NHS service changes and suspensions

Many NHS services continue to run as normal during this pandemic period. In particular, emergency services for patients who have life threatening conditions must be accessed as normal at this time. Please call 999 in the usual way for anyone who is suspected of having a heart attack, a stroke, has heavy blood loss, is having difficulty breathing or has any other illness or injury that poses a risk to life.

GPs continue to make referrals to hospitals to see cancer specialists. Anyone who is concerned about a lump they have found, or any other symptoms that they think may be linked to cancer, should call their GP surgery for a consultation. Some services have been temporarily changed or suspended. There are some important reasons for these changes:

  • The service might not be able to comply with the social distancing rules being enforced by the Government to help control the pandemic, such as group meetings and training 
  • To ensure there is increased focus on discharging patients from hospital beds to both free up capacity in district general hospitals to care for people with Covid-19 
  • To ensure patients are properly cared for at home and receive urgent care when they need it, including those patients who are at higher risk of catching the virus and are advised to self-isolate
  • To make use of digital technology to provide advice and support where possible and avoid the need for face-to-face contact.

The information below help provides information on these service changes. If you are unsure about whether the service you require has changed, please contact the service to check. For emergency care or cancer care, please continue to access these services as normal.

If you cannot locate the local health or social care information you require in this section please contact Healthwatch Derbyshire - phone 01773 880786, Monday to Friday, 10am to 3:30pm.


General changes

For information on general changes to services including GP practices, community services, mental health services, and hospitals, please view our general updates page:

Other information from the local NHS in Derby and Derbyshire.


Specific service changes

Below is a list of services that have been temporarily changed or suspended due to COVID-19 (Coronavirus). The information is in alphabetical order and has links for more information. If you have any questions around ongoing healthcare or treatment then please contact the hospital or your GP practice directly. For any other queries please email ddccg.enquiries@nhs.net or call 01773 880786. Your call will be taken by Healthwatch Derbyshire who will be able to assist.

Ashgate Hospice
Limit on the number of visitors to a patient to one named adult. All shops and coffee shops in the community closed until further notice. Most non-clinical staff working remotely. More information around buildings about infection control. More hand sanitiser available both at the hospice and at other sites.
Contact: Ashgate Hospice website

Audiology
All drop-in repair services are suspended at Queen’s Hospital Burton.
Contact: Call department on 01283 593014 or see more detail online

Audiology - general
Essential service continues to be delivered. Delay in routine appointments but emergency support and batteries still provided.
Contact service for details

Cancer - University Hospitals of Derby and Burton
Check online update.
Contact: UHDB website

Cancer - Chesterfield Royal
An advice line specifically for patients affected by cancer has been set up at the Chesterfield Royal Hospital, run by an experienced cancer nurse specialist.
Contact: Monday to Friday, 9.30am to 4pm. Call 01246 516183. Visit website

Child and adolescent mental health services (CAMHS)
Information about how corona virus is affecting CAMHS services and where you can find additional support.
Contact: Derbyshire Healthcare website

Children and Young People’s Services – Speech and Language Therapy
Services to meet clinical priority need.
Contact: Service leaflet

Children’s services - Derbyshire Healthcare
Information about how Coronavirus is affecting children’s services.
Contact: Derbyshire Healthcare website

Children's services - Queen's Hospital Burton
Temporary relocation to Derbyshire Children’s Hospital.
Contact: UHDB website

Children's Therapy - Chesterfield Royal Hospital
Routine home visits and group sessions, for example, messy play and functional skills cancelled.
Contact: Chesterfield Royal website

Community mental health services – for working age adults and older adults
Information about how Coronavirus is affecting community mental health services.
Contact: Derbyshire Healthcare website

Continence - Community Specialist Services
Telephone consultation and follow-up is in place to review all patients. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: 
Contact the service directly or via DCHS website

Contraception and Sexual Health Advice
There are some changes which have been made to services.
Contact: Your Sexual Health Matters website, emergency contraception webpage, and sexual abuse and sexual assault webpage

Deep implant contraception
This is one of a number of forms of contraception for women. This particular service has been temporarily suspended.
Contact: Your Health Matters website

Diabetes - Community Specialist Services
Where appropriate, telephone consultation and follow-up is in place. Home visits are only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: For more information contact the service directly or contact DCHS website

Diabetes education
Because of the face-to-face nature of the course, staff have been contacting people who are  part-way through courses and asking them to self-educate using their handbook. Patients will be directed to access information on the Diabetes UK website.
Contact: More information on the DCHS website

Falls - Community Specialist Services
Where appropriate, telephone consultation and follow-up in place. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.  ​​
Contact: For more information contact the service directly or contact DCHS website

Health Psychology including Health Psychology Oncology
Health Psychology including Health Psychology Oncology is still being delivered. There are some changes you can still receive, including the support for people who are receiving palliative care and for end of life care.
Contact: Visit the DCHS website

Health Psychology - pain management programme
As a temporary measure this element of the service has been suspended.
Contact: Visit the DCHS website

Heart failure - Community Specialist Services
Where appropriate, telephone consultation and follow-up in place. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: Visit the DCHS website

HIV
HIV stands for Human Immunodeficiency Virus. You can find information about these services and how they will be delivered during the Covid-19 pandemic.
Contact: Your Sexual Health Matters website

Horizons
Psychological and therapeutic interventions for children in care or who have been adopted.
Contact: phone Horizons on 01629 533775

Inflammatory Bowel Disease Service - Chesterfield Royal
A number of changes have been made to the Chesterfield Royal Hospital’s service, including how to access direct advice from a nurse specialist and the very latest guidance for IBD patients.
Contact: The website service page is regularly updated.

