Bath & North East Somerset Village Agents

Professional referrals accepted - see below for details

We are now in our thirteenth year of delivering this service across the Chew Valley, Somer Valley, Cam Valley and surrounding villages. In early 2022 we were able to add Peasedown St John, Combe Down and Foxhill and villages in Bathavon North and South.

Please note that we do not cover Keynsham or central Bath. For those areas please call the Community Wellbeing Hub on 0300 2470050. The triage team will direct you toward the appropriate service for your enquiry.

Main Office: 01275 333700

Please leave a message and we will return your call

Debbie Dufour

**Area:**
Chew Magna, Chew Stoke, Compton Martin, Stanton Drew, Stanton Wick, Norton Malreward, North Wick, Norton Hawkfield, Nempnett Thrubwell, Ubley.

Aly Akroyd

**Area:**
Bishop Sutton and Stowey, Camely, Clutton, Coley, East Harptree, West Harptree, Hinton Blewett, Pensford and Publow.

Maria Edwards

**Area:**
Farrington Gurney, Farmborough, Hallatrow, High Littleton, Priston, Paulton and Timsbury.

Sally Johnston

**Area:**
Midsomer Norton, Radstock and Westfield.

**Katy Lunn**

**Area:**
Batheaston, Bathford and Bathampton

**Chantal Young**

**Area:**
Claverton, Combe Down, Southstoke, Monkton Come, Freshford, Hinton Charterhouse

**Kate Stobie**

**Area:**
Peasedown St John

**Mary-Jane King**

**Area:**
Chalcombe, Corston, Kelston, Marksbury, Newton St Loe, North Stoke, St Catherines and Swainswick

Ruth Todd

**Area:**
Combe Down and Foxhill

Anyone living in Bath and North East Somerset over the age of 18 can access our free and confidential service.

You may self-refer or, with their permission, help family or friends with a referral. Please call 01275-333700, complete the online form below or email denise.perrin@nhs.net using the downloadable form, also below.
Professional referrals are welcome and should be made via the Community Wellbeing Hub - click on the link below.
Denise Perrin, Project Manager

Click to expand

Self and Non-Professional Referral Form

Please download and complete this form and then email to denise.perrin@nhs.net

Download Self & Non-Professional Referral Form

Online Self and Non-Professional Referral Form

Please ensure that you have the permission from the individual for this referral.
Please note that our office number 01275 333700 is an answering machine with messages being collected Monday – Thursday 9am – 4pm.

For direct phone referrals and to provide confidential information call Project Manager Denise Perrin on 07973 148699. Thank you for your referral.

Please note: This form will not save your entries if you leave the page halfway through.
Your form will only be sent once you press submit.

1) Is this a Self referral or for someone else? (if Self go to Question 4 onwards)

2) Your name

2.5) Your contact details

3) What is your relationship to the person you would like us to help?

4) Name of the person who you would like us to help?

5) Contact details of the person you would like us to help

6) Please indicate if you or the person asking for help prefers to be visited away from the home address

7) Date of Birth

8) What is the preferred means of communication?

Phone call? A letter or email? Interpreter? Please give more details here.

9) Next of kin, family member or trusted friend who helps with communications or is required to be in attendance

10) Primary reason for this referral

Please do not include medical history on this form but you can indicate if the issue relates to a medical condition. We will call you for more details if needed.

11) Please indicate if other organisations or professionals are currently involved. Is their support directly related to the reason for your referral?

The following questions relate to the person who is asking for our help. As we make home visits we need to understand more about the property we are visiting.

12) Does the person asking for a visit need time to get to the door or have a key safe or entry system?

Do not provide codes or secure information on this form.

13) Is there a dog at this property?

Please advise us if we need to take precautions or remind the person to place the pet in another room.

14) Is there parking at the address or any issues we should be aware of relating to safe parking?

15) Is there any reason why our staff should not visit this person alone?

Call Denise Perrin with details on 07973 148699 as we may reject this referral request.

Please add any further information here

Professional Referral Form

Use the B&NES Community Wellbeing Hub, selecting WERN Village Agents as the organisation you wish to refer to.

Click here

Professional Referral Form

Please ensure that you have the permission from the individual for this referral.
Please note that our office number 01275 333700 is an answering machine with messages being collected Monday – Thursday 9am – 4pm.

Bath & North East Somerset Village Agents

Professional referrals accepted - see below for details

We are now in our thirteenth year of delivering this service across the Chew Valley, Somer Valley, Cam Valley and surrounding villages. In early 2022 we were able to add Peasedown St John, Combe Down and Foxhill and villages in Bathavon North and South.

Main Office: 01275 333700

Please leave a message and we will return your call

Debbie Dufour

Aly Akroyd

Maria Edwards

Sally Johnston

Katy Lunn

Chantal Young

Kate Stobie

Mary-Jane King

Ruth Todd

Anyone living in Bath and North East Somerset over the age of 18 can access our free and confidential service.

Self and Non-Professional Referral Form

Professional Referral Form