Inspected and rated

Care Quality Commission - CQC

Volunteer Emergency Planning Form

In the event of an emergency, our aim is to have a plan in place which ensures continuing care for our patients, as well as support for our staff and volunteers. We are therefore approaching all staff and volunteers alike who might be interested in being part of the emergency team.

Please complete the form below and click submit.

Volunteer Emergency Planning

  • Identification

  • Please select your main area of work
  • Availability

  • I would be willing to come to a designated Weldmar Hospicecare site should an emergency occur, and for a nominated person to contact me to arrange this.
  • Contact Details

  • Tasks / Duties

    There may be instances where we have to look at using volunteers for tasks other than your 'normal duties'. Please select which duties you would be willing to undertake, normal from your usual work:
  • Please state the year you last worked within a commercial or healthcare environment
  • Please state the year you last worked within a catering environment
  • Please state the year you last worked within a commercial or healthcare environment
  • Please state the year you last worked within a commercial or healthcare environment
  • Please state the year you last worked as a health care professional
  • Please state the year you last worked within a commercial environment
  • Please give details:
  • Date Format: DD slash MM slash YYYY

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