Care home registration pack

Welcome to Rivermead Gate Medical Centre

We are delighted to welcome residents, relatives, and staff to our practice.

If you would like a resident to be registered with Rivermead Gate Medical Centre, please complete the registration details below and return the forms to the care home team or the practice reception.

Once we receive the completed information, we will process the registration and update our records. If you require any assistance completing the forms, please speak to a member of the care home staff or contact the practice directly.

Please ensure the following information is provided on the registration form:

  • Full name
  • Date of birth
  • NHS number (if known)
  • Current address and care home details
  • Previous GP practice details
  • Next of kin/emergency contact information
  • Current medication information (if applicable)

We look forward to providing high-quality healthcare and support to all residents and working closely with care home staff to meet their healthcare needs.

Forms to complete:

  • complete an online registration form
  • DNACPR form (see details below)
  • RESPECT form (see details below)
  • NHS Peace Plan for End of Life Care (see details below)
  • Vaccination consent form (see details below)

Dementia Intensive Support Service (DISS)

The Dementia Intensive Support Service (DISS) provides joined-up mental health and physical health support for people living with dementia or suspected dementia in mid Essex. This service offers: rapid support for people who are in crisis; intensive support and treatment at home; advice around dementia diagnosis; signposting to further advice and support; help in accessing Social Care support. Visit the website to find out more about DISS.

Important information for Care Home staff

DNACPR, Peace Plans and RESPECT forms are available to download from our website. These documents support advance care planning and help ensure that residents’ wishes are understood and respected.

DNACPR (Do Not Attempt Cardiopulmonary Resuscitation)

A DNACPR form records a clinical decision that cardiopulmonary resuscitation (CPR) should not be attempted if a person’s heart or breathing stops. It only relates to CPR and does not affect any other treatment, care, comfort measures, or clinical decisions.

Download a DNACPR form and, when complete, please send to [email protected]

Peace Plan

A Peace Plan helps residents, families, care home staff, and healthcare professionals plan future care and support. It records the individual’s wishes, preferences, and goals of care, helping everyone involved to make informed decisions, particularly when a person’s health deteriorates.

Download and complete a Peace Plan or complete an online form.

Once completed, please send to: [email protected]

RESPECT form

The Recommended Summary Plan for Emergency Care and Treatment (RESPECT) form summarises a person’s preferences for future care and emergency treatment. It helps healthcare professionals understand what matters most to the individual and provides guidance when urgent decisions need to be made, especially if the resident is unable to communicate their wishes.

Once completed, please send to: [email protected]

Vaccination consent form

The Vaccination Consent Form enables residents, or their legal representative where appropriate, to provide consent for recommended vaccinations such as seasonal influenza, COVID-19, pneumococcal and other routine immunisations. Having consent documented in advance helps ensure residents can access vaccinations promptly and safely when clinics are arranged

Complete our online vaccination consent form.


Care home staff are encouraged to discuss these documents with residents and their families where appropriate and arrange a conversation with a GP or clinician to complete or review them. Having these plans in place helps ensure that care is provided in accordance with the resident’s wishes and best interests.

Thank you for helping us ensure residents receive care that reflects their individual wishes and needs.

Weekly Care Home ward rounds

Our dedicated care home team conducts weekly ward rounds to review residents’ health needs, medication, ongoing care plans and any clinical concerns raised by care home staff. To make the most of these visits, please ensure any issues requiring review are communicated to the practice in advance. An up to date list of residents requiring

Practice input should be submitted prior to the Ward Round so that the clinician can plan their time.

Complete our online Ward Round Proforma – to be submitted the evening before the ward round or by 9am on the day.

Palliative Ward Rounds

Palliative ward rounds help plan anticipatory care for a residents last months of life, deterioration in their health and ensure their wishes are upheld wherever possible.

Discussion will be held around their preferred place for end-of-life care, reducing unnecessary hospitalisation and improving anticipatory.advance care planning to ensure that residents live well up until the end of their life.

Peace plans, DNACPRS, Respect forms can all be completed by the clinician carrying out the visit and additional support requested if needed.

These are held monthly at our Care Home and three monthly at our Nursing Home.

Complete our online Palliative Ward Rounds Proforma

Further information

If you have any questions or require further advice, appointments, visits (our site of the Ward Round) or results please use the Contact Us facility on our website to contact the practice directly. Our team will be happy to assist you.

Prescription requests

Please could we ask that all prescription requests are sent ONLY to the prescribing team on: [email protected] so that they can be dealt with swiftly.

Date published: 25th January, 2023
Date last updated: 13th August, 2026