Make a Referral

One form. One phone call. We aim to respond within 24 hours.

Prefer to speak directly?

Our referrals team is available Monday to Friday, 8am to 6pm. Emergency referrals accepted 24/7.

Call 01737 822221 Email [email protected]

Referral Form

Complete the form below and our placements team will contact you within 24 hours. For emergency admissions, please call us directly. All information is treated in accordance with our privacy policy.

Your Details (Referrer)

What you are asking about

Please do not put clinical detail on this form. We ask only who you are and when to call you back. Names, NHS numbers, dates of birth and clinical detail are taken on the call, or NHS.net to NHS.net — never through a website form.

This routes your call to the right nurse. The closest match is fine.

200 characters. Do not include the person’s name, NHS number, date of birth or clinical detail — we take those by phone or NHS.net to NHS.net.

Our Response Commitment

  • All referrals acknowledged within 24 hours
  • Emergency referrals assessed same day where possible
  • Pre-admission assessment arranged at patient's current location
  • Clear, honest feedback on suitability within 48 hours of assessment
  • Dedicated placements coordinator assigned to every referral

What Helps Us Assess Quickly

Please have the following to hand for the call. Do not email clinical documents to us from an ordinary mailbox — when we call you back we will give you our secure NHS.net address, and NHS.net to NHS.net is the route we use for all of it:

  • Current nursing assessment or care plan
  • Decision Support Tool (DST) if CHC funded
  • Recent medical history and discharge summary
  • MUST assessment or Waterlow score
  • Behavioural risk assessment (if applicable)
  • Equipment requirements list

Need an Urgent Placement?

Call our placements team directly. We can often assess within 24 hours and admit within 48.