East Lancashire Hospice

Healthcare Professionals (referral forms)

We are aware of some issues affecting our advice line for healthcare professionals.
If you are trying to contact the advice line for health care professionals (07730 639 399) but have been unable to get through, please contact the team on our inpatient unit on our back-up number 01254 965865 who will be able to help you.

Once we have an update on this we will send information through – please note the back-up landline number is a default number for use at any time difficulties are experienced.

Referral Form 

Referral are accepted for any of the following reasons:

  • Patients with progressive disease of any cause who have complex pain and/or symptom control issues
  • The patient and/or their carer has psychological and/or spiritual or social needs
  • The patient needs end of life care (this encompasses a range of needs and timescales - from those patients thought to be in their last year of life eg support for advance care planning to those of patients in their last hours/days of life)

Referrals are accepted from senior healthcare professionals including hospital doctors, GPs, district nurses, specialist nurses (all specialities), ward nurses, nursing home matrons, community matrons.

For support and wellbeing services, clients may refer themselves.

Referral Form

If you are completing a Hospice at Home referral you also need to download and complete a Information to support provision of Hospice at Home services.

For patients and their carers who want to stay at home. Support delivered by palliative care clinical nurse specialist team - Please download the additional form - Download a Palliative Care Clinical referral form.