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{{org_field_name}}

Registration Number: {{org_field_registration_no}}

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Best Practice in Intimate Personal Care Policy

1. Purpose and Commitment

The purpose of this policy is to outline how {{org_field_name}} ensures the safe, respectful, and compassionate delivery of intimate personal care. Intimate personal care includes any activity involving personal hygiene, toileting, dressing, or any physical support that involves close personal contact. Our commitment is to protect the dignity, privacy, and rights of service users while delivering high-quality care that meets their individual needs.

We are committed to ensuring that all staff follow best practices in intimate care, promoting a person-centred approach while safeguarding both service users and care workers. This policy aligns with the Health and Social Care Act 2008, the Care Quality Commission (CQC) standards, the Mental Capacity Act 2005, and the Equality Act 2010. Our aim is to create a supportive environment where service users feel respected, valued, and empowered throughout the care process.

2. Scope

This policy applies to all employees, including care staff, administrative staff, volunteers, and contractors involved in the provision of intimate personal care. It covers:

• Personal hygiene support (bathing, showering, washing).
• Toileting assistance, including continence management.
• Dressing and undressing.
• Support with menstruation and catheter care.
• Skin care, including application of prescribed creams.
• Assisting with grooming tasks such as hair care, nail care, and oral hygiene.

The policy applies to all domiciliary care settings where intimate care is provided to service users of any age, gender, or cultural background. It ensures that care is delivered in accordance with individual preferences and needs while safeguarding service users’ rights and promoting independence.

3. Policy Statement

{{org_field_name}} is committed to delivering intimate personal care that is:

• Safe, respectful, and dignified.
• Tailored to individual needs and preferences.
• Delivered by trained and competent staff.
• In line with safeguarding principles and confidentiality standards.

We aim to empower service users, promote independence, and ensure that care delivery respects their rights, choices, and cultural beliefs. Our approach ensures that all care is delivered with sensitivity and professionalism, maintaining service users’ physical and emotional well-being.

4. Principles of Best Practice in Intimate Personal Care

4.1 Dignity and Respect

We uphold the dignity and respect of service users by:

• Seeking consent before providing care and explaining each step of the process.
• Allowing service users to participate as much as possible in their own care.
• Using appropriate language and communication methods.
• Maintaining privacy during care tasks (e.g., closing doors, using screens).
• Ensuring that personal preferences, cultural beliefs, and individual routines are respected.
• Treating each individual with compassion and sensitivity.

4.2 Person-Centred Approach

Care plans are tailored to individual needs, preferences, and cultural beliefs. This includes:

• Discussing preferences for male or female care workers.
• Adapting care routines to the individual’s comfort level and health condition.
• Ensuring consistency in care delivery to build trust and familiarity.
• Encouraging independence by involving service users in decision-making.
• Providing emotional support alongside physical care.

4.3 Privacy and Confidentiality

We protect service users’ privacy by:

• Keeping personal information confidential and sharing it only with authorised individuals.
• Ensuring care activities are conducted in private settings.
• Using discretion when discussing care needs, both in person and through documentation.
• Ensuring records are stored securely and accessed only by authorised staff.

5. Roles and Responsibilities

5.1 Care Staff Responsibilities

Care staff must:

• Follow the service user’s current individualised care and support plan, risk assessments and agreed intimate personal care arrangements.
• Obtain valid consent before providing intimate personal care and continue to check consent throughout the care activity.
• Respect a service user’s right to refuse care where the person has capacity to make that decision.
• Follow the Mental Capacity Act 2005 where there is reason to doubt the service user’s capacity to make a particular decision about their care.
• Use appropriate personal protective equipment (PPE) and follow infection prevention and control procedures during care delivery.
• Use only equipment, techniques and procedures for which they have received appropriate training and have been assessed as competent.
• Monitor for signs of pain, discomfort, distress, deterioration, injury, skin damage, abuse, neglect or other changes in the service user’s health or wellbeing.
• Stop the care activity where continuing would be unsafe, contrary to a capacitous refusal, outside the care worker’s competence or inconsistent with the care plan, except where immediate action is necessary and lawful to prevent serious harm.
• Report changes, incidents, safeguarding concerns and other risks promptly in accordance with the organisation’s procedures.
• Record intimate personal care accurately and contemporaneously.
• Promote independence and enable service users to do as much as they safely can for themselves.
• Preserve the service user’s privacy and dignity throughout intimate personal care.

