Care Home – Downloadable Documents
Please use the following documents when submitting patient information to the PCN Care Home team & GP practice
Please submit when registering a new patient
Please submit when registering a temporary patient – this form lasts for 3 months
New Resident Care Home Assessment
Please fill out this form for all new residents and submit it with their registration paperwork. This establishes a baseline for the patient.
Please complete this form for all new residents and submit it along with their registration paperwork.
All care home residents are encouraged to receive the flu vaccine annually. The vaccine is typically administered in the autumn, prior to flu season, to ensure residents are protected during the peak months.
Consent Process:
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Residents able to consent:
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Complete the consent form as usual.
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Residents unable to consent due to capacity, with a Lasting Power of Attorney (LPA):
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A discussion must be held with their family or next of kin.
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The decision should be documented on the consent form and returned.
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Residents unable to consent due to capacity, without an LPA:
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A discussion must be held with their family or next of kin.
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The family’s wishes should be documented on the consent form.
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The clinician will make the Best Interest decision on the day, taking into account:
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The need for the vaccine
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The patient’s previous medical and vaccination history
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The preferences of the family or next of kin
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Birth Month Review & Structured Medication -Annual Review
Patients will be scheduled for their annual birth month review and structured medication review according to their month of birth. Care home teams will be asked to complete an annual review form prior to the clinical review. Completing this form in advance saves time on the day, allowing the clinician to focus on the clinical assessment rather than gathering information
