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    {"id":570,"date":"2026-07-29T14:16:16","date_gmt":"2026-07-29T13:16:16","guid":{"rendered":"https:\/\/surgerywebtemp.org.uk\/f81150\/?page_id=570"},"modified":"2026-07-29T14:16:27","modified_gmt":"2026-07-29T13:16:27","slug":"carers-advice","status":"publish","type":"page","link":"https:\/\/surgerywebtemp.org.uk\/f81150\/carers-advice\/","title":{"rendered":"Carers Advice"},"content":{"rendered":"<h3>Are You a Carer?<\/h3>\n<p>If you are a carer, please let us know by completing one of the &#8216;Register as a Carer&#8217; forms below &#8211; we may be able to help you. You can either complete the form online which will get sent straight to us, or print off the printable version and drop it into reception.<\/p>\n<h3 id=\"mcetoc_1fa08ho3a0\">Carers UK<\/h3>\n<p>They\u2019re here to make sure that no matter how complicated your query or your experience, you don\u2019t have to care alone.<\/p>\n<p><strong>Phone: 020 7378 4999<\/strong><\/p>\n<p><strong>Website: <a href=\"https:\/\/www.carersuk.org\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-link-id=\"150393\" data-use-default-display=\"false\" data-use-default-title=\"false\" data-toggle=\"tooltip\" data-placement=\"bottom\" data-bs-original-title=\"carersuk.org\">carersuk.org<\/a><\/strong><\/p>\n<p><strong>Website: <a href=\"https:\/\/www.carersuk.org\/help-and-advice\/get-support\/local-support\/essex-carers-support?gclid=CjwKCAjwoZWHBhBgEiwAiMN66ZtCAcic1Jy2Bl0y03K1TU2Cg6u4D8LO_SLI7MC7D7jnB-L49kFXZhoC1YwQAvD_BwE\" target=\"_blank\" rel=\"noopener noreferrer\" data-title=\"carersuk.org\" data-target=\"_blank\" data-rel=\"noopener noreferrer\" data-link-id=\"149688\" data-use-default-display=\"false\" data-use-default-title=\"false\" data-display=\"carersuk.org\">carersuk.org<\/a>\u00a0(Essex Carers)<\/strong><\/p>\n<h3>Essex Carers Support<\/h3>\n<p>Wide variety of flexible support services for unpaid family carers in Essex.<\/p>\n<p><strong>Phone:\u00a001255 474410<\/strong><\/p>\n<p><strong>E-mail:\u00a0<a href=\"mailto:admin@essexcarerssupport.org.uk\" target=\"_self\">admin@essexcarerssupport.org.uk<\/a><\/strong><\/p>\n<p><strong>Website:\u00a0<a href=\"https:\/\/www.essexcarerssupport.org.uk\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-link-id=\"149689\" data-use-default-display=\"false\" data-use-default-title=\"false\" data-toggle=\"tooltip\" data-placement=\"bottom\" data-bs-original-title=\"essexcarerssupport.org.uk\">essexcarerssupport.org.uk<\/a><\/strong><\/p>\n<h3>NHS Links<\/h3>\n<p>There is a wealth of information on the\u00a0<a href=\"http:\/\/www.nhs.uk\/carersdirect\/Pages\/CarersDirectHome.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">NHS<\/a>\u00a0website about carers and caring. Below are some links into the site that we hope you will find useful.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/introduction-to-care-and-support\/\" target=\"_blank\" rel=\"noopener noreferrer\">A guide to care and support<\/a>\n<p class=\"description\">Information for carers and people who have care &amp; support needs.<\/p>\n<\/li>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/practical-tips-if-you-care-for-someone\/\" target=\"_blank\" rel=\"noopener noreferrer\">Caring for someone<\/a>\n<p class=\"description\">Advice on providing care, medicines etc.<\/p>\n<\/li>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/care-after-a-hospital-stay\/\" target=\"_blank\" rel=\"noopener noreferrer\">Care after hospital<\/a>\n<p class=\"description\">Providing care for people who have been recently discharged from hospital.<\/p>\n<\/li>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/support-and-benefits-for-carers\/carer-breaks-and-respite-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">Taking a break<\/a>\n<p class=\"description\">Caring for someone can be a full-time job &#8211; find out about accessing breaks and respite care.<\/p>\n<\/li>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/support-and-benefits-for-carers\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-link-id=\"150400\" data-use-default-display=\"false\" data-use-default-title=\"false\" data-toggle=\"tooltip\" data-placement=\"bottom\" data-bs-original-title=\"Support and Benefits for Carers\">Support and Benefits for Carers<\/a>\n<p class=\"description\">Caring for someone can be a full-time job &#8211; find out about accessing breaks and respite care.