5.2 Manager Responsibilities

Managers are responsible for:

• Ensuring that intimate personal care is planned, assessed and delivered in accordance with applicable legislation, CQC requirements and the service user’s individual needs.
• Ensuring that sufficient numbers of suitably qualified, competent, skilled and experienced staff are available to deliver care safely.
• Ensuring staff receive appropriate induction, training, supervision, competency assessment and refresher training relevant to the intimate personal care they undertake.
• Ensuring staff understand and apply the Mental Capacity Act 2005 and consent requirements appropriate to their roles.
• Ensuring that care plans, risk assessments and intimate-care instructions are reviewed when needs change and at planned intervals.
• Ensuring that staff do not undertake delegated healthcare or clinical tasks unless the delegation is appropriate and the member of staff has received the required training, support and competency assessment.
• Ensuring safeguarding concerns are acted upon immediately and referred, investigated, recorded and notified to relevant external bodies where required.
• Conducting audits and monitoring care records and practice to identify risks, omissions and areas requiring improvement.
• Providing staff with appropriate supervision and support.
• Ensuring complaints, concerns, incidents and feedback relating to intimate personal care are responded to in accordance with the organisation’s applicable policies and statutory obligations.

5.3 Service User and Family Involvement

Service users will be supported to communicate their needs, wishes, preferences and concerns and to participate as fully as possible in assessment, care planning and decisions concerning intimate personal care.

Family members, friends, advocates and representatives may be involved where the service user consents to their involvement or where there is another lawful basis for that involvement. A family relationship alone does not give a person authority to consent to, refuse or make decisions about the service user’s care.

Where the service user lacks capacity to make a particular decision, involvement of family members and others must take place in accordance with the Mental Capacity Act 2005. Staff must establish whether any person holds relevant legal authority, such as a valid and applicable health and welfare Lasting Power of Attorney or appointment by the Court of Protection. Where no authorised decision-maker exists, decisions must be made in accordance with the Mental Capacity Act 2005 best-interests requirements.

Information about the service user’s care must only be shared with relatives or other persons where the service user has consented, the recipient has lawful authority, or another lawful basis permits or requires the disclosure.

6. Planning and Delivery of Intimate Personal Care

6.1 Care Planning

Individualised care and support plans for intimate personal care must be based on:

• The service user’s assessed needs.
• The service user’s wishes, preferences, routines and desired outcomes.
• The person’s communication needs and any reasonable adjustments required.
• Relevant physical and mental health conditions.
• Mobility, moving and handling and equipment needs.
• Skin integrity, continence and infection prevention and control needs where relevant.
• Known allergies, sensitivities or risks associated with products used during personal care.
• Relevant risk assessments and measures required to reduce identified risks.
• Safeguarding considerations.
• Cultural, religious and other relevant individual preferences.
• Preferences concerning the gender of the care worker, wherever these can reasonably be accommodated.
• The amount of assistance required and the tasks the service user can undertake independently.
• Advice, instructions or treatment plans from relevant healthcare professionals where applicable.

Care plans and risk assessments must be kept under review and updated when the service user’s needs, preferences, circumstances or risks change. Changes identified during care visits must be reported and recorded promptly so that care arrangements can be reassessed where necessary.

6.2 Consent, Mental Capacity and Communication

Intimate personal care must only be provided with the consent of the relevant person or where there is another lawful basis for providing the care.

Staff must:

• Explain the proposed care in a way the service user can understand, including what is to be done and why.
• Provide information in an appropriate format and use the person’s preferred communication method.
• Make reasonable adjustments and provide practicable support to enable the service user to make their own decision.
• Seek consent before commencing intimate personal care and remain alert to verbal, non-verbal or behavioural indications that consent has been withdrawn.
• Stop and clarify the person’s wishes if they indicate that they no longer consent.
• Respect a refusal by a person who has capacity to make the relevant decision, while explaining any significant foreseeable risks and reporting the refusal where necessary so that alternative arrangements can be considered.
• Never assume that a person lacks capacity because of age, disability, diagnosis, appearance, behaviour or an apparently unwise decision.

