Make a referral - Birmingham St Mary's Hospice

Referrals to our services can be done using one form.

Please be aware that during the Covid-19 pandemic our Day Hospice services and clinics have been suspended for the safety of patients and staff.

Healthcare professionals can refer patients to the following services:

Community Palliative Care Services (excluding Day Hospice services)
Hospice at Home
Inpatient Unit

All referrals are being managed by HoBS (Hospices of Birmingham and Solihull). This is a joint Hospice End of Life response to Covid-19.

Please download and complete the form before emailing it using an nhs.net account to hobs.referrals@nhs.net.

Download referral form

If you have any queries or would like any advice regarding new referrals, please contact the HoBS team on 0121 809 1900. This number is available 24/7 and has 10 lines open.

If you are a patient wishing to be referred, please speak to your doctor, nurse or consultant who will be able to refer you to Birmingham St Mary’s. All referrals must be submitted by a healthcare professional. This is to ensure that we work in partnership with the other professionals involved in your care.

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Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy.

Access to and use of this site is provided by Birmingham St Mary’s Hospice subject to the following Terms and Conditions:

1. Your use of this site constitutes acceptance of these Terms and Conditions, which take effect on the date of your first use of the site.

2. Birmingham St Mary’s Hospice reserves the right to change the Terms and Conditions at any time by posting changes online. Your continued use of the site after changes are posted constitutes acceptance of this agreement as modified by the posted changes.

3. Copyright Restrictions

3.1 All rights reserved; no part of this website, including information, images, photos, logos, names and icons may be copied, republished, posted, broadcast or reproduced in any form whatsoever without the prior written permission of the copyright holders.

3.2 Documents on the site may not be downloaded, altered or adapted for any purpose except for personal, non-commercial use without prior permission.

4. External links to the Birmingham St Mary’s Hospice website

4.1 Any organisation wishing to set up a link to this site must request this by contacting info@birminghamhospice.org.uk

4.2 The existence of a link from any organisation’s site to the Birmingham St Mary’s Hospice site does not imply that Birmingham St Mary’s Hospice endorses the activities or views of that organisation.

5. Trademarks

5.1 The Birmingham St Mary’s Hospice logo is the trademark of Birmingham St Mary’s Hospice.

5.2 The names, images and logos identifying Birmingham St Mary’s Hospice or third parties and their products and services are the proprietary marks of Birmingham St Mary’s Hospice and/or third parties as appropriate. Nothing contained therein shall be construed as conferring by implication, estoppel or otherwise any licence or right under any trademark or patent of Birmingham St Mary’s Hospice or any third party.

6. Photography

6.1 The photographs used within this site to illustrate Birmingham St Mary’s Hospice work may be posed by models and may or may not depict actual situations.

7. You agree to use this site only for lawful purposes, and in a manner which does not infringe the rights of, or restrict, or inhibit the use and enjoyment of this site by any third party. Such restriction and inhibition includes, without limitation, conduct which is unlawful or which may harass or cause distress or inconvenience to any person and the transmission of obscene or offensive material or disruption of normal flow of dialogue within this site.

8. This site and the information, names, images, photographs, logos and icons regarding or relating to Birmingham St Mary’s Hospice, its products and services (or to third party products and services) is provided ‘AS IS’ and on an ‘IS AVAILABLE’ basis without any representation or endorsement made and without warranty of any kind whether expressed or implied, including but not limited to the implied warranties of satisfactory quality, fitness for a particular purpose, non-infringement, compatibility, security and accuracy.

9. Birmingham St Mary’s Hospice does not accept liability for any damages, including, without limitation, indirect or consequential damages, or loss of profits, or any damages whatsoever arising out of or in connection with the use or loss of use of this site.

10. Birmingham St Mary’s Hospice does not warrant that the functions contained in the material included in this site will be uninterrupted or error-free, that defects will be corrected, or that this site or the server that makes it available are free of viruses or bugs or represents the full functionality, accuracy or reliability of the materials.

11. If there is a conflict between these Terms and Conditions and rules and/or specific terms of use appearing on this site relating to specific material then the latter shall prevail.

