Referrals to all Hospice services may be made using our Referral Form (which can be downloaded at the foot of this page) or by telephone on: 01484 557900
People considering being referred may arrange to visit the Hospice by contacting the Community Palliative Care Team, who will make an appointment for them to visit and ensure someone is available to spend time with them.
All referrals are considered on an individual basis.
Who Can Refer For Hospice Services?
Referrals may be made by:
Primary Health Care Team members.
Other SPC teams.
Hospital Consultants, hospital Nurses or Clinical Nurse Specialists, e.g. cancer site specific Nurse Specialists.
Any health or social care professional involved in the patient’s care.
The patient, a relative or friend.
Before any contact or visit is made to the patient the agreement of their General Practitioner (GP) or Hospital Consultant will be obtained either by their signature on the referral form, or by telephone or through SystmOne.
Discussion is always welcome about how to make a referral or whether a referral is required. If you require any further information please contact Kirkwood Hospice’s Community Palliative Care Team on: 01484 557906
Patients At Home
For people at home, the District Nurse or GP will usually initiate a referral. A member of Kirkwood Hospice’s Community Palliative Care Team will arrange to make a home visit to assess the patient’s needs with both the patient and their family.
Patients In Hospital
People in hospital can be transferred to Kirkwood Hospice. The staff on hospital wards will usually start the referral process. They will ask a member of the hospital’s Palliative Care Team to make an assessment, which they will forward to us.
Patients and carers may make a referral themselves, but we will always discuss the referral with the appropriate professionals before becoming involved.
Urgent requests for admission outside normal working hours are considered according to individual need and availability of beds. Out of hours admissions will only be arranged following full discussion between the Hospice Doctor, Nurse in Charge and the patient's GP or hospital Consultant.
Referral Procedures for Home Support, Admission and Support & Therapy Centre Attendance
Referrals may be made by telephone, fax, post or by using SystmOne tasks
All referrers will be asked for as much information as possible with particular emphasis upon the patient’s identified SPC needs and the level of support required. Where referrals contain insufficient information or lack clarity the referrer will be contacted for further information before any contact is made with the patient
All referrals will be entered on an electronic patient record (SystmOne) for clinical and statistical purposes. Written consent to share Kirkwood’s electronic record with other health and social care professionals involved in the care of the patient will be obtained at the first face to face contact
Referrals for Community Specialist Palliative Care Team (SPCT) Home Assessment or Admission
Contact will be made regarding all referrals within two working days. Telephone advice is available 24 hours a day, 7 days a week. From 8.30am - 4.30pm Monday to Friday, advice will be given by the Community Specialist Palliative Care Team. At all other times advice will be provided by the dedicated advice line team on: 01484 557910 (see KWPY23)
Visits will be arranged according to individual need, with priority being given to patients with uncontrolled pain where treatment changes have been unsuccessful, severe psychological distress or unexpected care breakdown
Compliance with this standard will be audited annually by the Palliative Care Team CNSs
District nurses will made aware by task on SystmOne of all referrals received
In all cases patients will be contacted to arrange a mutually convenient appointment. Visits will take place within one hour either side of the appointment time
Where there are unavoidable delays to a patient’s visit, the patient will be contacted and informed of the delay. If necessary, a further appointment will be offered at a time convenient to the patient
A comprehensive, holistic SPC assessment will take place. This will be documented on SystmOne
An agreed plan of care will be made in consultation with the patient and their carers. The referrer and other professionals involved will be informed of the outcome of the assessment, the plan of care and the review process
Patients will be discharged from these services with appropriate support and care packages once their SPC needs have been addressed
Referrals to Support & Therapy Service (Day Attendance)
The eligibility criteria described above apply to referrals for day attendance at the Support & Therapy Centre
New referrals not known to a Kirklees SPC team will be contacted and assessed at home or invited to attend the department for assessment, if they are able to do so, within 5 working days. The assessment outcome will be documented on SystmOne. In all cases a moving and handling assessment will be carried out and access to the house will be assessed to ensure that safe transfer of the patient is possible. If there is insufficient information regarding the moving and handling needs of the patient, the referrer will be contacted
Transport may be provided for patients attending for the day by arrangement with Support & Therapy Centre staff
To ensure the continued safe transportation of patients to and from Support & Therapy Centre, regular moving and handling assessments will be carried out by Support & Therapy staff
Patients with SPC needs which can be met by day attendance at the Support & Therapy Centre will be offered a mutually convenient start date, with attendances continuing for a period of 12 weeks prior to review. The referrer and GP will be informed of the start and review dates in writing by post or via a SystmOne letter. In order to inform the review at week 12, a plan of care will be agreed between the multi-disciplinary team (MDT) and the patient. Weekly evaluation will take place by the MDT and the patient
Patients will be discharged from the Support & Therapy Service when their SPC needs have been met. This will be discussed with the patient and carers
The referrer and GP will be informed of the discharge date in writing, by post or SystmOne letter
Drop-In Service (held in the Support & Therapy Centre)
Drop-In Days take place each Wednesday and Friday from 9.30am to 5.30pm (except Bank Holidays) at Kirkwood
The service is provided for anyone affected in any way by a life-threatening illness. Patients, relatives and carers may self-refer to this service. With their consent, their GP will be informed that they have accessed the service
Referrals for Counselling or Psychological Assessment & Support (Pre & Post Bereavement)
Please see Family Care Team Operational Policy which can be accessed by clicking here.