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Members’ Magazine | Spring 2014 www.elrmembership.org

Keep fit and having fun! Inside: Meet Tabitha Randell • Consultation on urgent care services • Self-help database • See your pharmacist – the earlier, the better 48450 HEALTHY TIMES BHBH East-Mar2014.indd 1

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Dear members, Welcome to the spring edition of our magazine for East Leicestershire and Rutland be healthy, be heard members. In this edition we tell you about our public consultation on improving urgent care services which launched across East Leicestershire and Rutland on 26 February and runs until midnight on 23 April. Urgent care is the care you need when your condition or injury cannot wait for a routine appointment with your GP but isn’t life-threatening, for example a minor injury. Our vision for the future of urgent care is high quality services which are available close to home, in the right locations, seven days a week including evenings, weekends and Bank Holidays. There are three options to consider, all of which include an urgent care centre in Market Harborough, Melton Mowbray, Oakham and one in the Oadby and Wigston area, the exact location of which is to be decided. For more information read our article on pages 4 and 5, or visit our website at www.eastleicestershire andrutlandccg.nhs.uk to read

the consultation document and for details of how to get involved. Also in this edition we talk about how the CCG listens to the public, see page 6 and 7, as well as take a look back at what we’ve been up to during our first year on page 11. Don’t miss reading about our cover stars, the Movement Matters class in Rutland, and how they mix friendship and fitness on page 3, as well as information on how you can Choose Better on page 9 when selecting the most appropriate health service, and details of The earlier, the better on page 10, which is a national campaign encouraging people to speak to their pharmacist if they are feeling under the weather. Dr Dave Briggs Managing Director, East Leicestershire and Rutland Clinical Commissioning Group

us: Contact

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: info@elrmembership.org Post: Please send all correspondence to:

East Leicestershire & Rutland CCG Freepost ADMAIL 4228 Market Harborough LE16 7ZZ 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

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ExErcisE – it’s both a treat and a treatment Keeping fit and healthy has never been more fun for a group of Rutland women who joined exercise classes at Catmose Sports Centre in Oakham.

“I have a chronic back problem and I’ve found that exercising has really strengthened my back. Mike is really good at making sure I exercise safely, getting the most out of the exercises without putting my back at risk,” she said.

Take around a dozen women aged 40 to 80… introduce them to classes called Movement Matters…take some equipment…cue the music. And the result is an enduring friendship and a sense of fun, that helps keep them fit and their minds alert.

There are Movement Matters classes three times a week. Some people go to all three and some to just one. Many in the group also take part regularly in other classes, ranging from zumba, which combines Latin American music with a fun and effective workout, to a special activity using a massive inflatable sphere, which Mike calls ‘Balls and Bands’.

The Catmose Sports Centre classes were designed by fitness manager Mike Davenport, with activities ranging from Tai Chi to volleyball and weightlifting, all in 45-minute sessions. “We spur each other on. Feeling part of a group gives you the confidence to try things,” said Susan Tyers, who attends a Movement Matters class. “Mike suggested we play hockey and netball. We weren’t sure about it, but five minutes later we found ourselves racing down the wing, feeling 17 again. My blood pressure had been high since the birth of my son and was getting increasingly worse. My GP suggested I should do more exercise and we’re both delighted with the results.” Gill Bartlett had problems with her knees: “I couldn’t squat or kneel, but since I’ve been coming to the gym I can now do both.” And Joyce Bottomley added: “You feel better for coming. It gives you the energy to get on with your jobs when you get home. We bounce off each other.”

Most people there are already Catmose members, paying a monthly fee for unlimited use of the 60-station gym, plus access to all fitness classes and swimming, while non-members can pay per class. Fitness manager Mike added: “‘One thing I wasn’t expecting was how well the group has bonded and supported each other, adding a whole different element – wellbeing as well as health. The programme is designed to keep people strong and mobile to avoid injuries and maintain quality of life.  “The group continues to grow and new people are welcomed with open arms. Anyone interested in coming along can contact the centre on 01572 490 030 and we’re always happy to talk over what people want to achieve and which activities are best for them.”

