Unpaid Carers Vaccination Enquiry Form

If you are an unpaid carer and are not currently known through the following routes you may be eligible to receive the covid vaccine.

Those known to GPs who have a ‘carers flag’ on their primary care record
Those in receipt of or entitled to carers allowance
Those known to Local Authorities who are in receipt of support following a carers assessment
Those known to local carer organisations to be actively receiving care and support

If any of the above do apply to you, you will automatically be invited for your vaccine and do not need to complete this form.

To express an interest in receiving the vaccination for unpaid carers please complete as many sections of the form as you can and “press submit”.

You will receive a follow up call from the Carers Centre to discuss your caring responsibilities and confirm your eligibility.

The Department of Health is rolling out a Covid Vaccination Program based on cohorts meeting specific criteria.

In order to ensure you are given the opportunity to take up this vaccination we may be required to share minimum and proportionate information to our NHS partners.

Your rights under the Data Protection Regulations remain unaffected.

Once you have completed this form, a member of the Liverpool Carers Centre team will contact you for further information and processing.

Full Name

Mobile Telephone Number

Home Telephone Number

Address

Date of Birth

Gender

Name and Address of Your GP

Your NHS Number

Do You Receive Carers Allowance?

Yes

Name of person cared for

Date of birth of person cared for

Relationship to carer e.g. dad etc

Disability/illness of person cared for:

Description and frequency of caring responsibilities

I wish to be registered with Liverpool Carers Centre*

Yes

'Mytime' Celebration event recognises local businesses

A celebration event was held on Wednesday 25th October at the Hilton Hotel where organisations that have contributed to our mytime project received recognition awards. They also heard from carers who have been on a break and found out about the massive impact it has had on them.

5 Top Tips for Carers

It’s Carers Week this week, recognising the contribution of the 1 in 8 people who care for a family member, friend or neighbour. Here in Liverpool there are over 50,000 carers and 1 in 12 secondary school pupils are carers. We spoke to the team at Liverpool Carers Centre at Local Solutions to find out their top tips for carers.

Carer Honoured at Older People's Awards

Congratulations to Jean Ecclestone who was nominated for Outstanding Carer Award at the Older People’s Awards. Jean attended the event along with some of the team at the Liverpool Carers Centre.