Use this form to Refer A Child to Demelza Hospice Care for Children.------------------------------------
Once you have completed the form please send to the relevant Demelza Head of Care in your area.
Anyone including a parent can refer a child but please gain the parent's permission first before completing our referral form. Each individual child or young person will be carefully assessed after permission has been given by those with parental responsibility.
Medical, clinical, social, educational and spiritual information will be gathered from all professionals involved, to assist us to best meet the needs of the child or young person.
It may not be possible to accept all children or young people referred to our service, but this will be discussed with those with parental responsibility and signposting to other services will be offered.
Each child or young person referred to our service will be annually reviewed to ensure that they still meet the criteria. Sometimes a child or young person's condition may improve and we will liaise with the family towards a discharge from our service. We will also work with any young person and their family who is likely to continue to need hospice or other services into adulthood.
Many children or young people referred to our service have complex medical and other needs, therefore there is no definitive list of conditions or illnesses which may or may not meet the criteria.
If you would like any more information specifically about any part of our referral process then please contact the relevant Head of Care.
Debbie McSwiney, Acting Head of Care Direct Line: 01795 845 206 Email: email@example.com Central Care Line: 01795 845 201
Demelza South East London
Sarah Carter, Head of Care Direct Line: 020 8859 9802 Email: firstname.lastname@example.org Central Care Line: 020 8859 9801
Jane Streeter, Head of Community Care, East Sussex Direct Line: 01323 446 470 Email: Jane.email@example.com Central Care Line: 01323 446461
All forms need to be returned to the Care Services Administrator, as detailed on the form.
If you would like to see a copy of our Admissions Policy, please contact us.