Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Annika Gislason
DOX1220 OPAS 1899 PWD

94 yrs (8/2/1931)

06154 262403 / 094633678091

annika_gislason@example.com

NHS Number: 4864085994

Demographics missing

Dementia (origin non-specific), diagnosed Dec 2024

AA: Lower rate

Council tax: Not discussed

Driving: Not discussed

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Advice given

Property & finance LPA: Applied/applying

edit

Carer

Eula King (civil partner)

DOX1221

OPAS 1900

73 yrs (26/2/1952)

0526575565 / 020260011773

Edit

Eula King (civil partner)

Carer

View profile | Edit relationship

OPAS ID: 1900

Phone: 0526575565 / 020260011773

Email: eula_king@example.com

Address: 05114 Susannah Radial, Apt. 761, West Jimmy, DT2 0HJ

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Annika Gislason (the "Subject")

Summary of concern

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.

Summary of any immediate actions taken

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

Does the subject have care and support needs?

Eg. Physical or mental health condition

Notes about care and support needs

Do you feel the subject is able to make their own decisions about what happens next?

Notes about decision capabilities

What support / outcome does the subject want?

Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Annika Gislason DOX1220 OPAS 1899 PWD

Eula King (civil partner)

Safeguarding Concern Form About the concern

Annika Gislason
DOX1220 OPAS 1899 PWD

Safeguarding Concern Form

About the concern