Referring a patient

Are you a primary health or social care professional?

Healthcare professionals may refer any patient aged 18 or over who has been diagnosed with a progressive life limiting illness and who has consented to a referral being made. 

We accept referrals for:

  • Management of complex symptoms
  • Management of complex emotional / spiritual distress
  • Multidisciplinary Team (MDT) assessment and rehabilitation
  • End of life care

Referrals can be made via SCI Gateway or completing the form below which will be sent securely to our team for consideration at the daily (Monday to Friday) Multi-disciplinary Team meeting.   

Referral FAQ

Here you will find commonly asked questions from Healthcare Professionals when looking to refer a patient to the Hospice

Referrers Can Expect

The Clinical Team will make telephone contact with the patient or their referrer within two working days to assess if suitable for specialist palliative care services and the urgency of the referral. 

We will notify you of the proposed plan for assessment.

Patients who require admission to ACCORD Hospice will be triaged and discussed at a multi-disciplinary meeting the next working day

The referral form should be completed in full to allow us to provide an efficient and focused service to the patient. If appropriate, please ensure patients have had recent bloods taken.

The information received from the electronic referral will inform the Hospice Multi-disciplinary Team’s decision making. We will respond to the urgency of the referral and take full consideration of the patient’s identified needs. We will assess the referral and pass it to the most appropriate service.

Download Referral Form

Patient Information

Main Carer/Next of Kin Details

Patients GP


Hospital Consultant(s)


Please select the score describing your patient using the following 0-4 guide.

Please note, a low score does not necessarily mean your patient will not be a priority admission. Adapted from STAS (Support Team Assessment Schedule)


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