Referrals Information - Trinity Hospice

Referrals Information

Trinity is committed to providing accessible, high quality Specialist Palliative Care for everyone affected by an advanced, progressive life limiting illness. Once a patient is referred to Trinity they are able to access the Clinical Nurse Specialist team, In-patient Unit, Day Therapy Unit, Linden Centre, Lymphoedema Service and Complementary Therapy.

As referrers, you can then ensure that your patient can access all or some of the services that they are entitled to.

Referral criteria

Patient has a progressive, life limiting diagnosis
&
Has complex problems that cannot be adequately addressed by current healthcare team
&
Has a reasonable understanding of their illness, where has capacity
&
Accepts referral to specialist palliative care services

Patient referral form

We hope this newly designed referral form will help you refer patients easily and effectively.

Electronic referrals

Click here to complete the Specialist Palliative Care Referral Form Sep15 electronically
Please save and then e-mail the completed form to referrals@trinityhospice.co.uk

Paper referrals

Click here to download a printable version of the Specialist Palliative Care Referral Form Sep15
Please download and print the form. Please feel free to photocopy as many as you need.
Completed referrals should faxed to 01253 595654 or posted to Trinity Hospice, Low Moor Road, Bispham, Blackpool, FY2 0BG.

Please attach any relevant documentation with the referral
i.e. list of current medication, relevant out-patient clinic or hospital discharge letters, oncology annotations, etc.

If you have any queries regarding the referral process, please call the CNS Secretaries on 01253 359379.

If you would like to discuss a referral, please contact us on 01253 359379, and a member of the Community or Hospital CNS Team would be happy to talk to you.

Contact details for key Palliative Care healthcare professionals

Blackpool Teaching Hospital Community Patients
Trinity Palliative Care Clinical Nurse Specialist Trinity Hospital CNS Team 01253 359379 Trinity Hospital CNS Team 01253 359379
Specialist Palliative Medicine Medical Advice Dr Susan SaltMedical Director, Trinity Hospice 01253 358881 Dr Andrea Whitfield Hospital ConsultantVia secretary 01253 655672 Or via hospital switchboard 01253 300000 Community ConsultantVia secretary 01253 359203 Or via Trinity switchboard 01253 358881
Specialist Palliative Care Pharmacist Advice Andrew Dickman via via hospital switchboard 01253 300000 Andrew Dickman via via hospital switchboard 01253 300000
Out of Hours Advice for Healthcare Professionals Trinity Hospice Advice Line 01253 359359 Trinity Hospice Advice Line 01253 359359

Please click here for Palliative Care Resources for the Fylde Coast, including key healthcare professionals, community access to end of life drugs and online resources

Brian House referral form

Electronic referrals

Click here to complete the  Brian House Referral Form electronically
Please save and then e-mail the completed form to brianhouseoutreach@trinityhospice.co.uk.

Paper referrals

Click here to download a printable version of the Brian House Referral Form
Please download and print the form. Please feel free to photocopy as many as you need.
Completed referrals should be posted to the Clinical Manager, Carol Wylde, Brian House Children’s Hospice, Low Moor Road, Bispham, Blackpool, FY2 0BG.