East Lancashire Hospice

Healthcare Professionals (referral forms)

Download a 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.

Download a 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.