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Clementine Donnelly
DOX1516 OPAS 2195 PWD

72 yrs (1/3/1953)

09976 251137 / 0584937497

clementine_donnelly@example.com

NHS Number: 1458858464

Demographics missing

Parkinson's disease dementia (PDD), diagnosed Feb 2025

AA: Advised to apply

Council tax: Exempt

Driving: Awaiting assessment

Blue badge: Advised to apply

Health & wellbeing LPA: Not discussed

Property & finance LPA: Declined to apply

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Safeguarding Concern Form

About the concern

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Safeguarding Concern Form for Clementine Donnelly (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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Clementine Donnelly DOX1516 OPAS 2195 PWD

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

Safeguarding Concern Form About the concern

Clementine Donnelly
DOX1516 OPAS 2195 PWD

Safeguarding Concern Form

About the concern