Power of Attorney 

Dear GP

1. I am concerned that my father's Citalopram has been prescribed at only 10mg strength. He was given this by his GP in his former town some years ago when the GP realised he suffers quite badly from being on the Autistic Spectrum (at the high functioning Aspergers end). 
2. The GP said he didn't want to send him to Bristol for an official diagnosis because it cost over £3,000 and would not lead to any support or service provision, because there wasn't any in Herefordshire at the time. 
3. He therefore prescribed Citalopram, which has been transformative when my father takes it regularly and at 20mg per day. That GP said he could increase it if he needed to on occasion, which he does successfully but this of course means he gets through the box quicker than expected in some months.
4. Citalopram is the only way my father can keep himself under control, perhaps reduce or avoid long and protracted arguments with service providers and keep away from his (peculiar/autistic) addiction to communicating his frustration through websites. 
5. It helps him with stress, anxiety, sleeping and other manifestations of depression which he has, that generally don't include 'feeling down' as such.
6. Therefore, cutting down the medication from 20mg daily to 10mg apparently without consulting or explaining why to him has only fuelled his upset, making him more stressed and produce another stream of angry websites addressed to the surgery and goodness knows who else. 
7. I have had to calm him down several times since this reduction and painstakingly go through his online medical records with him via Zoom (from 90 miles away) to see what occurred and when. Having done so, it is still not clear why the dose was reduced - all it says is 'medication request refused' which is hardly helpful or communicative of anything useful.
8. 
   
9. If the problem is that Citalopram interferes with some other medication, I hope you can find an alternative to the latter rather than cutting his dose of Citalopram.
10. 
    
11. Your surgery should have a copy of his POA for Welfare - I sent him a paper copy some years ago to lodge with you. 
12. Although he is not lacking capacity in the sense of dementia etc, he gets to the point where he cannot communicate his needs cogently and asks me to step in as POA. 
13. I am therefore doing so now. Please feel free to contact me any time if that would help, my email and telephone number are below.  {{{{ Will be on paper when an appointment emerges. }}}}

Best regards

Daughter anon is line with the website tactic.

POA to your patient

The GP in his former town was/is MH lead on the CQC

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