Our Services
“Our TWINS team delivers round-the-clock, high-end private nursing care that truly makes a difference. Specialising in stoma care, pouch care, wound care, and surgical care, our dedicated professionals are on call 365 days a year—providing exceptional support on public holidays, weekends, in the middle of the night, or during a quiet mid-day visit—to prevent complications before they arise. We bring our premier care directly to you through personalised home visits, virtual digital consultations worldwide, and soon, an exclusive in-clinic experience. Whether you’re managing complex health needs or are a VIP patient seeking discreet, compassionate services, our expert team is here to transform your care journey. Experience the TWINS team difference and let us redefine nursing care for you.”
Private stoma nurse at home or remote support
Private pouch nurse at home or remote support
Private surgical wound care nurse at home or remote support
Innovative early pre-operative counselling +/- stoma siting +/- stoma training
Post-op care, including stoma, ipouch, wound and drain care
Our private stoma and pouch nurses provide intensive support for the first 6-12 months post-surgery for stoma and internal pouch formation.
Clinical expertise for stoma, fistula and ipouch patients, including advanced stoma/ipouch care
Colostomy irrigation
Pouch irrigation
Use of dilators
Pouch catheter training
Distal limb feeding (Complete and Trophic)
Ongoing support for patients and families via a structured follow-up
Our private stoma nurses can support you with stoma care with daily home visits
Stoma, fistula and ipouch complication management
Telephone/email adviceline - 7 days/week, 365 days/year, out-of-hours.
Rapid Response Outreach Team (R2O) Home Visits (London Area Only)
Invaluable prompt home visits to manage unpredictable complications
Preventing A&E/hospital admissions, GP and consultant visits
Annual follow-up review and prescription management
Counselling - body image, sexuality, quality of life, difficult conversations
Independent nurse prescribing
Consultancy for MDT and community services
Introduction of innovative methods of patient care
Presenting and publishing on a national and international level
Involvement with patient support groups and information days
Education for patients, family and carers
Our private services can provide training for your family, carers and yourself
Education for schools, the workplace, and occupational health teams
We can come to your school or workplace and train staff to support you or your loved one
Education for healthcare professionals - GPs and community staff training, as well as hospitals, care homes, MDT
Basic stoma care training
Stoma siting courses for aspiring stoma nurses
Pouch masterclass
Stoma procedures masterclass
Raising awareness and combating misinformation
Development of national and international education programmes
Publication of patients’ and healthcare professionals’ books
Conducting own nurse-led research and participating in joint research with MDT
Conducting product trials
Whether you are a patient or a company, contact us if you would like our support with new product trials
Digitalisation of services and use of virtual technologies
How to Arrange a Consultation?
Our stoma & iPouch nurses see patients referred by their GP, or through self-referral.
You can self-refer by contacting us via our contact forms at the bottom of this page, or through the Contact Us page.
How long does a consultation normally last?
This will depend on your circumstances and type of consultation. However, the initial/first consultation typically lasts between 30 minutes to 1 hour.
What do I do if I need iPouch or Stoma nurse during out-of-hours?
TWINS' out-of-hours service is available 365 days a year, including late nights and weekends, when your local stoma nurse service is closed. To access advice or book a consultation, use the forms below or our email.
We will review your needs, and a TWINS ipouch/stoma nurse will call you or email you back as soon as possible, depending on the urgency of your condition.
What to expect
The TWINS team will need some information, so please provide the information below when emailing/leaving a phone message:
• Full name • Date of birth • NHS Number • Email & telephone number • Registered GP practice email & contact details • Reason for appointment
You must provide basic information about your medical issue so that the TWINS nurses can determine how soon they need to contact you.
Does seeing the TWINS team mean I will be discharged from my current nursing/surgeon/gastro, etc. team?
No, you will remain under your team’s care, if you wish to, our TWINS nurses will continue to communicate with your GP and your team and inform them if there is a need for them to action anything.
How do I access the services?
“Our service is open to everyone, including NHS patients!
We are here to help everyone and will not turn away anyone.”
Private Care - Self-pay
You can pay directly, allowing you to access high-quality care as quickly as possible. This will enable you to book a consultation with one of our ipouch & stoma specialist nurses without delays.
While a referral letter from your GP is advisable to help us better understand your problem, it is not always required, as our nurses will ask you to complete our iPouch/Stoma Patient Passport with all your relevant past medical history, medications, allergies, etc. ensuring that they do not miss important information about your health when providing advice.
Our team can provide further details, including estimates of future costs. To contact our team, click here.
If you cannot afford to pay for your consultation as a single upfront payment, our team now provides the option of 3-6 monthly instalments at no additional cost.
Private Medical Insurance
We currently work with - AVIVA, WPA & CIGNA, Allianz an BUPA Global. We will update our website once we have agreed services with other insurance companies.
You can still access our service even if your insurer is not listed here, but you will need to obtain a pre-authorisation number from them first, confirming that they agree for you to be seen by us. Alternatively, your insurer may ask you to self-pay, and then claim the expenses via their appropriate processes.
Most insurers cover care for short-term conditions, though this varies by insurer. The majority of services at TWINS for iPouch & Stoma Patients LTD are covered by most health insurers, but you should check your policy and ideally contact your insurer to confirm eligibility before booking an appointment. To contact our team, click here.
Your insurer may have limits or excess on your policy, which they can provide details of in your documentation or if you contact them directly.
If you have medical insurance, the process for most patients is as follows:
1. Obtain a referral letter from your GP, whether NHS or private. This will help your insurer confirm that your care will be covered.
2. Contact your insurer to confirm your policy coverage and obtain a pre-authorisation number.
3. Book an appointment with us and provide the name of your insurance company, your membership or policy number, and your pre-authorisation code or claim reference number. These details allow us to liaise directly with your insurance company for payment, so you can focus on your ipouch and/or stoma care optimisation journey.
Does seeing the TWINS team as a private patient mean I leave the NHS?
No, you are still entitled to free NHS care even if you choose to pay for private care.
To access more information on Private healthcare, visit the Private Healthcare Information Network’s website, click here.
TWINS CARE Health Subscription
Our TWINS CARE health subscription offers you a dedicated Digital iPouch/Stoma nurse available 365 days a year, including out-of-hours support—early mornings, late nights, weekends, and bank holidays. This is predominantly via email, messages and short up-to 15-minute phone calls when advice is needed within the same day and cannot wait for an appointment to be arranged, or when you simply need quick advice. Our nurses provide diet and lifestyle advice, complication management, psychosocial support, and more. For a full list of services, please see our Services page. For more information, visit our TWINS Care Subscription page .
Financial Hardship Services
Our dedicated TWINS iPouch & Stoma Nurses offer free-of-charge services to those in financial hardship. If you are facing financial difficulties, our TWINS team is committed to providing the support you need, ensuring no one is turned away.