Reablement Referral Form

Submit a Hospital avoidance referral

This referral form is to be completed for appropriate hospital avoidance referrals where the person resides at home. 

This referral can be used for any mobile night service*

For use by Virtual Wards, Urgent Community Response, District Nurse Out of Hours (for mobile nights), ED /Frailty.

There is limited overnight support for Mobile Nights. Do not refer if requiring a long-term overnight care package. 

Reablement referrals

All referrals are for short-term interventions only, starting with a 72 hour, 2 week assessment period, if any reablement potential to increase independence is identified, the service will remain for a further short-period of up to a maximum of 4 weeks.

Page last reviewed: 05 June 2024