Showing 30 from 102 results.
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IPS Employment Service
Adult Mental Health and Speciality Services - IPS Employment Service
The IPS Employment Service is open to anyone who is currently unemployed and is looking for paid employment, and is currently engaged with the Planned Care & Recovery (PCART) service, with the Forensic Team, or with the Early Intervention (NSTEP) team.
Campbell House, Campbell Square, Northamptonshire, NN5 6UD
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IPS Employment Service
Adult Mental Health and Speciality Services - IPS Employment Service
The IPS Employment Service is open to anyone who is currently unemployed and is looking for paid employment, and is currently engaged with the Planned Care & Recovery (PCART) service, with the Forensic Team, or with the Early Intervention (NSTEP) team.
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Learning Disabilities
Adult Mental Health and Speciality Services - Learning Disabilities
Our service comprises both community teams for people with learning disabilities (CTPLD’s) and the Intensive Support Team (IST).
To view all the locations for this service,, please click available locations,
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Community Teams for People with Learning Disabilities (CTPLD) - Newland House
Adult Mental Health and Speciality Services - Learning Disabilities
The CTPLD’s provide specialist healthcare service for people who have a learning disability (IQ below 70) and health need that requires input.
Community Teams for People with Learning Disabilities (CTPLD) - St Mary's Hospital
Adult Mental Health and Speciality Services - Learning Disabilities
The CTPLD’s provide specialist healthcare service for people who have a learning disability (IQ below 70) and health need that requires input.
Learning Disabilities - Intensive Support Team
Adult Mental Health and Speciality Services - Learning Disabilities
Our intensive support team consists of specialist nurse behaviour therapists, psychologists, support workers and medical staff working with individuals and their carers in the community providing specialist behavioural assessment and treatment.
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Learning Disabilities - Inpatients Respite
Adult Mental Health and Speciality Services - Learning Disabilities - Inpatients Respite
1 Willow Close, Upton, Northampton, Northamptonshire, NN5 4GL
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Liaison Psychiatry for Older People
Adult Mental Health and Speciality Services - Liaison Psychiatry for Older People
We are a team of specialist mental health professionals who provide a service Monday to Friday, 8am to 4pm in the general hospital (Kettering General Hospital and Northampton General Hospital) for people aged 65 and over.
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Looked After Children
Children's Services - Looked After Children
The Looked After Children’s team manages the physical and mental healthcare needs of Looked After Children (LAC), working closely with partners to ensure we provide everything the children using our service need. We offer assessments, consultations and treatments for health issues of any kind.
To view all the locations for this service,, please click available locations,
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Looked After Children - Newland House, Northampton
Children's Services - Looked After Children
The Looked After Children’s team manages the physical and mental healthcare needs of Looked After Children (LAC), working closely with partners to ensure we provide everything the children using our service need. We offer assessments, consultations and treatments for health issues of any kind.
Looked After Children - Sudborough House, Kettering
Children's Services - Looked After Children
The Looked After Children’s team manages the physical and mental healthcare needs of Looked After Children (LAC), working closely with partners to ensure we provide everything the children using our service need. We offer assessments, consultations and treatments for health issues of any kind.
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Maternal Loss Psychology Service
Adult Mental Health and Speciality Services - Maternal loss psychology service
Providing support for women or birthing parents who are experiencing moderate to severe mental health difficulties relating to a perinatal loss (or infant loss)
Campbell House, Campbell Square, Northampton, NN1 3EB
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Memory Assessment Service
Adult Mental Health and Speciality Services - Memory Assessment Service
Many people experience problems with declining memory. Northamptonshire Memory Assessment Service (MAS) covers the whole of Northamptonshire providing diagnosis and on-going information and support, working with other specialists and services to achieve the best outcome for you.
To view all the locations for this service,, please click available locations,
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Memory Assessment - Danetre Hospital
Adult Mental Health and Speciality Services - Memory Assessment Service
Our service covers the whole of Northamptonshire providing diagnosis and on-going information and support, working with other specialists and services to achieve the best outcome for you.
Memory Assessment - Stuart Road
Adult Mental Health and Speciality Services - Memory Assessment Service
Our service covers the whole of Northamptonshire providing diagnosis and on-going information and support, working with other specialists and services to achieve the best outcome for you.
