Informed consent vaccine form and letter to care home manager about vaccinating staff and residents – David Icke


Dear Care Home Manager

In the coming days, weeks and months, the Government will expect you, your staff and  all your residents to be vaccinated with an approved, but unlicensed, COVID-19  vaccine. Amid the rush of this urgent rollout, please remember all vaccines are  pharmaceutical products that come with risks as well as benefits. So, it is a legal  requirement to obtain fully informed consent from each person before they are  injected with a COVID-19 vaccine.

What is ‘fully informed consent’? 

A person is fully informed only if they have all the information that they would think  relevant to their decision, given their circumstances and considering their age, health,  underlying illnesses, etc. So, what’s relevant might vary from one individual to another.

How do I ensure my residents and staff are ‘fully informed’? 

The UK Medical Freedom Alliance (UKMFA) is an alliance of medical professionals,  scientists and lawyers who have drawn up a COVID-19 Vaccination Consent Form to  aid the process of full disclosure, including discussion of the risks and benefits of  COVID-19 vaccines. The form will assist you in considering and discussing what is  relevant, given each person’s individual circumstances. It also outlines the legal  framework that is in place to protect individuals from coercion and unlawful  infringement of bodily autonomy.

You can download the UKMFA COVID-19 Vaccination Consent Form here to print out for your staff to use, or to email out to your residents’ relatives, and/or their GPs.

You might also find useful the UKMFA Open Letter, which was sent on 23rd November to  the Medicines and Healthcare products Regulatory Agency (MHRA), the Joint Committee  on Vaccination and Immunisation (JCVI) and Matt Hancock. The letter outlined concerns  over a rushed roll-out of an experimental vaccine using novel technology (mRNA  vaccines), which has limited short-term safety data and NO long-term safety  data. Additionally, there is no information about potential risks of interaction with  other medication or prior vaccines. You can download the Open Letter here. Your  residents’ relatives and their GPs might also appreciate a copy of this.

We advise that you must make your staff, your residents, AND residents’ relatives/next of kin aware of all the relevant information prior to them being  offered a COVID-19 vaccine. We strongly recommend using the UKMFA COVID-19  Vaccination Consent Form to enable you to do this to the best of your ability.

Where a resident lacks capacity to give fully informed consent: If the resident has made a Lasting Power of Attorney (LPA) for health and welfare, you  must contact their Attorney(s). The Attorney(s) must be given all the relevant  information to help the person make a decision about vaccination; or, in some cases,  make the decision for them in their best interests. Where there is no health and welfare  LPA in place, this will be a ‘best interests’ decision, which must be made in  consultation with next of kin, who should be provided all the relevant information,

including the COVID-19 Vaccination Consent Form. If this ‘best interests’ process is  not followed, relatives may seek an urgent decision from the Court of Protection on the  matter, and the resident must NOT be vaccinated before the court has made its decision.

At this point in time, it is not certain whether there would be liability for your establishment in relation to adverse events that may result from a residents’ COVID-19 vaccination. Please note, however, there are concerns among certain Primary Care  Networks over NHS England’s ‘Enhanced Service Specification’ for the rollout because,  normally, the liability for an unlicensed vaccine would lie with the prescriber in the  event of any serious adverse events.

Should you have any queries about the above, or the consent form, or other aspects of  the COVID-19 vaccine, please feel free to contact and we will do our best to assist, or at  least point you in the right direction for further information. For more information on  medical freedom, visit: https://www.ukmedfreedom.org/.

Yours faithfully

Class Action Covid UK

[email protected]

Download letter here.

Download consent form here.

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