Access service, arranging GP, Nurse, Phlebotomist and reception staff at five Hub locations in the Watford and Three Rivers area. This includes the provision of weekday Paediatric clinics for patients 0-4 years old.

  • GP Federation Primary Care Mental Health 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.
  • A GP Federation project to improve shingles uptake and protect patients in the locality.
  • Organisation of Integrated Urgent Treatment Service appointments and facilitation of local transformational plans from October 2018-March 2019.

  • Provision of GPs in the Emergency Department at Watford General Hospital, December 2017-April 2018, October 2018-October 2019.


(Site updated 24/09/2020)
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