While for Linda Nicholson joining the gym helped her to put down roots when she moved to Rutland, as well as bringing physical benefits. Catmose Sports Centre runs a wide range of fitness classes seven days a week for men and women of all ages and fitness levels

Staff are always available at the 60-station gym to discuss how you can improve your health and fitness

Classes run from early in the mornings to late in the evenings on weekdays as well as Saturday and Sunday mornings

www.stevenage-leisure.co.uk

For more information visit or call 01572 490 030 Spring 2014, Issue 8: be healthy be heard 3

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Let us know your views on A consultation on improving urgent care services 26 February to 23 April 2014 We have launched a public consultation on proposals to improve urgent care services across East Leicestershire and Rutland and are asking you to have your say. Urgent care is what you need when your condition or injury cannot wait for a routine appointment but isn’t life threatening, for example a minor injury or illness. East Leicestershire and Rutland Clinical Commissioning Group’s (ELR CCG) vision for the future of urgent care is high quality services available close to home, in the right locations, seven days a week including evenings, weekends and Bank Holidays. Clear advertising of opening times and information about the kind of conditions the services can treat are also at the heart of the proposed improvements.

It is hoped that fulfilling this vision will mean better choice of service for local people, less travel, shorter waiting times and a reduction in people going to A&E for injuries or illnesses that could be treated locally at a GP surgery or urgent care centre. The proposals being put forward are the culmination of extensive work. This has included detailed consideration of feedback from several public events and surveys, along with analysis of information about the local population, people’s access to cars and public transport and the potential impact of planned housing developments.

There are three options to consider, all of which include an urgent care centre in Market Harborough, Melton Mowbray, Oakham, and one in the Oadby and Wigston area, the exact location of which is to

Come along to one of our events Public drop-in events for the urgent care consultation: Blaby Thursday 13 March, 5.30pm-8pm, The Council Chambers, Blaby District Council, Desford Road, Narborough, LE19 2EP Lutterworth Thursday 20 March, 1.30pm-4pm, The Pavilion, Coventry Road Recreation Ground, Coventry Road, Lutterworth, LE17 4RB Rutland Wednesday 26 March, 1.30pm-4pm, Voluntary Action Rutland, Rutland Volunteer Centre, Lands’ End Way, Oakham, Rutland, LE15 6RB Oadby Friday 28 March 2014 10am-12.30pm, Walter Charles Community Centre, Wigston Road, Oadby, LE2 5QE Wigston Thursday 3 April, 12noon-3pm, Bassett Street Community Centre, Bassett Street, Wigston, LE18 4PE

Listening booth Our listening booth, a portable kiosk which goes out into the community to encourage people to leave their comments on healthcare, will be making the following visits: Rutland Saturday 15 March from 10.30am, at Rutland Parent Carer Voice Family Day, Greetham Community Centre, Great Lane, Greetham LE15 7NG Melton Mowbray Tuesday 18 March, Melton Farmers Market, Scalford Road, Town Centre, Melton Mowbray

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urgEnt carE be decided. GP practices will also have a key role in two of the options. We are now asking people to comment on the proposals and which option is best for them and their families. Tim Sacks, Chief Operating Officer of ELR CCG, said: “We are passionate about having high quality care available for local people. We want to see services in the right locations, seven days a week, including during the evening, at weekends and on Bank Holidays. “We believe it should be clear where to go, at what time and with what type of condition and that you should be seen within a reasonable time. We also want to ensure you won’t have to travel far to find a local service. These are things that people have told us they want us and we are hopeful that by making

changes, care will be better. We also believe it will help to relieve pressure on busy A&E departments which should only be used for serious and life threatening conditions.

“You can have your say by completing a survey, coming along to one of several drop-in events or by talking to our staff as they tour East Leicestershire and Rutland with our listening booth. The outcome of this consultation is very important for local health services and we encourage you to let us know what you think so we can make the right decision for the future.” The consultation runs until midnight on Wednesday 23 April and further details – including the consultation document and our online questionnaire – are available on our website at www.eastleicestershireandrutlandccg.nhs.uk.

The three options Below you will find the three options which are available. For more information, including how the current services compare to these options please visit our website at www.eastleicestershireandrutlandccg.nhs.uk All options currently exclude weekend GP surgeries. Exact opening times at any venue will remain a matter of discussion until they are agreed with healthcare providers. Outside of these opening times patients will have the availability of the 24-hour NHS 111 free helpline service, which offers an assessment and advice on the most relevant local care options available.

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We are li

We are responsible for planning and purchasing many of your NHS healthcare services. East Leicestershire and Rutland CCG’s area includes Melton Mowbray, Market Harborough, Oadby and Wigston, Lutterworth, Blaby and Rutland. We commission community healthcare, mental health services and those for people with learning disabilities, along with urgent care, such as minor injury and illness services. See pages four and five for our live consultation on urgent care.

