Contingency Planning

Southwark Carers Emergency Plan Template

Emergency Plan Template

  • Carers Emergency Plan

    The Carers Emergency Scheme enables you to make a plan as to how you would like the person you care for to be supported were you to experience an emergency. This plan gathers details of the person you care for and gives you the opportunity to name people that can be contacted in case of an emergency. Examples of emergencies might be: Your admission to hospital or other health needs which preclude you from continuing to provide care Family emergency such as a close relative being taken ill and requiring help
  • Date Format: DD slash MM slash YYYY
  • NameTelephone 
    Please list contacts in order of preference.
  • specify address, contact number if possible
  • Nature of illness/disability:Brief details of medical history: 
  • Medication

    To help the person that may be providing replacement care, list all the medication taken by the person you care for, where it can be found, what time it should be taken and by what method (e.g with water, with food, or by injection) etc.
    A dossette box is a disposal plastic system for arranging your weekly medicines.At a glance you can see which pills to take, and when. Use of the dossette system reduces the risk of mistakes considerably.
  • Medication nameWhere it is keptTime to be takenHow to be taken 
  • Daily tasks

    To help the person providing replacement care, LIST THE THINGS YOU DO EVERY DAY FOR THE PERSON YOU SUPPORT. Start from first thing in the morning to last thing at night.
  • This field is for validation purposes and should be left unchanged.

Find us

Southwark Carers
3rd Floor, Walworth Methodist Church,
54 Camberwell Road, London, SE5 0EN
View map and directions

Contact us

020 7708 4497

Find us

Nearest tube – Elephant & Castle underground station (Northern and Bakerloo lines).

Nearest Railway Station – Elephant & Castle

Buses from Elephant and Castle – ask bus driver for Burgess Park. Bus numbers: 12, 171, 148, 176, 68, 484, 42, 40, 45