Memory Assessment - The Watermill Resource Centre
Adult Mental Health and Speciality Services - Memory Assessment Service
Our service covers the whole of Northamptonshire providing diagnosis and on-going information and support, working with other specialists and services to achieve the best outcome for you.
Memory Assessment - York House, Isebrook Hospital, Wellingborough
Adult Mental Health and Speciality Services - Memory Assessment Service
Our service covers the whole of Northamptonshire providing diagnosis and on-going information and support, working with other specialists and services to achieve the best outcome for you.
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Mental Health Navigators
Adult Mental Health and Speciality Services - Mental Health Navigators
As part of the mental health Northamptonshire collaborative (MHNC) our mental health navigation team provides support in the community to help people improve their general wellbeing. Our service is designed for people experiencing difficulties with their emotional wellbeing, living conditions and physical health.
Campbell House, Campbell Square, Northampton, Northamptonshire, NN1 5EB
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Mental Health Support Teams
Children's Services - Mental Health Support Teams
Mental Health Support Teams (MHST) have been created to offer early intervention, low intensity, mental health support within schools for children and young people with mild to moderate mental health difficulties.
To view all the locations for this service,, please click available locations,
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MSK Occupational Therapy Hand Therapy
Adult Services - MSK Occupational Therapy
Musculoskeletal Occupational Therapy (OT) Hand Therapy offers a wide range of treatments for patients who have a hand /wrist dysfunction or injury.
To view all the locations for this service,, please click available locations,
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MSK OT Hand Therapy - Corby Community Hospital
Adult Services - MSK Occupational Therapy
Musculoskeletal Occupational Therapy (OT) Hand Therapy offers a wide range of treatments for patients who have a hand /wrist dysfunction or injury. Our services treat a range of conditions, including elective hand surgery, hand injuries/trauma, general conditions of the hand, rheumatology, neurology.
MSK OT Hand Therapy - Highfield Clinical Care Centre
Adult Services - MSK Occupational Therapy
Musculoskeletal Occupational Therapy (OT) Hand Therapy offers a wide range of treatments for patients who have a hand /wrist dysfunction or injury. Our services treat a range of conditions, including elective hand surgery, hand injuries/trauma, general conditions of the hand, rheumatology, neurology.
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MSK Physiotherapy
Adult Services - MSK Physiotherapy & APP's
Musculoskeletal Physiotherapy relates to physiotherapy of the muscular and skeletal system, involving the muscles, tendons, bones, joints, nerves, ligaments and cartilage. Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction.
To view all the locations for this service,, please click available locations,
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MSK Physiotherapy - Danetre Hospital, Daventry
Adult Services - MSK Physiotherapy & APP's
Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction. Our treatment will help restore movement and function when someone is affected by injury, illness or disability through movement and exercise, manual therapy, education and advice, helping patients to manage pain and prevent disease.
MSK Physiotherapy - Highfield Clinical Care Centre, Northampton
Adult Services - MSK Physiotherapy & APP's
Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction. Our treatment will help restore movement and function when someone is affected by injury, illness or disability through movement and exercise, manual therapy, education and advice, helping patients to manage pain and prevent disease.
MSK Physiotherapy - Isebrook Hospital, Wellingborough
Adult Services - MSK Physiotherapy & APP's
Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction. Our treatment will help restore movement and function when someone is affected by injury, illness or disability through movement and exercise, manual therapy, education and advice, helping patients to manage pain and prevent disease.
MSK Physiotherapy - Nene Park Outpatients Clinic, Irthlingborough
Adult Services - MSK Physiotherapy & APP's
Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction. Our treatment will help restore movement and function when someone is affected by injury, illness or disability through movement and exercise, manual therapy, education and advice, helping patients to manage pain and prevent disease.
MSK Physiotherapy - Nuffield Diagnostic Centre, Corby
Adult Services - MSK Physiotherapy & APP's
Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction. Our treatment will help restore movement and function when someone is affected by injury, illness or disability through movement and exercise, manual therapy, education and advice, helping patients to manage pain and prevent disease.
