Health column: how district nursing teams are gearing up for winter and supporting patients at home
Angela Hodkinson and Emma McNicholas, district nurse specialist managers at Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust (WWL), write about their work this winter.
As the winter nights draw in and colder, wetter and icy weather arrives, our thoughts turn to some of the most vulnerable people in our community.


For our district nursing teams, preparing for winter involves much more than wrapping up against the cold.
It means making sure that patients, particularly those who are most vulnerable, continue to receive safe, compassionate and high-quality care in the place where many feel most comfortable: their own home.
Every day, our community nurses plan ahead, reviewing the needs of their patients and preparing for the additional pressures that winter can bring.
Careful planning is essential, but it is the dedication, flexibility and compassion of our teams that really bring those plans to life.
The role of district nursing has developed significantly over recent years, helping more people to receive the right care in the most appropriate setting, including at home.
The support our teams provide is incredibly varied, from wound care and medication to supporting people with long-term conditions, chemotherapy care, and palliative and end-of-life care.
At the heart of everything we do is helping people to remain as independent as possible, maintain their dignity and, where appropriate, avoid an unnecessary admission to hospital.
Our nurses assess, treat and advise patients, working closely with them and their families and often making important clinical decisions in challenging and unpredictable circumstances.
There is something very special about the relationship between a district nurse and the people they care for.
Being invited into someone’s home is a privilege. It allows us to get to know the person beyond their diagnosis, understand what matters most to them and provide care that reflects their individual needs and priorities.
Winter inevitably brings additional challenges. Demand can increase, journeys between patients can become more difficult because of poor weather, and no two days are ever quite the same.
Our teams continually prioritise their work to make sure those who need them most receive the care and support they need.
Working closely with colleagues across health and social care is also a vital part of district nursing.
Our teams work alongside GPs, community matrons, social care colleagues and specialist nursing teams to provide joined-up, timely care for patients, helping to support WWL’s winter plans and being a key element to helping to ease the demand for hospital beds.
As district nurse managers, we are incredibly proud of the resilience, professionalism and compassion shown by our teams throughout the year, and particularly during the demanding winter months.
Whatever the weather brings, our focus remains the same: keeping our patients safe, well cared for and supported in their own homes wherever possible.
Behind every visit is a district nurse travelling across our communities to care for someone who needs them.
As we head into winter, we are immensely proud of everything our teams do, often quietly and behind the scenes, to make such a difference to patients and their families.