<\/p>\n<\/li>\n<li>\n<p class=\"description\"><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/money-work-and-benefits\/work-and-disability\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-link-id=\"150401\" data-use-default-display=\"false\" data-use-default-title=\"false\" data-toggle=\"tooltip\" data-placement=\"bottom\" data-bs-original-title=\"Work and Disability\">Work and Disability<\/a><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/support-and-benefits-for-carers\/\"><br \/>\n<\/a><\/p>\n<p class=\"description\">Guidance, support and help with employment issues.<\/p>\n<p class=\"description\"><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/support-and-benefits-for-carers\/help-for-young-carers\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-link-id=\"150399\" data-use-default-display=\"false\" data-use-default-title=\"false\" data-toggle=\"tooltip\" data-placement=\"bottom\" data-bs-original-title=\"Being a Young Carer\">Being a Young Carer<\/a><\/p>\n<p class=\"description\">Advice for carers 18 or under and their entitlement to support<\/p>\n<\/li>\n<\/ul>\n<h3>Finance and Law<\/h3>\n<p>Help claiming benefits, looking after your bank balance and understanding the legal issues of caring.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.nhs.uk\/mental-health\/social-care-and-your-rights\/getting-help-social-care\/\" target=\"\" data-link-id=\"427041\" data-use-default-display=\"false\" data-use-default-title=\"false\" data-toggle=\"tooltip\" data-placement=\"bottom\" data-bs-original-title=\"Benefits for carers\">Benefits for carers<\/a>\n<p class=\"description\">Directing carers to the benefits that can help them in their caring role<\/p>\n<\/li>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/money-work-and-benefits\/benefits-for-under-65s\/\" target=\"_blank\" rel=\"noopener noreferrer\">Benefits for the\u00a0under-65s<\/a>\n<p class=\"description\">Advice and information on helping the person you look after get the benefits that they are entitled to.<\/p>\n<p><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/money-work-and-benefits\/benefits-for-over-65s\/\" target=\"_blank\" rel=\"noopener noreferrer\">Benefits for the over-65s<\/a><\/p>\n<p class=\"description\">Advice and information on\u00a0financial support for older people with a disability or illness.<\/p>\n<\/li>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/support-and-benefits-for-carers\/carer-assessments\/\" target=\"_blank\" rel=\"noopener noreferrer\">Carer&#8217;s Assement<\/a>\n<p class=\"description\">How your benefits maybe affected after the death of the person you look after and what happens to their benefits<\/p>\n<\/li>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/social-care-and-support-guide\/money-work-and-benefits\/\" target=\"_blank\" rel=\"noopener noreferrer\">Other benefits<\/a>\n<p class=\"description\">Advice for carers and the people they are looking after on claiming a whole host of other benefits unrelated to their disability or caring<\/p>\n<\/li>\n<\/ul>\n<h2>Register as a Carer<\/h2>\n<p><a href=\"https:\/\/surgerywebtemp.org.uk\/f81150\/wp-content\/uploads\/2026\/07\/Register-as-a-Carer-Form.pdf\">Register as a Carer Form (Printable)<\/a><\/p>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_16' ><div id='gf_16' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_16' id='gform_16'  action='\/f81150\/wp-json\/wp\/v2\/pages\/570#gf_16' data-formid='16' novalidate>\n        <div id='gf_progressbar_wrapper_16' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_16_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_16' class='c-form-list gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_16_3\" class=\"gfield nhsuk-form-group gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Carer Details<\/h2><\/div><div id=\"field_16_4\" class=\"gfield nhsuk-form-group gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='nhsuk-label gform-field-label' for='input_16_4'><span class='gform-field-label__text'>Name<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_16_4' type='text' value='' class='large nhsuk-input '     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_16_5\" class=\"gfield nhsuk-form-group gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='nhsuk-label gform-field-label' ><span class='gform-field-label__text'>Date of Birth<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/legend><div id='input_16_5' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_16_5_2_container'><label for='input_16_5_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select class=\"nhsuk-select\" name='input_5[]' id='input_16_5_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_16_5_1_container'><label for='input_16_5_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select