Guidance notes – Tips for completing MBU referral form

Supporting Documentation

Please send referrals with recent clinic letters, previous discharge summaries, and risk assessment.

Mental State Exam

Please include a detailed mental state examination including symptoms relating to infant and capacity to consent for admission.

Safeguarding and Child Protection

Please ensure any safeguarding or child protection issues are explained in detail including named social workers and contact details – this is to ensure admission is safe and appropriate.

If there is an allocated social worker – please check, they have approved admission to MBU.

Parental Responsibility

Please document both parents under the parental responsibility (PR) section, and tick if partner has PR.

Partner must be consenting for baby to be admitted if they hold PR.

Smoking

The trust has a strict no smoking policy, and leave cannot be granted for smoking.

Please include details of smoking status and check patient is aware of policy and consenting.