Who are Direct Local Health?

Direct Local Health is a GP-shareholding company established in 2008 to operationalise local health services for patients.

Local Watford and Three Rivers GP practices have joined together in a GP Federation to improve patient care and provide services for the local community.

We collaborate on several services including a 7 days a week Watford Extended Access service and a Primary Care Mental Health service.

What is a GP Federation?

A federation is a group of GP practices/surgeries forming an organisational entity and working together within the local health economy.

Why form a GP Federation?

Working together, local GPs can shape services to best suit their patients' needs and provide enhanced health care services 'at scale' for patients in the wider local area.

GP Federations can submit bids to deliver services within primary care and provide economies of scale, improving the quality and safety of services through service integration between practices and providers.

This model is supported in NHS England's NHS Five Year Forward View.

What services does Direct Local Health GP Federation operationalise?

We operationalise several NHS patient and community services for the local community:

  • Watford Extended Access - this local service provides weekday and weekend GP appointments and weekend Nurse and Phlebotomy appointments to NHS patients within Watford & Three Rivers. Appointments are booked through the patient's own GP Practice.

  • Primary Care Mental Health - this local service provides weekday triage appointments with a mental health practitioner, leading to telephone or face to face appointments with a Community Mental Health Worker and/or appointments with a Community Support Worker as appropriate.

  • Respiratory Covid'19 Assessment 'Hot Hub' - patients are referred by their GP Practice for review/assessment.

To contact Direct Local Health, please see the 'Contact Details' page.

Copies of DLH Board minutes and staff conflict of interest declarations are available upon request.

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