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We have worked collaboratively with other professionals to produce the ‘What if…’ Emergency Plan – each section of the plan will prompt you to record important details and wishes. An emergency plan is a record that needs to contain basic, useful information to help others when looking after the person (or persons) you care for. For some, particularly those who are caring for people with severe or complex needs, the plan may include pre-arranged support from statutory or private agencies.
To find out more about emergency planning:
Print out the sheets you need to complete below and use them to record the information you wish to be known to help others. If needed, use more sheets if you have a lot of information to record. Put all the sheets together, with the front cover on top, so it is easily recognisable to others.
All the information and guidance needed to complete your plan – please take a little time to read these notes as they will help you consider what you need to include in your plan. Click here for the PDF sheet and here for the editable Word document.
A handy sheet for you to tick off all the pages you have completed – it will help you and others know what your plan includes. Click for the PDF sheet and here for the editable Word document. Click here for the PDF sheet and here for the editable Word document.
Use this form if you have a Message In A Bottle pot in your fridge – the form includes all the information the emergency services would need to know, in the event of an emergency. Click here for the PDF sheet and here for the editable Word document.
This is a very important section of your plan – it helps you list all your family and friends who support you, with their contact details and description of how they help you. Please make sure you ask for their agreement to their personal details being held in your plan. Click here for the PDF sheet and here for the editable Word document.
Another very important section to complete – use this sheet to record the contact details of all the people who regularly support you from different organisations (for example your Carer Support Officer or Occupational Therapist) and how they help you. Click here for the PDF sheet and here for the editable Word document.
Do you own one or more pets? Use this sheet to record details about them – so should anything happen, you know they will be looked after as per your instructions.
Please ensure you receive prior consent from the people who have agreed to care for your pet/s to record their personal details on this sheet. Click here for the PDF sheet and here for the editable Word document.
Use this sheet to record details of all services you have in place to support you – for example, a cleaner or food delivery service. Click here for the PDF sheet and here for the editable Word document.
Keep all the useful telephone numbers you may need in one place! We have started you off with a couple, add any details that you think would be of use. Click here for the PDF sheet and here for the editable Word document.
This is where you can write down useful information about yourself and your own needs. It includes details of your own care and support needs as well as details of your caring role(s). Click here for the PDF sheet and here for the editable Word document.
This can be completed by the person you care for, with your help if needed. It includes information about them, their care needs, capacity and interests. Click here for the PDF sheet and here for the editable Word document.
Keep all the details of medication taken by yourself and the person you care for on one sheet – it also includes a timetable to help others understand your medication routine. Click here for the PDF sheet and here for the editable Word document.
Most importantly – keep your plan at home and let key people know where it is kept. Choose a place that is easy to find and do not move it from there.
The Lions Club ‘Message In A Bottle’ Scheme provides a small pot (pictured) that is stored in your fridge, with a sticker to be placed by your front door. This alerts any emergency services that enter your property to check the fridge for the pot.
Place a short message inside the pot, confirming you have a ‘What if…’ emergency plan and its location. To help with this, our plan includes a sheet that can be completed and placed in the pot.
Please try to keep your plan as up to date as possible – this will help others to look after the person you care for.