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Conway PMS Providing NHS services
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BBC Health News

  • I inhaled traffic fumes to find out where air pollution goes in my body07 Feb 2026 00:11BBC health correspondent James Gallagher gets his blood analysed to understand how air pollution is killing us.
  • 'Weight-loss jab helped me find my cancer'09 Feb 2026 06:21Rebecca Combellack says she found out she had breast cancer after losing weight and finding a lump.
  • I was full of shame at being sacked after having endometriosis surgery07 Feb 2026 07:43Sanju Pal wins an employment appeal tribunal that could affect how employers can treat staff with endometriosis.
  • More baby formula products recalled over toxin fears06 Feb 2026 14:23Danone has recalled 15 more batches of Aptamil and Cow&Gate first infant milk because a toxin called cereulide may be present.
  • Statin pills much safer than advertised, major review finds06 Feb 2026 00:08The results, in The Lancet journal, come from trials involving more than 120,000 people comparing statins with a dummy drug or placebo.
  • Dad who nearly lost tongue to cancer urges men's virus awareness06 Feb 2026 05:57A father-of-two reveals how a tumour in his tongue was caused by human papillomavirus (HPV).
Home > Carer Questionnaire

Carer Questionnaire

Do you look after someone?

Does someone look after you?

A Carer is anyone who cares, unpaid, for a friend or family member who due to illness, disability, a mental health problem or an addiction cannot cope without their support.

If you are a Carer, or you have a Carer, it is important that you inform the surgery so we can update our records.

It is important we hold complete and up-to-date information so we can provide the best level of care possible. If your information changes, please make sure you let us know. As your GP, we treat confidentiality very seriously and will never share your information with any other organisation without your prior consent.

Carers Personal Details (To Be Completed By The Carer)


DD/MM/YYYY
Find my NHS Number (opens in new window)

Are you registered at our surgery?
Patient Being Cared For (To Be Completed By The Patient)

DD/MM/YYYY
Find my NHS Number (opens in new window)
Is the patient registered at our surgery?
Enhanced Summary Care Record (To Be Completed By The Patient)

The Summary Care Record (SCR) is an electronic record of important patient information, created from GP medical records. It can be seen and used by authorised staff in other areas of the health and care system involved in the patient’s direct care. Access to SCR information means that care in other settings is safer, reducing the risk of prescribing errors. It also helps avoid delays to urgent care. If you are registered with a GP practice in England your SCR is created automatically, unless you have opted out.

As a minimum, the SCR holds important information about; current medication, allergies and details of any previous bad reactions to medicines, your name, address, date of birth and NHS number. We are encouraging patients to opt in to enhancing their SCR to provide other health care professionals with a better understanding of your history. Enhancing your SCR would include the following information;

  • Significant medical history (past and present)
  • Reason for medication
  • Anticipatory care information (such as information about the management of long term conditions)
  • Communication preferences
  • End of life care information and Immunisations

Do you consent to your Summary Care Record being enhanced?

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Plumstead (Main Branch)

Plumstead (Main Branch), 44 Conway Road, Plumstead, London, SE18 1AH

  • 020 8854 2042

Welling (Branch Site) - Temporarily Closed Until Further Notice

142-146 Bellegrove Road, Welling, Kent, DA16 3QR

  • 020 8854 2042
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