How to refer to the PSW

The Professional Support and Well-being (PSW) service is a referral based service. There are currently three different ways to access the PSW:

FORM F: Referrals to the the PSW  can be made by either the clinical or educational supervisor, Training Programme Director (TPD) or Head of School (HoS).  Input from a senior educator helps us to ensure an appropriate and effective action plan is in place. A referral from an educator can also help to ensure that the trainee is well supported if they are required to attend support sessions outside of the work environment or, should any local support need to be put in place. 

FORM C: We are now accepting trainee self-referrals for all concerns

FORM E: We accept trainee self-referrals for exam support from trainees where trainees have been unsuccessful at the exam on two or more occassions, or display a pattern of repeated exam failure in the past. 

All the links to the forms are also at the bottom of the page. If you are not sure on which one to use, please email and someone from the PSW Admin team will be able to advise.

You will still need to follow the instructions at the bottom of this page in order to view and edit the referral form. 

Referral Forms

Referral forms are to be completed electronically and sent to as an email attachment. 

The PSW asks the form to be completed with as much detail as possible as it may delay how quickly we are able to allocate a Case Manager to the trainee, and put support in place. Any incomplete referral forms will be returned. 

The referral form will be reviewed in the strictest confidence by a member of the PSW team.

The PSW will respond in the first instance by email. Telephone conversations can be arranged through email contact if necessary.

Referral of a doctor or dentist in training
Educators or employers wishing to refer a doctor or dentist in training in a Health Education England training post in the East of England, download, complete and return the Full Referral Framework below. 

Referral or self-referral for doctor or dentist not in training
This is reviewed on a case by case basis. If you would like to discuss this further, please email

How to Download and Open the HEE EoE Digital Form

The form cannot be opened or completed in a web browser.  Please ensure you download and save the document locally on your PC/laptop, then open it as a PDF with Adobe Acrobat or Adobe Reader before completing.