A carer is an individual who provides unpaid care and support on a regular basis to a member of their family, a partner, friend, or neighbour. The surgery would like you to complete the form below and we will update your medical record.
Different organisations are available to support you if you are an unpaid carer.
Carers Trust www.carers.org
Information For Carers - Carers UK www.carersuk.org
It is important we hold complete and up-to-date information so we can provide the best
level of care possible. If your information changes, please make sure you let us know.
As your GP, we treat confidentiality very seriously and will never share your
information with any other organisation without your prior consent.
Carers Personal Details (To Be Completed By The Carer)
Patient Being Cared For (To Be Completed By The Patient)
Enhanced Summary Care Record (To Be Completed By The Patient)
The Summary Care Record (SCR) is an electronic record of important patient information, created
from GP medical records. It can be seen and used by authorised staff in other areas of the
health and care system involved in the patient’s direct care. Access to SCR information means
that care in other settings is safer, reducing the risk of prescribing errors. It also helps
avoid delays to urgent care. If you are registered with a GP practice in England your SCR is
created automatically, unless you have opted out.
As a minimum, the SCR holds important information about; current medication, allergies and
details of any previous bad reactions to medicines, your name, address, date of birth and
NHS number. We are encouraging patients to opt in to enhancing their SCR to provide other
health care professionals with a better understanding of your history. Enhancing your SCR
would include the following information;
- Significant medical history (past and present)
- Reason for medication
- Anticipatory care information (such as information about the management of long term conditions)
- Communication preferences
- End of life care information and Immunisations
Privacy Protection
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Learn more about our Privacy Policy and
Terms of Use.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.