You are here

Referral Criteria
Please download the referral form at the bottom of the page. Before making a referral, please check the referral criteria below. We accept referals for patients with an advanced, life-limiting condition for:

  • Symptom management
  • Respite care (planned or crisis)
  • Assessment
  • End of life care for patients considered to be in the last 2 weeks of life
  • Carer support
  • Lymphoedema
  • Day Therapies
  • Bereavement support

If you wish to discuss a patients suitablity for referral, please contact the Medical Director or Matron on 01785 254645

To make a referral
All health and social care professionals are welcome to make referrals. Please download the patient referral form at the bottom of the page, complete and return to Katharine House Hospice by fax or post.

Please note that ALL referrals for the In-Patient Unit should be faxed only.
Fax no. 01785 270839 Katharine House Hospice, Weston Road, Stafford ST16 3SB

Lymphoedema Care & Bereavement Counselling Fax no. 01785 273760 Katharine House Hospice, 150 Weston Road, Stafford ST16 3RU

All new referrals will be reviewed and responded to within one working day of referral.
If you require the At Home Team, please call 07966 502551 Mon - Fri, 8am - 8pm. Weekends & Bank Holidays 8am - 5pm.

Additional information for referrers

  • Please ensure the referral form is completed as fully as possible to enable a prompt decision to be made.
  • If an ambulance ie required the referrer will be asked to arrange this.
  • A full list of the patients medication should be included with the referral.

Admission & Discharge information from In-Patient Unit
It is anticipated that the average length of stay for those admitted with symptom management will be one or two weeks. Respite care will also be for 1 - 2 weeks and run from Friday to Friday. Planned respite is organised in advance with patients, carers and health professionals. We also offer crisis respite.

Patients should:

  • Arrive by 11am on the day of admission.
  • Bring their current medication, toiletries and clothing with them.

During their admission, their medications may be changed and palliative treatments initiated. Discharges are carefully co-ordinated by the care team, in liaison with the community and hospital staff. Referrers will be informed of their patients discharge in writing and will receive information about changes in medication and treatments given whilst in the hospice. Patient/carer review meetings are held weekly on Tuesdays. Referrers maybe invited to attend prior to the discharge of their patient.

For further information contact: Medical Director or Matron Tel. 01785 254645 Fax. 01785 270802 (referrals only).