Any healthcare professional can refer patients to the Hospice, providing the referral has been discussed with and agreed to by the patient. Please also ensure that the patient’s GP or hospital Consultant is aware of the referral to the hospice.

The preferred route for clinical referrals is through SCI gateway. We urge you to use this electronic format as the preferred route for referral as this will enable prompt contact with patients.

For those that do not have access to SCI gateway a generic paper referral form can be completed electronically and sent securely via NHS mail

Healthcare Professionals Referral Form

The referral form must be completed in full to allow us to provide an efficient and focused service to the patient. 

Referrals are received by our triage team who will, in consultation, assess patient needs and discuss which parts of the service might best suit.

Please note that all services are only for patients with life-limiting illnesses requiring services in addition to generalist palliative care: patients who have complex symptoms requiring assessment and potential input from our specialist team and who could benefit from our therapeutic interventions.

We accept referrals for

• holistic assessment
• symptom management
• end of life care
• counselling and bereavement support

If you would like further information about accessing any of the Ayrshire Hospice services please contact the us on 01292 269200.

If you are not a healthcare professional but would like to refer a loved one to Ayrshire Hospice, you can complete our simple form below

Self Referral