Safeguarding adult referrals
The safeguarding adults electronic referral form should be used for referrals from professionals only.
The electronic referral form can be saved throughout the referral process, and also at the point of submission to allow referring agencies to store a copy of the safeguarding adult referral on their own recording systems.
The Word document option for submitting referrals is still available but we strongly encourage referrers to use the electronic version of the form as it is designed to be much more user friendly and will also assist with improving data capture and data quality.
Important: Referral forms will only be reviewed and processed during office hours and therefore if you have safeguarding concerns for a person's safety that require urgent attention out of hours on weekdays or at the weekend you must contact Call Derbyshire telephone: 01629 533190.
Members of the public who would like to raise a safeguarding concern should also contact Call Derbyshire telephone: 01629 533190.
Is this the right referral route for you?
A safeguarding adult referral is the right route where you are concerned that the person is experiencing or at risk of abuse or neglect. To assist referrers with decision-making prior to submitting a referral, guidance and quick reference guides are available from the adult safeguarding decision making guidance page of our website.
If you are a professional requesting an adult care assessment for someone you work with, please use the online professional referral form.
If you are asking for help for yourself, a friend or family member, you can complete an online self-assessment, or ask for an assessment from adult social care where it appears that you may have need for care and support.
Amber Valley (Ripley, Alfreton, Belper)
Email asch.bsambervalley@derbyshire.gov.uk
Bolsover (Clowne, Whitwell)
Email asch.bsbolsover@derbyshire.gov.uk
Chesterfield
Email asch.bschesterfield@derbyshire.gov.uk
Erewash (Long Eaton, Ilkeston)
Email asch.bserewash@derbyshire.gov.uk
High Peak (Glossop, Buxton, Matlock)
Email aschbs.highpeak@derbyshire.gov.uk
North East Derbyshire (Clay Cross, Dronfield, Eckington)
Email asch.bsnortheast@derbyshire.gov.uk
South Dales (Ashbourne, Swadlincote, Shardlow, Willington, Hilton, Etwall)
Email asch.bssouthdales@derbyshire.gov.uk
Derby City Council
Contact Derby City Council:
You can also send the referral form by email: adultsmash@derby.gov.uk or fax: 01332 643299.
Independent hospitals safeguarding adult referrals process
For independent hospitals, please forward safeguarding referrals to the relevant email address: