Type of Services

As specialist nurses, we deliver round-the-clock, high-end private nursing care that truly makes a difference. Specialising in stoma care, pouch care, wound care, general surgical care, and continence care, as dedicated professionals, we 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 an exclusive in-clinic experience. Whether you’re managing complex health needs or are a VIP patient seeking discreet, compassionate services, our expert holistic nursing care is here to transform your journey. Experience the expert, wholesome care and let us redefine nursing care for you.
— TWINS Team

The private services are available in your home (personalised home visits), remotely (virtual consultations, email, messaging and telephone support), or in‑clinic. All options are offered 365 days a year — including nights, weekends and holidays — to prevent complications and provide discreet, VIP‑level support.

  • Clinical & Holistic Support

    • Specialist assessment and management of digestive, bowel and urinary conditions

    • Comprehensive stoma and internal pouch care, including preparation before surgery and coping strategies afterwards

    • Advanced fistula management and complex wound care

    • Continence assessment and bladder/bowel management plans

    • Catheter care (urethral and suprapubic) and infection‑prevention strategies

    • Cancer‑related bowel and urinary symptom management

    • Referral or signposting to other healthcare professionals where clinically indicated

  • Education, Re‑enablement & Self‑Care Training

    • Provision of education, re‑enablement and self‑care training

    • Ongoing support to build confidence and independence

    • Relationship coaching for people living with a stoma or internal pouch

  • Lifestyle, Health & Quality of Life Optimisation

    • Nutrition and hydration planning and dietary coaching

    • Exercise and fitness coaching

    • Sleep hygiene and circadian rhythm support

    • Stress-management techniques

    • Behaviour-change & habit-formation coaching

    • Functional health coaching

  • Complementary & Integrative Therapies

    • Alternative and complementary medicine

    • Hydrotherapy and bowel function optimisation, including colonic and internal pouch irrigation

    • Naturopathic therapies

    • Life therapies

    • Women‑centred therapy addressing unique challenges across the lifespan, including pregnancy and menopause

  • Emotional, Psychological & Wellness Support

    • Preparing for life with a stoma or ipouch - counselling before surgery

    • Learning coping strategies to live with a stoma or an ipouch

    • Relationship coaching for people with a stoma or ipouch

  • Referral or signposting to other healthcare professionals where clinically indicated.

  • 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

  • Private urology and continence 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

    • As private stoma and pouch nurses, we 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

    • As private stoma and pouch nurses, we can support you with stoma care through daily home visits

  • Stoma, fistula and ipouch difficulties management

  • Telephone/email adviceline - 7 days/week, 365 days/year, out-of-hours.

  • Rapid Response Outreach (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 holistic care

  • Counselling - body image, sexuality, quality of life, difficult conversations

  • 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

    • As private stoma and pouch nurses, we 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, and 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

💧 iPouch Irrigation Clinic

This clinic supports individuals with ileoanal pouches who require irrigation as part of their care. Our experienced pouch nurse specialists offer tailored instruction, troubleshooting, and long‑term management advice to keep your ipouch functioning comfortably and effectively. Find out more information here.

🛡️ Hernia Clinic

A specialist service for those at risk of parastomal, incisional or pelvic hernias, or those already having hernias. We provide assessment, support, garment fitting, lifestyle advice, and referral guidance to help manage symptoms and improve quality of life. Find out more information here.

🤰 Pregnancy Clinic

A supportive clinic for people with a stoma, fis or ipouch, who are planning a pregnancy or are already pregnant. We offer tailored advice, monitoring, and reassurance throughout your journey to help you feel informed and confident. Find out more information here.

💉 Vitamin Deficiencies Clinic

Specialist clinic for safe assessment and monitoring of Vitamin B12 and other deficiencies. Evidence‑based testing, clinically‑appropriate treatment and ongoing support for patients with stomas, ipouches, fistulae, IBD and cancer‑related conditions. Find out more information here.

💊 Medication Optimisation Clinic

Medications can affect stoma, fistulae and ipouch behaviours, hydration, digestion, pain levels and overall wellbeing. Our Medication Optimisation Clinic helps you review, adjust and streamline your medicines so they work safely and effectively for your body. Whether you are managing long‑term conditions, recovering from surgery, or undergoing cancer treatment, we provide personalised guidance to improve symptom control, reduce side effects and support your daily comfort. Find out more information here.

