 with the prospective adopter and the placement disrupts, a couple separates, there are substantive changes in their health or their economic circumstances or any other matters arise which may affect their suitability to adopt. 3.88. When carrying out a review the agency must make enquiries and obtain information it considers necessary in order to review whether the prospective adopter continues to be suitable to adopt; take into consideration minutes and recommendations of any disruption meeting held following a placement disruption; and take into account the views of the prospective adopter. 3.89. The review should consider the prospective adopter’s family circumstances, health, economic circumstances, work commitments, and whether police and medical checks are still up-to-date. The prospective adopter should be asked whether their health remains unchanged since the previous medical checks arranged by the agency. Advice on whether these should be renewed should be sought from the agency’s medical adviser. 79 3.90. Where the agency completes its review and considers that the prospective adopter remain suitable to adopt, it need only inform the prospective adopter and record its view on the prospective adopter’s case record. In the case of intercountry adopters, the outcome should also be notified to the Department’s intercountry adoption casework team. 3.91. Where the information gathered in the review suggests to the agency that the prospective adopter may no longer be suitable to adopt, AAR 30D(4) sets out the steps that the agency must take. As with the original approval process, the report that the agency presents to panel in these circumstances must be shared with the prospective adopter so that they may make comments. The rest of the process, including the rights