- About our care
  
  We have been providing care for over 50 years to the local area, delivering the highest standard of palliative care to our patients. Find out about our care services.
  For patients
  
  Our care and FAQs
  
  How to access care
  
  For families and loved ones
  
  Supporting families
  
  Our bereavement services
- Healthcare professionals
  
  Our hospice is home to fantastic healthcare professionals, who provide excellent care to patients in many ways.
  Essential information
  
  Making a referral
  
  Training courses
  
  Education
  
  Working here
  
  What’s it like to work here?
  
  View all job vacancies
- Retail
  
  Browse our charity shops across Sussex, find bargain clothes, books, household goods and furniture. Donate your pre-loved items today.
  About our shops
  
  Find a charity shop
  
  Free furniture collections
  
  What items you can donate
  
  Shop online
  
  Our online shop
- How you can help
  
  It costs more than £13 million to run the hospice, with our NHS grant only funding just over a tenth of these costs. The rest comes from the amazing donations we receive. We couldn’t do it without you.
  Donate
  
  Make a donation
  
  Give in memory
  
  Leave a gift in your Will
  
  Philanthropy
  
  Charitable trusts and foundations
  
  Fundraise
  
  Fundraising support
  
  Corporate partnerships
  
  Get involved
  
  Take part in an event
  
  Play the lottery
  
  Easy ways to fundraise
  
  Volunteer
  
  Volunteer for us
  
  Volunteering FAQs
- About us
  
  We're a local charity that aims to provide expert hospice care for people in Worthing and the surrounding areas.
  About the organisation
  
  What we do
  
  About Southern Hospice Group
  
  Working here
  
  Job vacancies
  
  Our benefits
  
  Our stories
  
  News
  
  Blog
Contact us

Self referral form

If you have a friend or family member being cared for by the hospice - or was previously cared for by the hospice - fill in the form below to register for support from our patient and family support team.

We can help you with emotional, practical, psychological or spiritual support, whether it’s caring for a loved one or navigating bereavement.

This is not an exhaustive list, and we encourage you to reach out to the patient and family support team so that we can find a way forward that suits you.

Self-referral form

Please complete and submit the form below and we'll get back to you within two weeks.

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Title*

Please specify

Name*

First name Surname

Date of birth*

Preferred contact number*

Email*

Enter Email Confirm Email

Address*

1st line of your address Postcode

What support do you require*

Please select all that apply - don't worry if you're not sure, we'll discuss your support needs in more detail with you.

Emotional support

Practical support

Pastoral/spiritual support

Name of the person who is/was cared for by St Barnabas*

Is there anything else you think we should know?

If you need urgent support

If you feel unsafe, at risk, or unwell at any time please do not delay getting help:

• Call 999
• Make an urgent / same-day GP appointment
• Attend the nearest A&E department
• Contact: NHS 111
• Call NHS Sussex Mental Healthline: 0800 0309 500
• Call Samaritans: 116 123

Find out about our services

Two people in conversation in the St Barnabas gardens

There's lots of support and care on offer if your loved one is a patient with us. We're with you every step of the way.

two people walking along a path in the St barnabas House garden. They are in conversation

We understand how difficult it is when someone you love dies, so our team are here to support you.

A patient in the art room with our artist in residence, Stevan

We can support you emotionally, practically and spiritually throughout your illness.