Your Voice Counts Advocacy Services
Make a referral
Choose the referral form that best matches the advocacy support needed. Most forms can be completed by the person seeking advocacy, someone supporting them or a professional. Some statutory referrals must be made by the responsible local authority or NHS body.
Email completed forms securely to yvc.uk@nhs.net.
Each referral form explains what returning it means and asks for the information we need about the person’s knowledge and agreement.
If you are unsure which form to use, cannot complete a form or would like to discuss a referral, please:
-
Email yvc.uk@nhs.net
-
Call 0191 478 6472
-
Call freephone 0300 303 1248
We can take initial referral information by telephone or email when needed. For more information about our services, visit Advocacy at Your Voice Counts.
Choose a referral form
Care Act Advocacy referral form (Newcastle, Gateshead and South Tyneside)
For referrals connected to a Care Act assessment, care and support planning, review or safeguarding process. This form should be completed by the local authority responsible for the process.
Independent Mental Health Advocacy (IMHA) referral form (Newcastle, Gateshead and South Tyneside)
For people who may be entitled to support with their rights under the Mental Health Act.
Independent Mental Capacity Act (IMCA) referral form (Newcastle, Gateshead and South Tyneside)
For an NHS body or local authority instructing an IMCA in connection with an eligible decision or safeguarding matter.
NHS Independent Complaints Advocacy (NHS ICA)
For independent support to make or progress a complaint about NHS-funded care or treatment. People may refer themselves or ask someone else to help complete the form.
General Advocacy referral form (Gateshead and South Tyneside)
For independent, non-statutory advocacy about a specific issue or decision. People may refer themselves or ask someone they trust to help them.
Advocacy for people with learning disabilities
An accessible referral form for people with learning disabilities who would prefer an Easy Read version.
Rule 1.2 Representation (Gateshead and South Tyneside)
For referrals where the Court of Protection may require a Rule 1.2 representative.
SHOUT! Young people's advocacy (Gateshead and South Tyneside)
For children and young people who would like independent help to understand their options, express their views or take part in decisions affecting them.
Spot contract advocacy
For local authorities wishing to purchase advocacy support outside an existing commissioned service.