Bath & North East Somerset Council - Housing Referral Form
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Working together for health & wellbeing

The Health and wellbeing partnership conprises NHS Bath and North east Somerset (NHS banes PCT) and Bath and North East Somerset (banes) Council working together in partnership.

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Housing Referral Form

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Please complete the fields below and press 'submit' when finished.

Personal Details:


Check Vulnerability
Is the patient over 60?
Is the patient on income related benefit?


Affordable warmth needs:
Is home cold and/or difficult to keep warm?
Is the home damp?
Can householder afford heating bills?


Housing health and safety hazards:
Is there concern by patient/occupier/family/medical practitioner that the house is in disrepair or hazardous in some way? For example:
Is there a dangerous staircase?
Is the house vulnerable to entry from intruders?
Are there working smoke alarms?
Do the electrics appear old and dangerous?
Other Problems?


Exacerbating health problems:
Cardio Vascular?
Respiratory?
Mobility Problems?
Other Problems?


Action:
Does patient give permission for a referral to be made to Housing Services/ Care and repair?
Has a previous referral been made to Housing Services/Care and Repair?
Has the patient been given a Warm Streets Post Card?


For urgent safety improvements or repairs please contact Care and Repair Somerset on 01749 345 379

For further information, contact B&NES Housing Services (Standards and Improvements) on 01225 396444

To report comments or problems with the referral process contact Chris Mordaunt Housing Services Manager on 01225 396282