Stay Well On-line Referral Form
Stay Well is an emotional health and wellbeing service for children and young people experiencing mild to moderate mental distress – providing a range of group and 1-2-1 interventions.
The Stay Well Service is part of the wider Staffordshire emotional wellbeing and mental health system for children and young people. We do not operate in isolation – instead, we work alongside other services, including CAMHS, as part of a shared pathway of support.
Most referrals into specialist services go through a Single Point of Access (SPA) first. There are two local SPA routes depending on where you live:
These teams review referrals and help make sure children, young people, and families are directed to the most appropriate support service. This may include Stay Well where it is the right fit.
A SPA referral is usually more appropriate if:
- You are unsure which service is right for you
- There are higher levels of need or risk
- You are seeking specialist mental health support
- You need assessment, diagnosis, or neurodevelopmental assessment
- There are complex behavioural concerns or wider multi-agency involvement
- There are significant concerns about safety or wellbeing
SPA will review the referral and ensure you are directed to the most appropriate service.
Two ways to access Stay Well
- Through the Single Point of Access. Once received, your referral will be reviewed and, if appropriate, you may be directed to Stay Well or another service that best meets your needs.
- Direct referral to Stay Well (if you feel we are the right service for you)
If you feel you specifically meet our criteria and want to access Stay Well directly, you can submit a referral straight to us by scrolling down on this page. We will then review it to ensure we are the most appropriate service for your needs.
Whichever route you take, you are still part of the same wider system of support – the difference is simply how your referral enters it.
You must also have the child or young persons NHS number. One of the easiest ways to find your NHS number is online, all you need is your name, address and date of birth – Your NHS number can be sent to you via text, email or letter – visit here. You can also find your NHS number on your prescriptions, hospital letters, hospital appointments and test results. Alternatively, you can ask at your GP.
For children and young people who are in Stoke-on-Trent – please visit here for more information – unfortunately, we cannot accept your referral through this on-line referral.
Stay Well On-line Referral Form
Stay Well is an emotional health and wellbeing service for children and young people experiencing mild to moderate mental distress – providing a range of group and 1-2-1 interventions.
Referrals are accepted for children and young people:
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Aged between 5 to 18 years (up to 25 with SEND or care leaver)
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Who are experiencing anxiety, low mood, low self-esteem, difficult emotions and grief
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With a Staffordshire postcode, (home or GP, excluding Stoke-on-Trent)
For children and young people who are in Stoke-on-Trent – please visit here for more information – unfortunately, we cannot accept your referral through this on-line referral.
Before proceeding with the referral, you must have consent from either the child or young person, or from a person with parental responsibility.
You must also have the child or young persons NHS number. One of the easiest ways to find your NHS number is online, all you need is your name, address and date of birth – Your NHS number can be sent to you via text, email or letter – visit here. You can also find your NHS number on your prescriptions, hospital letters, hospital appointments and test results. Alternatively, you can ask at your GP
The referrer and the child or young person, or a person with parental responsibility must also be aware of how data will be handled through the referral process and beyond. This information can be found in our privacy policy.
All boxes in red must be completed.
By submitting this form you agree that you have read our privacy policy and understand in what circumstances your information may be shared with a third party.