For anyone who has symptoms of bladder and/or bowel dysfunction a referral can be made into the SPHERE service by the person's GP via the SCI Gateway Referral System.
Please read the Referral Guide to SPHERE before making a referral.
It is the responsibility of the referrer to over-rule all red flags prior to referring into the SPHERE Service. These can be found within the relevant NICE guidelines below.
N.B. As per the Continence Referral Pathway, all housebound patients should be referred to the District Nurses initially for first level assessment and we will support them should more specialist intervention be required.