MSK Physiotherapy - St Mary's Hospital, Kettering
Adult Services - MSK Physiotherapy & APP's
Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction. Our treatment will help restore movement and function when someone is affected by injury, illness or disability through movement and exercise, manual therapy, education and advice, helping patients to manage pain and prevent disease.
MSK Physiotherapy - Weston Favell Primary Care Centre, Northampton
Adult Services - MSK Physiotherapy & APP's
Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction. Our treatment will help restore movement and function when someone is affected by injury, illness or disability through movement and exercise, manual therapy, education and advice, helping patients to manage pain and prevent disease.
MSK Physiotherapy & APP's - Northampton General Hospital
Adult Services - MSK Physiotherapy & APP's
Our team provides assessment, diagnosis and treatment for patients with musculoskeletal pain and dysfunction. Our treatment will help restore movement and function when someone is affected by injury, illness or disability through movement and exercise, manual therapy, education and advice, helping patients to manage pain and prevent disease.
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NHS Northamptonshire Talking Therapies
Adult Mental Health and Speciality Services - NHS Northamptonshire Talking Therapies
We help people aged 17.5 and up with mild to moderate depression and/or an anxiety disorder. We often work with carers and people with long-term conditions where anxiety and depression is the focus.
To view all the locations for this service,, please click available locations,
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Northamptonshire NHS Talking Therapies - Danetre Hospital
Adult Mental Health and Speciality Services - NHS Northamptonshire Talking Therapies
Our talking therapies team is made up of wellbeing staff who provide a local service for people with common mental health problems including anxiety and depression. We work in partnership with primary care colleagues and provide timely interventions for people with a low risk that enables them to acquire the skills they need to promote their own recovery.
Northamptonshire NHS Talking Therapies - Lotus House
Adult Mental Health and Speciality Services - NHS Northamptonshire Talking Therapies
Our talking therapies team is made up of wellbeing staff who provide a local service for people with common mental health problems including anxiety and depression. We work in partnership with primary care colleagues and provide timely interventions for people with a low risk that enables them to acquire the skills they need to promote their own recovery.
Northamptonshire NHS Talking Therapies - Stuart Road, Corby
Adult Mental Health and Speciality Services - NHS Northamptonshire Talking Therapies
Our Talking Thearpies team is made up of wellbeing staff who provide a local service for people with common mental health problems including anxiety and depression. We work in partnership with primary care colleagues and provide timely interventions for people with a low risk that enables them to acquire the skills they need to promote their own recovery.
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Northants Personality Disorder Hub
Adult Mental Health and Speciality Services - Personality Disorder Service Team 63
Our specialist countywide team, who is based at the Northants Personality Disorder Hub, offer help to adults who have a diagnosis of personality disorder or other related difficulties. Our staff aim to promote understanding and hope.
Lotus House, Victoria Street, Northampton, Northamptonshire, NN1 3EB
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Older Adults Community Mental Health Services
Adult Mental Health and Speciality Services - Older People’s Community Mental Health Team (CMHT OA)
We offer mental health services in the community of Northamptonshire for older people through the Older Adults Community Mental Health Team (OACMHT). This team can offer assessment and treatment to older people with mental health problems and dementia.
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Older Adults Community Mental Health Team - Watermill Resource Centre
Adult Mental Health and Speciality Services - Older People’s Community Mental Health Team (CMHT OA)
Our team offers assessment and treatment to older people with mental health problems and dementia. Being community-based, members of this team (including mental health nurses, psychiatrists, occupational therapists, psychologists and support workers) are always out and about, providing services for people in their own homes and in the community.
Older Adults Community Mental Health Team - Stuart Road Clinic
Adult Mental Health and Speciality Services - Older People’s Community Mental Health Team (CMHT OA)
Our team offers assessment and treatment to older people with mental health problems and dementia. Being community-based, members of this team (including mental health nurses, psychiatrists, occupational therapists, psychologists and support workers) are always out and about, providing services for people in their own homes and in the community.
Older Adults Community Mental Health Team - York House, Isebrook Hospital
Adult Mental Health and Speciality Services - Older People’s Community Mental Health Team (CMHT OA)
Our team offers assessment and treatment to older people with mental health problems and dementia. Being community-based, members of this team (including mental health nurses, psychiatrists, occupational therapists, psychologists and support workers) are always out and about, providing services for people in their own homes and in the community.
