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Talk Changes - NHS IAPT service for City and Hackney

Louis Freedman Centre for Well-being,
St Leonard's,
Nuttall Street,
N1 5LZ
Telephone: 020 7683 4278


Who we are...

Talk Changes is a IAPT (Improve Accesses to Psychological Therapies) service commissioned through Homerton University Hospital NHS Foundation Trust. 

Everyone can feel stressed, worried or down from time to time but if this is happening to you and it goes on too long, or you feel like you can’t cope, Talk Changes can help you find ways to manage the thoughts and feelings you have and make changes, so you can live life to the full.

We are a confidential NHS service for adults registered with a GP in City and Hackney.

What we do...

A wide range of tried and tested NHS talking therapies are on offer from the service. Talking with a trained professional can help you work out how to deal with negative thoughts and feelings and learn new skills to get you back on track.

For many people with common mental health problems, talking therapies are proven to be as effective as medicines. Although the therapy is targeted and short term is can create long-lasting positive changes so you not only feel better but stay better, putting you in control to get the most from life.

Talk Changes also work with people whose physical health problems affect their mood and motivation, helping them to cope with treatment and medication plans.

If anxiety or depression is affecting you at work or making it hard for you to find work, then Talk Changes has an Employment Advice Team who can help you while you are receiving treatment.

How we work..

Most people receive an initial telephone assessment within two weeks. After your initial assessment we will agree a treatment plan with you and book your next appointment.

Talking therapies don’t have to be through regular face-to-face meetings. We also provide help over the phone, online or in groups.

Specialist therapists, advisers and other professionals help you get the support that’s right for you. They will talk with you to find out what matters and what you want to achieve, and help you work towards your own goals.

Whether you have a job, or are trying to find one, work can have a big impact on how you feel. If you’re receiving treatment with us, specialist employment advisers can also offer advice and practical support on applying for jobs, preparing for interviews and dealing with workplace problems. 

Adults with autism...

We recognise that we need to make tried and tested evidence-based therapies accessible to people who identify as autistic and/or neurodivergent.  For example, if you don’t like making eye contact, we don’t need you to; if you want to ask for help but find too much information overwhelming, then we’ll try to adapt our sessions to fit your needs. 

At Talk Changes we aim to give all individuals the opportunity to be understood, to be able to talk about their thoughts honestly, and reflect on their difficulties without the fear of feeling judged.  All of our staff are trained to deal with a range of problems in a respectful and sensitive way.   

You can can contact us to find out more about what we do or look on our website:

Record Last Updated on: 17/12/2019

Time / Date Details

Time of day


Session Information

Monday - Thursday 9am - 7:30pm
Friday - 9am - 5pm

Other Details

Who is eligible?

Talk Changes is an adult NHS service treating patients age 18 and over. 

You must be registered with a GP in City & Hackney. 

Talk Changes also works with people who are on the autistic spectrum (or have a suspected diagnosis), and who may be struggling with a range of problems. 

Talk Changes is one of many talking therapy services in City & Hackney and treats people experiencing:

  • Depression
  • Anxiety Disorders such as; Health Anxiety, Panic Disorder, Posttraumatic Stress Disorder (PTSD), Obsessive Compulsive Disorder (OCD), Generalised Anxiety Disorder (GAD), Social Anxiety, Specific phobias (e.g. heights, blood injury, spiders)

Where patients have long standing or severe problems with their mental health or psychological distress then we may recommend onward referral to other services.

Referral required?


Referral Details

Everyone can self-refer via our website 

Click the tab that says “Refer here” and complete the form. 

You can complete this form with the help from a family member, friend, or professional if you like.

You can also ask your GP or other health professionals (e.g. health visitors, key workers, support workers) to refer you to Talk Changes. 

What to do if you have a complaint

All patients get the option to comment on the service and provide feedback at the end of therapy.

If you have a concern about the service you have received please speak to your therapist in the first but if that does not help you can arrange to contact the service’s management team via admin.

If you prefer to discuss your concern with someone independent of your care team then you can contact our Patient Liaison and Advice Service (PALS).

The PALS team can help resolve queries and concerns quickly and if you are not happy with the outcome then they can advise you on our formal complaints process.


Homerton University Hospital NHS Foundation Trust

Homerton Row

London E9 6SR


Phone: 020 8510 7315 - out of office hours voicemail service available

Textphone: 07584 445 400


How to Get Here

Local Bus Numbers; 149 242 243 394 

Nearest overground trains to: Haggerston overground or Hoxton overground 
Nearest tube: Old street underground

Train: Liverpool Street Station 

Disabled parking on site

ERS Medical are the provider of non-emergency patient transport services for Homerton NHS Trust. If eligable this can be arranged in advance with the services administration department. 

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Disclaimer-important information about the Hackney Local Offer

Hackney's Local Offer website is a free and impartial service provided by the London Borough of Hackney in partnership with the NHS, local education, health and community services. The information contained within the website is available for the purposes of identifying services and provision that may be available to children and young people with special educational needs and/or disabilities.

This information does not represent a recommendation or an endorsement of a Service or Provider and neither does the London Borough of Hackney or its partners make any representations or warranties as to the accuracy of the information. Anyone seeking to use or access a service or provision is responsible for undertaking their own checks to determine the suitability and fitness for purpose of that service and provision. In no event will we be liable for any loss or damage including, without limitation, indirect or consequential loss or damage, or any loss or damages whatsoever arising from use or loss of use of data or profits arising out of or in connection with the use of the Hackney Local Offer.

Some providers will be registered and inspected by external agencies, such as Ofsted or the Care Quality Commission. Anyone working with children and young people will be required to have appropriate Disclosure and Barring Service Check (the replacement for the Criminal Record Check), safeguarding policies and insurance in place, which they should make available to you on request.

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