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Who are Direct Local Health?

Direct Local Health is a GP-shareholding company established in 2008 to provide 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 community Ophthalmology service, an Integrated Urgent Treatment Service and a weekday and weekend Watford Extended Access 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 provide?

We provide 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.

  • Ophthalmology - Direct Local Health are working alongside Moorfields Eye Hospital and Boots Opticians to provide a specialist hospital service in the community for Hertfordshire patients. Patients are referred into the assessment service by their own GP, to see a specialist Ophthalmologist for an initial CATS assessment. Our team then facilitates the patient's on-going care. This service is co-located in a facility within Boots Opticians in the Intu Watford centre, Watford.

  • Integrated Urgent Treatment Service - Following a CCG consultation with locality GPs, and a subsequent vote on proposed ideas, it was decided to fund an Urgent on the Day appointments service, with appointments delivered collaboratively through the already well defined locality hubs.

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

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