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. Email or post the referral form to the Merton SPA
  • Email: clcht.mertonspa@nhs.net
  • Address: Merton community adult services, PO Box 130, Morden, London, SM4 5DX.  

Referral forms

Service Referral

Case management (including Medicines Optimisation service)

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

 

Bed Rail Usage - Risk Assessment Referral form - PDF

Respiratory service

Referral form - doc

(Respiratory patients must have a confirmed diagnosis’) ‚Äč

Continence service

Referral form - doc

Contraception and sexual health

Referral form - doc

Diabetes service

Diabetes referral form - doc

Dementia

Referral form - doc 

 

Cardiology service

Heart failure referral form. doc 

Please send latest ECHO results with referral form

Cardiac rehab referral form. doc

Tissue viability service

See verbal referral instructions above

Care Home team

Referral form - doc

Service Referral

Community dietetics

Referral form (.doc)

Community Neuro Rehab team

Referral form (.doc)

Community Domiciliary Rehab team

Referral form (.doc)

Domiciliary physiotherapy

Referral form (.doc)

Falls prevention service

Home response service - see verbal referral instructions above
Referral form (.doc)

HARI (holistic assessment and rapid investigation) service

Referral form (.doc)

MSK

Please note: We do not provide the MSK service in Merton. Information from Connect who provides the service is available at 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)

Please forward current IDDSI levels and instrumental swallow assessment results.

Service Referral

Check it out

Email: CLCHT.Check-It-Out@nhs.net

Referral form (.doc)

Children's dietetics and home enteral feeding

Email: clcht.mertonicnteam@nhs.net

Referral form (.doc)

Merton speech and language: dysphagia

Referral form (.doc)

Children and family respite service

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

Children's physiotherapy

Email: clcht.mertonicnteam@nhs.net

Referral form (.doc)

Children's safeguarding team

Safeguarding queries direct line: 0208 102 4218

Children's occupational therapy

Email: clcht.mertonicnteam@nhs.net

Referral form (.doc)

Children's speech and language therapy

Email: clcht.mertonicnteam@nhs.net

Referral form (.doc)

Health visiting

Please contact the HCP admin team on 0330 053 9264

School nursing

Email: CLCHT.SchoolNursingMerton@nhs.net