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.