Membersâ€™ Magazine | Spring 2014 www.wlmembership.org
Diane is an inspiration
Dear members, A warm welcome from your deputy chair for West Leicestershire Clinical Commissioning Group (CCG) Welcome to the first edition of our be healthy, be heard magazine for 2014. In this edition we meet our cover star on page 3 Diane Aspin, who tells us what is it like to be a carer for a family member and why it is important to make your voice heard.
Finally, on page 11 we look at the success of our New Year, New You campaign in helping people to give up smoking, cut down on drinking and lose weight and let you know where to go for support if you decide to make these your resolutions for 2014.
In Spotlight on the Board on page 5 we talk to our GP clinical lead and board member Dr Geoff Hanlon, who has been a GP in Loughborough for over 30 years and has just been awarded an MBE.
Our website at www. westleicestershireccg.nhs.uk is updated regularly and you will find a variety of information about health and wellbeing, what your CCG is doing to make health services better for you and how you can get involved. You can also follow us on Twitter or like us on Facebook for up-to-date health information and advice.
We have also launched our new online directory of more than 130 support groups on our website, which is giving patients and the public support to help manage their health conditions. In addition to this we are also looking for Mystery Shoppers to let us know about their experiences of healthcare. To find out more read our articles on page 6.
Dr Chris Trzcinski Deputy Chair, West Leicestershire Clinical Commissioning Group
On page 13 we look at the two health records programmes which have been launched recently – Summary Care Records and Better information means better care – and explain what the differences are. Our public consultation on community services in Ashby has now been launched and you can find out all about the options, as well as why things have to change on page 10.
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If you have a practical tip, health suggestion or an interesting story, please send it for inclusion in the next issue using the contact details below. We are also looking for cover stars – send us your picture and health story if you would like to appear on our cover Email: firstname.lastname@example.org Post: Please send all correspondence to: West Leicestershire Clinical Commissioning Group Freepost ADMAIL 4149 Loughborough LE11 1YW Telephone: 0300 555 5345 Please note that the membership helpline is open between 9am and 5pm, Monday to Friday. Published by: GEM CSU, St John’s House, 30 East Street, Leicester, LE1 6NB
ONE AND ALL Working tirelessly for 39 years as her daughter’s primary carer, as well as finding time to support others, great grandmother Diane’s positive outlook, boundless energy and community spirit are inspirational. Diane has been the primary carer for her 39-year-old autistic daughter Nichola since birth. Despite her caring role, battling with breast cancer, and losing her husband to an asbestosrelated illness, the spirited 69-year-old from Earl Shilton remains remarkably upbeat. “It can be demanding looking after Nichola. We communicate through Makaton sign language as she is unable to speak and her behaviour can be challenging. She has to be constantly watched and I do get tired at times, but there are people in a worse position than me and I always try to remain light-hearted,” she says. Nichola attends a day centre during the week and goes for respite care several times a year,
which provides an opportunity for Diane to catch up with her chores, including maintaining the house and large garden. With a total of five children and two great grandchildren, Diane is certainly kept busy, but still finds time to fit in some campaigning and voluntary work including helping the Asbestos Society and successfully helping to overturn proposals to close three respite homes.
Come along to our Everyone Counts event. We will be holding a special Everyone Counts event in March and would like to invite you to come along. The special listening and hearing event will focus on patient stories, giving us an opportunity to listen to you and enabling you to increase how involved you get with local healthcare. There will also be workshops to showcase what we have already done after listening to your comments. These will focus on GP surgeries, hospitals, mental health services, health visitors and district nursing. The Everyone Counts event takes place on Thursday 27 March, from 9am to 4.30pm in Burleigh Court at Loughborough University, LE11 3TD. We will be providing bacon and egg butties on arrival in the morning, then a buffet lunch, as well as tea and coffee. To book your place please register online at www.westleicestershireccg.nhs.uk/page/everyonecounts or contact Helen Cullinan on 01509 567 796 or by emailing Helen.email@example.com
Passionate about getting involved, Diane says: “People tend to call on me because they know I will always help. A lot of carers find it a daily struggle but I believe it helps to speak to people in a similar situation and we should work together and support each other.” A range of local support groups are available for patients and carers, providing a valuable opportunity for people to share experiences and information and to learn from each other. Further information can be found at www.westleicestershireccg.nhs. uk/self-help-groups Diane concludes: “The people who use the services know them the best so it’s important to have a say to ensure the facilities we rely on stay open. The CCG listened to our opinions and made changes so we made a real difference. “I would encourage every member of be healthy, be heard to get involved and make a real difference, because even if it’s about a health service that doesn’t affect them now, it may do in the future.”
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Support for your health condition is just a click away Health advice and support is now just a click away, thanks to our new online directory of more than 130 support groups dedicated to helping people in West Leicestershire manage their health conditions. The directory contains contact information for voluntary organisations offering support
for carers, as well as those with mental health issues and health problems ranging from asthma, arthritis, Parkinsonâ€™s disease and heart disease, to diabetes, multiple sclerosis and stress. There is also support available for people wanting to give up smoking or get help for problems with anxiety. The health directory is available
Kinch Bus Update Discussions with local bus companies about public transport links to Loughborough Community Hospital and the Urgent Care Centre have been taking place for some time and we are delighted to inform you that Kinch Bus has agreed to extend its number 5 route for a trial period. Kinch has introduced a new bus stop in car park 2 at Loughborough Hospital, which is outside the Urgent Care Centre. It will operate a shorter, 33 seater bus so that it can get as close to the hospital building as possible. The service is open to patients and staff, and fares will be based on the existing structure. Kinch has committed to pilot the service for two months, which it will extend if there is sufficient demand. We will update you on progress in the next edition.
for the public, patients and GPs to use, and can be searched either by condition or by typing in a postcode. To access it visit our website at www. westleicestershireccg.nhs.uk and click on Your Support Groups.
A guide to the health system There have been lots of changes made to the NHS over the past year and patients and the public can still find it confusing to understand who is responsible for what. A video has been put together by The Kingâ€™s Fund as an alternative guide to the new NHS in England. You can view the video on our website at www.westleicestershireccg.nhs. uk/page/alternative-guide-nhs
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the Board – Dr Geoff Hanlon
Dr Geoff Hanlon has been a GP in Loughborough for over 30 years and is the GP clinical lead for West Leicestershire Clinical Commissioning Group. In January he was awarded an MBE which recognised his work in making health services better for people living in West Leicestershire. Congratulations on your MBE. Can you tell us about why you were nominated for one? That is a difficult question. I have been privileged to work with an excellent group of GPs over the years on projects such as the development of Loughborough’s Walk-In Centre and later the Urgent Care Centre and Loughborough Community Hospital. I have also been involved with the Out of Hours GP service. Whatever the reason I feel honoured to have been given an MBE. How busy is your working life? I am a practising GP and see patients three days a week at Rosebery Medical Centre. The rest of the week I work for the CCG and am a board member. I also sit on the Fitness to Practice panel of the General Medical Council, assess for the National Clinical Assessment Service and, until recently, was an examiner for the Royal College of General Practitioners.
How different is it being a GP now to when you first started? I think that it is inevitable that the role of a GP will keep changing because as the NHS becomes more complicated a doctor’s role has to evolve to keep up. I find my job exciting and I really enjoy all the new challenges I face every day – there is no time at all to get bored!
nuclear physics in Oxford and I always wanted to teach that. In fact, I still do slightly as I always give our registrars a tutorial in physics! What do you do to keep fit?
Do you have advice for anyone considering becoming a GP? I think it is important to understand that as a GP you are there to look after your patients, not just listen through a stethoscope. With the right skills you are able to help make a real different to people’s lives. If you weren’t a GP, what else might you be doing? I would be teaching physics. I did my first degree in atomic and
I go to the gym four times a week, usually quite late in the day in order to fit it in, and I also go running whenever I can. How do you like to unwind? I really enjoy watching football. I have supported Manchester United for the last 50 years and I have a season ticket. It has been a reasonably stressful year for my team, but I generally find watching football is a great way to unwind!
My Top health tip Exercise to whatever limits you have. The kick from the endorphins is like no drug you will get anywhere else. Spring 2014, Issue 8: be healthy be heard 5
Do you have a long term condition?
A patient participation group (PPG) in Charnwood is currently looking at how patients with long term conditions manage their illness and are appealing for people to fill in a questionnaire. Charnwood Community Medical Group PPG, which covers the Rosebery, Outwoods, and Forest Edge medical centres in Loughborough, is concerned that some patients with long term conditions don’t fully understand their condition or how they can help to manage it themselves. This might be because they don’t understand the importance of their medication, how it works or what help and support is available to them or to their family or carer. It is felt that if patients have a greater understanding of their condition, then they can have a better quality of life. This would also help to save the NHS money as the number of emergency or urgent admissions to hospital could drop.
Become a mystery shopper We want to recruit you to become a mystery shopper for us and report back on your experiences of accessing NHS services. We are committed to listening to our patients and the public and by taking part you will be helping us to improve local health services in the future. Those signing up to be a CCG mystery shopper will be fully briefed before starting and then every time you have contact with
The PPG is looking at the following long term conditions: • • • • • • • • •
hypertension coronary heart disease chronic obstructive pulmonary disease chronic kidney disease diabetes epilepsy heart failure stroke/TIA peripheral arterial disease.
Mick Gregory, from the PPG, said: “The questionnaires are specific to the relevant long term condition and we are very pleased with the response we have had so far. If you would like to fill in a questionnaire, please contact me by calling 01509 557 262.”
the NHS – whether it is by letter, telephone or face-to-face – you will tell us what you thought of your experience by either filling in a questionnaire or giving us a call. This will enable us to act quickly on concerns as well as highlight what you thought went well. All our mystery shoppers will remain anonymous so they are able to speak as candidly as they wish. For more information, or to sign up, please contact patient experience and quality support
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officer Helen Cullinan on 01509 567 796 or email helen.cullinan@ westleicestershireccg.nhs.uk
Choose Better to get the right healthcare
at the right time
We are encouraging all of our patients across West Leicestershire to Choose Better when selecting the most appropriate health service for their needs. As part of an ongoing campaign to highlight that the Emergency Department (A&E) is for life-threatening threatening accidents and emergencies only, the Choose Better message is being targeted at everyone who uses the health system. We want you to think carefully about whether your illness or injury is a real emergency. If not, we are encouraging you to use other local health services to get the right help and care at the right time, which could mean you are seen more quickly than if you went to A&E. Self-care: By keeping your first aid kit and medicine cabinet fully stocked, you can look after a sore throat, cough, cold, upset stomach or hangover yourself at home. Pharmacy: Your local pharmacist can be a great source for confidential health advice, with information on what treatments you can use for a range of common illnesses and complaints such as diarrhoea, minor infection, headache, toothache or general aches and pains.
Urgent Care Centre: If you are suffering from a minor burn, cut or wound, bruises, strains, sprains, a suspected fracture or a wound infection, then an urgent care centre will be able to help you. Emergency department (A&E): This is for life-threatening accidents and emergencies only such as suspected heart attack or stroke, loss of consciousness, heavy bleeding, severe breathing difficulties, severe burns or fits that are not stopping. For more information on Choose Better and to find out which services are available across West Leicestershire visit www.choosebetter.org.uk
What would your mum say? Local students and NHS staff have been helping to get the Choose Better message out to young people and signpost them to the right health service.
GP practice: If you are feeling ill, vomiting, have ear pain, backache, a persistent cough, general concerns or a child with a fever, then your GP practice should be able to help.
A spoof music video based on the hit song ‘What does the fox say?” by the Norwegian comedy duo Ylvis, has been put together by the local NHS called ‘What would your mum say?’
NHS 111: For those unsure where to go for treatment, or if you are confused, need help, have a minor illness or injury, then call 111. You can ring 24 hours a day, seven days a week and will be able to get advice on where to find the right local health service.
The video, which is available to view on YouTube, gives young people advice on where to go when they are unwell or injured, and encourages them to avoid using A&E for anything other than life-threatening accidents or emergencies.
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There are more ways
Go smokefree If you smoke, giving up is probably the greatest single step you can take to improve your health.
What does the Stop Smoking service do?
The Stop Smoking service supports people in Leicester, Leicestershire and Rutland to stop smoking. It also helps to discourage young people from starting to smoke and works to improve the health and wellbeing of babies and children by encouraging families to keep their homes and cars smokefree.
“All of the advisors who work with the Stop Smoking service have been trained to help people quit their habit,” said Louise Ross, the service manager.
“We tend to see people on a one-to-one basis and also have advisors who can speak different languages. Some clients will be seen by our advisors, some by community pharmacists or by a nurse at their GP practice. Whoever it is, they have been trained to help. “Once you have decided to stop smoking and called us, you will be invited to meet with an advisor. At your first meeting we will talk to you about your smoking history and your reasons for deciding to quit.”
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ys than ever to quit – How quickly will I notice the benefits of stopping smoking? After 20 minutes – Blood pressure and pulse rate return to normal After 8 hours – Nicotine and carbon monoxide levels in blood reduce by half and oxygen levels return to normal After 48 hours – Carbon monoxide will be eliminated from the body. Lungs start to clear out mucus and other smoking debris After 48 hours – There is no nicotine in the body. Ability to taste and smell is greatly improved After 72 hours – Breathing becomes easier. Bronchial tubes begin to relax and energy levels increase What happens when I make contact? Mary, who is a Stop Smoking advisor, says during the first meeting with a client she will explain the health benefits of quitting, which is especially important if the person has health problems which smoking is making worse. “I also check the amount of carbon monoxide in their exhaled breath in a simple breathing test. Carbon monoxide is the gas that makes your blood thicker and stickier and more likely to clot. The more you smoke, the higher your reading and it can be quite an eye-opener to see how much you are carrying,” she said. “The good news is that within the first week of stopping smoking your level of carbon monoxide will have dropped dramatically and clients who return could find they are already down to a non-smoker’s level. “During our first session we will set a quit date. Just before a big party would not be a good time, so it is important that we find a time that they are most
likely to stick with. Together we will then decide which products are most likely to help. “There are a number of different products, such as nicotine replacement therapy, Zyban or Champix. Those opting for nicotine replacement can have two weeks’ supply at a time at the price of a prescription, or free for those who don’t pay for them. This is a huge saving compared to buying nicotine replacement over the counter and advisors can tell the client how best to use it so that it works. “Those deciding to use Champix or Zyban will get it from their GP on prescription. These drugs work much better when the client also gets support from the Stop Smoking service.” Mary added: “The people who use the Stop Smoking service also get tips on how to cope with withdrawal symptoms, how to recognise what the triggers are that make them want to smoke and can get support from one of our advisors on a weekly basis. Smokers who have given up using the service say it is the best thing they have ever done.”
How do I access the Stop Smoking service? Call 0116 295 4141 Text 07717 420 560 and we will call you back Email Louise.Ross@leicspart.nhs.uk Visit www.smokefree.nhs.uk Speak to your GP Ask your local pharmacy if they offer a stop smoking service Spring Spring2014, 2014 Issue 8: be healthy be heard 9
ashby community health – HavE your say There’s still time to have your say on the future of community health services in Ashby. The consultation is under way and will finish at midnight on Sunday 6 April. Our Ashby consultation is about making sure that our services can cope with the increasing demand expected over the next few years, as the local population grows and people live longer. Community health services is the name for healthcare normally based at community hospitals, like Ashby and District Hospital. This includes clinics, school nurses, district nurses and health visitors. It is also about healthcare in people’s homes. In Ashby community health services are provided by Leicestershire Partnership NHS Trust (LPT), our partners in this consultation. Why change at all? We know current services will be unable to meet future demands. This is not only because of an ageing population, but also because the population of Ashby and the surrounding area has grown significantly and will continue growing. With an expected rise of around 10,000 over 65s in the Ashby area by 2021, more people will need community health services. Ashby and District Hospital was built more than 115 years ago. It is a small building with limited parking on a small plot without the space to expand. It needs
major repairs which could cost between £500,000 and £900,000 over the next two years. Spending money on hospitals does not allow us the flexibility to meet the needs of older people, but providing care to more people at home would help meet their needs. Based on public and health professionals comments so far, we have drawn up two options. Option 1: Make the best possible use of the services in Ashby and District Hospital This option would mean the hospital would remain open and essential work done to make it fit for purpose for the next few years. We would make better use of the current 16 inpatient beds by reducing patients’ length of stay, ensuring the quicker transfer of patients who could be cared for at home, at a care home or elsewhere. We would add a few extra outpatient clinics and make greater use of resources. Option 2: Move services out of Ashby and District Hospital to other local places, increase the range of community health services and provide more care in people’s homes If community health services moved to other places, LPT would close the hospital. For
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those who would normally be admitted as inpatients this would mean more choice of where to receive care. We would provide more care in or nearer patients’ homes. For instance, both the virtual ward system and the intensive community support service offer high quality care at the patient’s own home, and there will be a nurse night-sitting service too. We will also provide care in nursing homes and care homes, as well using NHS wards in Loughborough or Coalville community hospitals.
We would provide better equipped outpatient clinics in a more modern, local setting able to deal with more patients. This would put an end to going to one place for diagnosis and another for treatment. The range of outpatient and therapy services could be expanded – including occupational therapy and physiotherapy. Please have your say We hope that you will take part in our public consultation and consider the options. We have published a consultation document which describes the options and the thinking behind them. It is available at www. westleicestershireccg.nhs.uk and www.leicspart.nhs.uk. If you would like a consultation document posted to you please call 0116 295 1486.
Did you join us in making a
New Year, New You resolution?
This January as part of a special month-long campaign to promote healthier living across West Leicestershire, we launched our New Year, New You social media campaign and set off on a special health bus to spread the word. New year, New you offered advice and support to people who wanted to give up smoking, cut down on alcohol or lose weight, and as part of this we spent a week touring West Leicestershire in our bus, offering health checks and information to everyone who hopped on board.
and smoking, we can help individuals to change their behaviour or access support services, which will reduce their risk of developing long term illnesses and improve their chances of living a longer and healthier life.”
The campaign was a fantastic success with more than 1,200 people visiting our webpage – www.westleicestershireccg.nhs.uk/newyear – which is packed full of advice and support for making a healthier lifestyle choice and over 630 people hopping aboard the health bus. We also managed to reach almost 11,000 people through our social media campaign.
Dr Mike McHugh, a consultant in public health for Leicestershire, added: “By targeting lifestyles that adversely affect health, such as smoking, excessive drinking and obesity, we can make a real difference to health outcomes and help people to reduce their risk of developing a long term health condition and also improve their chances of living longer.”
Professor Mayur Lakhani, GP, the chair elect of WL CCG, said: “Our New Year, New You campaign has provided the tools, information and support to make a real difference to people’s health. “By targeting weight management, alcohol reduction
It is not too late to join us in making a resolution to have a healthier lifestyle in 2014. If you would like help to give up smoking, cut down on alcohol or lose weight visit our website at www.westleicestershireccg.nhs.uk/newyear and find out what advice and support is available.
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Commissioning intentions In 2012 we asked you to tell us what you thought about health services in West Leicestershire. Nearly 500 responded. Here’s what you said and what we are doing as a result. Via surveys and events you told us that we should concentrate on care of the elderly while promoting healthier lifestyles. You also highlighted long-term conditions, like diabetes, heart conditions, arthritis, strokes and blood pressure. Children, young people and maternity services were high on your list, along with mental health, tackling conditions like confusion, dementia, anxiety, stress and depression. You were concerned about care in hospital, again including care of the elderly. To enable us to be sure we are improving and enhancing local health services, we carried out another survey in December last year. We also held a public event at Loughborough Town Hall. Your feedback was used to help shape our commissioning plans. Building on what you told us, our priorities are now clearer. We will help our GPs deliver excellent care. Though our visits to GPs we will share ‘best practice’ in the way we look after patients, including safe prescribing, and through special events we will help with training and keep GPs up to date with the latest developments. We will build on our approach to the way we look after patients with complex and multiple long-term illnesses. We aim to use a range of schemes to improve the care of the elderly and quite young. We will expand community urgent care to reduce pressure on emergency services. This involves improvements to ensure good alternative care is available. For instance, we will move towards sevenday working, and ensure speedy round-the-clock care 12 Spring Spring2014, 2014,Issue Issue8: 8:be behealthy healthybe beheard heard
by the crisis response service. We want to encourage more use of Loughborough Urgent Care Centre. We also want to expand community children’s nursing to an all-week 8am-8pm service. Planned care is a personalised course of treatment for patients with known conditions, some of which may be long-term illnesses needing many scheduled visits to hospitals and clinics. Along with our neighbouring CCGs, we are moving to a newstyle contract with a range of providers, whom we expect to work together in an alliance to improve planned care. Whenever possible, and when it’s the right thing, we will provide diagnosis and some parts of patients’ treatment in places other than main hospitals. So we will make more use of community hospitals for outpatient care, diagnostics and daycase procedures.
We aim to improve the help available on leaving hospital to best help patients recover. One of the key things is to help health and social care staff work more closely together to make sure patients are well looked after at home, and have the support they need. We will ensure all our healthcare providers deliver high quality, great value care for our patients. One way is by making it completely clear upfront what quality standards we expect when we write our healthcare contracts. We will monitor these closely to make sure they are effective, and make unannounced site visits. Areas where we aim to improve are maternity care and mental health, but there are others. We will empower more of our patients to shape services and the care they receive. In fact, we want more members like you – so please tell your family and friends that it’s free to join and it keeps you up to date. We will be undertaking other ways to get more people involved, including special campaigns, so please keep reading your “be healthy, be heard” magazine, for more details.
In the winter edition of the membersâ€™ magazine we told you about the new short medical records called Summary Care Records. Please note that they are nothing at all to do with the national care.data project, which you may have heard about in the news, and which is now being paused for six months.
Summary Care Records are brief, personal medical records designed to offer patients faster and safer care when they are treated at A&E, by out-of-hours clinicians or in urgent care centres. These electronic care records help support treatment when patients need urgent, out of hours or emergency care. They carry details of their allergies, current and recent medications or any bad reactions to specific medicines they may have had in the past. In September patients received a letter containing an information pack explaining Summary Care Records in more detail, as well as giving them the right to opt out of having a record created. Care.data A second health records programme was launched this year called Better information means better care or care.data. This project has now been paused for six months while the NHS works on helping people better understand what it is about and how the data is kept secure. What is it about? Since 1980 the NHS has been collecting information about every hospital admission in England. This information is already proving invaluable for monitoring the quality of hospital care and for planning NHS services.
IS BEING USED
However, information about care outside hospital wasnâ€™t included, making it difficult to have a complete picture about the full set of services delivered to patients. Better information means better care has been designed to ensure that there is more information available, so that the best possible evidence is available to improve the quality of care for everyone. Your date of birth, full postcode, NHS number and gender rather than your name will be used to link your records in a secure system. Once this information has been linked, a new record will be created that does not contain any information that might identify you. It is completely nameless. When the massive database has been created, expert analysts can ask it questions electronically. The system processes the question against the database and produces a set of results. It may be about the way the NHS looks after patients with a specific health condition, such as diabetes. The results will show the different ways care is provided in different places. The aim is to find the most efficient and costeffective treatment methods, which could then be shared with other NHS doctors and managers to help make care more efficient. A leaflet has been sent to households explaining the programme and also providing details of the opt-out process. NHS England will be providing people with more information to better understand the project. More about Summary Care Records and care. data is available on our website at www. westleicestershireccg.nhs.uk Spring 2014, Issue 8: be healthy be heard 13
Meet Healthwatch Leicestershire’s new board Healthwatch Leicestershire (HWL) now has a permanent board following elections which were held last year. The six members are: • Gillian Adams, a business consultant • Fiona Barber, a previous Leicestershire LINk board member • Mina Rodgers, a retired NHS worker
social care services in the county as possible. The six board members will be joined by a new chairperson – a post which is currently being recruited to – as well as a HWL director and a trustee from Voluntary Action LeicesterShire. For more information about the board members visit Healthwatch Leicestershire’s website at www.healthwatchleicestershire.co.uk
• Eric Charlesworth, a member of the Leicester Mercury patients’ panel • Kevin Blanks, a retired public health specialist and member of the Leicestershire Kidney Patients’ Association • Sue Staples, a former head of nursing for education at Leicester’s hospitals The board is responsible for determining the strategic direction of HWL and ensuring it provides a representative voice for as many users of health and Become a member of Healthwatch Leicestershire Healthwatch Leicestershire is the consumer champion for health and social care services in the county. It makes health and social care providers answerable to you – the children, young people and adults who use their services. Become a member of Healthwatch Leicestershire and have a stronger voice to influence and challenge how health and social care services are provided locally. Our members are kept up to date with the latest health and social care news, events
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and consultations as well as representing local people at health and social care meetings. For more information, and to become a member, visit www.healthwatchleicestershire.co.uk, email firstname.lastname@example.org or call 0116 2574 999.
Perfect Picnics Picnics are a great British tradition and a good way for you and your family to eat a healthy meal together.
If you combine a picnic with some physical activity – such as games or a brisk walk – you can have a healthy and fun day out that doesn’t have to cost much.
Serves: 4 adults Preparation time: 15 mins
Your picnic basket
Cooking time: 0 mins
So, what’s going in your picnic basket? Start with foods that contain carbohydrates, as these are an important source of energy. Foods that have carbs include bread, pasta and potatoes. Choose wholegrain or wholemeal varieties where possible when selecting bread or pasta.
Next think about including protein, which is not only filling, but helps to promote growth and repair in our bodies. Protein can come from lean meat in sandwiches such as turkey or chicken breast, as well as from beans and pulses in salads. Nutritional information: Per adult portion (i.e. ¼ recipe) 295 kcals 22g protein 6g fat, of which 3g saturates 42.5g carbs
Don’t forget to bring plenty to drink. Take a flask of water or 100% fruit juice without added sugar, instead of a bottle of sugary, high-calorie fizzy drinks.
• 4 soft flour tortillas • 4 tbsp lower fat soft cheese • 4 tbsp low-fat natural yoghurt • 120g skinless, boneless roast chicken breasts chopped • 100g sweetcorn • ¼ cucumber • 1 pinch ground black pepper • 2 handfuls of lettuce leaves
This recipe has been taken from www.nhs.uk/Change4Life
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n o i t i t compe Itâ€™s
This Easter we are taking you on an egg hunt to find the word of our latest health campaign.
Look out for the Easter eggs which are hidden throughout the magazine and find the missing letters. There are five to find. The letters will spell the name of one of our important health messages.
Send your completed entries to: West Leicestershire CCG Membership, Freepost Admail 4149, Loughborough, LE11 1YW We will pick one correct entry and the winner of a Choose Better first aid box will be announced in the Summer 2014 edition of be healthy, be heard. All entries should reach us before Saturday 31 May 2014. Good Luck!
Winners from the last issue Congratulations to Sandra Daley winner of the Vicks steam inhaler
Congratulations to Andrew Harris winner of the ÂŁ10 Boots voucher
We can provide versions of all be healthy, be heard membership publications in other languages and formats such as Braille and large print on request. Please contact on 0116 295 4183. Please state which publication you require when you call.
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