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70 yrs (12/7/1955)
07822 254294 / 0543538245
kirby_jast@example.com
NHS Number: 7815798888
Demographics missing
Dementia (origin non-specific), diagnosed Jun 2025
AA: Higher rate
Council tax: Not discussed
Driving: Informed and driving
Blue badge: Not discussed
Health & wellbeing LPA: Declined to apply
Property & finance LPA: Not got capacity
Cared for
Manual Jakubowski (client of professional carer)
DOX1404
OPAS 2083
91 yrs (25/12/1933)
060845240256 / 048984127514
Health LPA
Kirby Jast
DOX
NHS: 7815798888
70 yrs (12/7/1955)
kirby_jast@example.com 0782 2254294 / 054 3538245 36120 Alona Forge, Suite 557, Lake Maranda, LA6 3HK

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Enter details

PWD's personal background e.g. who are they, what did they do, what do they enjoy etc.

What effect is dementia having on their memory and behaviours? Are they aware of the diagnosis (insight)?

What dementia medication are they taking? How are they finding it? Who assists? Do they have a blister pack?

How physically healthy / mobile are they? Any falls? Any sensory impairment? Any assistive/preventative tech in place? Personal care?

Referred to Banbury Cross Health Centre

Will appear below list of carers. How are they coping? Is the support fit for purpose?

Also include any volunteer befrienders here

Will appear below 'Core Advice' on summary

Anything else to include on the case summary