NELFT services in Waltham Forest COVID-19 update

Dear colleagues

Supporting the NHS response to coronavirus (COVID-19)

I hope you are well.  I am writing to you about the care and services North East London NHS Foundation Trust (NELFT) provide in your locality and the changes we have undertaken after receiving and implementing the NHSE National guidance for Community Health Services, Mental Health Services and Hospital Discharges Services, as the NHS response to coronavirus (COVID-19).

To ensure we can support the NHS to respond to coronavirus, continue to treat our most vulnerable patients and protect our staff, we have been mandated to make some changes to the care we provide to our patients. In line with national instructions, we are now reducing or postponing some of our community health and mental health services. The ask nationally is that by stepping down some of the non-urgent / essential services, we would redeploy our staff internally to support critical and essential services and help respond to the increasing demand on the NHS.

Please see below for a table with the list of services run by NELFT and the status of the local provision for your information. We have also added how patients will be supported where services have been subject to change by the national guidance.

We are aware that the Primary Care offer has also needed to modify. In order to address the changes, the local health and social care systems are working closely to review the gap in provision that changes may impact in community and mental health services and agree plans to ensure any risk for the patient cohort associated with this change are managed.

We are also aware that we have had to provide new discharge services and have worked hard to deliver these for the system.

There will be further asks in the system for new services to manage patients who have experienced COVID-19 and need further support in the community and primary care for longer term recovery, such as large scale pulmonary rehabilitation.

During this unprecedented time, it is imperative we work together with our partners across the NHS, local authorities and other organisations to respond effectively to coronavirus. Making sure those people requiring acute hospital care are able to be discharged as soon as they are well enough, is a vital part of the role we will play in freeing up capacity for the rising demand.

I apologise for the inconvenience these essential measures will cause our patients, and if you have any concerns or questions, I would of course be happy to talk these through.

Thank you in advance for your support in helping us, and our wider communities respond in the most effective way possible.

I hope you, your family and friends remain safe and well.


Yours sincerely




Professor Oliver Shanley, OBE

Chief Executive