Where there is reason to doubt a person’s capacity to make a particular decision about intimate personal care, the Mental Capacity Act 2005 must be followed. Capacity must be considered in relation to the specific decision at the time that decision needs to be made.

Where the service user is assessed as lacking capacity for the specific decision:

• Staff must establish whether there is a person with lawful authority to make the decision, including a health and welfare attorney or a deputy appointed by the Court of Protection whose authority covers the matter.
• Any valid and applicable advance decision or other legally relevant decision must be identified and followed where applicable.
• Where no authorised person can make the decision, any decision to provide care must be made in the person’s best interests in accordance with the Mental Capacity Act 2005.
• The person’s wishes, feelings, beliefs, values and relevant past and present preferences must be considered.
• Relevant people must be consulted where required and appropriate.
• The least restrictive available option must be considered.
• The assessment and decision must be recorded clearly in the service user’s care records.

A best-interests decision must not be treated as permanent. Capacity, consent and the person’s wishes must be reconsidered when circumstances change or when a new decision is required.

6.3 Safe Care Delivery

Intimate personal care must be provided in a safe manner that minimises avoidable harm while protecting dignity, privacy and independence.

Staff must:

• Follow the current care plan, risk assessment and any relevant professional instructions.
• Use safe moving and handling techniques and any assessed equipment correctly.
• Follow infection prevention and control requirements, including appropriate hand hygiene and PPE.
• Maintain privacy by closing doors or curtains and avoiding unnecessary exposure of the person’s body.
• Expose only the area of the body necessary for the care task and assist the person to remain appropriately covered wherever practicable.
• Use products and equipment in accordance with instructions and identified risks.
• Monitor skin condition, pain, discomfort and other changes observed during personal care.
• Report unexplained bruising, injuries, skin damage, pressure damage, pain, bleeding, unusual behaviour or any other concern promptly.
• Record care provided and significant observations accurately and contemporaneously.
• Escalate any deterioration, unexpected finding or concern in accordance with the care plan and organisational procedures.

Where intimate care involves a healthcare or clinically related task, including catheter care, stoma care or another delegated healthcare intervention, staff must only perform the task where:

• It is within the scope of the service.
• There are clear care instructions or a relevant care plan.
• The task has been appropriately delegated where professional delegation is required.
• The member of staff has received suitable training.
• Their competence to perform the task safely has been assessed and documented.
• Appropriate supervision, support and arrangements for escalation are available.

Staff must not improvise, undertake unfamiliar procedures or continue a task that is outside their competence.

7. Safeguarding and Risk Management

7.1 Preventing Abuse and Improper Treatment

{{org_field_name}} must protect service users from abuse and improper treatment during intimate personal care.

The organisation will maintain effective systems and processes to prevent abuse and reduce safeguarding risks. Staff must understand that intimate personal care can create particular vulnerability because it may involve nudity, touching of intimate areas, toileting, continence care and other close physical contact.

Staff must:

• Maintain professional boundaries at all times.
• Explain what they are going to do before touching the service user.
• Obtain consent in accordance with Section 6.2.
• Respect privacy, dignity and personal preferences.
• Never make inappropriate, sexualised, humiliating, discriminatory or degrading comments.
• Never take photographs, videos or recordings of a service user during intimate personal care unless there is an identified lawful and legitimate care purpose, appropriate authorisation and valid consent or another lawful basis.
• Never use intimate personal care as a means of punishment, control, coercion or humiliation.
• Never ignore or deliberately disregard a service user’s care needs.
• Follow agreed safeguarding, lone-working, moving and handling and infection prevention and control arrangements.
• Remain alert to signs that abuse or neglect may be occurring, whether the alleged perpetrator is a staff member, family member, another professional or any other person.

Abuse includes, but is not limited to, physical abuse, sexual abuse, psychological or emotional abuse, financial or material abuse, discriminatory abuse, neglect and acts of omission, organisational abuse, domestic abuse and other forms recognised under applicable safeguarding arrangements.

7.2 Recognising and Responding to Abuse

Staff must take all concerns, disclosures, allegations or evidence of abuse or improper treatment seriously.

