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 Community Team, In-patient Unit, Living Well Service, 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.
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
All patients referred to Trinity must live on the Fylde coast.
Patient referral form
We hope this newly designed referral form will help you refer patients easily and effectively.
Please note that ALL REFERRALS MUST BE RECEIVED IN EITHER PDF OR WORD FORMAT.
Click here to complete the Specialist Palliative Care Referral Form (Microsoft Word) electronically. Please save in one of the correct formats requested, and then e-mail the completed form to firstname.lastname@example.org
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 952566.
If you would like to discuss a referral, please contact us on 01253 952566, and a member of the Community or Hospital Team would be happy to talk to you.
Contact details for key Palliative Care healthcare professionals
Trinity Hospice CNS Team: 01253 952566
Trinity Hospital CNS Team: 01253 952566
Medical Director: Dr Gillian Au, Trinity Hospice 01253 952599
Specialist Palliative Medicine Medical Advice
Community Palliative Care Consultant
Dr Amy Gadoud via secretary 01253 952611 or via Trinity switchboard 01253 358881
Hospital-based Palliative Care Consultants
Dr Andrea Whitfield
Dr Martin Davidson
Dr Harriet Preston
All contactable via secretary 01253 952611 or via Trinity switchboard 01253 358881
Specialist Palliative Care Pharmacist Advice
Razina Umerji available via hospital switchboard 01253 300000 or Bleep number 1667
Out of Hours Advice for Healthcare Professionals
Trinity Hospice Advice Line 01253 952566
Living Well Service referral form
Our Living Well Service provides tailored support to people right from the start of their palliative journey based on individual goals and ambitions. Our specialist team works to help patients live as well as possible with their diagnosis.
For Living Well Service enquiries, please call 01253 952566.
Brian House referral form
Linden Centre referral forms
The Linden Centre is here to support patients and their loved ones, providing specialist counselling and bereavement support to those who are experiencing, or who have experienced, Trinity's care.
You can refer yourself or your child to the Linden Centre, and we accept referrals from other people involved in your/their care.
For Linden Centre enquiries, please call 01253 952582 or email email@example.com
Lymphoedema referral form
Consultants, GPs or other health care professionals who wish to refer a patient to our Lymphoedema Clinic should complete this lymphoedema referral form
Please note, all assessments are clinic based. The service does not undertake domiciliary assessments.
ALL REFERRALS MUST BE RECEIVED IN EITHER PDF OR WORD FORMAT.
Please save your referral form in one of the correct formats requested, and then e-mail it to firstname.lastname@example.org.