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Self Referrals

Home-Start support is completely free, you do not have to pay for any of our support and it is entirely voluntary.

It might be suggested to you by a health visitor, a doctor or another professional but it is entirely up to you if you want to work with Home-Start.

We are very experienced in matching families with volunteers who we think will understand your situation and be able to work with you. If either you or the volunteer is not happy you can end the relationship and try another match.

All of our support is confidential. You don’t have to tell anyone that you are being supported by Home-Start, and we will never tell anyone else unless you say that we can.

Our self-referral form can be found below. If you require any help completing the form please do get in touch with us and we will support you through the process.

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 you are currently receiving support, or have done so in the past six months. Please read the following statement carefully.

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

Please click on the appropriate answer below.

Yes, I 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.

Please see below for relevant support agencies that may be able to offer you advice or assistance.

0 to 19 Healthy Child Programme

Cambridgeshire and Peterborough Health Visiting and School Nursing Service

https://cambspborochildrenshealth.nhs.uk/services/

Accessing support for your family – Cambridgeshire County Council

 https://www.cambridgeshire.gov.uk/…./accessing-support-for-your-family

 Cambridgeshire Child and Family Centres

 https://www.cambridgeshire.gov.uk/residents/children-and-families/parenting-and-family-support/child-and-family-centres

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

Self Referral Form

    About this self-referral

    Services

    Which service(s) are you seeking?

    Check the Get support page if you are not sure.

    Select the services required

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

    About the parent seeking the service

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

    Please enter your full name

    dd/mm/yy

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

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

    Please make a selection

    Your Ethnic Background

    Ethnic Background

    About the your 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

    Self-Referrer's Statement

    Please tell us about the support you feel your family needs and anything about your situation:

    Mandatory entry

    Information requested about your family situation and environment

    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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