Community Companions referral form

To make a referral for yourself or someone else for support from Community Companions, please read the service member privacy notice then complete the online form. 

Service member privacy notice

Who we are 
We are Bradford District and Craven Mind, a local mental health charity, supporting people of all ages across Bradford District and Craven. We work in partnership with local authorities, the NHS and the voluntary and community sector.

To support you as best as we can, we process personal information about you and the people who help you, such as family, friends and professionals. We only do this to provide and improve our services, promote your wellbeing and keep everyone safe. We may use your information to:

• Discuss how we can support you.
• Assess your needs, plan, and provide you with support.
• Monitor the effectiveness and fairness of our services.

Keeping your information safe
We store your information electronically in secure systems that can only be accessed by staff working across our services. In some services (and we will tell you if this is the case), we store your information on SystmOne; a digital NHS platform.

Sharing your information
We may share your information with trusted people involved in your life, such as health workers, social workers, youth workers, your parent/s or carer/s, the police or your school. Where possible, we will seek your permission before sharing, and we will not share against your wishes unless we are worried about your safety, or the safety of someone else.  

We may share your information in an anonymised form with our funders. We do not, and never will, sell your information for marketing purposes.

More information
If you would like to know more about how and why we process your information, the kinds of information we process, and what rights you have in relation to your personal information, please refer to the Privacy Policy on our website. Alternatively, you can request a copy in person or over the phone.

Phone: 01274 730815
Office: Kenburgh House, 28 Manor Row, Bradford, BD1 4QU
Email: [email protected]

Community Companions referral form

You must be:

• 18 years old or over
• Willing and able to give informed consent to this referral and to engage with befriending activity
• Be experiencing loneliness, social isolation, low mood, anxiety or depression and could benefit from face-to-face social interaction with a volunteer befriender in the community.
• Live in Bradford District (Bradford, Craven, Airedale and Wharfedale)
• Aware that this service is mainly focused on building confidence in public places and social environments
• Housebound, with mobility problems and cannot leave the house to be eligible for home visits

Referrals for Community Companions must not:

• Lack mental capacity to consent to this referral
• Pose a risk to others, including staff and volunteers
• Have drug or alcohol abuse problems, or unsafe living environment

A person who is deemed housebound, means - they are unable to leave their home, due to a physical or psychological illness/disability.

PLEASE NOTE: We cannot offer a mix of home visits and community visits for one individual. 

Please note that the one-to-one befriending support will be in place for three months, with an option of a further six months of group support, the information provided above is crucial in determining the support required.

Full details on how we use your data and keep it safe can be found in our Privacy Policy.