Merton referrals

This page provides links to all the existing referral forms for Merton community services.

Referrers can contact the adult services single point of access (SPA) team on:

For children's services referrals contact details are included in each referral form (see list below).

Merton case management model

Introduced in February 2017, our case management model has a team of clinical and non-clinical case managers and care navigators, including a pharmacist, working together to meet the complex and multiple needs of adult patients in Merton.

We combine clinical and non-clinical interventions ie, social prescribing, to address medical, social, psycho-social, mental, Isolation, non-engaging, substance misuse and pharmacy/medicine issues. We also help clients that are not engaging with the process and have substance misuse issues or are homeless.

Verbal referrals

  1. Identify the service to which you would like to refer
  2. Call the Merton SPA: 0333 004 7555
  3. Provide the referral details requested
  4. GPs may be required to provide an EMIS summary

The following services currently accept verbal referrals:

Written referrals

  1. Identify the service to which you would like to refer
  2. Download the appropriate referral form from lists below
  3. Fax, email or post the referral form to the Merton SPA
  • efax: 0300 008 2122
  • email: clcht.mertonspa@nhs.net
  • address: Merton community adult services, PO Box 130, Morden, London, SM4 5DX.  

Referral forms
 

Adult nursing

Service Referral

Case management

Referral form - doc

Community nursing

See verbal referral instructions above

IV antimicrobials referrers key information - pdf

Intravenous antibiotic therapy referral form - pdf

Authorisation to administer medication - doc

Community respiratory team

See verbal referral instructions above

Continence service

Referral form - doc

Contraception and sexual health

Referral form - doc

Diabetes service

Diabetes referral form - doc

Desmond group education referral - doc

Domiciliary physiotherapy

See verbal referral instructions above

Heart failure service

See verbal referral instructions above

HIV service

Referral form - doc

Tissue viability service

See verbal referral instructions above

Adult therapies

Service Referral

Community dietetics

Referral criteria - pdf

Community dietetics referral - doc

Home enteral feeding referral form - doc

Community neurotherapy team

See verbal referral instructions above

Community rehabilitation team

See verbal referral instructions above

Dysphagia team for adults with learning disabilities

Referral form - doc

Falls prevention service

Home response service - see verbal referral instructions above

Exercise class referral form - doc

Falls prevention referral form - doc

HARI (holistic assessment and rapid investigation) service

Referral information - doc

Referral form - doc

MSK

Please note: We do not provide the MSK service in Merton. Information from Connect who provides the service is available here www.connecthealth.co.uk/patient-information/

Podiatric Surgery

Referral form - doc

Podiatry

Podiatry referral form - doc

Rapid response team

See verbal referral instructions above

Speech and language therapy

Referral form - doc

Children's and family services

Service Referral

Check it out

CLCHT.Check-It-Out@nhs.net

Referral form - doc

Children's dietetics

clcht.mertonicnteam@nhs.net

Referral form - doc

Children's dietetics and home enteral feeding

clcht.mertonicnteam@nhs.net

Referral form - doc

Children and family respite service

Please contact your social worker to discuss a referral to our service

Children's physiotherapy

clcht.mertonicnteam@nhs.net

Referral form - doc

Children's safeguarding team

Safeguarding queries direct line: 020 8687 4508

Children's occupational therapy

clcht.mertonicnteam@nhs.net

Referral form - doc

Children's speech and language therapy

clcht.mertonicnteam@nhs.net

Referral form - doc

Children's dysphagia referral form - doc

Family nurse partnership

CLCHT.FNPMerton@nhs.net

Notification pathway - pdf

Notification form - doc

Health visiting

Please contact the HCP admin team on 0330 053 9264

School nursing

CLCHT.SchoolNursingMerton@nhs.net

School nursing referral form - doc

Enuresis referral form - doc