Please provide us with your contact details
If your agency is not included on this drop down list please contact the Partnership Agency Referral Advocate on 0117 9262061 ext. 8260 or
Tell us about the person you are making the referral for (please obtain consent prior to making the referral)

When making a referral please consider whether your service user is at an enhanced risk of fire, this may include:

  • Previous fires.
  • Burns on carpets, furniture or clothes.
  • Evidence of unsafe candle use.
  • Poor quality/damaged wiring.
  • History of falls.
  • Dementia.
  • Evidence of mobility difficulties.
  • Poor living conditions.
  • Decision making difficulties.
  • Carelessness with smoking and smoking materials.
  • Careless with cooking practices.
  • Alcohol/drug use.
  • Home oxygen user.
  • Sensory impairment (hard of hearing/deaf)
  • Unsafe use of electrical equipment – overloaded sockets/extension leads, unsafe use of portable heaters i.e. too close to combustible materials
  • No working smoke alarm
  • Unable to hear or respond appropriately to smoke alarm
  • Unable to evacuate home in event of fire

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