🩹 Wounds Management Clinic

A specialist service for patients with surgical and non-surgical wounds, including those recovering from abdominal, pelvic, ipouch or stoma‑related surgery, or any other surgery. We provide expert assessment, wound care, dressing selection, and ongoing monitoring to support safe healing and reduce the risk of complications. Our specialist nurses can manage a wide range of surgical and non-surgical wounds, from simple dressings to wound irrigation and debridement, and negative wound therapy (e.g. VAC, Prevena, PICO), etc. Find out more information here.

🪢 Dilators Clinic

A dedicated clinic for patients who require dilatation as part of their management of stoma, ipouch or rectal anastomosis. We provide personalised instruction, monitoring, and support to help maintain patency, reduce discomfort, and promote healthy function. Find out more information here.

💧 IV Hydration Clinic

This clinic provides safe, specialist intravenous hydration support for patients experiencing dehydration, bowel‑related fluid loss, high‑output stomas or pouches, fistula‑related losses, or treatment‑induced fluid imbalance. We focus on restoring hydration, stabilising electrolytes, preventing complications and helping patients maintain comfort, energy and wellbeing in day‑to‑day life. Find out more information here.

🧠 Cancer Rehabilitation & Survivorship Clinic

This clinic offers dedicated rehabilitation for patients recovering from cancer treatment, with support for memory difficulties, cognitive changes, post‑treatment fatigue, emotional adjustment and long‑term survivorship needs. We focus on restoring cognitive function, rebuilding confidence, improving quality of life and helping patients navigate life after treatment with clarity, resilience and renewed wellbeing. Find out more information here.

🌿 Colostomy Irrigation Clinic

A dedicated service for patients with a colostomy who wish to explore or maintain irrigation as part of their bowel management routine. We provide personalised guidance, hands‑on support, and ongoing monitoring to help you achieve confidence and consistency. Find out more information here.

🌸 Granuloma Clinic

A dedicated service for patients struggling with granulomas around their stomas. We assess, treat, and monitor granulomas using safe, evidence‑based techniques to reduce discomfort and improve appliance wear time. Find out more information here.

🧉Distal Feeding Clinic

This clinic offers support for patients who require distal feeding into the defunctioned bowel. We provide education, monitoring, and personalised care plans to ensure safe and effective feeding practices. Find out more information here.

🧼 Continence Care Clinic

This clinic offers guidance and support for patients with urinary and bowel continence support, including catheters used for urinary or bowel-related problems, intermittent catheterisation, long-term catheters, nephrostomies, suprapubic catheters, and anal inserts. We focus on safe use of continence appliances, troubleshooting issues, and maintaining comfort and confidence in day‑to‑day care. Find out more information here.

🩹 Fistula Care Clinic

This clinic provides specialist care for patients living with enterocutaneous and anal fistulae, including support with setons, management of complex fistula tracts, wound bed irrigation, and management of fistula pouches and drainage systems. The focus is on safe, effective fistula management, reducing infection risk, optimising healing, and helping patients maintain comfort, dignity and confidence in everyday life. Find out more information here.

🎗️ Cancer Treatment Side‑Effects Clinic

This clinic provides specialist support for patients experiencing the physical and neurological side effects of cancer treatment, including mucositis, peripheral neuropathy, pins and needles, sensory changes, fatigue and treatment‑related discomfort. We focus on relieving symptoms, improving day‑to‑day comfort, preventing complications and helping patients feel more stable and supported throughout their treatment journey. Find out more information here.

⚖️ Weight Management Clinic

A supportive, non‑judgemental clinic focused on helping you achieve and maintain a healthy weight. We provide personalised plans, practical strategies, and ongoing encouragement tailored to your health needs and goals. Find out more information here.

🥗 Nutrition Clinic

Our nutrition service provides expert guidance on diet, hydration, and digestive health. Whether you are adjusting after surgery, managing symptoms, or looking to optimise your wellbeing, we create personalised plans that work for your lifestyle. Find out more information here.

🌙 Menopause Clinic

Menopause can bring physical and hormonal changes that affect stoma care, pouch function, fistula management, hydration, skin health and overall wellbeing. Our menopause clinic provides personalised guidance, symptom support and practical adjustments to help you navigate this stage with confidence. Whether you are experiencing early symptoms, perimenopause or post‑menopause, we offer tailored advice that fits your body, lifestyle and long‑term health needs. Find out more information here.