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Older People's Inpatient Acute
Adult Mental Health and Speciality Services - Older People’s Inpatient Acute
We offer a range of services to support older people needing inpatient setting for a period of assessment and treatment with mental health problems and dementia. We provide medical treatment, therapy, nursing and holistic treatment to make sure all our patients’ needs are met.
To view all the locations for this service,, please click available locations,
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Older People' s Inpatient Acute - Brookview Ward, Berrywood Hospital
Adult Mental Health and Speciality Services - Older People’s Inpatient Acute
Our facility provides a safe and caring environment for older people needing acute inpatient treatment. We support older people needing an inpatient setting for a period of assessment and treatment with mental health problems and dementia, providing medical treatment, therapy, nursing and holistic treatment. We work to minimise the problems caused by impairment and disability, helping to empower older people and allowing them to lead a fulfilling life.
Older People' s Inpatient Acute - Riverside Ward, Berrywood Hospital
Adult Mental Health and Speciality Services - Older People’s Inpatient Acute
Our facility provides a safe and caring environment for older people needing acute inpatient treatment. We support older people needing an inpatient setting for a period of assessment and treatment with mental health problems and dementia, providing medical treatment, therapy, nursing and holistic treatment. We work to minimise the problems caused by impairment and disability, helping to empower older people and allowing them to lead a fulfilling life.
Older People' s Inpatient Acute - Spinney Ward, St Mary's Hospital
Adult Mental Health and Speciality Services - Older People’s Inpatient Acute
Our facility provides a safe and caring environment for older people needing acute inpatient treatment. We support older people needing an inpatient setting for a period of assessment and treatment with mental health problems and dementia, providing medical treatment, therapy, nursing and holistic treatment. We work to minimise the problems caused by impairment and disability, helping to empower older people and allowing them to lead a fulfilling life.
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Paediatric Psychology Service
Children's Services - Paediatric Psychology Service
The Paediatric Psychology Service specialise in working with young people and families around adjustment and living with a medical condition and/or it’s treatment.
To view all the locations for this service,, please click available locations,
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Paediatric Psychology Service - Newland House
Children's Services - Paediatric Psychology Service
The Paediatric Psychology Service specialise in working with young people and families around adjustment and living with a medical condition.
Paediatric Psychology Service - Northampton General Hospital
Children's Services - Paediatric Psychology Service
The Paediatric Psychology Service specialise in working with young people and families around adjustment and living with a medical condition.
Paediatric Psychology Service - Sudborough House
Children's Services - Paediatric Psychology Service
The Paediatric Psychology Service specialise in working with young people and families around adjustment and living with a medical condition.
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Pharmacy
Other services - Pharmacy
The NHFT Pharmacy service exists to support staff, service users and carers to safely manage medicine. We also help to improve the use of medicines by providing a high quality service.
Berrywood Hospital, Berrywood Drive, Northamptonshire, NN5 6UD
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Podiatric Surgery
Adult Services - Podiatic Surgery
Podiatric surgery is a specialist field of practice within the podiatry profession. We provide the highest standard of care to patients with foot problems by offering various services that may include diagnostic investigations and treatments such as injection therapy and day case foot surgery.
To view all the locations for this service,, please click available locations,
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Podiatric Surgery - Isebrook Hospital, Wellingborough (Wednesdays)
Adult Services - Podiatic Surgery
We provide an outpatient service for patients following foot surgergy.
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Police Liaison & Triage
Adult Mental Health and Speciality Services - Police Liaison & Triage
The established Police Street Triage car provides a dedicated frontline police officer alongside a mental health professional, collaboratively working to ensure that all service users with mental health issues are effectively supported during what is often a challenging crisis period and that the specialist mental health skills provided by NHFT would allow timely assessment, treatment and appropriate pathway support at the initial point of contact.
Northamptonshire Police - Force HQ, Wootton Hall, Northampton, Northamptonshire, NN4 0JQ
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Post-COVID-19 and Post-Viral Rehabilitation Service
Adult Services - Post covid assessment service
This service assesses and supports people who have had COVID-19 infection and post-viral syndrome, whether diagnosed or not, where they experience ongoing health problems because of their illness.
