Skip to main content

Referral Form - Under 18s

REFERRER DETAILS
  • *
  • *
  • *
YOUNG CARER DETAILS
  • *
  • *
  • *
  • *
  • *
  • *
CARED FOR DETAILS
  • *
Contact details for parent / guardian of young carer (if different to Cared For)
  • *




CONSENTS
  • IF THIS SECTION IS NOT COMPLETED, WE CANNOT ACCEPT THE REFERRAL
  • *

 

Guidelines for Referrers

Definition of a young carer: A young carer is a young person, who helps to look after someone in the family at home because that person is ill, disabled, has poor mental health or is alcohol or drug dependant. Providing care such as emotional, practical or domestic support.  The term does not apply to the everyday and occasional help around the home that may often be expected or given by children in families. The key features for us are that the caring responsibilities persist over time and are important in maintaining the health, safety or day to day wellbeing of the person cared for and/or the wider family.

The Aim of The Young Carers Service: is to empower and equip young carers with the skills they need to manage their caring role and other aspects of their lives. We support young carers who are providing a significant caring role and help them reduce the impact of care on their emotional wellbeing.

NB: The service has limited capacity and unfortunately, we are only able to support one young carer per family; this would usually be the child where there is the most impact of care.

What happens after a referral? 
We contact the parent/guardian and complete an initial telephone assessment process. We may also contact you, the referrer, to gather more information. 

Alternatively

The data you submit via our forms is encrypted in transit and stored securely on our servers.

For more details on how your data is managed, please see our privacy policy.