How to make a referral

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Download our referral form

You can download a copy of our referral form here.

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We take patients with any advanced life limiting illness from the following surgeries:

• Banbury Health Centre
• Bloxham Surgery
• Bourne End Surgery, Hook Norton
• Brackley Medical Centre
• Byfield Surgery
• Charlbury Medical Practice
• Chipping Norton Health Centre
• Cropredy Surgery
• Deddington Health Centre
• Hightown Surgery, Banbury
• Horsefair Surgery, Banbury
• Shenington Surgery
• Sibford Surgery
• Springfield Surgery, Brackley
• West Bar Surgery, Banbury
• Windrush Surgery, Banbury
• Woodlands Health Centre, Banbury
• Wychwood Surgery, Shipton Under Wychwood

Referrals can be made by:

• GPs, community matrons, district nurses
• Hospital teams, with the agreement of the consultant in charge
• Allied health and social care professionals
• The patient or family

Please note that in all cases there needs to be agreement from the GP (community patients) or hospital consultant (hospital patients) before any direct contact with the patient takes place.

Inpatient referrals will also be considered from these surgeries as well as any other part of Oxfordshire. Consideration will also be given to patients from outside the area whose family are registered with a GP practice within the area.

Early referral to our community clinical nurse specialist (CNS) team is preferable, even if it leads to discharge for a period of time.

Depending on the service requirement of the patient, referrals can be made by letter to the medical consultants, the community CNS team, the Lymphoedema Practitioner, the Day Hospice Senior Nurse, or the Bereavement Service Manager, all of whom are based at Katharine House Hospice.

Alternatively, a telephone referral can be made to the medical team or the community CNS. This will need to be followed up with written or faxed information containing the patient’s medical history, current palliative care needs and current medication please. Please telephone 01295 811866.

Referrals to the hospital palliative care team should be made by telephone to:

• Horton Hospital, Banbury: 01295 224 195
• John Radcliffe Hospital, Churchill & Nuffield Orthopaedic Hospitals: Tel: 01865 221741 (Monday to Friday 9.00am - 3.30pm: messages checked throughout the day).

http://www.ouh.nhs.uk/services/referrals/cancer/palliative-care.aspx