To view all the locations for this service,, please click available locations,
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RECONNECT - Care after custody
Adult Mental Health and Speciality Services - RECONNECT - Care after custody
RECONNECT seeks to maintain any health gains made whilst being in prison by supporting vulnerable people leaving prison to access or transition health or care needs to community-based services.
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Referral Management Centre
Adult Mental Health and Speciality Services - Referral Management Centre
The Referral Management Centre (RMC) provides a single point of access for professionals to make referrals into children and young people's specialist community health services.
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Research and Innovation
Other services - Research and Innovation
NHFT recognises research as critical to the delivery of evidence-based care. We also recognise that the quality of patient care is higher when there is participation in research.
Innovation and Research Unit, Berrywood Hosppital, Northamptonshire, NN5 6UD
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Safeguarding
Other services - Safeguarding
Safeguarding is everybody's business and all Trust staff have a responsibility and duty of care to safeguard children and adults.
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Secured Services
Adult Mental Health and Speciality Services - Secured Services
We use an integrated service focuses on primary care, mental health, and substance misuse. Our care for offenders suffering long-term illnesses and mental health problems is provided onsite at prisons and inpatient units, as well as in the community.
To view all the locations for this service,, please click available locations,
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Personality Disorder Service - HMP Swinfen Hall
Adult Mental Health and Speciality Services - Secured Services
Northamptonshire Healthcare Foundation NHS Trust (NHFT) currently provides three specialist services to male prisoners aged 18-25 with a history of violent and/or sexual offending within HMP / YOI Swinfen Hall. The Inspires Service forms part of the Offender Personality Disorder Pathway (OPD) strategy for high risk offenders and is focused on prisoners with complex needs for emerging traits of personality disorders. It is also for those who have completed treatment to strengthen their skills. Visit our Prison Services overview page for more information on this service and referral details.
Secured Services - HMP Littlehey
Adult Mental Health and Speciality Services - Secured Services
We use an integrated service focuses on primary care, mental health, and substance misuse. Our care for offenders suffering long-term illnesses and mental health problems is provided onsite at prisons and inpatient units, as well as in the community.
Secured Services - HMP Peterborough
Adult Mental Health and Speciality Services - Secured Services
HMP Peterborough deliver a trauma informed service for residents that focus on a holistic wellbeing approach to encourage person-centred care plans, made with the residents at the forefront of the care offered.
Secured Services - HMP Whitemoor
Adult Mental Health and Speciality Services - Secured Services
We use an integrated service focuses on primary care, mental health, and substance misuse. Our care for offenders suffering long-term illnesses and mental health problems is provided onsite at prisons and inpatient units, as well as in the community.
Secured Services - HMP Woodhill
Adult Mental Health and Speciality Services - Secured Services
NHFT are working in partnership with CNWL as our subcontracted healthcare provider within HMP Woodhill. This is a unique and progressive partnership with and between two Foundation Trusts.
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Secured Services - HMP Bedford
Adult Mental Health and Speciality Services - Secured Services
We use an integrated service focuses on primary care, mental health, and substance misuse. Our care for offenders suffering long-term illnesses and mental health problems is provided onsite at prisons and inpatient units, as well as in the community.
HMP Bedford, St Loyes Street, Bedford, Bedfordshire, MK40 1HG
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Serenity Sexual Assault Referral Centre (SARC)
Adult Mental Health and Speciality Services - Sexual Assault Referral Centre (SARC)
Serenity aims to provide a comprehensive service to men, women and young people who have been raped or sexually assaulted. The service is available 24hrs every day to anyone who lives in Northamptonshire.
Highfield Clinical Care Centre, Cliftonville Road, Northampton, Northamptonshire, NN1 5BU
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Sexual Health Service (old)
Adult Services - Sexual Health Service
Northamptonshire Integrated Sexual Health Service (NISH) offers the following services: - testing for sexually transmitted infections - outpatient care for blood-borne virus infection including HIV(Summers Unit) - all methods of contraception with ongoing management of complex contraceptive needs - treatment for genital skin/pain conditions - outreach services.
