Carers Registration and Referral Form Guidance Notes Pembrokeshire

### Are you a Carer?

Do you look after a family member or friend who cannot manage on their own because they have an illness, poor health, disability, mental health issue or an addiction? If so, then you are a Carer and there are a number of ways you could get help and support. The first step is to take a few moments to read these guidance notes and complete the form attached to this sheet.

### Why you should complete the Carer Registration Form

Your GP Surgery is part of the Investors in Carers (IiC) scheme aimed at making sure Carers receive health-related support. You should have been given a copy of the leaflet along with this registration and referral form. The leaflet provides more detail on the benefits of registering and having a referral as a Carer. It is helpful for your GP Surgery to know who you are caring for. If you would like your GP to know who you care for, please ask your GP surgery for a blank form to fill in. You and the person that you care for will need to sign the form.

### Section A

If you complete Section A of the form, you will be registered as a Carer at your GP surgery. This means your GP surgery will be able to help and support you in your caring role.

### Section B

Section B shows some of the help and support that is available to Carers. If you say yes to anything in section B, your details will be passed to the organisations who will store and use your personal information so that they can help and support you.

- 1. Carer's Gazette Newsletter The Pembrokeshire Carers Gazette is a free newsletter (3 times a year) through which we pass information to Carers on services, details of events and issues that may concern them and the person(s) they care for. Your details will be held on a confidential database held by the Carers Information & Support Service and will not be shared with third parties.

2 . Pembrokeshire Carer Information pack containing information on a range of topics that will help you with your caring role including practical help, benefits and legal matters. There are contact details for other organisations that may be able to offer support to you and/or the person(s) you care for. 3 . Carers Information & Support Service - Our team of support staff provide information and support to carers. An appointment with a support worker, who can meet you in your own home, or at a preferred location, provides a listening ear and can help to prioritise your needs and better manage the impact of your caring role. They can also help you access other support services including a Carers Needs Assessment. For further information about any of the above, please contact the Carers Information & Support Service on 01437 611002 or email pciss@hafal.org

### What happens when you hand the completed form back to your GP surgery?

You will be recorded as a Carer at your GP surgery. This means that all staff know that you are a Carer and you should receive the right advice and support. If you said yes to anything in section B on the form, your details will be passed to the organisations who will store and use your personal information so that they can help and support you. Your information will not be shared with any third party outside these organisations.

June 2020 Carers Form