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Fred Mills
DOX1428 OPAS 2107 PWD

72 yrs (27/11/1952)
0365894864 / 0455187849
fred_mills@example.com
NHS Number: 6639084155
Demographics missing
Vascular dementia, diagnosed Apr 2025
AA: Applied/applying
Council tax: Declined - No discount
Driving: Informed and driving
Blue badge: Declined to apply
Health & wellbeing LPA: Not discussed
Property & finance LPA: Advice given
Carer
Carmelo Gulgowski (professional carer)
DOX1429
OPAS 2108
75 yrs (11/3/1950)
08284 213609 / 0406574670
Finance LPA
Cared for
Jannette Tromp (cousin)
DOX1430
OPAS 2109
89 yrs (3/8/1936)
02917 346657 / 07736 870858

Carmelo Gulgowski (professional carer)

Carer Finance LPA
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OPAS ID: 2108
Phone: 08284 213609 / 0406574670
Email: carmelo_gulgowski@example.com
Address: 751 Grace Vista, Apt. 934, Harberport, OV2 7XW

Jannette Tromp (cousin)

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OPAS ID: 2109
Phone: 02917 346657 / 07736 870858
Email: jannette_tromp@example.com
Address: 2301 Gleason Islands, Apt. 009, Port Hilaryside, LF8 4RB

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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