Integrated Constructed Wetlands (ICWs) are potentially effective tools in the effort to restore aquatic ecosystems, and also they incorporate multiple co-benefits. An ICW was constructed in Norfolk, UK, to address the degradation of a stream and lake receiving treated effluent from a small Sewage Treatment Works (STW). Results demonstrated that: (1) nutrient concentrations significantly reduced from the ICW influent to the effluent (percentage reductions: total phosphorus [TP]: 78%, orthophosphate: 80%, total oxidised nitrogen [TON]: 65%, nitrate: 65%, nitrite: 67%, ammoniacal nitrogen: 62%), and mean dissolved oxygen concentrations increased (influent mean: 6.4 ± 1.4 mg l−1 effluent mean: 17.8 ± 3.3 mg l−1), (2) there were non-significant reductions in nutrient concentrations in the receiving stream (percentage reductions: TP: 23%, orthophosphate: 23%, TON: 26%, nitrate: 26%), with the exception of ammoniacal nitrogen (127% increase) and nitrite (76%) after ICW commissioning, and (3) mean in situ avian species richness increased from 10 to 27 species. Thus, the ICW substantially reduced nutrient concentrations, and had in situ conservation benefits. It is recommended that appropriately designed ICWs should be implemented widely and statutory authorities should ensure: 1) best-practice maintenance and 2) final effluent monitoring at both the STW and at the ICW outflows.