For Individuals

Referral by Parents and Family Friends

A referral can be made by anyone who knows the child well however parents must give consent for a referral to be made.

Parent and child in the conservatory

Children should generally be under sixteen years of age on referral.

Once accepted onto the roll of Francis House, young people and their families continue to receive care and support for the remainder of their lives or until they choose otherwise.

We acknowledge that the word Hospice can cause anxiety at what may already be a worrying time. Francis House has longstanding experience in guiding both parents and professionals through the referral process.

How to make a referral

Step 1The parents should complete and sign the Parental Consent Form (A)
Step 2Complete the Referral Form (B) giving as much information as possible.
Step 3The Hospice will approach Medical Practitioners (General Practitioners and Hospital Consultants) for additional clinical information.
Step 4Once all clinical information has been received, the referral panel will review the information and make a decision regarding acceptance on to the roll. When a decision has been made a notification letter is sent to the parents (copies are forwarded to the referrer, the GP and the Specialist Consultant).
Step 5When a young person is accepted on to the Hospice roll, the Homecare Team will contact the family to arrange a visit.
Note:If you do not have access to a printer please contact the Hospice and forms will be sent to you by post.

Download Forms A and B

Urgent Referral for End of Life Care

An urgent referral for end of life care may be made directly to the Hospice.

The clinician involved should telephone the Hospice and ask to speak to a Clinical Lead or Senior.

If a young person has died and the family wish to use our Rainbow Room (cool room) and access the Bereavement Support we offer, please contact the Hospice directly and ask to speak to a Clinical Lead or Senior.