Below are forms, templates and other information for providers, including notification forms, Statement of Purpose Template, Monthly Report Template and relevant alerts.
We will only publish alerts relevant to the services that we regulate, however, all MHRA alerts can be viewed at https://www.health-ni.gov.uk/articles/medical-device-alerts-mdas-2019
Alerts - For Managers of Care Services to Review
- Coronavirus - information on Gov.je
- Medical Device Alert - Professional use defibrillator/monitor: all HeartStart XL. Issued 28/01/2020
- Medical Device Alert - Convex two-piece skin barriers or use with ostomy bags. Issued 16/01/2020
- Medical Device Alert - NIPPY Ventilator Range. Issued 15/01/2020
- Medical Device Alert - Spectra Optia Apheresis: anticoagulant bags used with 'Correct Connect' connectors. Issued 04/12/2019
- Patient Safety Alert - superabsorbent polymer gel granules. Issued 28/11/2019
- Estates and Facilities Alert: Issues with doorstops/door buffers. Issued 31/10/2019
- Medical Device Alert: Defribrillator/monitor Efficia DFM100. Issued 31/10/2019 Show all articles ( 13 )
Notification Forms and Templates
- Confirmation of Employment Request
- Provider Monthly Report Template
- Statement of Purpose Template
- Notification of Incident Form
- Notification of Death Form
- Notification of Incident Form for use by Children and Young People Residential Care and Supported Accommodation Services
- Notification of Suspension of Condition(s) due to Covid-19 (Care Home/Adult Day Care Services)
- Notification of Suspension of Condition(s) due to Covid-19 (Home Care Services)
Other Resources