‘… [I] can count on one hand how often [she's been] seen, very difficult to engage19, [she] abuses drink and drugs36, chaotic lifestyle, she has several relationships with different men35… [The house] is a very dangerous place to visit.’	19 Lack of engagement/difficult to engage 35 Vulnerable adult 36 Substance misuse issues
‘… in the first instance, refer to [Learning Disability Consultant]70 as it was recognised that [he] needs to be embedded in LD services, [but] it was suggested that LD services will not accept responsibility for his care … [they] should be contacted regarding the interface between the relevant services78.’	70 Refer to specialist 78 Funding/responsibility issues
‘… it sounds like it's taking quite a toll on [his] CPN, what support is there for her76? In these cases rotation of staff77 can be helpful in preventing burnout and getting a fresh perspective on things.’	76 Extra support for staff involved 77 Suggest rotation of staff