Carer's emergency card

There are a number of ways that we or others can help you prepare for emergencies or deal with them when they happen. Anyone who provides essential support can obtain a carer's emergency card, regardless of the amount of support they provide. In an emergency people will know that you are a carer and that someone relies on you.


What is a crisis or emergency?

A crisis or emergency is something that could not be planned for which means you cannot carry out your caring role. It could be that you:

  • are admitted to hospital
  • suffer a family emergency such as a bereavement
  • are at risk of your employment ending as a result of your caring role.

Planning for a crisis or emergency situation

The Carers in Derbyshire website has information on planning for an emergency (opens in a new window) situation as a carer.

Carers emergency card

This card alerts emergency services that you're a carer and that someone relies on you for support.

As part of the emergency card application you're asked to tell us about the support you provide, what you'd like to happen if you're unable to carry out your caring role and to nominate emergency contacts (such as family members). We'll keep this information on our Adult Care database and it'll be available to our staff and other professionals who may be helping you and the person you care for in an emergency situation.

You should make sure you've informed the nominated contacts and any other key family or friends who are involved with the emergency plan.

What will happen in an emergency or crisis?

In the event of a crisis or emergency, contact will need to be made with Call Derbyshire who will activate your carer emergency plan by contacting the family members or friends who you've nominated as emergency contacts on your carer emergency plan.

If your emergency contacts aren't able to provide direct help, Call Derbyshire staff will carry out a telephone assessment to decide what is required to assist the situation, how quickly a response is required and if there is an immediate or imminent risk. If you or the adult you provide care for are currently supported by social care, your worker or local team will carry out further assessment.

Access to replacement care services is subject to an assessment, taking into account the national eligibility criteria and our co-funding policy for contributing to the cost of care services. Depending on the situation services may include:

  • Information, advice and guidance
  • Putting you in touch with other organisations who can assist you
  • Support in the home from paid carers
  • Adjustment of your current support service
  • Short term care in a residential or nursing home.

An emergency plan does not include free care or rapid access to social care services.

Applying for a carer's emergency card

You can record your details using the online form on this page or fill in the application form at the back of the 'Guide to Carer's Services' leaflet. We will then send you a card to carry with you which is linked to these details and contains our 24-hour telephone number. You should carry the card with you at all times.

Consent to hold details and information sharing

You will be asked on the form to give your consent for us to store this information electronically, in accordance with the Data Protection Act, for the purpose of providing assistance in an emergency.

It will ask you to confirm the you have obtained the consent of the person cared for to provide their contact details, which may include sensitive personal data, so that they are not left at risk in case of an accident or emergency.

You should also ensure the people who will act as emergency contacts are happy for us to hold their details.

If you are recording emergency details on behalf someone else who is a carer, please obtain their consent beforehand.

Carers emergency card form

Please ensure you complete all required sections of the form (marked with an asterisk). Once you click 'submit' you will be taken to a new page where you will be able to print or save the completed form. If after clicking 'submit' you are not taken to a new screen, please check that you haven't missed any required sections (these should be marked in red).

Once we receive your form we will add the information you have provided to our systems to form your contingency plan. We will then post you a carers card which has a reference number on it which is linked to the plan and details of the emergency contacts you have provided.

Related documents

The following document is in Portable Document Format (PDF). You can download software to view PDF documents for free from the Adobe website (opens in a new window)

You can use this form to tell Adult Care about yourself so they have the information required to support the person you care for in an emergency. More information will enable care services to better respond to your needs in an emergency.

Note: Asterisks (*) indicate required information.

errorPlease correct the information in the fields highlighted below.
Details of carer




























Details of cared for person
























Contact details of referrer

This information is required if you are not the carer









About the support you provide



Do you provide help with the following























First emergency contact if you are unavailable










Second emergency contact if you are unavailable










GP Information for cared for person




How caring affects your everyday life













Carer Assessment

If you experience any problems with this form please contact contact.centre@derbyshire.gov.uk and quote form ID: ILF/96/09