To view all the locations for this service,, please click available locations,
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Kettering - St Mary's Hospital - HIV clinic
Adult Services - Sexual Health Service
The outpatient blood-borne virus unit includes HIV care and is called the "Summers Unit". The Summers Unit services are available at both of the Hub sites, one north of the county and one south of the county. HIV outpatient care is currently not available at the Spoke sites.
Kettering - St Mary's Hospital - Sexual health services
Adult Services - Sexual Health Service
Northampton General Hospital - Integrated Sexual Health Service
Adult Services - Sexual Health Service
Northamptonshire Integrated Sexual Health Service (NISH) offers the following services: • testing for sexually transmitted infections • outpatient care for blood-borne virus infection including HIV (Summers Unit) • all methods of contraception with ongoing management of complex contraceptive needs • treatment for genital skin/pain conditions
Northampton Summers Unit - Integrated Sexual Health Service (HIV)
Adult Services - Sexual Health Service
The outpatient blood-borne virus unit includes HIV care and is called the Summers Unit. Summers Unit services are available at both of the Hub sites, one north of the county and one south of the county. HIV outpatient care is currently not available at the Spoke sites.
Rushden - Rectory Road Health Clinic - Sexual Health Service
Adult Services - Sexual Health Service
Northamptonshire Sexual Health Service offers the following services: • testing for sexually transmitted infections • outpatient care for blood-borne virus infection including HIV (Summers Unit) • all methods of contraception with ongoing management of complex contraceptive needs • treatment for genital skin/pain conditions
Wellingborough - Isebrook Hospital - Sexual Health Service
Adult Services - Sexual Health Service
Northamptonshire Integrated Sexual Health Service (NISH) offers the following services: • testing for sexually transmitted infections • outpatient care for blood-borne virus infection including HIV (Summers Unit) • all methods of contraception with ongoing management of complex contraceptive needs • treatment for genital skin/pain conditions
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Specialist Dental Services: Children
Children's Services - Dental Services - Children
Our team is made up of specialists in special care dentistry providing specialist dentistry for patients unable to visit general dentist practice due to their special needs, learning disabilities, significant health problems or other issues that prevent them from accessing a regular service.
1st Floor, Willowbrook Health Centre, Cottingham Road, Corby, Northamptonshire, NN17 2UR
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Specialist Dental Services - Danetre Hospital
Children's Services - Dental Services - Children
Our team of specialists at Danetre Hospital helps patients access dental care with minimal specialist intervention, so that they can have fillings, extractions and gum treatments. Danetre Hospital offers special care quarterly by arrangement and minor oral surgery on alternate Mondays.
Specialist Dental Services - Isebrook Hospital
Children's Services - Dental Services - Children
Our team of specialists at Isebrook Hospital helps patients access dental care with minimal specialist intervention, so that they can have fillings, extractions and gum treatments. Isebrook Hospital offers special care and minor oral surgery.
Specialist Dental Services - St James Clinic
Children's Services - Dental Services - Children
Our team of specialists at St James Clinic helps patients access dental care with minimal specialist intervention, so that they can have fillings, extractions and gum treatments. St James Clinic offers special care services only (no minor oral surgery).
Specialist Dental Services - Willowbrook Health Centre
Children's Services - Dental Services - Children
Our team of specialists at Willowbrook Health Centre helps patients access dental care with minimal specialist intervention, so that they can have fillings, extractions and gum treatments. Willowbrook Health Centre offers special care and minor oral surgery.
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Specialist Nursing - Heart Failure Nurse
Adult Services - Specialist Nursing - Heart Failure Nurse
The Community Heart Failure Team supports and helps people with heart failure to manage their condition at home. As a team we provide a specialised service to patients who may not otherwise receive the specialist care that they need to self-manage their condition and avoid hospital admission. This is achieved through teaching and support for patients, their families and other health professionals.
To view all the locations for this service,, please click available locations,
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Specialist Nursing - Heart Failure Nurse - Romic House
Adult Services - Specialist Nursing - Heart Failure Nurse
Our nurses support and help people with heart failure to manage their condition at home, providing a specialised service to patients who may not otherwise receive the specialist care that they need to self-manage their condition and avoid hospital admission. We also work alongside the heart failure teams of Kettering and Northampton General Hospitals to optimise the management of people with chronic heart failure and provide seamless care between hospital and general practice.