Eligibility Criteria
Please click here to review the eligibility criteria. Last updated April 2021.
Establishing Eligibility
The NHS has created a set of eligibility criteria for the wheelchair service. Referrals must meet the criteria to be accepted, so please read them carefully to make sure your client is eligible for the service.
A key requirement for a referral to our service is that your client has a long-term (defined as 6 months or longer) mobility problem and requires a wheelchair for permanent use because they are unable to walk functionally. (Shorter loan periods may be considered for individuals with a prognosis of fewer than 6 months’ life expectancy.)
If your client requires a short term loan of a wheelchair, please contact the Red Cross (other providers may be available).
Referral Form
Please complete the sections of the referral form that are relevant for your service user and the equipment that they require. Sending an incomplete referral may result in your referral being delayed or rejected.
- Use the latest Adobe Acrobat DC Reader.
- Do not complete the form from an internet browser (as there are incompatibilities). Right-click the form and save the file to a secure location.
- Once you have completed the form, use the submit button at the bottom of the referral form. Make sure you submit to the correct service. This will create an email addressed to the relevant service in-box with your completed referral form as an attachment.
- Click ‘send’. ONLY SEND FROM A SECURE EMAIL ADDRESS
Adobe Acrobat software is available for free from Adobe. If you wish to save a copy of your referral for your own records, use the ‘save as’ option to save it to a secure location before using the submit button.
Referral Form
Please click here for the service referral form. This form is only required for an initial referral to the service by a qualified healthcare professional. The form contains interactive elements to assist you.
Joint Appointments & Visits
We are always pleased to support the creation of a holistic care plan, as part of a Multidisciplinary Team. If you would like to work together, please provide details where indicated on the referral form. Including additional scheduling information by email when returning your form is very helpful.
Assessments normally need to be carried out at our service centres, so that we have direct access to specialist equipment and advice.
Please note that we require your client’s consent to invite you or any other professionals to any scheduled appointment.
Feedback
We want the Wheelchair & Repair Service experience to be excellent for all of our stakeholders. We believe you should be able to refer your clients to us quickly and easily.
Please let us know what you think we do well, and where you think we could improve. You can get in touch with us via the Contact Us page.