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89 yrs (17/4/1936)
035901593154 / 06946 012272
javier_franecki@example.com
NHS Number: 5018484535
Lives alone
Demographics missing
Progressive Supranuclear Palsy (PSP), diagnosed Feb 2025
AA: Declined to apply
Council tax: Applied/applying
Driving: Advised to inform
Blue badge: Applied/applying
Health & wellbeing LPA: Not got capacity
Property & finance LPA: Declined to apply

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Safeguarding Concern Form
About the concern

Page 1 of 2
Safeguarding Concern Form for Javier Franecki (the "Subject")

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.

Tick all that apply

Eg. Were emergency services called? Any practical support offered etc.

Eg. Physical or mental health condition