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Terrell Shields
DOX1397 OPAS 2076 PWD

85 yrs (18/5/1939)

05608 658249 / 088714776238

terrell_shields@example.com

NHS Number: 6109564311

Demographics missing

Multiple Scelosis (MS) dementia, diagnosed Jan 2025

AA: Applied/applying

Council tax: Applied/applying

Driving: Advised to inform

Blue badge: Declined to apply

Health & wellbeing LPA: Declined to apply

Property & finance LPA: Advice given

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Safeguarding Concern Form

About the concern

Page 1 of 2

Safeguarding Concern Form for Terrell Shields (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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Terrell Shields DOX1397 OPAS 2076 PWD

[Experimental] AUKO Timeline: This page shows activity from other services. Feedback welcome at support@oxfordcodelab.com.

Safeguarding Concern Form About the concern

Terrell Shields
DOX1397 OPAS 2076 PWD

Safeguarding Concern Form

About the concern