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Jolene Champlin
DOX1225 OPAS 1904 PWD

70 yrs (1/3/1955)

0242273902 / 05095 338301

jolene_champlin@example.com

NHS Number: 1976567572

Demographics missing

Primary Progressive Aphasia (PPA), diagnosed Sep 2024

AA: Applied/applying

Council tax: Waiting for AA

Driving: Informed and driving

Blue badge: Does not currently meet threshold

Health & wellbeing LPA: Alternative in place

Property & finance LPA: Applied/applying

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This profile has more than 1 open Admiral Nurse case.

Cared for

Petronila Harris (other)

DOX1226

OPAS 1905

80 yrs (15/10/1944)

0852419392 / 09845 005491

Finance LPA

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File	Case	Uploaded

Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Jolene Champlin (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?

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Jolene Champlin DOX1225 OPAS 1904 PWD

Safeguarding Concern Form About the concern

Jolene Champlin
DOX1225 OPAS 1904 PWD

Safeguarding Concern Form

About the concern