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Referral forms

Gold Line

As you may be aware, the NHS has made a commitment to switch off its fax machines. Here at Airedale NHS Foundation Trust, we have set a deadline of 31 March 2020 to remove our fax machines.

To enable us to still receive Gold Line referrals from your organisation, we have developed a new form (see attached) to replace the faxed version you have been using. Please could you use this form for new Gold Line referrals, which should be sent via secure email to or via secure post. If you could also pass on this information to any colleagues who may also refer to Gold Line, that would be appreciated.

 If you have any questions regarding this change, please contact:-

A dedicated 24/7 telephone service for people with a serious illness who are in their last year of life, and the people looking after them. Care is provided by a team of experienced nurses who are on hand to give advice, support and guidance to help people die with dignity in the place of their choosing (usually at home).

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A highly-specialist Health in Justice service providing consultant-led secondary care support via telemedicine to prisoners residing in Prisons and Youth Offender Institutions (YOI) across the country. This service is currently available in more than 30 secure centres across the country.

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