PPE Request

To help us ensure that your enquiry is a genuine customer contact, please tick the box and follow any further instructions. You may be asked to solve a problem that would be difficult for a robot to solve. If the problem is too difficult, click the icon below the challenge to be presented with a different problem.

Verification

Please tell us the address that relates to your request.

Address

Use this form to request Personal protective equipment (PPE)

Have you already tried to get PPE from other suppliers?

You should only request PPE from us if you have already tried to obtain it from other suppliers first.
If you are CQC registered you can escalate supply issues to the National Supply Disruption Response (NSDR) helpline on 0800 915 9964.

Do you have less than 48 hours worth of PPE supplies remaining?

Who is the personal protective equipment (PPE) for?

You can request PPE for yourself if you are an independent carer or personal assistant.

Details of who you have already contacted to obtain PPE.

Please tell us the name and address of each organisation you have contacted, and when you made contact with them.

What response did you receive from the organisations?

For example, that you were or were not able to obtain any PPE from them.

You need to follow the Public Health England guidance on the application of PPE. You can read the guidance on the GOV.UK website here
You must review your risk assessments and safe systems of work to identify the PPE you need.

I confirm that I am using Public Health England guidance on the application of PPE?

What care are you delivering?

How many people are you providing care to?

Are any of the people you are providing care to displaying symptoms or confirmed as having COVID-19?

Applicant contact details

Please ensure you do not use any special characters in your details except the @ in your email address.

Title

First name

Last name

Company name

Telephone number

Address

Do you have a contract with Doncaster Council

Are you registered with Care Quality commission

Please note: Once you have submitted your application, someone will call you to discuss it.

Type of item

Number required per individual item

Disposable Aprons

Fluid-resistant (type IIR) surgical mask

Disposable eye shield

Safety glasses

Sanitizer

Disposable gloves
please tell us the total number of gloves you need and indicate the size and number for each.

Total number of pairs of gloves

Number of small gloves

Number of medium gloves

Number of large gloves

Number of extra large gloves

By what date do you need the PPE?

Your PPE requirements

I confirm the PPE I have requested is solely in response to COVID-19 (coronavirus) infection control, and is required as described in the Public Health England guidance.

Your consent

I consent for Doncaster Council to share the information I have provided with external partners in relation to my request for PPE due to COVID-19 (coronavirus)

You can only request PPE from us if you have already tried to obtain it from other suppliers first, including through the National Supply Disruption Response (NSDR) helpline if you're CQC registered

Thank for completing the PPE request form, unfortunately we can only respond to emergency request where less than 48 hours’ worth of supplies remain

You do not need PPE if you're able to maintain social distancing