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
Healthcare professionals can refer to the Northern Ireland Hospice using the regional referral form below. Once you have completed the referral form, it must be password protected before emailing to firstname.lastname@example.org. GP’s can refer to Northern Ireland Hospice using CCG.