12. If any of these Terms and Conditions should be determined to be illegal, invalid or otherwise unenforceable by reason of the laws of any state or country in which these Terms and Conditions are intended to be effective, then to the extent to and within the jurisdiction in which that Term and Condition is illegal, invalid and unenforceable, it shall be severed and deleted from this clause and the remaining Terms and Conditions shall survive, remain in full force and continue to be binding and enforceable.

13. These Terms and Conditions shall be governed and construed in accordance with the laws of England and Wales. Any disputes arising here from shall be exclusively subject to the jurisdiction of the courts of England and Wales.

14. If these Terms and Conditions are not accepted in full, the use of this site must be terminated immediately.

15. Contact & Communication

Users contacting this website and/or its owners do so at their own discretion and provide any such personal details requested at their own risk. Your personal information is kept private and stored securely until a time it is no longer required or has no use, as detailed in the Data Protection Act 1998. Every effort has been made to ensure a safe and secure form to email submission process but we advise users using such form to email processes that they do so at their own risk.

This website and its owners use any information submitted to provide you with further information about the products / services they offer or to assist you in answering any questions or queries you may have submitted. This includes using your details to subscribe you to any email newsletter program the website operates but only if your express permission was granted when submitting any form to email communication. Your details are not passed on to any third parties without your permission.

If you wish to amend your communication preferences at any time, this should be done by using the website to change your membership settings.

Information we may collect from you

Birmingham St Mary’s Hospice may collect and process the following data about you:

• information that you provide by filling in forms on the website www.birminghamhospice.org.uk This includes information provided at the time of signing up to participate in Fundraising and other events organised by Birmingham St Mary’s Hospice, becoming a member of the website and subscribing to any of Birmingham St Mary’s Hospice’s electronic or paper marketing and news updates.
Birmingham St Mary’s Hospice may also ask you for information if you report a problem with the website:
• any correspondence you send to Birmingham St Mary’s Hospice;
• details of any donations or job applications that you make;
• Birmingham St Mary’s Hospice may also ask you to complete surveys used for research purposes, although you do not have to respond to them;
• details of your visits to this website and the resources that you access;
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Birmingham St Mary’s Hospice may collect information about your computer, including where available your IP address, operating system and browser type, for system administration and to report aggregate information to our advertisers. This is statistical data about Birmingham St Mary’s Hospice’s users’ browsing actions and patterns, and does not identify any individual.

16. Use of cookies

Birmingham St Mary’s Hospice website uses cookies for collecting user information; it does not collect any information about you except that required for system administration of the web site. These cookies are pieces of data created when you visit a site, and contain a unique, anonymous number. They are stored in the cookie directory of your hard drive, and do not expire at the end of your session.

We use cookies (defined below) for collecting user information from the site:

A cookie is a message given to a web browser by a web server. The message is then stored by the browser in a text file called cookie.txt. Each time the browser requests a page from the server, this message is sent back. A cookie’s main objective is to identify users and personalise their visit by customising web pages for them, for example by welcoming them by name next time they visit the same site. A site using cookies will usually invite you to provide personal information such as your name, e-mail address and interests.

17. Taking part in Fundraising activities

17.1 You agree that any costs or risks that arise out of your fundraising activities are your responsibility, including liabilities for injury or loss which may occur to you, your helpers or guests.

17.2 You are aware that Birmingham St Mary’s Hospice’s insurance policy will not cover your fundraising activities.

17.3 You will not do anything that threatens Birmingham St Mary’s Hospice’s reputation or name. If you do, Birmingham St Mary’s Hospice has the right to require you to cease fundraising on its behalf.

17.4 You agree to pay all proceeds of any fundraising event to Birmingham St Mary’s Hospice within an agreed timescale and will not deduct any costs unless agreed in writing with Birmingham St Mary’s Hospice.

17.5 You agree to only use Birmingham St Mary’s Hospice branded materials and the Birmingham St Mary’s Hospice name and logo for your fundraising activities that have been approved by Birmingham St Mary’s Hospice. You agree to use these in accordance with the Birmingham St Mary’s Hospice brand guidelines.

17.6 You consent that photographs taken during your fundraising activity may be used to publicise the work of Birmingham St Mary’s Hospice generally.
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