Who can refer a patient?
The referrer must be a clinical professional who has assessed the patient and main carer(s) and has knowledge of the disease, symptoms, treatments, likely prognosis and the patient’s preferred place of care.
If the referrer is someone other than the person’s GP, they are required to notify the GP that a referral has been made to the specialist palliative care team.
The referrer must be satisfied that the person they are referring has an advanced and progressing life limiting illness with:
- Unresolved complex physical, emotional, social or spiritual symptoms despite previous interventions; AND/OR
- Patient/carer is in need of specialist end of life support including terminal care and bereavement services; AND/OR
- A need for specialist palliative rehabilitation with clear functional goals; AND/OR
- A need for a proposed period of respite provided by specialist palliative care in the case of emergency crisis situations, as per local specialist palliative care provider policy
See below for the Referral Guidance and Services Directory. Please review these guidelines before completing the Referral Form.
See below for the Referral Form *please note form is relevant for adult patient referrals only. Submit complete forms to Northern Ireland Hospice by email, post or fax.
Jennymount Business Park
Block 3 North Derby Street
Fax: 028 9074 5421