Learning Disability day services
Learning disability day centres are closed.
Contact: Derbyshire County Council website

Lymphedema - Community Specialist Services
Where appropriate, telephone consultation and follow-up is in place across the specialities to review all patients. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: For more information contact the service directly or contact DCHS website

Maternity - Chesterfield Royal
The Chesterfield Royal Hospital has set up an advice line, for pregnant ladies only, to call if they have any questions specifically about Covid-19 during their pregnancy.
Contact: Call 01246 512 361. Visit the CRH website

Maternity services - UHDB
Some changes have been made, but the service continues to be delivered.
Contact: Visit the UHDB website

Maternity Unit - Samuel Johnson Community Hospital
Temporary closure of this unit for giving birth. Community clinics continue to run in Lichfield and Tamworth.
Contact: Visit the UHDB website

MND - Community Specialist Services
Where appropriate, telephone consultation and follow-up is in place. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: For more information contact the service directly or contact DCHS website

Musculoskeletal Service (MSK)
All assessment is now completed over the telephone with clinic attendance only when there is a specific clinical need. Commenced virtual consultations.
Contact: Visit the DCHS website

Orthodontic - Chesterfield Royal
The Chesterfield Royal Hospital is offering virtual orthodontic clinics to reduce unnecessary trips to the hospital. ​​​​​
Contact: You can find out more, including an instructional video, by visiting the CRH website 

Orthotic
All Orthotic clinics stopped, with the exception of patients with high risk to their skin integrity.

Paediatric ICU
Temporary movement of all paediatric emergency surgery from Chesterfield Royal and the South Yorkshire and Bassetlaw Integrated Care System to Sheffield Children’s Hospital.

Paediatric Orthotic clinics
Children’s Orthotic clinics have temporarily stopped.
Contact: For more information contact the service directly or contact DCHS website

Paediatric Psychology
Phone based service remains open
Contact: Visit the Derbyshire Psychology website

Parkinson’s - Community Specialist Services
Where appropriate, telephone consultation and follow-up is in place. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: For more information contact the service directly or contact DCHS website ​​​​​​

Patient transport (non-emergency)
Essential transport support only.
Contact: NHS England briefing

Phlebotomy (blood tests)
To help reduce patient waiting times and to support social distancing we advise all patients to use our new online appointment system before attending for a blood test. The new service helps patients, their carers, and family members to plan their trip to a blood clinic, helping to reduce clinic waiting times and enabling patients to be seen much more quickly.
Contact: UHDB blood tests website

Podiatric services including surgery - Derbyshire Community Health Services
Continue to see patients with diabetes and work in partnership with Integrated Community Services where shared care is in place. All outpatient and domiciliary appointments are cancelled, with the exception of below:

  • Will continue nail surgery where there is a history of repeated infection
  • Elective Podiatric surgery has stopped 
  • To continue to work in partnership with Stockport and Chesterfield Royal Acute Hospitals regarding Podiatric surgery to continue at Buxton Hospital

Contact: Visit DCHS podiatry website

Pre Birth and 0-5 service (Health Visiting)
These are the services which are delivered through to the age of five years. As part of these services we also have some which are statutory relating to child protection which means they must be delivered. High priority visits will continue face-to-face for vulnerable children.
Contact: 0 to 5 service for Derbyshire county and 0 to 5 service for Derby city

Respiratory community services 
Changes to ImpACT+ clinics at London Road Community Hospital.
Contact: Visit the UHDB website

Respiratory/COPD - Community Specialist Services
Where appropriate, telephone consultation and follow-up is in place. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: For more information contact the service directly or contact DCHS website

School Nursing
This service is to be reviewed in light of school closures and not all usual staff required to support schools. Safeguarding to be undertaken via digital signposting.

Speech and Language Therapy Service - Derbyshire Community Health Services Covering adults across Derby and Derbyshire, and children across Derby and the southern half of Derbyshire. Due to the current situation with Covid-19, there may be a longer than usual waits for an initial assessment with a speech and language therapist. Following NHS England Prioritisation Guidance patients meeting certain criteria will be prioritised and will be contacted by a therapist as soon as possible. We will keep all referral details received and will contact patients when the situation has resolved.
Contact: Speech and language therapy website

Stop Smoking Services Derby
No face-to-face appointments. Telephone/digital support available for new and existing clients. Nicotine Replacement Therapy is available to access. Support is available through the willpower bot which can be found on the Livewell website.
Contact: website and Facebook and phone 01332 641254.

Stop Smoking Services Derbyshire
No face-to-face appointments, but telephone support available. Nicotine Replacement Therapy is available to access.
Contact: Derbyshire County Council website

Stroke - Community Specialist Services
Where appropriate, telephone consultation and follow-up is in place. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: For more information contact the service directly or contact DCHS website

TB - Community Specialist Services
Where appropriate telephone consultation and follow-up is in place. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: For more information contact the service directly or contact DCHS website ​​​​

Tissue viability - Community Specialist Services
Where appropriate telephone consultation and follow-up is in place. Home visits only undertaken following urgent GP/new patient or where a rapid response is required.
Contact: For more information contact the service directly or contact DCHS website

Vasectomy services
This is a safe and effective permanent method of contraception for men. This service has been suspended temporarily.
Contact: Visit the DCHS website

Weight Management Services Derby
No face-to-face appointments, but telephone support available for all existing clients, with priority given to clients with higher BMI (40+).
Contact: Derby City Council website

Weight Management Services Derbyshire
No face-to-face appointments, telephone support available, with priority given to clients with higher BMI (40+).
Contact: Derbyshire County Council website

Weight Management and Obesity Services Tier 2&3
There have been some changes made to weight management services. No new referrals. Digital support for those already in the service.
Contact: Visit the DCHS website

Youth Team - Mental Health (supporting YOS Teams)
Phone based service remains open.
Contact: Visit the Brighter Futures for Children website