Possible indicators may include:

• Unexplained bruising, injuries, bleeding or pain.
• Injuries to intimate areas.
• Fear or distress associated with a particular person.
• Sudden anxiety, withdrawal or changes in behaviour.
• Reluctance to receive personal care.
• Sexualised behaviour or comments that are unusual for the person.
• Poor hygiene, untreated pressure damage or other signs of neglect.
• Evidence that the service user’s wishes, privacy or dignity are repeatedly disregarded.
• Missing property, money or possessions.
• Any disclosure or allegation made by the service user or another person.

Where abuse is suspected, disclosed, witnessed or alleged, staff must:

• Take immediate action necessary to protect the service user or others from further harm.
• Obtain emergency medical assistance or contact the police where required.
• Preserve evidence where a criminal offence may have occurred and avoid unnecessary handling, cleaning or alteration of potential evidence.
• Listen to the person and take what they say seriously.
• Avoid asking leading questions or carrying out their own investigation.
• Record factual information, including what was seen, heard or disclosed, as soon as practicable.
• Report the concern immediately through the organisation’s safeguarding procedure.
• Follow local authority safeguarding procedures and any instructions from safeguarding or investigating authorities.
• Maintain confidentiality while sharing information with persons or agencies that need the information for safeguarding purposes.

Care must not be provided in a manner that is degrading or discriminatory.

Control or restraint must not be used merely to make it easier to complete intimate personal care. Any control or restraint must have a lawful basis and must be necessary and proportionate to the risk of harm it is intended to prevent. Where the Mental Capacity Act 2005 applies, staff must act in accordance with its requirements, including the best-interests and least-restrictive principles.

7.3 Safeguarding Referrals, Investigation and Notifications

{{org_field_name}} will maintain and operate effective processes for responding to safeguarding concerns and allegations.

When the organisation becomes aware of an allegation or evidence of abuse or improper treatment connected with the regulated service, management must ensure that:

• Immediate action is taken to protect the service user and any other person at risk.
• The concern is referred to the relevant local authority safeguarding service where the applicable safeguarding threshold or referral criteria are met.
• The police or other emergency services are contacted where a criminal offence is suspected, immediate protection is required or emergency assistance is necessary.
• Appropriate action is taken regarding any staff member implicated in an allegation, without compromising the independence of a safeguarding or criminal investigation.
• The allegation or evidence is investigated immediately in accordance with Regulation 13 and applicable safeguarding arrangements, while recognising the respective responsibilities of the local authority, police and other investigating bodies.
• Records of the concern, actions taken, referrals, decisions and outcomes are maintained securely.
• Relevant commissioners and other authorities are informed where legally or contractually required.

Where an incident of abuse or an allegation of abuse in relation to a service user is notifiable under the Care Quality Commission (Registration) Regulations 2009, the registered person must ensure that the Care Quality Commission is notified without delay using the required notification process.

Staff must not assume that reporting a safeguarding matter internally removes the requirement for external referral or statutory notification.

8. Cultural Sensitivity and Inclusivity

8.1 Respecting Diversity

We respect cultural, religious, and personal preferences by:

• Discussing care preferences during assessments.
• Accommodating specific requests (e.g., clothing, hygiene products).
• Ensuring that staff understand and respect cultural practices.

8.2 Gender Preferences

Whenever possible, we match care workers to service users’ gender preferences to promote comfort and dignity. This includes discussing preferences during care planning and ensuring continuity of care with familiar staff members.

9. Staff Training and Competency

9.1 Training Requirements

{{org_field_name}} must ensure that staff receive the training, support, supervision and professional development necessary to enable them to perform their duties safely and competently.

Staff who provide intimate personal care must receive training appropriate to their roles and the care they provide. This must include, where relevant:

• Person-centred personal care and promotion of dignity and privacy.
• Consent and the Mental Capacity Act 2005.
• Safeguarding adults and, where applicable to the service, safeguarding children.
• Infection prevention and control, including hand hygiene and appropriate use of PPE.
• Moving and handling relevant to the person’s assessed needs.
• Continence care.
• Skin integrity and identification and escalation of concerns.
• Communication and reasonable adjustments.
• Equality, diversity and respect for individual cultural and religious needs.
• Professional boundaries.
• Record-keeping and reporting requirements.
• Any service-user-specific procedures or risks identified in individual care plans.

Where staff undertake specific procedures such as catheter care, stoma care or other delegated healthcare tasks, they must receive task-specific training, supervision and competency assessment before undertaking those tasks without direct supervision.

