Hand in Hand Peer Travel Buddy

A Volunteer Peer Buddy scheme matching volunteers with lived experience of mental health problems to accompany Islington residents to destinations in the borough

A collaboration of Islington Mind, Manor Gardens, Camden and Islington NHS Foundation Trust and the SidebySide Network

Hand in Hand Islington is a Volunteer Peer Buddy scheme that recruits, trains and supports volunteers with lived experience of mental ill-health to accompany residents with mental health problems to other locations in the borough for appointments, courses and training, services, green spaces, activities and events.

Peer support can also include assisting in making phone calls, form filling, and signposting for further support. 

Referral Form

You can write "Prefer not to say" for any information you would rather not give.

Date of Referral *

If you are filling out this form for someone else, please ensure you provide the client's details rather than your own.

First Name *

Surname *

Home Address *

Telephone/Mobile Number *

Email Address *

Date of birth *

Address of starting point, with postcode if possible *

Address of destination, with postcode if possible *

Date and time of trip *

Date

Time

Purpose of trip *

• GP appointment
• Health check
• Hospital appointment
• Other appointment
• Park visit
• Walk
• Other

If Other, what is the purpose of your trip?

Is the trip one-way or return? *

• One-way trip
• Return trip

If the trip is return, how long between the two journeys?

• 1 hour or less - buddy to wait with me
• 1 hour or less - don't need buddy to wait with me
• Over 1 hour (peer buddy cannot wait)

Any access issues/Is there anything you would like your buddy to know about you? *

Any sensory, mobility, physical/mental health, communication issues, e.g. anxiety, guide dog etc.

Is this a regular appointment? *

• Yes
• No

If Yes, how long and until what date is this appointment needed?

Emergency contact

Are you filling out this form for yourself or for someone else? *

• Myself
• Someone else

If you are filling out the form for someone else, have you obtained consent to refer this person?

• Yes
• No

If you are filling out the form for someone else, are there any risk issues you think would be important to highlight?

Name and address of referrer

By submitting this form, you are providing consent to share the above details with Hand in Hand partners (Manor Gardens Welfare Trust, Islington Mind, Camden and Islington NHS Foundation Trust, Islington Council and The SidebySide Network) to be able to facilitate this support. Do you agree?

Agree and Submit

The project is a collaboration of Islington Mind, Manor Gardens, Camden and Islington NHS Foundation Trust and the SidebySide Network.

If you need support in accessing appointments or activities – you will be matched with a peer who will accompany you and offer support.

Download information for clients and FAQs

Download information for referrers

To read more about the Peer Buddy’s role, download FAQs for Peer Buddies

To register your interest in volunteering as a Peer Buddy, click here. We will notify you when the next training is planned.

If you require further details and information, email handinhand@islingtonmind.org.uk