New Forward Connect Referral

  • The Islington Peer Support Service, delivered by The Forward Trust is peer-led, mutual aid community of like-minded people who are making good progress in their recovery journey.

     

    All clients referred to the Islington Peer Support Serivce gain instant access to our national Forward Connect community, which is both a face-to-face and online community of people in recovery from addiction, and/or other difficulties such as criminality, homeslessness, mental health problems or unemployment.

     

    While the Islington Peer Support Service is not solely for those who are abstinent, members will need to be in control of their drink or drug use, and not be chaotic in their using i.e. , antisocial behaviour, heavy daily/binge using of either drugs or alcohol. Members who are suspected to be intoxicated at any event, activity, or meeting (online or offline); will be refused entry on those occasions.

     Once referred, members can access:

    • Online peer support 7 days a week through the Forward Trust app's group chat function
    • Online peer support programme 6 days a week (Tuesday - Sunday)
    • Weekend activities at King Henry's Walk, Islington from 10am-4pm (Saturday & Sunday)

    Please view our privacy policy if you have any questions.

    https://www.forwardtrust.org.uk/privacy-policy/forward-connect-privacy-notice/

  • What type of referral would you like to submit?

  • Referrer's Details

  • Date of Referral:*
     / /

  • Client's Details

  • Client's Date of Birth:*
     - -
  • Which pathway are you referring your client through?*

  • Contact Information

  • Please only provide details that the new member agreed for Forward to use! This information is shared with Islington Borough Council, who are the Data Controllers

  • What contact information does your client consent to provide to The Forward Trust?
  • Has your client given permission for us to text them?

  • If you are unable to provide contact details for us to make contact with your client. Please pass the following information to your client so that they may make contact with us directly:

    Freephone Number: 0300 373 0204 

    Email Address: islington@forwardtrust.org.uk

  • Would your client be able to provide us with a next of kin for us to contact in case of an emergency?*
  • Would your client like to offer us any other "useful contacts", e.g. friends, family or professionals to aid the support we can offer if needed?*
  • Would your client like to offer us any additional "useful contacts", e.g. friends, family or professionals to aid the support we can offer if needed?*
  • Does your client have a probation officer that we can contact to aid the support we can offer if needed?*

  • Gender & Ethnicity

  • The Forward Trust wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of those receiving our support. Completing this section of the form (Gender and Ethnicity) is not required. Information provided is confidential and not used in the assessment of your suitability to access our services.

  • Your Details

  • Date of Self-referral*
     - -
  • Date of Birth:*
     - -
  • How did you hear about Way Forward Islington?*

  • Contact Information

  • Please only provide details that you give The Forward Trust permission to use. This information is shared with Islington Borough Council, who are the Data Controllers for this service

  • What contact information would you like to provide The Forward Trust?*
  • Do we have permission to text you?

  • If you are unable to provide contact details, you can always get in touch with us directly:

    Freephone Number: 0300 373 0204 

    Email Address: islington@forwardtrust.org.uk

  • Consent: Gender & Ethnicity

  • The Forward Trust wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of those receiving our support. Completing this section of the form (Gender and Ethnicity) is not required. Information provided is confidential and not used in the assessment of your suitability to access our services.

  • Useful Contacts

  • Would you be able to provide us with a next of kin for us to contact in case of an emergency?*
  • Would you like to offer us any other "useful contacts", e.g. friends, family or professionals to aid the support we can offer if needed?*
  • Would you like to offer us any additional "useful contacts", e.g. friends, family or professionals to aid the support we can offer if needed?*
  • Do you have a probation officer that we can contact to aid the support we can offer if needed?*

  • Self Referral Consent Form

  • Thanks for referring yourself to the Islington substance misuse peer support service. We now have your details on file, but before we are able to contact you and offer you support from the service, we require a completed consent form.

    If you have any queries around this, you can contact us on our freephone number Monday-Friday, 9am-5pm (excluding bank holidays) 0300 3730 204. Or you can email us at islington@forwardtrust.org.uk.