class=\"nhsuk-select\" name='input_5[]' id='input_16_5_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_16_5_3_container'><label for='input_16_5_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select class=\"nhsuk-select\" name='input_5[]' id='input_16_5_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_16_6\" class=\"gfield nhsuk-form-group gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='nhsuk-label gform-field-label' for='input_16_6'><span class='gform-field-label__text'>Telephone<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_16_6' type='text' value='' class='large nhsuk-input '     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_16_7\" class=\"gfield nhsuk-form-group gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='nhsuk-label gform-field-label' for='input_16_7'><span class='gform-field-label__text'>Email<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_16_7' type='email' value='' class='large nhsuk-input '    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_16_8\" class=\"gfield nhsuk-form-group gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='nhsuk-label gform-field-label' for='input_16_8'><span class='gform-field-label__text'>Address and postcode<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_16_8' class='textarea nhsuk-textarea  small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_16_1' class='nhsuk-button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_16_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_16_2' class='c-form-list gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_16_9\" class=\"gfield nhsuk-form-group gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Details of person being cared for<\/h2><\/div><div id=\"field_16_10\" class=\"gfield nhsuk-form-group gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='nhsuk-label gform-field-label' for='input_16_10'><span class='gform-field-label__text'>Name<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_16_10' type='text' value='' class='large nhsuk-input '     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_16_11\" class=\"gfield nhsuk-form-group gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='nhsuk-label gform-field-label' ><span class='gform-field-label__text'>Date of Birth<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/legend><div id='input_16_11' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_16_11_2_container'><label for='input_16_11_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select class=\"nhsuk-select\" name='input_11[]' id='input_16_11_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_16_11_1_container'><label for='input_16_11_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select class=\"nhsuk-select\" name='input_11[]' id='input_16_11_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_16_11_3_container'><label for='input_16_11_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select class=\"nhsuk-select\" name='input_11[]' id='input_16_11_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_16_12\" class=\"gfield nhsuk-form-group gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='nhsuk-label gform-field-label' for='input_16_12'><span class='gform-field-label__text'>Address with postcode<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_16_12' class='textarea nhsuk-textarea  small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_16_13\" class=\"gfield nhsuk-form-group gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='nhsuk-label gform-field-label' for='input_16_13'><span class='gform-field-label__text'>What is your relationship to the person being cared for?<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_16_13' type='text' value='' class='large nhsuk-input '     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_16_14\" class=\"gfield nhsuk-form-group gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='nhsuk-label gform-field-label' ><span class='gform-field-label__text'>Is the person you care for registered at this surgery?<\/span>&nbsp;&nbsp;<span class=\"nhsuk-tag nhsuk-tag--grey\">Required<\/span><\/legend><div class='ginput_container ginput_container_radio nhsuk-radios'>\n\t\t\t<div class='gchoice nhsuk-radios__item gchoice_16_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input nhsuk-radios__input' name='input_14' type='radio' value='Yes'  id='choice_16_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label class=\"nhsuk-label nhsuk-radios__label\" for='choice_16_14_0' id='label_16_14_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div 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