Change to Support Arrangement Form

Change to Support Arrangement Form

The Change to Support Arrangement form should be completed as soon as you are aware of any relevant changes to a support arrangement. This can include an increase or decrease to support hours, an increase or decrease to sleepover support. This will include any changes to a support arrangement that is a result of hospital admission. This form should also be used to notify Head Office of a change of address and/or a change of supporting service/network for a supported person.  

 

All Fields with a * must be completed or the form will not be sent.

  1. Please enter the supported person's full name and current address

    Personal Details
    If the supported person's address has changed, click yes, and enter the new address

    Address Change

  2. Select the supporting service from the dropdown and type in the name of the supported person's team/network

    Service Details

  3. Please detail the reason for the change and the effective date

    Reason and Date

  4. If the change is temporary click Yes and enter the expected end date, if not, click no

    End date if temporary

  5. If the total budget amount is known, click Yes and enter the figure in the available field

    NL Budget Amount

  6. If known, detail the breakdown of day support hours and waking night support hours and funder. This field is not mandatory but give as much information as possible

    Breakdown - Day Support
    Breakdown - Waking Night

  7. Enter the total amount of hours to be delivered per week. This should match the total entered above. This field is mandatory

    Total Hours

  8. If the person accesses the service-based sleepover click “Yes” and then click submit. If the person does not have access click “No”.

    Service Sleepover

  9. If the person accesses a shared or individual sleepover click “Yes” and enter how many nights per week sleepover support is provided

    Shared/Individual Sleepover

 

Once submitted the form will be sent to support.changes@key.or.uk where all relevant parties will access it. A copy of the information will be sent to your email address.