Continence Service

Care Home Continence Patient Referral Form

Only care home patients who require a continence assessment can be referred on the care home form. All other patients need a catheter form completing.

Care Home Assessment: A continence assessment referral form for care homes (residential homes and nursing homes) to inform specialist nurses about the patient’s need for continence products (bladder and bowel)

Here is a helpful guide for accessing the referral form - Screen shots on how to access Electronic Continence Referral Form [docx] 1MB

Please fill in the below documents before completing the referral form:

• Bowel chart[doc] 2MB
• Care Home Fluid Chart[docx] 78KB

Electronic Care Home Continence Patient Referral

 

Catheter Discharge Referral Form

Care home patients who require a continence assessment can be referred on the Care Home Continence Patient Referral Form. 

PROFESSIONALS ONLY: Please complete the Catheter Discharge referral form - be aware this form MUST be completed by the professional who inserted the catheter

Catheter Discharge Referral form

All patient referrals, including GP referrals, telephone calls, emails, letters and self-referrals must be directed to SPOA (Single Point of Access) Northamptonshire.spoa@nhs.net, telephone number 0300 777 0002.