Fast Track Form for NHS Continuing Healthcare – Word document

Please read carefully. A simplified form for use under Covid-19. Downloads onto your computer. Send by email with the subject heading "Interim COVID-19 funding". Ideally with an attached Palliative Care Referral Form for a new application (Tip - search for SPA, I cannot add hyperlinks here) For a person returning or staying at home send to: necmid.pcccreferrals@nhs.net For care homes or for a request to increase funding send to: Lccg.ft@nhs.net

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SPICT-4ALL Evaluation form (online)
22nd May 2018 | Source: SPICT

Please help us to improve and develop this tool. The form is very easy to complete and your help is greatly appreciated

St Barnabas Hospice, Lincoln In Patient Unit (IPU) referral form
26th July 2017

When referring a patient into the IPU a form will need to be completed and returned to St Barnabas inpatient unit. Use fax (number on the form), secure email at necmid.sbh.ipureferrals@nhs.net, or by uploading to SystmOne and tasking ‘IPU referrals’ to notify the team of the referral. If the form is uploaded to SystmOne, please ensure a share is in place so it can be accessed by the hospice.

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