Eligibility

This referral form is only for clients who are not eligible for the City & Hackney Wellbeing Network. The CCG funded, ELFT and Core Arts partnership alliance is specifically targeted to a severe and enduring client group that may need increased support as part of a care plan or a CMHT recovery plan. There are specific criteria to this funding which the membership manager will assess and discuss on an individual basis.

If you feel your client may be eligible for the City & Hackney Wellbeing Network, please visit https://chwellbeingnetwork.london/ instead of completing this form.

Criteria - PLEASE READ

All referrals must be made by an NHS duty of care/clinician.

We will only ask for data once. Please fill in the form as completely as possible.

Core Arts works in partership with ELFT and GDPR regulations, so please attach any forms that make this referral as efficient for you as possible.

Who is eligible?

• Residents of Hackney who are inpatients or have recently been discharged from City and Hackney Centrefor Mental Health
• Residents of Hackney under specific community mental health teams such as Neighbourhood Recovery Service, EQUIP, ABI & some residents under Home Treatment Team

Who can refer?

• Ward clinicians
• Occupational Therapists
• Nurses
• Psychiatrists
• Care Coordinators

 

Core Arts is a notional provider for the Personal Health Budget pilot in partnership with the City and Hackney CCG, Core Arts PHB Brokerage Service & NHS England, your referral to the Recovery Alliance ‘Arts In Health’ will be registered as a notional PHB. This will not effect any other PHB applications as this is notional, meaning it is a pre-commisisoned service which the client is eligible to access.

Accessibility and disability notes

How Many times has the client been hospitalised

How many times has the client required crisis support/ home treatment to avoid relapse or hospitalisation

To be read by the prospective member

I am aware that the information stated on this form shall remain confidential to staff at Core Arts. I understand that as part of the remit for membership Core Arts must have up-to-date details of my principle care co-ordinator or key worker. I understand and accept that there may be times when Core Arts have to contact my care team as part of a duty of care. As best possible staff will keep me informed of such communication.

Referrer details

Thank you for completing this referral, we will be in contact as soon as possible!

As part of the partnership it is required that as care coordinator (or referrer) to feedback on a 3 - 6 monthly basis your professional opinion regarding members progress and our service impact. This is a stipulation of the funded contract and an outcome measurement.

To be read and signed by the referrer.

I agree this referral is for 3-6 months membership access and will be reviewed in 6 months time in collaboration with the membership team.

I agree that continued membership past 3 months will be via direct payments or a personal budget application. I have informed other relevant clinics or practioners about this referral and recorded this information on RIO to ensure Core Arts membership is known within the care plan for this individual.

I agree for the management team at Core Arts to assess my client for suitability to engage with the preventative service ”City and Hackney Wellbeing Network” and this will be communicated and agreed if appropriate.

I agree to liaise directly with Core Arts re client welfare and issues arising during this Recovery Alliance membership & notional PHB, and acknowledge Core Arts will be in contacts regarding an concerns regarding your patients wellbeing or their ability to access as soon as possible to work in partnership.
As part of the membership the member will be offered the following additional services:

• Core Sport Membership.
• Assessment for continued recovery goals achievement via PHB.

This will be communicated and agreed as appropriate. We will communicate with the GPs for the member to be supported with referral as an option of their ongoing recovery.

Continued membership options past the point of the initial 3 months will be discussed with the membership team and actioned prior to the notional PHB closure:

• I agree for the management team at Core Arts to assess my client for suitability to engage with the preventative service “City and Hackney Wellbeing Network”.
• I agree it may be more suitable to assess my client for suitability for continued funded placement via the Direct payment panel (EFLT/LBH) as an outcome of this referral.