Heart Failure

We are now taking referrals for Locala services. We are working hard to ensure the majority of our services will start to get back to normal from September, but some will take a little longer due to restrictions in response to COVID.  Once your referral has been received, it will be reviewed and a decision made about your possible treatment or care. You will then be contacted by the appropriate team with the relevant information.  At the moment this is taking longer than usual. We understand this has been difficult time for everyone and are grateful for your patience.

Heart Failure eReferral

Criteria
A confirmed diagnosis of any of the following:*
Plus 1 or more of the following: (Tick as appropriate)*
Patient Details
If contact details are incorrectly input where mandatory the referral cannot be processed
Patient has consented to information sharing?*
Overseas visitor?
Is the patient's main language English?
If no, what is the patient's main spoken language?
Does the patient require an interpreter?
Can the patient communicate easily?
Optional Attachment
GP Details
Referral
Referrers from acute settings should provide this information regarding COVID-19 to best of their ability. Not doing so can slow the process down considerably.
COVID-19 status:
Where is the patient on referral?*
Can the patient open their door?
Referrer Details
If contact details are incorrectly input where mandatory the referral cannot be processed
If you do not receive an email acknowledgement your referral has not been submitted. Please check that all details are correct, mandatory fields completed and re-submit.