Do you look after a sick, disabled, frail relative or friend without payment? Is there a child or young person in the family who helps to provide care or support to another family member?

Approximately 10% of the current population are carers.

In order to help us update our Carers Register please spend a few minutes of your time completing this information.

This is one unit of alcohol:

And each one of these, is more than one unit:

PATIENT: Because alcohol use can affect your health and can interfere with certain medications and treatments, it is important that we ask some questions about your use of alcohol. Your answers will remain confidential so please be honest.

Scoring: 8-15=hazardous drinking, 15-19=harmful drinking and 20 or more=possible dependence.

For more information, please visit www.uktransplant.org.uk.

For more information, please visit www.blood.co.uk.

A summary care record (SCR) is an electronic summary of key health information. It will hold limited essential information derived initially from your GP record. This will include medication, adverse reactions and allergies. If you wish to know more information regarding the system and the benefits please ask reception. Alternatively, visit the website: www.nhscarerecords.nhs.uk or call 0845 603 8510

We may need to share your medical information with other organisations involved in the delivery of your care e.g. Podiatry or District Nursing. We will not share identifiable information with anyone that isn’t involved in your care unless legally required to.