Request edit access
Extra Care Panel

Extra Care Housing is part of the provision of the support available to vulnerable older people living within the London Borough of Hillingdon. Primary eligibility criteria include:

- Applicant will have a completed community care assessment (or similar), identifying both housing and care needs.
- Aged 65 or over, though over 55 with exceptional circumstances.
- Can demonstrate housing equity or other assets below the eligibility threshold set in Hillingdon's Social Housing Allocations policy.
- Applicants are ordinarily residents in the London Borough of Hillingdon (although the predominant need for care and support may override the habitual residency test).

The Extra Care Panel will only consider fully completed referrals that include all relevant supporting information.
(Please do not use full stops as a date separator ie 1.1.17, use a slash ie 1/1/17)

See staff guidance document;

Client Details
Protocol ID number *
Your answer
First Name *
Your answer
Surname *
Your answer
Permanent address *
Your answer
Do they have recourse to public funds? *
Current GP where the client is registered (name, address & postcode) *
Your answer
Referrer Details
Name *
Your answer
Email Address (if external to LBH)
Your answer
Never submit passwords through Google Forms.
This form was created inside of Report Abuse - Terms of Service