Make a referral

The Triage service comprises of a multi-disciplinary team and is the first point of access for all referrals to the North London Hospice. The Triage service works in partnership with Internal North London Hospice services, other Hospices, primary and secondary care teams and other health and social care providers.

The team provides specialist palliative care advice and support to referrers and patients with any potentially life limiting illness. We are also providing a signposting service for patients in the last year of life.

Referrals will normally be through a patient’s GP, hospital doctor or health or social care community service, based on medical, social or emotional need. Referrals may be received from patients, or family members in agreement with the person referred, but will require discussion with patient’s GP to ensure needs are appropriate to Specialist Palliative Care. You can view our full referral criteria here.

A referral form will need to be completed. This is often best if done by a medical professional who will also be able to provide details of your medical records.

A Word version of the form is available to Download here. This can then be faxed or emailed to the details below.

For all referral enquiries contact the Triage Team:

Monday-Friday 9am to 5pm: 020 8343 8841


Fax: 020 8343 7672

Referral Criteria

Referral Form 2016

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