Referral Criteria

Patients can be referred to the Hospice by their GP, Hospital Consultant, Specialist Palliative Care Nurse, Community Nurse, or by self-referral to certain services, with the agreement of the family doctor.


To download a referral form click here.  GPs can refer electronically via SCI Gateway.

The form should be completed, outlining the main problems with copies of relevant letters. Urgent referrals can be made by telephone with documents sent at a later date.  All referrals are scored and prioritised using the Palliative Outcome Scale. This is why it is important that as much information can be provided at the time of referral to avoid delays in responding to a patient's needs.

Completed referral forms should be emailed to or posted to:

Dr. Mairi-Clare McGowan
St. Vincent's Hospice
Midton Road

Tel. 01505 705 635