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More Information Required Routine (2-4 weeks)
Received: 27/10/2025

👤 Referrer Information

Organisation
SafeSpace Domestic Abuse Service
Referrer Name
Test Referrer 854
Job Title
Senior Housing Officer
Phone
Relationship to Individual
Support Worker

🏠 Individual Being Referred

First Name
Blake
Last Name
Brown
Preferred Name
Preferred Name
Date of Birth
20/03/1991 (Age: 35)
NHS Number
303 913 5536
National Insurance Number
FG401054X
Current Address
Hostel accommodation
Contact Phone
Contact Email
Safe to Contact Directly?
Yes
Next of Kin Name
Not provided
Next of Kin Relationship
Not provided
Next of Kin Contact
Not provided

📋 Referral Information

Referral Type
Supported Housing
Current Housing Situation
Sofa Surfing
Local Connection
Metropolitan Area
Reason for Referral
Completing rehabilitation programme and needs move-on accommodation to consolidate recovery.
Accommodation Type Needed
1 Bedroom2 BedroomAdapted Bathroom

🏥 Needs & Risk Assessment

Physical Health Needs
Mobility difficulties requiring adaptations and support.
Mental Health Needs
Reactive mental health difficulties due to situational factors.
Substance Misuse History
No substance misuse history or concerns.
Support Needs Required
Not specified
Mobility/Accessibility Requirements
Ground floor accommodation preferred for convenience.
Safeguarding Concerns
Not provided
Offending History
No
Additional Information
Complex needs but strong engagement and willingness to work with support.