If you are an Adult Social Care worker, do not use this form. Please only refer using the ASC internal referral route via MOSAIC.

Please read the criteria below before completing a referral form

Click below to make a referral for an Adult Carer (age 18+)

Referral Button Adult Carers.jpg (62 KB)


Click below to make a referral for an Young Carer (age 5 - 17)

Referral Button Young Carers.jpg (62 KB)


If you are a parent Carer (caring for someone under 17) please see our Parent Carer information page

If you are a Derby City Carer, you will need to either ring CAB Mercia on 01332 228777  or visit their website here


Our referral process is protected by confidentiality

For all our policies including our data retention and protection policies click here

In compliance with the Care Act 2014, our Derbyshire Adult Carer service is offered to Carers aged 18 years and over, who provide unpaid care and support, regardless of the amount or type of support they provide, financial means, or level of need for support.

The Carer should be caring for a resident of Derbyshire County.

The Adult Carer service will also include Young Carers who are in Transition and who are likely to have needs when they become 18 years old and Parent Carers, who are likely to have needs when the Disabled Child they care for, becomes 18 years old. This is regardless of whether the Young Carer or Parent Carer has previously received any services.


The service is also available for Carers for up to twelve months after their caring role has ended.


For more information on the Care Act please visit  - https://www.scie.org.uk/care-act-2014/video.asp

For Young Carers Support, please visit https://derbyshirecarers.co.uk/contact-us-or-make-a-referral


For information on services available in other local authority areas –

Derby City Universal Services for Carers https://www.citizensadvicemidmercia.org.uk/carers/

Sheffield Carers Centre https://sheffieldcarers.org.uk/

Staffordshire Carers First https://www.carersfirst.com/

Carers Federation https://carershub.carersfederation.co.uk/



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