Step-Down Referral Criteria: What We Accept and Why
Our clinical capability, exclusions and the information that speeds up a referral.
We accept step-down referrals where a patient is stable enough for community residential care but not ready — or not able — to return home. This page summarises capability so you can triage before you call.
Within Our Capability
- Psychiatric conditions requiring supervised daily living and medication management
- Dementia with behavioural symptoms: wandering, agitation, sundowning
- Post-admission step-down with agreed discharge criteria
- Long-term residents needing structure, observation and MAR-charted medication
Exclusions
We do not manage acute suicidality, active substance withdrawal, or presentations requiring restraint. We flag these at the 24-hour suitability response — never at the bedside.
What Speeds a Referral Up
- Diagnosis and current medication list (a photo of the chart is fine)
- Risk history: harm to self or others, absconding, falls
- Mobility and transfer status
- Family contact and their understanding of the plan
Send summaries by email or WhatsApp to our referral line — acknowledged the same working day, suitability confirmed within 24 hours.