In accordance with the statutory learning disability and autism training requirement applicable to CQC-registered providers, {{org_field_name}} must ensure that each person working for the purposes of its regulated activities receives training on learning disability and autism that is appropriate to that person’s role.

Learning disability and autism training must comply with the applicable statutory requirements and Code of Practice and must be provided at a level appropriate to the person’s role and responsibilities.

Training requirements apply not only to staff providing direct intimate personal care but, in relation to mandatory learning disability and autism training, to persons working for the purposes of the organisation’s regulated activities as required by law.

Training must be refreshed or updated where required by legislation, recognised guidance, identified learning needs, changes in the person’s role, changes in the needs of service users or the outcome of supervision, audit or competency assessment.

9.2 Competency Assessments

Training alone does not demonstrate competence. Managers must ensure that staff are assessed as competent for the care and tasks they are expected to perform.

Competency assessment may include:

• Direct observation of practice where appropriate and with the service user’s consent and dignity protected.
• Discussion and questioning to confirm the staff member’s knowledge and understanding.
• Review of care records and documentation.
• Assessment of the member of staff’s ability to identify risks, obtain consent and respond appropriately to refusal or distress.
• Assessment of task-specific skills for catheter care, stoma care or other delegated healthcare procedures.
• Assessment of infection prevention and control and moving and handling practice where relevant.
• Confirmation that staff know when and how to escalate concerns.

Competency assessments must be recorded.

Where a staff member has not demonstrated the competence required for a task, they must not undertake that task without appropriate supervision until further training, support and reassessment have established that they are competent.

Managers must provide ongoing supervision, support and opportunities for staff development and must take appropriate action where unsafe or inappropriate practice is identified.

10. Record-Keeping and Documentation

10.1 Care Records

{{org_field_name}} must maintain an accurate, complete, contemporaneous and secure record in respect of each service user, including the intimate personal care and support provided and relevant decisions concerning that care.

Staff must make records as soon as practicable following the care or event and must record information factually and clearly.

Records relating to intimate personal care must include, where relevant:

• Care and support provided.
• Significant assistance required or changes in the level of assistance required.
• The service user’s response to the care.
• Relevant choices and preferences expressed by the service user.
• Refusal or withdrawal of consent where this has implications for the person’s care, health, safety or wellbeing.
• Action taken following a refusal of care.
• Capacity assessments and best-interests decisions where these are required in relation to the care being provided.
• Involvement of an attorney, deputy, advocate, family member or other representative where relevant.
• Skin integrity concerns, bruising, injuries, pain, bleeding or other significant observations.
• Continence-related concerns.
• Problems associated with catheters, stomas or other healthcare procedures where these form part of the care being provided.
• Changes in health, behaviour or wellbeing.
• Incidents, accidents and safeguarding concerns.
• Escalation to managers, healthcare professionals, safeguarding authorities or emergency services where relevant.
• Actions taken and any resulting changes to care arrangements.

Records must not contain derogatory, judgemental, inappropriate or unnecessary intimate detail. Information recorded must be relevant to the person’s care, safety, wellbeing and the organisation’s legal responsibilities.

Staff must not falsify records, record care that has not been provided, retrospectively alter records in a misleading manner or sign records on behalf of another worker.

10.2 Secure Storage, Access and Confidentiality

Care records and other information concerning service users must be stored securely and protected against unauthorised access, loss, destruction, alteration or inappropriate disclosure.

Access must be restricted to persons who require the information for a legitimate purpose connected with the person’s care, safeguarding, management of the service or another lawful purpose.

Electronic records must be protected by appropriate access controls and security measures. Paper records must be stored securely when not in use.

Staff must maintain confidentiality when creating, accessing, discussing, transferring or disposing of records.

Information must only be shared where there is an appropriate lawful basis. Where safeguarding or another legal duty requires information to be disclosed, staff must follow the organisation’s information governance and safeguarding procedures.

Records must be retained and disposed of in accordance with applicable legal requirements and the organisation’s records management arrangements.

11. Communication and Collaboration

11.1 Internal Communication

Effective communication between staff is required to ensure continuity, safety and consistency of care.

