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Professional Referrals

Home-Start support is free and tailored to meet the support needs identified by the family. We are very experienced in matching volunteers with families who we think would have an understanding of the family’s needs and be a positive support to them. However, both the family or the volunteer can end the relationship if it is not working or suitable for any reason. If support is still required then we would look to re-match the family with a different volunteer.

All of our support is confidential, with the exclusion of concerns around Safeguarding, which the family are made aware of and sign to confirm their agreement. We do ask families for permission to talk to other professionals involved to ensure effective information sharing.

Prior to completing the referral form we ask that professionals ensure that the family meet our criteria and they are clear on the referral form the type of support required and needs identified.

Should you wish to discuss a potential referral prior to submitting the form itself then please do make contact with the office on 01480 700242 or office@homestartcambridgeshire.co.uk

Important

Demand for our support is increasing at pace. Support provision is subject to staff and volunteer availability. The nature and level of support available will be discussed and agreed with families during initial engagements.

For Home-Start Cambridgeshire to provide support we need to understand if the family are currently receiving support, or have done so in the past six months. Please read the following statement carefully.

Is the family receiving support through Early Help or Social Care Services (Safeguarding), or have they had such support in the last six months?

Please click on the appropriate answer below.

Yes, the family have received support in the last six months

Unfortunately our current criteria means that we do not accept referrals for families where there is Targeted Support or Childrens’ Services involvement or has been in the past six months. The reason for our current criteria is to ensure we prioritise our limited resources on those families who have no other support in place.

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No, the family have not received support in the last six months

Professional Referral Form

    About this referral

    All referrals must be made with the consent of the individual. Have you discussed this referral with the individual prior to completing this form?

    I agree that the client has consented to this application

    Services

    Which service(s) are you seeking?

    Check the Get support page if you are not sure.

    Select the services required

    Select yes if the family have been a former client of Home-Start

    About the Referrer

    Please enter your full name

    Please enter your job title

    Date of this referral

    Please enter your email address

    Please enter the organisation you represent

    Please enter a number we can contact you on.

    About the parent seeking the service

    All items marked in red are required to submit the form.

    Please enter your parent's full name

    dd/mm/yy

    Please enter their contact number. It may help if this number can be used with WhatsApp

    Please enter a valid email address we can use to contact them

    Please make a selection

    Parent's Ethnic Background

    Ethnic Background

    About the parent's partner

    Please enter the partner's full name

    dd/mm/yy

    Choose yes or no

    Partner's Ethnic Background

    Ethnic Background

    Please make a selection

    Family Address

    Please enter your family's address here

    Please enter your postal code so we can check you are in our area

    Please enter the name(s) and date(s) of birth for the child/ children

    Please list in age order with the eldest child first.

    Please enter the name of the eldest child

    Please enter the date of birth dd/mm/yy

    Ethnic Background

    Please make a selection

    Please enter the name of the next eldest child

    Please enter the date of birth dd/mm/yy

    Ethnic Background

    Please make a selection

    Please enter the name of the next eldest child

    Please enter the date of birth dd/mm/yy

    Ethnic Background

    Please make a selection

    Please enter the name of the next eldest child

    Please enter the date of birth dd/mm/yy

    Ethnic Background

    Please make a selection

    Please list the names and dates of birth of any other children in the family

    Referrer's Statement

    Please tell us about the support you feel the family need and anything about their situation:

    Mandatory entry

    Information requested about the family situation and environment

    Please select your response

    Please select your response

    Check the boxes which match your needs

    Add any comments you wish to make.

    Family Environment

    If you checked the box Other in the list please provide details here

    Privacy Policy

    Please indicate your acceptance of our privacy policy which can be found here Privacy Policy (opens in a new window).

    Please read our privacy policy before submitting the details you have provided to us

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