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90 yrs (3/11/1934)
0946248665 / 0670820403
jacques_hickle@example.com
NHS Number: 6034172268
Lives alone
Demographics missing
Dementia (origin non-specific), diagnosed Jan 2025
AA: Lower rate
Council tax: Applied/applying
Driving: Informed and driving
Blue badge: Not discussed
Health & wellbeing LPA: In place
Property & finance LPA: Applied/applying
Carer
Kurtis Boyer (grandson)
DOX1097
OPAS 1776
85 yrs (25/5/1939)
09935 542385 / 0660279916
Health LPA Finance LPA

Case Summary

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Background

Dementia Symptoms Experienced

Medication

Physical Health and Mobility

Diet and Nutrition

Care and Support

Social Engagement

Financial / Legal / Future Planning

Notes / Comments

Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Jacques Hickle (the "Subject")

Factual account of what was said or observed. Include dates, times and locations, the person's own words, descriptions of signs/symptoms etc. Refer to Policy for full guidance on recording.

Tick all that apply

Eg. Were emergency services called? Any practical support offered etc.

Eg. Physical or mental health condition