Safeguarding adult referrals
We are currently experiencing technical issues with the electronic safeguarding adult referral form. If you are a professional making a safeguarding adult referral, please use the Word version of the form attached to this page until further notice. We apologise for any inconvenience caused and will update this page once the electronic form is available again.
Members of the public who would like to raise a safeguarding concern should continue to contact Call Derbyshire telephone: 01629 533190.
If your safeguarding referral requires a response out of hours, please contact Call Derbyshire telephone: 01629 533190. If you gain more information or updates that may change your referral's priority, or you feel that your referral requires a same day response, please 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: