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East Cheshire NHS Trust

Help and care in your loss Reference number: 11294

Review date: 04/2027

We would like to offer you our sincere condolences at this sad and difficult time. The death of a loved one or friend, can be one of the most distressing times in your life. We therefore hope you find this booklet helpful in explaining what happens next.

Contents Your feelings and the grieving process............................................ 4 For a death that has occurred in Macclesfield District General Hospital or Congleton War Memorial Hospital Bereavement Services.................................................................................................... 5 Chaplaincy Services............................................................................................................ 8 For a death that has occurred in the community What to do first...................................................................................................................... 10 Medical Examiner’s Office...................................................................................... 13 Registering the death................................................................................................... 16 Who can register the death?............................................................................ 17 Cases notified to the Coroner.......................................................................... 19 The funeral director......................................................................................................... 20 Financial support.................................................................................................................. 20 People to inform................................................................................................................... 21 Useful organisations........................................................................................................ 25

Your feelings and the grieving process When you have been affected by the death of a loved one or friend the emotional and physical reactions can be intense and you may be surprised by the reactions that follow. These can be unfamiliar and out of character. Some of the most common feelings are: shock and disbelief, loss, guilt, regret, injustice, envy, anger, loneliness, depression, relief, sleep deprivation, loss or increase of appetite, exhaustion, restlessness, anxiety, panic, loss of interest, tearfulness, irritability, inability to cope. The death of a close relative or friend may be hard to come to terms with. Grieving is normal and natural and affects people differently. As well as dealing with your grief you are faced with many things that need to be done. Whether your loved one or friend died in hospital or at home, don’t be afraid to also seek help from either your GP, the Hospital or contact one of the support agencies listed in this booklet.

If your loved one or friend died in East Cheshire Trust (Macclesfield Hospital / Congleton War Memorial Hospital) The doctors involved with the care of your loved one will provide a provisional cause of death on the death certificate. This will be discussed with the Medical Examiner’s office (see page 13). The Medical Examiners service will contact you regarding the death of your loved one and discuss the Medical Certificate of Cause of Death with you. Once the death certificate has been confirmed the Medical examiners will send the death certificate electronically to the registrars office. Once the register office has receipt of the death certificate, you can make an appointment to register the death and collect the death certificate. The Bereavement Team can help provide support with communication and administration of the Bereavement process, between 10am until 4pm, Monday to Friday on 01625 661107. Arranging a Funeral You should contact a Funeral Director of your choice. The Funeral Director will give you the help and advice in making all the arrangements for the funeral, whether burial or cremation. It may be helpful to find out if there is a Will as it may contain the deceased person’s own 5

requests. You may know a reputable Funeral Director, or your family or friends may suggest one to you. If you wish to make your own funeral arrangements, without the assistance of a Funeral Director, please discuss with the Bereavement Team who will be able to provide further information. The funeral director will need the registration form (Green Form) which is issued by the registrar when you register the death. (See pages 16-18) Personal Belongings and Valuables The Bereavement Team will be able to advise you about arrangements to collect all personal belongings between 10am until 4pm, Monday to Friday on 01625 661107. Please contact the Ward your relative/friend was on, who can be accessed via switchboard on 01625 421000 during the weekend and on bank holidays. Visiting the deceased It is quite common for relatives to wish to see a loved one after they have died. The Hospital has a dedicated viewing space where loved ones, family and friends can, if they wish, pay their last respects. The chapel of rest at Macclesfield District General Hospital is open Monday, Wednesday and Friday (8am – 4pm). You will need to make an appointment to view your loved one and the Bereavement Team can do this for you.

Due to the natural process following death your loved one will appear paler in appearance and cold to touch. Each person looks different and this is quite normal. If you have any questions about their appearance, please talk them over with the mortuary staff or funeral director. There may be occasions where viewing your loved one cannot be possible; the mortuary staff or funeral directors will discuss this with you. The mortuary is contactable on 01625 661847 and viewings are between the times of 9am – 4pm Monday, Wednesday and Friday. Any family queries can be directed to the on-call technician outside of these hours by contacting Switchboard. Donation of Tissue Tissue donation is the gift of tissue to help others. Most people who have died in hospital can donate tissue. Unlike organs it may be possible to donate tissue up to 48 hours after a person has died. The National Tissue referral centre on 0800 432 0559 will advise on referrals and provide advice regarding tissue donation. Only tissues for which you have given permission will be donated.

Chaplaincy Services Available to You We have a team of chaplains based at Macclesfield Hospital who are available to attend the bedside of a loved one close to death or just after. Our chaplains are also here to support relatives of loved ones who have passed away here in the hospital. They offer pastoral support to all, whatever your world beliefs, and are a good listening ear at difficult times such as a bereavement. St Luke’s Chapel & Multi-Faith Room You may wish to find a quiet space to sit in whilst at the hospital. We have two spaces for quiet reflection, St Luke’s Chapel and a Multi-Faith Prayer Room. Both are on the ground floor and both are well signposted. There is a Prayer Tree in St Luke’s Chapel for you to put your thoughts and prayers if you wish. Resources to support you in your bereavement are provided outside St Luke’s Chapel for you to take away if you find them helpful. Time to Remember Service of Light Each Monday lunchtime a Chaplain will light candles for those who have passed away in the hospital in the previous week. The bereavement team will ask if you would like a candle lighting for your loved one. You are welcome to attend that service. It is only 10-15 mins and is suitable for all world beliefs, held in St Luke’s Chapel.

Ongoing Bereavement Support Services If you would like to talk to someone about your bereavement please contact Macclesfield Bereavement Support Group, a volunteer agency offering confidential support to those in grief. If after a few weeks you would like to talk to someone about your loss, we can offer one to one support, either by face to face or over the phone in a location of your choice. Macclesfield Bereavement Support Service: Tel: 01625 439333 Answerphone operated Monday – Friday only, non-emergency service Please leave a message. Website: www.bereavementmacclesfield.com

If your loved one or friend died in the community What to do first • The following is a guide to some of the things you will need to know and do over the coming days. It will not cover everything as each individual situation is often different but we hope it will help you to start taking care of arrangements. • If the death was expected and happened at home, or in a residential home, please contact your local District Nursing team between 8am and 4.30pm, or the Out of Hours District Nursing team between 4.30pm and 8am. Your District Nursing Team will verify the death of your loved one and offer bereavement support to their family and friends. • Once death has been confirmed and has been verified, your District Nurse will remove any attachments the patient may have such as a syringe pump or catheter. If you would like support to wash or dress your loved one or dress them in different clothing, please speak to your Nurse. • Following the Nurse Verification of Death process we will inform the registered GP of your loved one’s death. Once the District Nurses have completed this you are able to contact a funeral director of your choice to make arrangements and next steps.

Drug Disposal – All medications including injectable medications will need to be returned to a pharmacy. The District Nurse is not able to remove any mediation. Equipment Removal – The District Nurses will arrange for any equipment in the home to be collected. Please note that it can take up to a week for some equipment (profiling beds/mattresses) to be collected. The Death Certificate – The GP will issue a provisional death certificate which will be discussed with the Medical Examiner’s office (see page 13). The Medical Examiner’s Office will contact you regarding your loved one’s death. Once the death certificate has been confirmed the Medical Examiner’s Office will inform you and will send the death certificate electronically to the registrars office. At this point you can make an appointment at the Registrars office to register the death and collect the death certificate. Once you have registered a death and have the death certificate it will give you a unique reference number that you will be able to use with this Tell Us Once service. For further Information on Tell Us Once service see (pages 21 and 22)

Bereavement Support In The Community Your District Nursing Team are here to support you over the coming hours, days and weeks, and offer a 24 hour service, and can be contacted on the following telephone numbers: The names of the nurses who visited you today are: ……………………………………………………………………. Between the hours of 8am – 4.30pm please contact our local District Nursing Team who are: ……………………………………………………………………. Telephone............................................................................. Between the hours of 4.30pm – 8am the Out of Hours District Nurses are available on: 01625 430906. If you have been supported by the Palliative care or Hospice team you can always contact them on Specialist Palliative Care Team 01625 663177, Hospice at Home 01625 664999.

Medical Examiner’s Office The purpose of the NHS Medical Examiner system is to review and scrutinise all deaths in any health setting that are not investigated by a coroner. What is the role of the Medical Examiner and Medical Examiner Officers? The Medical Examiner Office will conduct an independent, proportionate review of the medical notes to understand the circumstances of the death. In certain circumstances this will need to be referred to the coroner. The Medical Examiners will telephone the next of kin or nominated contact as soon as possible after the death. They will discuss the death with you and any concerns or questions about the death you may have, and explain the death registration process. This will usually be through a telephone call. They can explain what medical terminology means and make it easier to understand. Medical Examiners also look at the relevant medical records and discuss the causes of death with the doctor who is responsible for completing the Medical Certificate of Cause of Death.

Why am I being asked if I have any concerns? Medical examiners and their officers offer families and carers of the person who has died an opportunity to raise questions or any concerns about the cause of death, or about the care the person received before their death. Medical examiners are Senior Doctors who give independent advice about the cause of death. What will happen if something is not right? The Medical Examiner and Medical Examiner’s Officers are here to provide you with a chance to ask questions, raise concerns in relation to the death, and to understand the medical language used on the MCCD. Will funeral plans or release of the body take longer? Medical Examiners make every effort to avoid any delays and work with families and carers of the person who died to meet the legal requirements for registering deaths. Medical Examiners and their staff will try to be flexible, for example where relatives need the release of the body quickly. What can I do if I have questions or concerns about the Medical Examiner process? If you are not satisfied with the Medical Examiner’s advice, we suggest you discuss this with the Medical Examiner’s office in the first instance. If you are still not satisfied you can contact the PALS office.

How do I contact the Medical Examiner’s office? Contact the Bereavement Team who will liaise with the Medical Examiner’s office on your behalf: 01625 663324. Monday to Friday 8.30am - 4.30pm ecn-tr.medicalexaminers.office@nhs.net

Registering the death When a death occurs in Cheshire East the paperwork will be handled by either the Medical Examiner or the Coroner who will advise you when they have sent the appropriate paperwork to the register office. Deaths should normally be registered within five days of the paperwork being received by the register office. • When you have been advised that the paperwork has been received by the register office you can phone 0300 123 5019 to make an appointment to register the death. • You will then receive an email confirming your appointment with information about the details you will need to register the death. The email will also include details of how to pre-pay for any death certificates that you require. If you do not have an email address the appropriate information will be shared with you during the appointment booking process. Death Registration appointments are available at:The Register Office for Cheshire East Municipal Buildings Earle Street Crewe CW1 2BJ Macclesfield Registration Office Town Hall Extension Market Place Macclesfield SK10 1EA 16

Who can register the death? Certain people have legal duty to give information for the registration of a death. In order of preference they are as follows: • A relative or partner of the deceased • A personal representative of the deceased (a solicitor, family friend, etc.) • A person who was present at the death • The person making the funeral arrangements Information the registrar will need about the person who has died • The date and place of death • Their full name and any other names they are known by or have been known by and their maiden name if a woman who has been married • Their date and place of birth • Their occupation (if married, widowed or a civil partner, the full name and occupation of their spouse or civil partner) • Their usual address • Date of birth of surviving spouse or civil partner • Whether they were in receipt of any public sector pension, e.g. civil service, teacher, armed forces (reference number if known) There is no legal requirement to provide any identification documents at a registration, however if you have access to the deceased’s passport, birth certificate, marriage/civil partnership certificate, medical card etc. it can be useful to bring them to your appointment. 17

When the registration is completed, you will be asked to check and confirm the details entered into the register. Should you later find you have made a mistake, you will be liable for a correction fee of either £83 or £99. Information the registrar will need about the person registering the death: • Relationship to the deceased • Full name • Usual address Once the registration is complete the registrar will produce: • Green form – A certificate for burial or cremation, known as the green form which the funeral director will need. Arrangements are in place of this green form to be sent directly to the appropriate person. • Death certificates – You may need certified copies of the death entry for dealing with the will, probate, bank accounts, insurance and so on. Everyone’s circumstances are different, but the average number of certificates issued to deal with the deceased’s estate is between two and five. You may need fewer but if you find you need more later, these can be purchased from the register office. Copies are £12 £13 each. • Tell Us Once – At the appointment with the registrars they will discuss the Tell Us Once service and issue a unique reference if you choose to use this service. This service allows you to report a death just once and tell those parts of central and local government that require informing, about that death. More detailed information on this service is provided on (pages 21 and 22). 18

Cases notified to the Coroner There are occasions when a death will need, by law, to be reported to the Coroner. You will be advised if this is necessary. If a death is referred to the Coroner, it may take the Coroner up to seven working days (excluding weekends and bank holidays) to issue a decision. If you wish to contact the Coroner directly, please telephone 01925 444216 or via email: coroners@cheshire. police.uk This may delay the issuing of a Medical Certificate of Cause of Death and may, therefore, delay the registration of death. In some circumstances the Coroner requests a postmortem. When a post-mortem is requested by the Coroner this, by law, must take place. The consent of the next of kin is not required. Once the Coroner takes responsibility for a death all further information will be provided by the Coroner’s staff. A member of the Bereavement Team will be able to explain this to you if required. When a death has been reported to the Coroner you may still contact a Funeral Director to begin the funeral arrangements. Please remember that you will not be able to confirm funeral arrangements until the death has been registered and the Death Certificate has been issued as both the Doctor and Registrar can refer a death to the Coroner. 19

The funeral director Funeral arrangements can be made at any time, although the date when a funeral can be held may be affected if the Coroner is involved. The chosen funeral director will need the registration form (Green Form) which is issued by the registrar, to arrange either burial or cremation. Your chosen funeral director will advise you on all matters concerning the funeral and will help you to make decisions regarding anything which you are unsure of, including any cost implications.

Financial support If you receive income support, family credit and/or housing benefit, you may be entitled to help with funeral costs. To apply or ask for information, contact your local department: www.gov.uk/after-a-death Where relatives are seeking help with the financial costs of the funeral they should first contact the Department for Work and Pensions for confirmation before registering the death.

People to inform ‘Tell Us Once’ When someone dies, informing the official organisations such as local government agencies and departments can be a repetitive and difficult process. ‘Tell Us Once’ is an innovative cross government service that enables people to report changes in their circumstances to government just once. This service will be offered routinely to people registering a death by the Register Office, or speak to the registrar at your appointment who may be able to advise and support you with this. Following registration the registrar will provide you with details of this service which you can then contact online or by telephone. Please ask the Register Office for details. Tell Us Once will notify:• HM Revenue and Customs (HMRC) – To deal with personal tax (you need to contact HMRC separately for business taxes e.g. VAT). • Department for Work and Pensions – To cancel benefits e.g. income support. • Passport Office – To cancel a British Passport. • Driver and Vehicle Licensing Agency – To cancel a licence and remove the person as the keeper of up to five vehicles. • The local council – To cancel housing benefit, council tax reduction, a blue badge, inform council housing services and remove the person from the electoral register. • Veterans UK – To cancel armed forces compensation scheme payments. 21

“Tell Us Once” is a service available in Eastern Cheshire. When you register the death, the registrar will provide you with the phone number and a unique reference number to use the “Tell Us Once” service online or by phone. To find out more information follow the link below. www.gov.uk/after-a-death/organisations-you-need-tocontact-and-tell-us-once In addition to the above there may be other organisations to contact, where Tell Us Once wouldn’t apply. Please use the following as guidance to see if you have contacted everyone you need. Service Executors of the estate (Will)

Motor insurance

Priest, Vicar, Minister or Faith Leader

Electricity, gas, telephone, water companies

Residential or nursing home

Social services (home helps, home care)

Family doctor

Royal Mail, newsagent and milk deliveries

Any hospital your loved one was attending

Landlord, Housing Department

Inland Revenue

Schools, college or university

Place of work (occupational pension)

Careline (personal alarm service)

Solicitor

Cancel any appointments

Bank, giro, credit cards, building society

Community Equipment Service

Insurance companies 22

Social Media and Memorialised Accounts Your relative or friend may have a Facebook or other social media account. When someone dies, it is possible to convert some of these accounts into a memorialised account. This allows you and other family members and friends to share memories. You can get more information about these accounts from social media websites. Stopping Junk Mail to the recently deceased If someone you know has died, the amount of unwanted marketing post being sent to them can be greatly reduced which helps to stop painful daily reminders. By registering with the free service www.stopmail.co.uk the names and addresses of the deceased are removed from mailing lists, stopping most advertising mail within as little as six weeks. If you cannot access the internet you can call 0333 006 8114, where you will be asked for very simple information that will take only a few minutes to complete. Alternatively, ask the bereavement team for a leaflet that can be returned in the post. This free of charge service provided by the Bereavement Support Network will not only actively reduce unwanted marketing mail but can also help reduce the likelihood of identity theft following the death of someone close. The information is not used for any other purpose and you only have to complete this once. Additionally to Stop Mail a comparable service can also be accessed from the Bereavement Register or Deceased Preference Service if you would prefer to use them.

Children and Bereavement As adults we feel the need to protect our children from things that we might find difficult. It is easy to assume children will not understand death and bereavement, or that it will be too upsetting for them. However, we often underestimate a child’s ability to cope. Children, like adults, find it hard to cope if they are not told what is happening and can be more frightened by their own imagination. Children should be told facts in a simple manner using appropriate words, such as dead, rather than lost or asleep. They should be given time to ask questions and offered lots of love and reassurance. It is helpful for adults to share their feelings with children, such as feelings of sadness. Remember children often like to draw pictures or write stories as part of their way of saying goodbye. If children are at school, it is important to tell the school about the bereavement. Children, like adults, are individuals and will grieve in a variety of ways depending on their age and maturity. They may also need extra comfort and support. It is important to listen to their fears and anxieties at any stage. Children may have a strong need to say their goodbyes, just as adults do. The funeral is an important last opportunity to do this. Whenever possible, children should be encouraged to make their own decision about attending the funeral. This decision may vary from child to child, even within the same family. It is important to be truthful with all explanations to children and to give simple explanations beforehand about the funeral. 24

Useful organisations Age UK Helpline: 0800 678 1602 East Cheshire branch: 01625 612958 www.ageuk.org.uk

Carers UK 20 Great Dover Street, London SE1 4LX Tel: 0207 378 4999 Information Line: 0808 808 7777 Monday to Friday 9am - 6pm www.carersuk.org

The Compassionate Friends Support for bereaved parents and their families Helpline: 0345 123 2304 www.tcf.org.uk

Cruse Bereavement Care National Helpline: 0808 808 1677 (Monday to Friday 9.30am - 3pm) Greater Manchester: 07377 710382 www.cruse.org.uk

The Lullaby Trust 10 - 18 Union Street, London SE1 1SZ Helpline: 0808 802 6868 General enquiries: 020 7802 3200 Monday to Friday 10am - 2pm Weekend and Bank Holidays 6pm - 10pm Email: support@lullabytrust.org.uk www.lullabytrust.org.uk

Lesbian and Gay Bereavement Project (London Friend) 86 Caledonian Road, London N1 9DN Office Tel: 020 7833 1674 www.londonfriend.org.uk Helpline (Switchboard LGBT+): 0800 0119 100 Monday to Sunday 10am - 10pm Email: hello@switchboard.lgbt Website: switchboard.lgbt

Samaritans Macclesfield District, 9 King Edward Street, Macclesfield National Helpline (freephone): 116 123 www.samaritans.org

Department for Work and Pensions Tel: 0800 731 7898 www.dwp.gov.uk

Stillbirth and Neonatal Death Society (SANDS) 10 - 18 Union Street, London SE1 1SZ Tel: 0808 164 3332 Monday to Friday 10am - 3pm, Tuesday, Wednesday and Thursday evenings 6pm - 9pm www.sands.org.uk

Terrence Higgins Trust 439 Caledonian Road, London N7 9BG Tel: 0808 802 1221 www.tht.org.uk

Jewish Bereavement Counselling Service JBCS, PO Box 875, Edgware HA8 4WX Tel: 0208 951 3881 www.jbcs.org.uk Email: enquiries@jbcs.org.uk

National Debtline Tricorn House, 51-53 Hagley Road, Edgbaston, Birmingham B16 8TP Helpline: 0808 808 4000 Monday to Friday 9am - 8pm, Saturday 9.30am - 1pm

Natural Death Centre Information for making your own funeral arrangements In The Hill House, Watley Lane, Twyford, Winchester SO21 1QX Tel: 01962 712 690 www.naturaldeath.org.uk

East Cheshire Hospice Childrens Support Tel: 01625 610364

Silver Rainbows Tel: 01270 653150 Email: health@bpcnw.co.uk Email: info@silverrainbows.com

Grief Encounters A peer support group for LGBTQ people who have experienced a bereavement. Tel: 01273 204050 grief.encounters@switchboard.org.uk www.switchboard.org.uk

Death Cafe An international movement, aimed at helping us understand more about death in order to make the most of life. Groups of people meet in a cafe or somewhere else you can drink tea, eat cake and discuss issues around death. Find further details and forthcoming events on the website: www.deathcafe.com

Comments, compliments or complaints me any suggestions you have about the quality of our our services. Contact us: Freephone: 0800 1613997 Phone: 01625 661449 hone: 01625 663723 Customer Care, Reception, Comments, compliments or complaints lesfield District General Hospital, Victoria Road, We welcomeComments, any suggestions you have the quality of our compliments or about complaints SK10and 3BL carewelcome our services. Contactyou us: have Freephone: 0800 1613997 We any suggestions about the quality of our e print, audio, Braille version or translation, contact 661449 Phone: care and our services. Contact01625 us: Freephone: 0800 1613997 munications and Engagement 0800 195 4194. Textphone:on01625 663723 Customer Care, Reception, Phone: 01625 661449 Macclesfield01625 District663723 General Hospital,Care, Victoria Road, Textphone: Customer Reception, SK10 3BL Macclesfield District General Hospital, Victoria Road, For large print, audio, Braille version SK10 3BL or translation, contact Communications andBraille Engagement on translation, 0800 195 4194. For large print, audio, version or contact Communications and Engagement on 0800 195 4194.

heshire NHS Trust operates a smoke-free policy (including e-cigarettes)

on stopping smoking please contact the KICKSTART East Cheshire NHS8818. Trust operates a smoke-free policy Stop Smoking service on 0800 085

(including e-cigarettes) East Cheshire NHS Trust operates a smoke-free policy (including e-cigarettes) For advice on stopping smoking please contact the KICKSTART Smoking serviceplease on 0800 085 8818. For advice Stop on stopping smoking contact the KICKSTART Stop Smoking service on 0800 085 8818.

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ents about how we can improve our services please inform a member ment or complete a comment card available throughout the hospital. District General Hospital, Victoria Rd, Macclesfield SK10 3BL

If you have any comments about how we can improve our services please inform a member staff in the complete a comment cardour available the hospital. Ifof you have anydepartment comments or about how we can improve servicesthroughout please inform a member DistrictorGeneral Hospital, Victoria Macclesfield SK10the 3BLhospital. of staffMacclesfield in the department complete a comment cardRd, available throughout Macclesfield District General Hospital, Victoria Rd, Macclesfield SK10 3BL

Disclaimer East Cheshire NHS Trust does not guarantee nor endorse the advertisers contained herein and accepts no responsibility for the consequences of any actions taken on the basis of the advertisements.

Reference: Macclesfield District General Hospital and Community Bereavement Booklet Review Date: December 2027 Publication Date: December 2025 www.eastcheshire.nhs.uk

The Hospital would like to thank RNS Publications for publishing this information and the following pages contain some features from services offering their help at this time. Whilst the Hospital is grateful of their support it does not endorse or recommend any of the services that they provide.

STOPPING JUNK MAIL If someone you know has died, we can reduce the amount of unwanted marketing post being sent to them, stopping painful daily reminders. By registering with our free service, the names and addresses of the deceased are removed from mailing lists, stopping most advertising mail within as little as six weeks.

Call: 0333 006 8114 OR

Visit our website: www.stopmail.co.uk bereavement support network stop mail

here to help

Calls are charged at standard landline rates. Calls from mobiles are included in inclusive call packages. © Bereavement Support Network Ltd 2025

Do you need help with

Probate? You may need help, support or advice on what to do when someone dies in relation to probate. It may not always appear obvious if it will be required.

Call: 0333 240 0360 We offer free guidance on the legal and financial aspects of bereavement including your responsibilities and whether probate is required. You may need to establish whether a property is held in joint names or tenants in common, we can perform a simple check at no cost to establish the title deeds. This service is provided by

bereavement support network here to help

Connecting you with managed and D.I.Y. Probate Solutions Calls are charged at standard landline rates. Calls from mobiles are included in inclusive call packages.

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This publication has been jointly developed between ourselves and the hospital. We hope that it has been or will be of help at this time and we welcome any comments or suggestions that you may have. Please contact us either by phone, email or by post. RNS Publications, Trium House, Unit 15, Broughton Way, Whitehills, Blackpool FY4 5QN

01253 832400 enquiries@rns.co.uk