How to refer a patient to LOROS

LOROS provides specialist palliative care to the population of Leicester, Leicestershire and Rutland who are 18 years and over with a terminal illness.

LOROS Referral

Choosing the right service for your patient

Below is a breakdown of our services to help you to choose which would be most suitable for your referral:

The Inpatient Ward

Patients may be admitted to help control difficult symptoms, for example pain, sickness or feeling very anxious or overwhelmed.

Patients may also be admitted to the Ward to be cared for in the last days or weeks of life, often because they have chosen that or because it has not been possible to be looked after at home.

Around half of patients who come to the Ward are discharged home.

Outpatient clinics

Medical

Patients who need support with difficult symptoms or perhaps planning ahead can come to medical clinics where they will see a consultant or specialist registrar.

There are some specialist clinics for people with motor neurone disease, other neurological disorders and for help with breathlessness.

Most of these clinics are at LOROS, though there are monthly clinics at Melton, Uppingham, Hinckley and Kibworth.

For patients who are too unwell to come to clinic, we do offer some home visits from a LOROS doctor.

There is a weekly clinic with a pain specialist consultant if a nerve block or other procedure is being considered.

Complementary therapy

LOROS is also able to offer patients complementary therapy (massage, aromatherapy, reflexology and relaxation techniques).

Lymphoedema service

Patients are able to access a nurse-led Lymphoedema service.

Enablement service

The Enablement team (occupational therapists and physiotherapists) run onsite ‘help with breathlessness’ clinics; using a non-pharmacological (non-medical) approach to helping manage this complex symptom.

Referrals for enablement support for breathlessness will be made via the Help with Breathlessness MDT so patients should be referred to this service initially.

The Enablement team are not providing any additional onsite outpatient clinics at this time.

Integrated specialist care services

The Clinical Nurse Specialist service will continue to provide specialist care and advice to patients and families in their own homes. This is achieved through direct patient contact and liaising with other health and social care providers.

Day Therapy

LOROS Day Therapy offers fortnightly sessions for patients who require ongoing symptom management. This may include pain, breathlessness, fatigue and offering some emotional support.

Our weekly drop-in service offers support for terminally ill patients and their carers. Patients do not need to be known to LOROS. No clinical support is available and patients need to be self-caring or accompanied by a relative.

Counselling

Our Counselling service will take referrals for people who are terminally ill, carers and families who have anticipatory grief or are in bereavement. LOROS offers counselling to children and young people who are known to LOROS services.

At home

Compassionate Neighbours

Our Compassionate Neighbours service offers practical and emotional support at home for socially isolated patients and respite for family carers to have time to themselves. Volunteers are able to provide up to four hours support per week or fortnightly to patients at home.

Telephone Befriending Service

Over the phone emotional support is also available for patients and carers.

How to refer a patient

LOROS accepts referrals for patients aged 18 years and over who live in Leicester, Leicestershire and Rutland, who have a progressive terminal condition and are in need of specialist palliative care.

Important coronavirus information for referrals

We are reviewing our services in line with the UK Government’s advice on COVID-19 to try and maintain patient safety and also enable access to care and support.

With that in mind, we are restricting Ward admissions if patients have a persistent new cough or fever at present.

Day Therapy services, Counselling and our Compassionate Neighbours Service have changed from patients attending the Hospice, to support phone calls.

For Outpatient clinics, Community Nurse Specialists in palliative care and Motor Neurone Disease services, we will call patients and if needed will see patients face to face, but our expectation is more will be done over the phone or by video call. This will protect vulnerable patients from unnecessary contact with staff.

We will be updating this plan at regular intervals.

How to refer

Referrals are accepted from GPs, hospital consultants and community teams with the exception of the Day Therapy drop-in service. Our Complementary Therapy team receives referrals only from LPT palliative nurse specialists. Referrals to the Compassionate Neighbours service can be made by any health and social care professional.

For those hospital inpatients whose symptoms are well controlled, or whose discharge plans are in place, a LOROS admission may not be appropriate, even if it is a patient's preference.

Referrals may be made electronically (via PRISM or SystmOne) or by paper using the single referral form below. For all ward referrals please call (0116) 231 3771.

When referring to the Community Nurse Specialist team, the referral form for the community nurse specialists in palliative care can also be used.

Please clearly identify the specific reasons for referral.

It is very useful to share relevant clinical information as you refer the patient – for example recent hospital letters, a share with consent on SystmOne, oncology annotations.

All referrals must have the consent of the patient

Inpatient referrals for symptom control

We accept referrals for patients with complex symptoms that are not improving despite treatment. Symptoms may be a combination of physical, such as pain or nausea, and/or psychological/spiritual. Most patients stay less than two weeks before discharge, by which time symptoms are usually under control.

LOROS, Groby Road, Leicester LE3 9QE