This section relates to general consent and is not referring to giving consent for general GDPR purposes. Do we need to add more info here?
Consent questions Yes / No
- Do you give consent to the care provider to discuss information about you with key professionals?
- Did the care provider have to contact you first before speaking with other professionals about you?
- Do you give consent to the care provider to contact your GP and share, receive and report information about you?
- Do you consent to the activities listed in your care plan?
- Do you consent for us to design risk assessment on behalf of you to mitigate your risks?
- Do you consent to the care provider to carry out regular care plan reviews regards to your care?
- Do you consent to the care provider carrying out regular spot checks and observation on the care workers in order to ensure that provider the right service for you?
- Are you able to sign this document? If not, please specify why and who would sign in the “No” section.
Client signature:
Date:
Representative signature:
Date:
Relationship to the client:
Assessor signature:
Date:
Is there any referrals that need to be made prior to the care plan commencing?
Date of completion of the referral and outcomes:
Care manager signature:
Date:
Please list who has included in the design of this care plan:
Date of next Care / Support Plan review:
(frequency of review to be agreed and documented).
If the care plan changes, it is good practice to have a sign sheet or a pop-up box for the care professionals to acknowledge that they have read the updates.