This includes:

• Appropriate handovers concerning changes in service users’ needs, risks or preferences.
• Clear, accurate and contemporaneous documentation of care and significant observations.
• Prompt communication of refusals, deterioration, injuries, safeguarding concerns, incidents and other information that may affect care delivery.
• Communication of changes to care plans and risk assessments to staff who need the information.
• Collaborative problem-solving and escalation where concerns arise.

Confidential information must only be communicated to staff who need it for a legitimate care, safeguarding or management purpose.

11.2 Collaboration with Families, Representatives and Healthcare Professionals

{{org_field_name}} will work with relevant healthcare professionals and, where appropriate and lawful, family members, representatives and advocates to support safe and coordinated care.

Family members and other representatives will only receive information or participate in decisions where:

• The service user has consented to their involvement;
• The person has lawful decision-making authority relevant to the matter;
• Their involvement is required as part of a lawful Mental Capacity Act 2005 process; or
• There is another lawful basis for sharing information or involving them.

The organisation will liaise with relevant healthcare professionals where necessary to:

• Respond to changing care or health needs.
• Obtain professional advice or instructions.
• Clarify delegated healthcare tasks.
• Escalate concerns about deterioration, skin integrity, continence, catheters, stomas or other healthcare needs.
• Facilitate access to appropriate assessment or specialist support.

Information shared must be relevant, proportionate and handled in accordance with confidentiality and data protection requirements.

12. Complaints and Feedback

12.1 Reporting Concerns

Service users and families can report concerns through:

• Direct communication with care staff.
• Formal complaints procedures outlined in the service agreement.

12.2 Feedback and Continuous Improvement

We welcome feedback to:

• Identify areas for improvement.
• Enhance care delivery.
• Promote transparency and accountability.

13. Quality Assurance and Continuous Improvement

13.1 Audits and Reviews

Regular audits ensure compliance with this policy. Audits include:

• Observations of care practices.
• Review of care records.
• Staff and service user feedback.

13.2 Continuous Improvement

We use audit results and feedback to:

• Update training programmes.
• Improve care planning and delivery.
• Enhance service user satisfaction.

14. Compliance and Review

14.1 Legal and Regulatory Compliance

This policy must be implemented in accordance with applicable legislation and regulatory requirements in England, including, where relevant:

• The Health and Social Care Act 2008.
• The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, as amended, including:
  • Regulation 9 – Person-centred care.
  • Regulation 10 – Dignity and respect.
  • Regulation 11 – Need for consent.
  • Regulation 12 – Safe care and treatment.
  • Regulation 13 – Safeguarding service users from abuse and improper treatment.
  • Regulation 17 – Good governance.
  • Regulation 18 – Staffing.
• The Care Quality Commission (Registration) Regulations 2009, including applicable statutory notification requirements.
• The Mental Capacity Act 2005 and applicable Mental Capacity Act Code of Practice.
• The Care Act 2014 and applicable adult safeguarding requirements.
• The Equality Act 2010.
• The Data Protection Act 2018 and UK data protection requirements.
• Applicable statutory requirements concerning learning disability and autism training under the Health and Social Care Act 2008 as amended by the Health and Care Act 2022, together with the applicable Code of Practice.
• Applicable infection prevention and control requirements and statutory guidance.

Where {{org_field_name}} provides services to children or young people, applicable child safeguarding legislation and statutory guidance must also be followed.

This policy must be read alongside the organisation’s Safeguarding Policy, Mental Capacity and Consent Policy, Infection Prevention and Control Policy, Moving and Handling Policy, Medication Policy, Complaints Policy, Information Governance and Confidentiality Policy and any procedures governing delegated healthcare tasks.

Where there is any conflict between this policy and a legal or regulatory requirement, the applicable legal or regulatory requirement must take precedence and the policy must be reviewed without unnecessary delay.

14.2 Policy Review

This policy will be reviewed at planned intervals and sooner where required because of:

• A change in legislation, regulations or statutory guidance.
• A material change in CQC requirements or guidance.
• Changes to the organisation’s regulated activities or service-user groups.
• A safeguarding incident, serious incident or identified regulatory concern.
• Learning arising from complaints, audits, investigations or incidents.
• Changes in recognised professional or clinical practice relevant to intimate personal care.

The registered manager or other designated responsible person must ensure that amendments are communicated to relevant staff and that any associated training, competency assessment or procedural changes are implemented.

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Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on: {{last_update_date}}
Next Review Date: {{next_review_date}}
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