Make a referral

Healthcare Professionals

Any healthcare professional can refer patients to the Ayrshire 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 the 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

Self referral

You can self-refer to our Living Well service and our Counselling and Bereavement services.

We aim to make it as simple as possible for someone to make a self-referral. Self-referrals can be made by an individual, their family, carer or loved one.

We welcome self-referrals for adults with a life-shortening condition, living in Ayrshire and Arran. We help oversee specialist palliative care and give advice on pain and symptom control. For example, if you are currently receiving palliative care under your local GP or district nurse, we may be able to support you.

For urgent medical advice, please contact us directly on 01292 269200 to speak with a member of our clinical team.