logo

Patient Information

Carer’s agreement (easy read)

https://kingstonhospital.nhs.uk/information/this-is-about-your-carer-agreement

Person with their carer

What is a carer’s agreement?

NurseThis is a written agreement between you and the nursing staff which talks about the ways you would like to keep your role as a carer while the person you care for is in Kingston Hospital.
People shaking handsThe agreement talks about the ways we can work together for the person you care for.

It talks about the care the hospital staff will provide as well as the care you will give.
Person in hospital bedAgreeing or wanting to provide care for someone in hospital does not remove any responsibility* from the hospital and the staff.

* Responsibility means taking care of the things that are yours and doing the things you’re supposed to do.

Guidance notes

Person with carerWhere more than one person is a carer for the same patient, they should also sign the agreement.

If this applies, please choose a main carer to plan a carers rota also including the nursing staff.

The agreement of the patient should be recorded if they are able to say their wishes.

The agreement and its contents may be looked at and changed at any time.
Patient’s nameMRN (Medical Record Number)
….
….
Date of agreementReview date(s) (minimum weekly review)
….
Person in hospital bedArrangements for visiting and / or staying on the ward (for example what days / times, overnights)
Person getting washedPersonal care: what carers will do (for example washes / baths / showers / dressing etc)
Medical peoplePersonal care: what hospital staff will do
Someone eating foodMealtimes / feeding: how carers will be involved
MedicationsMedications: how carers can help with giving medication
Someone getting medical adviceExamination, treatment and talks: how carers can be involved (for example ward round, aids, communication, provides assistance etc.)
An easy read leafletUseful information for staff about patient’s condition and choices
Person being hugged by their carerDischarge arrangements: how carers will be involved in decision-making
Carer giving adviceWho carers should speak to if worried about the patient or their own role as carer

Signature of patient (if able)
Name of main carer (PRINT)Signature
11
Date of agreementReview date(s) (minimum weekly review)
22
33
44
Name/designation of staff memberSignature

More information

Help with translation

Translate

Please talk to a member of staff before or during your visit to the hospital if you require translation support to access Patient Information. Please ring the phone number on your appointment letter, if you have one.

wheelchair on ramp

Accessibility

Please talk to the Patient Experience Team on 020 893 3850 if you need this information in a different format.

Image of way to get phone support

Patient Advice and Liaison Services (PALS)

PALS provides information, advice and support to patients and relatives.

Email: khft.pals@nhs.net

Phone: 020 8934 3993 (Monday to Friday 9am to 5pm)

Pastoral and Spiritual Support Service

We offer all backgrounds serving people of all faiths.

Phone the hospital switchboard: 020 8546 7711 and ask for the Duty Chaplain, we are available 24 hours a day 7 days a week

Learning Disability Team

Learning Disability Liaison Service

We support patients and carers to plan a visit, helping to organise changes.

Email: khft.learningdisabilityteam@nhs.net

Phone: 020 8934 6895 (Monday to Friday 9am to 5pm)

Carers Agreement - Easy Read Download PDF

Translate Please speak to a member of staff before or during your visit to the hospital if you require translation.
Accessibility Please contact the Patient Experience Team on 020 8934 3850 if you need this information in a different format.
For information accessibility please visit Kingston Hospital AccessAble www.accessable.co.uk/kingston-hospital-nhs-foundation-trust
Support services

Visit the hospital website, ask a member of staff, or ring us for details.

www.kingstonhospital.nhs.uk

Switchboard 020 8546 7711

  • ‘Find Us’ page for maps, transport, registering a blue badge, disabled access
  • Information, advice and support for patients and relatives (PALS) 020 8934 3993
  • Pastoral and Spiritual Support 020 8546 7711
  • Learning Disability Liaison Team 020 8934 6895
Print - Standard Size Print - Large Size

Translate

Please speak to a member of staff before or during your visit to the hospital if you require translation support to access Patient Information. Please ring the phone number on your appointment letter, if you have one.

Request More Information

Accessibility

Please contact the Patient Experience Team on 020 893 3850 if you need this information in a different format.
For detailed information on accessibility at Kingston Hospital visit Kingston Hospital AccessAble (https://www.accessable.co.uk/kingston-hospital-nhs-foundation-trust).


Tell us how we are doing we'd love to have your opinion