My Personal Record
‘My Personal Record’ is a simple but effective way to help and support people to be prepared for any future needs and activities – whether individual, community, health or social care or any other action, support or solution. It can also be used by carers for the person they care for.
Any action or activity taken by an individual is personal and each individual will need to decide what actions, documents and activities they can do for themselves and those for which they will need support.
‘My Personal Record’ has two essential documents that encourage self-support and best use of people’s own skills and assets. The remainder of the documents and activities recommended can be selected as and when needed and according to the wishes and requirements of the individual.
Any action or activity taken by an individual is personal and each individual will need to decide what actions, documents and activities they can do for themselves and those for which they will need support.
‘My Personal Record’ has two essential documents that encourage self-support and best use of people’s own skills and assets. The remainder of the documents and activities recommended can be selected as and when needed and according to the wishes and requirements of the individual.
To find all the forms available, click below.
Contents
The Personal Record is divided into four sections. Each section has a suggested list of things to consider from which you can choose the activity or action that is right for you. The only essential documents are 'My Personal Profile and My Personal Preferences for Care' as these list your core information and your choices.
Section 1: My Personal Information and Plans
This contains the essential personal information, preferences and plan that an individual should take and the initial stages of information and plans that they may wish to consider for themselves.
Personal Information and Choice
3. Personal information people may wish to record
- My Personal Profile (PP) - Important personal information about me, including my carer, main contact, allergies, health condition, services and support, and any changes I make to the way I take repeat medication - plus any non-prescribed medicines I take/use (see PP guidelines)
- My Personal Preferences for Care - (see My Personal Care Plan )
- Personal Arrangements I have made – (see guidelines)
- Last Will and Testament
- Lasting Power of Attorney (Health and Welfare)
- Lasting Power of Attorney (Property and Financial Affairs)
- Advance Statement
- Advance Decision or Living Will
- Advance Care Plan
- DNACPR (purple form)
- Funeral Arrangements
3. Personal information people may wish to record
- People - to be informed about my illness or end of life
- Organisations/groups - to which I belong - to be told about my illness/end of life.
- Household - e.g. information that may be useful e.g. stopcocks
- Legal Information - about my affairs e.g. who holds my Will, my chosen attorney
- Financial Information - e.g. my Bank Accounts, any investments I have
- Insurances - that I have an hold including private health cover
- Useful information - e.g. driving license, birth certificates
- Miscellaneous - e.g. other information about me, my family, friends etc.
- Consent form (s) - different personal consent forms as needed and appropriate
Section 2: My Appointments and Communication Logs
This contains the personal communication records and appointments made by the individual, as well the contact details of people and organisations that the person may wish to contact or to have contacted on their behalf
- Appointments arranged - Calendar/diary in date order and/or appointment order
- Communication Log - Daily messages and/or feedback left in my house and/or on my file. This could be completed by me, my family and/or by visitors, care workers, other workers
- Contact Details - Contact information about the people and organisations who visit my house, support me, arrange my care etc.
- Message in a Bottle - brief record in the fridge door that directs others to where you keep your important information
- ICE Number - an entry in your mobile telephone of the person you wish to be contacted in the case of an emergency about you
Section 3: My Personal Health and Social Care Information and Plans
This contains information pertaining to 'my health and social care' including 'my single comprehensive Care Plan', Health documents and plans e.g. test results, assessments, operation notes, treatment notes, continuing treatment medicines, adult services documents and plans including assessments, services, notes, letters about me etc. and any other contents as appropriate e.g. Optician, Dentist, Opthalmologist, etc.
- My Care Plan – health and social care.
One single Care Plan for me. It is suggested that there is one single care plan per person including sections combined from - my personal preferences, my family & friends input, plans by/from Adult Services (AS), General Practitioner (GP), Community Nurse, Hospital, Residential/Nursing Home, Physiotherapist, Occupational Therapist (OT), other providers, professionals, other people who know me. (This should take the place of the range and number of different care plans currently prepared for me by professionals working with me) - Health documents and plans. Test results, health information, assessments, notes, letters about me, operation notes, treatment notes (GP, Health providers etc.)
- Treatment continuing e.g. diabetes, pain control, long term conditions etc.
- Medicines. Repeat medication list from my GP with any changes I make to the way I take it- plus non prescribed medicines I take/use.
- Adult Services documents and plans. Adult Services care plan, assessments, services, notes, letters about me etc.
- Other sections as appropriate e.g. Optician, Dentist, Ophthalmologist, Physiotherapist, Occupational Therapist, Podiatrist, Speech and Language Therapist, Specialist Services such as Wheelchair, Crutches, Walkers, Telecare equipment, Private Health Care documents etc.
Section 4: Other information e.g. Local and National Information
This would include any other information you may wish to record e.g. local and national information relevant to you including laws, guidance, strategies, action plans, rights, community support etc
- Action plans
- Actions
- Benefits
- Community support etc.
- Guidance
- Laws
- Rights
- Strategies