Database of Member Groups/Organisations

By completing this form you are agreeing to the information you supply being used for the above purposes. Personal contact details will be kept anonymous.

Some parts of the form may be displayed on the network’s website. Please tick the box at the relevant points to show if you are happy for information to be used in this way.

Oxfordshire Family Support Network

* This form has been completed by:

* Position in the group/organisation:

Section 1: Basic Information

* Name of group/organisation:

Show organisation name on OxFSN website: Yes No

Address of group/organisation:

Show address on OxFSN website: Yes No

Tel:

Website address of group/organisation:

Show website address on OxFSN website: Yes No

Section 2: What kind of work is your group/organisation involved in?

Generic service:

Learning Disability specific service:

Ethnic, cultural or religious specific:

Specific age group:

Specific syndrome or condition:

If none of the categories above seem appropriate please tell us about the family carers that you work with here.

Section 3: What kind of help do you offer family carers?

This question refers to any actual tasks that your group or organisation can undertake at the request of family carers.

Section 4: Involving in Planning and Policy Making:

Sometimes family carers come together to influence services and planning. This could be on a local partnership board or on national forums.

Do you help family carers to be involved in planning and policy making? Yes No

If yes, what kind of planning and/or policy making do you help family carers to be involved with?

Section 5: How large is your organisation:

This section will help the network to show how many families are getting help and support from the member groups.

How many family carers of someone with a learning disability have you helped in the last twelve months (approx)?

How many paid staff do you have working within your organisation?

Part time

Full time

How many non-paid staff do you have working within your organisation?

How many staff are themselves, family carers of people with learning disabilities?

Part time

Full time

Section 6: Updating the information:

Thank you for taking the time to complete this form. Once your information has been reviewed it will appear on the website under the Network section link. Please inform us of any changes to this information to ensure that the network remains reliable, and a useful source of information.

Finally, welcome to OxFSN, an initiative by family carers supported by Oxfordshire’s Learning Disability Partnership Board.