*A family enquiry form, can be completed by a parent/guardian regarding eligibility.
Referral Pathway

Eligibility / Criteria
Respite support is offered to children up to the age of 6 who have severe neurodevelopmental delay. Another key part of our service is end of life care for all children up to the age of 6, irrespective of diagnosis.

Referral Form
A referral form must be completed. It is available to download or fill in online at www.jackandjill.ie/referral-form/. To request a copy by post, simply email [email protected]. Please include a medical report/ discharge summary when available.

Contact
When a referral is received the Liaison Nurse Manager (LNM) in the local area will contact the family as soon as possible.

Assessment
The LNM will arrange a home visit and assess the child and family’s needs. They will explain the service, offer advice and practical support. Our service is flexible, and family centred.

On-going Respite Service and Support
We provide an average of 20-40 in home nursing/respite hours per month (maximum 80 hours). The LNM's role includes ongoing support, co-ordinating respite, home visits and advocacy. The LNM will liaise with other health professionals as required.

End of Life Care for children up to the age of 6 irrespective of diagnosis
Timely provision of in-home nursing care of 80 hours per month can be provided at end of life. The LNM’s will; assist in organising and support nurses; listen and help co-ordinate families wishes; regularly review the child and family’s needs; work together with other health care professional and service providers.

Eligibility / Criteria
Respite support is offered to children up to the age of 6 who have severe neurodevelopmental delay. Another key part of our service is end of life care for all children up to the age of 6, irrespective of diagnosis.
*A family enquiry form, can be completed by a parent/guardian regarding eligibility.

Referral Form
Our referral form must be completed. It is available to download or fill in online at www.jackandjill.ie/referral-form/. To request a copy by post, simply email [email protected]. Please include a medical report/ discharge summary when available.

Contact
When a referral is received the Liaison Nurse Manager (LNM) in the local area will contact the family as soon as possible.

Assessment
The LNM will arrange a home visit and assess the child and family’s needs. They will explain the service, offer advice and practical support. Our service is flexible, and family centred.

On-going Respite Service and Support
We provide an average of 20-40 in home nursing/respite hours per month (maximum 80 hours). The LNM's role includes ongoing support, co-ordinating respite, home visits and advocacy. The LNM will liaise with other health professionals as required.

End of Life Care for children up to the age of 6 irrespective of diagnosis
Timely provision of in-home nursing care of 80 hours per month can be provided at end of life. The LNM’s will; assist in organising and support nurses; listen and help co-ordinate families wishes; regularly review the child and family’s needs; work together with other health care professional and service providers.
Any Questions?
Phone: +353 45 894 538 or Email: [email protected]