Referring a Young Carer for Support

This form is for parents and professionals (excluding local authority Social workers and Family/Early Help Workers) who are referring young carers aged under 18.

  • For local authority Social workers and Family/Early Help Workers referring young carers aged under 18, use this form
  • For adult carers aged 18 and over, use this form

Young carers sitting on a sofa

Referring a Young Carer for Support

Identifying and supporting young carers is a shared responsibility across all professionals and organisations working with children, young people, and families. Many young carers remain hidden, and your awareness and timely action can make a significant difference to their wellbeing.

A young carer is someone under 18 who helps to look after a family member with a disability, long-term illness, mental health condition, or challenges related to drug and/or alcohol misuse. Young carers may support a parent, sibling, or another relative in the household, and their caring role can affect their school attendance, wellbeing, and overall development.


Before Completing a Referral

Please read the eligibility criteria before submitting a referral.

Referrals are accepted only via the online referral form. We cannot accept referrals submitted by email or through the downloadable Word version of the form.

A referral can only be made with parent/guardian consent. By referring a young carer, you confirm that consent has been obtained and that parents/guardians understand:

  • They will be contacted by phone, email or post.
  • Their personal details will be held in line with our Privacy Policy.
  • We may contact them for feedback on service developments or changes.

If you need help completing the form or require translation support, please contact the Young Carers team on 0117 958 9980 or email [email protected].


Completing the Online Referral Form

  • The form must be completed in one sitting; it cannot be saved and returned to later.
  • To support your preparation, you can download a printable version containing all the questions, but this cannot be submitted as a referral.
  • Please involve the young carer in answering Section 2 wherever possible, and indicate who has provided answers if the young person is unable to do so.
  • Please complete the form as fully as possible to help us identify the appropriate level of support.

Once received, Young Carers Support aims to contact the family within two weeks.


Identifying Young Carers

Recognising young carers early helps ensure they access appropriate support. Young carers may be reluctant to discuss their home situation, but often say that no one has asked them about it. Key indicators may vary depending on your setting, but could include:

  • Mentioning that someone at home has a disability, illness, or substance-related difficulty.
  • Poor or irregular school attendance, frequent lateness, or early departures.
  • Transitioning to home-schooling following challenges with school attendance.
  • Experiences of bullying or significant anxiety, stress, or tiredness.
  • Noticeable changes in behaviour, concentration, or emotional wellbeing.
  • Awareness that a parent has a disability, long-term health condition, mental health issue, or substance misuse challenges.

Professionals are central to helping families recognise that support is available and encouraging them to access it.


On line referral form

SECTION 1 - Personal details

Has the family given permission for the referral to be made to Young Carers and their data to be stored on a secure database for referral purposes only? *

If no, we will not be able to process the referral until consent has been given.

Is this referral form being completed by/with?

Parent/guardian *

Young carer *

Details of child/young carer

*
*

Address

*
*
*
*

Does the child live in: *

*
*

Is an interpreter or signer needed?

*

Schooling

*

Additional needs

Does the young carer have any disability or special education needs (SEN) ? *

Details of parents/guardians

*
*

Parent or guardian? *

*

Address (if different from child/young person

Other parents/guardians

Parent or guardian?

Address (if different from child/young person)

Have any of the parent(s)/guardian(s) ever been a member of the armed/air forces or cadets?

Do any of the parents(s)/guardian(s) have Refugee or Asylum Seeker Status?

Details of siblings

Please provide details of any siblings who also help with caring (you do not need to repeat the details of the young carer being referred).

Sibling 1

Sibling 2

Sibling 3

Sibling 4

Sibling 5

Current family and home situation

*

SECTION 2 - For Young Carer to answer

It is important that wherever possible the young carer answers the questions in this section as it needs to be their experience and perspective. However, we understand this is not always possible.

Who is answering the questions in this section *

Caring tasks undertaken by the young carer

Use the drop‑down menu to tell us how much each caring task is carried out.

Impact of caring responsibilities

How much caring do you do?

Thinking about all the jobs you do in the home, including keeping an eye on people, please tell us how many hours of caring you do in a typical week (Monday to Friday)? *

How many hours of caring do you do on a typical weekend (Saturday or Sunday)? *

Additional information

If there is anything that you have shared that indicates you may be at risk of harm, we will need to share this information with appropriate professionals who can help keep you safe.

SECTION 3 - Support

Does the child/young person or family have any support from social care services? *

If yes, tick one of below

Other services working with the family

Please give the details of any other services or organisations already working with the family (e.g. social services, community care, mental health professionals, GP, EWO, CAMHS, youth projects etc.)

Other service 1

Other service 2

Other service 3

SECTION 4 - Family circumstances

Is anyone in the household currently employed?

Does anyone in the household receive benefits?

Is the young carer on Free School meals?

SECTON 5 – Referrer details

*
*
*
*
*

Other comments

Consents

*

See our Privacy Page

*

“The support has made such a difference. Kierah now feels part of something that is rewarding. It gives her a break from caring and she meets others in similar situations; so, she knows she’s not alone.”   

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