  • Consent

  • This digial document is a summary of how your personal information will be used

     

    • This digital document is a summary of how your personal information will be used.
    • We at The Forward Trust ask you for information about yourself to provide you with treatment to match your needs and continuity of care.
    • We only keep your information with details of your care for a period as long as necessary to fulfil the purposes we collected it for.
    • You have the right to apply for access, correction, erasure, transfer, object to processing or restrict the information we have recorded about you.
    • You have the right to withdraw your consent at any time.
    • Any information we keep about you is kept confidentially within the service and stored securely. It is only shared when we have a duty to share information or if you give us permission to share information.
    • You can find out more about your rights by request from your Forward worker or at: For the public | ICO.

     

  • More information, questions, concerns and complaints

  • We are committed to protecting your personal data, please contact our specialised data protection team dataprotection@forwardtrust.org.uk if you have any questions or concerns about how we process your personal data. If for some reason you are not happy with any aspect of how we processed your data, you have the right to complain to the Information Commissioner’s Office (ICO), the UK supervisory authority for personal data (www.ico.org.uk). We should be grateful if you would contact us first if you do have a complaint so that we can try to resolve it for you.


    For more information you may also visit our privacy policy on our website:
    www.forwardtrust.org.uk/privacy-policy

    Contact us by email: feedback.forward@forwardtrust.org.uk OR write to us at:

    The Forward Trust | Unit 106 Edinburgh House |170 Kennington Lane | London SE11 5DP

  • Where We Store Your Information

  • We store your information on our case management system Nebula. This is a cloud-based system provided by Orion Practice Management Systems. Information is stored in the UK and the EU only. For more information, please see https://orionpms.org.uk/about.php. We may also store your information on our cloud-based Microsoft Office 365 system, documents are held on Microsoft SharePoint and the data centres are based in the UK.

  • Duty to Share Information

  • We have a duty to share information with or without your permission under certain circumstances. Wherever possible, we will discuss this with you first. We have a duty to share information:

    • If the safety/security of other service users, staff or the community is compromised by not revealing information.
    • If the Forward team believes you may be at risk of self-harm or risk of harm to any person.
    • If the Forward team has concerns for the welfare of any child(ren).

     

  • Permission to Share Information

  • To ensure that you receive the most comprehensive and effective care possible, we The Forward Trust seek your permission to exchange relevant information with other services or professionals that play a crucial role in your care, or who possess vital information about you. This collaborative approach allows us to coordinate your care more effectively, ensuring that all parties involved are fully informed and can make decisions that are in your best interest. This entitles with whom we may share information include but are not limited to the following:

  • I hereby grant The Forward Trust consent to share necessary personal information pertaining to me with other relevant healthcare professionals and organisations for the purpose of providing clinical and psychosocial treatment and coordinating my care. I understand that this is to facilitate my treatment and agree to such sharing under the condition that all data shared will remain confidential and be handled in compliance with the General Data Protection Regulation.*
  • I hereby grant The Forward Trust consent to disclose my personal and treatment related information to the Recovery Support Team and Resettlement Team, as deemed relevant and necessary for the purposes of facilitating my ongoing care and aftercare support.*
  • Forward Connect represents a community grounded in mutual aid, led by peers who share similar paths toward personal progress and recovery. This unique collective includes individuals navigating the journey of addiction recovery. I hereby grant The Forward Trust consent to disclose my personal and treatment related information for the purposes of enabling me to receive targeted communications and support, designed to facilitate and enhance my ongoing journey towards recovery.*
  • I hereby give my explicit consent for The Forward Trust to process my ethnicity details solely for monitoring purposes. I understand that this information will be used to ensure fairness, promote diversity, and enhance the inclusiveness of services provided by Forward. This consent is given with the assurances that my ethnicity details will be handled with the utmost confidentiality, respect, and in strict compliance with data protection legislation.*
  • I hereby grant The Forward Trust my explicit consent for the disclosure of my personal and treatment related information to Forward’s Research and Development Team. The shared information will be utilised or advancing research initiatives aligned with Forward’s mission to enhance treatment methodologies and patient outcomes and for the purposes of evaluation, monitoring, and service improvements at The Forward Trust.*
  • I hereby grant The Forward Trust consent to share information about me with Better Lives for the purpose of supporting the safety and wellbeing of all who access the peer support service.*
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