Palliative Care Specialist Nurse Team
Our team of specialist nurses and support workers can coordinate care and ensure patients are well-supported in their place of choice.

Please email referrals to:
ashgatehospice.referrals@nhs.net
01246 565026

Inpatient Unit
Our Inpatient Unit offers the reassurance of round-the-clock, expert care and support. 

Get in touch:
ashgate.wardtriage@nhs.net
01246 568801

Day Services
Our Day Services team provides advice, education, activities, emotional, psychological, peer, and virtual support.

Get in touch:
clinical.admin@nhs.net
01246 568801

Lymphoedema
Our specialist nurses can provide a treatment plan to help improve the symptoms of lymphoedema.

Get in touch:
ashgate.lymphtriage@nhs.net
01246 568801

Physiotherapy
From managing breathlessness to building strength, our physiotherapists can help improve patients' quality of life.

Get in touch:
clinical.admin@nhs.net
01246 565026

Occupational Therapy
Our Occupational Therapy Team can help patients regain their independence and help with daily activities.

Get in touch:
clinical.admin@nhs.net
01246 565026

Supportive Care
Our supportive care team are here for both patients and their loved ones and can provide emotional, social, practical and spiritual support in variety of ways.

Get in touch:
supportivecarereferrals@ashgatehospice.org.uk
01246 568801

• Any adults aged over 18 and is on the GP Palliative Care Register.
• The patient has urgent care needs for higher acuity care to manage intercurrent illness/ symptoms / exacerbation in underlying long-term condition. Patient requires daily monitoring and support for recovery and may have intensive rehabilitation needs.
• Patients have agreed to share medical records.
• Patient has ReSPECT form in Place and Preferred Place of Care is home.
• Just In Case Medication is in the home and prescribed on JIC sheet.
• If the referrer is unsure if the patient meets the inclusion criteria a clinical conversation should take place.
• Any patient registered with a North Derbyshire GP that requires admission avoidance and can be supported within their own home.
• Patients admitted and treated within the acute hospital, seen in the emergency department, short stay inpatient assessment wards or by UCRT and identified for early supported discharge.
• Clinical judgement should be used where a person is living with dementia or has limited capacity including a learning disability, this should not exclude admission to the service. Best practice is for the virtual ward team to treat acute or emergent conditions with support/advice Dementia Palliative Care Team or learning disability liaison nurses as needed.

• Requires emergency care interventions/ has treatment escalation needs, necessitating acute/complex diagnostics and/or clinical interventions that can only be offered in secondary care hospital environment (and these are appropriate for and wanted by the patient).
• Experiencing a mental health crisis and requires referral/assessment by a specialist mental health team that cannot be supported in the community.
• Another service is suitable and available to support the needs of the patient within a safe time frame.
• If it is not safe for a person to receive support and treatment in their own home or usual place of residence and there is not a suitable alternative setting (i.e. local family, short term placements, etc.) •Those who are not resident in the North Derbyshire area.

Only practices in Derby, Erewash, and South Derbyshire can refer to Treetops Hospice.
Treetops Hospice provides the following services:

Therapeutic Services provide counselling and complementary therapy for patients suffering from Bereavement and Life Limiting Illnesses. Therapeutics will only accept self-referrals. 

All services are provided free of charge, and are not means-tested. Patients should please phone Therapeutic Services during our opening hours (8.30am-4pm Monday-Thursday, 8.30am-3.30pm Friday):
0115 949 6944

We will arrange an assessment with you, at which the most appropriate form of support for you can be discussed.

The Befriending Service offers social connection so that those who have a life limiting illness feel more connected to their community at a time when they might otherwise be lonely or isolated.

To be eligible for a Befriending referral the patient has to be over 18 and suffering from a life limiting illness.

Health and social care professionals can refer in the following ways:

By emailing CC@treetopshospice.org.uk
Telephoning Julie Mehigan on 07990 040288

Consent to share must be obtained prior to referral.

