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Great Yarmouth & Waveney Specialist Palliative Care Team Referral Form

Referrals are accepted for patients over 18 years of age with a life limiting/progressive illness at any time following diagnoses and/or who have unresolved/complex symptoms/complex psychosocial/spiritual needs that cannot be met by the usual health care profession team.  This may include complex family needs as well.  

The patient needs to consent to the referral unless they do not have capacity to do so.

You can also contact the SPC team for advice, 7 days a week 24 hours a day on 08005670111

The Specialist Palliative Care Nurses will triage all new referrals that are received. All triaged patients assessed to have a SPC need, will have a specialist palliative care holistic needs assessment in order to identify specialist needs. This will ensure that patients receive the appropriate care by the right professional. NB. The highlighted sections are essential to acceptance of the referral.

Patient Information
Carer/ Next of kin details
Accessible Information Standards
Advance care planning
Other professionals involved (name and telephone number)
Referrers Details