Talk Changes Service Update

We’re making changes to how we work so we can continue to run our services in response to the coronavirus situation and we are expanding the range of help that we offer.

In response to government guidelines we are moving all of our appointments to either telephone, online or video calls. This starts from Monday 23 rd March onwards for the safety of all service users and staff.

From Monday 23 March if you need to contact us, please email:


We will call or email you back as soon as we can. We ask you not to call the phone line while we adjust to this new way of working. Thank you for your patience and understanding.

We know that these are worrying times. Although we need to work differently for the time being, we’re still here to help.

If you need urgent help, City & Hackney have a crisis helpline, this remains open 24 hours a day. Please ring them on 020 8432 8020 if you are worried that you might harm yourself or someone else.


Talk Changes for Health

Helping you feel in control and live life to the full

Talk Changes for Health is a free, confidential NHS service for adults who are registered with a City and Hackney GP.

Our specialist team helps people with a long-term illness to manage their condition, feel in control and live life to the full.

We understand that living with an ongoing health condition can be difficult. Juggling appointments, remembering to take your medicines, and not always being able to do the things you enjoy can be frustrating and tiring.


That’s why we’re here to help

We are part of Talk Changes, a local NHS service. We offer a range of tried and tested talking therapies. These involve talking with a trained professional if you’re feeling stuck and can help you make long-lasting positive changes.

NHS talking therapies have helped millions of people to manage their thoughts and feelings. Evidence shows that talking therapies can also help people with a long-term physical health problem to stay motivated, stick to treatment plans and enjoy a better quality of life.

We are based at the Louis Freedman Centre next to St Leonard’s Hospital in Hoxton. We offer face-to-face appointments but also provide support over the telephone, online and in groups. We’ll help you get the right support in the most convenient way.


Contact us

The easiest and quickest way to get in touch is through the online referral form.

Most people receive an initial telephone assessment within two weeks. Following this, we’ll agree a plan with you and book your next appointment.

You can also email us on:

Please give the reference ‘LTC’ so we can put you in touch with the right team.

Find us

Louis Freedman Centre for Well-being
Nuttall St, London N1 5LZ