The Wellbeing Space at Risley runs a series of different services aimed at supporting people living with a life limiting condition and maintaining independence.  This includes a support and information café, a maintaining independence wellbeing programme (SPRING), exercise classes, thai chi and more – all for patients over 18 with a life limiting illness.
The Wellbeing Space also runs a peer support group for Bereavement. 
Please refer to the website for further information of what is on offer.

Referral Process:

Health and social care professionals can refer patients by phoning the Wellbeing at Home Team:
0115 949 1264.

Patients and carers can self-refer by calling the Wellbeing Team:
0115 949 1264.

Consent to share must be obtained prior to referral.

There are two main services available, Treetops Hospice at Home and the Treetops Hospice Roaming Service.
Hospice at Home: Our team of qualified Nurses and experienced Health Care Assistants can offer support overnight in the patient's home.   Overnight stays allow family/carers chance to have a good night's sleep, safe in the knowledge that one of our skilled team is present to look after them and provide any care they need.  This service is available from 22:00hrs -07:00hrs. The Hospice at Home Office Coordination Team will contact the patient to discuss availability of this support once a referral has been made.
Treetops Hospice Roaming Service: We recognise that not everyone will want a full night's stay. However, should a patient need any assistance during the night, our Roaming Team (1 x Registered Nurse and 1x Health Care Assistant) will be able to provide the following support: 
•    Personal Care: Mouth care, continence care or pressure care.
•    Assistance with moving and handling of a patient.
•    Assistance with prompting or administering medication. 
•    Symptom management.
•    Patient well-being checks.
This service is available from the hours of 21.30hrs – 06.30hrs. The Hospice at Home Office Coordination Team will contact the patient to discuss access to this support once a referral has been made.
The criteria for both services are as follows:
•    The patient must have a prognosis of six months or less
•    The patient must be known to a District Nursing Team
•    The patient is 18 years or over

Referral Process:

Patients and their carers can contact us directly:
0115 949 6940.
We will need the name and contact details of the patient's District Nurse or GP.

Health and social care professionals can refer patients by phoning the Hospice at Home office:
0115 949 6940.

Consent to share must be obtained prior to referral.

Treetops Wellbeing at Home service provides support in people's own homes during the day. 

People must be:
•             Aged 18 years or over
•             Registered with a Derbyshire or Nottinghamshire General Practitioner
•             Diagnosed with a non-curable and progressive life-limiting illness with palliative care needs

We will assess each person, communicate with them and their loved ones to establish their needs.  

Examples of interventions we may undertake are
Legacy work-oral history, memory box, letters
Future care planning 
Goal setting
Hand/foot massage
Meditation
Chair based exercises
Manicure/pedicure/shave
Additional personal care and assistance (supplementary to provided care)
Assistance with hobbies- meaningful occupation/distraction/symptom management
End of life care.

Please refer to the website for further information of what is on offer:

Referral Process:

Health and social care professionals can refer patients by phoning the Wellbeing at Home Team:
0115 949 1264.

Patients and carers can self-refer by calling the Wellbeing Team
0115 949 1264

Consent to share must be obtained prior to referral.

SPRING is a one-to-one bespoke programme which takes place over 12 weeks. We work with patients facing a life-limiting illness, either individually or as a family. It is a holistic programme, where we support them to understand how they are feeling, and incorporating strategies for self-care and seeking sources of support.

The first 7 weeks cover physical, psychological, emotional, social, spiritual, financial, practical and caring needs. We then spend 3-4 weeks working on personal goals e.g. legacy work, mindfulness, creative work, etc.

Referral Process:

• The service is available to anyone with a diagnosis of a life-limiting illness.
• You or your colleagues can refer, or patients can refer themselves.
• Contact the Wellbeing Team:
0115 949 1264
wellbeing@treetopshospice.org.uk.

Consent to share must be obtained prior to referral.