In order for us to make sure we cater to the needs of the community we have in place a number of different ways people can have a say on the plans or healthcare decisions we have to make. The feedback that we receive from them is taken into account when decisions are being made to create new services – or reshape them. Getting involved and telling us what you think is important to us because it helps us to understand your healthcare needs and your point of view better. If you would like to get more involved with your CCG, please contact us on the membership helpline number 0300 555 5345 or email us at info@elrmembership.org 6 Spring 2014, Issue 8: be healthy be heard

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listening

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Quitting smoking

– how did your New Year resolution go? If you had problems, the advice is: Don’t give up giving-up! It takes time. The author and wit Mark Twain is quoted as saying: “Giving up smoking is easy – I do it every day.” If you tried quitting as your New Year resolution and failed you may take heart from Jo’s story. The 32-year-old from Leicestershire made the decision to quit when her son told her he was worried about her smoking. Jo said that Dylan was the biggest motivation of all and hearing him say: “Stop smoking, mummy,” was enough to make her want to stop for good. She had tried to break the habit several times before, but eventually did it with help from the Leicestershire Stop Smoking service. After trying to quit smoking numerous times with nicotine replacement therapy, including inhalers and patches, she always ended up relapsing. This time she’s trying a medicine named Champix (Varenicline) and it’s working really well for her.

Jo has also been using the Stop Smoking service and because her advisers are ex-smokers themselves, she’s found their advice and support invaluable in helping her to quit. Finding the type of NHS stop smoking support that was right for her really helped Jo. She said: “It will have a positive impact on how I tackle anything in life now, knowing I can do this, which is the hardest thing I’ve ever had to do. If I can beat smoking then I can take on anything.” If you have tried to quit before and would like to try quitting Jo’s way, sign up to Smokefree. Visit www.smokefree.nhs.uk You can also get help by contacting the Stop Smoking service: Call 0116 295 4141 Text 07717 420 560 and we will call you back Email Louise.Ross@leicspart.nhs.uk

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Choose Better to get the right healthcare at the right time We are encouraging all of our patients across East Leicestershire and Rutland to Choose Better when selecting the most appropriate health service for their needs. As part of an ongoing campaign to highlight that the A&E is for life-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. 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. 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.

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. 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. 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?’ 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. Spring 2014, Issue 8: be healthy be heard 9

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Visit your

pharmacist for advice

A new national campaign called The earlier, the better has been launched to encourage people to seek help early on from their local pharmacist if they’re feeling under the weather. It’s especially important over the winter months that elderly people tell a friend, family member or carer if they have a bad cough, cold or sore throat to prevent it getting worse. The campaign asks those caring for or visiting an elderly relative to get advice from their local pharmacist or from www.nhs.uk/asap to prevent a minor illness developing into something more serious. Professor Keith Willett, Domain Director for Acute Episodes of Care at NHS England, said: “It’s easy to forget that our local pharmacists can provide expert guidance on how to help manage long-term conditions, or give advice on the best treatment for a cough or cold. “So it’s essential that older people seek help as soon as possible to prevent a trip to hospital if their condition gets worse.” The campaign will run until the end of March 2014 and will target the over 45s through a range of channels, and the over 60s through their friends, family and carers.

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Our first yEar We became an official NHS organisation at the start of April last year. Here are some of the landmarks of the first 12 months. March 2013 Countdown to our launch as one of the new NHS organisations. We published our ‘Plan on a page’ – getting our year-one strategy onto one sheet of paper so people could clearly understand it. April 2013 We started our new life as a fullyfledged NHS organisation in its own right. We asked you to have your say on a strategy to improve the way medicines are prescribed for all patients. We spend £46 million a year on prescribing in ELR – approximately 14 per cent of our annual budget. Your comments helped us shape our strategy and get better value for money. We also signed the joint contract with our neighbouring CCGs to launch the NHS 111 free helpline later in the year. It is now up and running, and working well. May 2013 The GP out-of-hours service, which people used when their surgery is closed, was due for renewal, so we asked people to have their say on that too. This was a joint project with our neighbouring CCGs. June 2013 More than 400 GPs, practice nurses, health care assistants and practice staff joined us for the first ever GP training event of this scale in our area. It aims to improve

patient care across our area and to share information on current NHS issues. An independent review of maternity services in Leicester, Leicestershire and Rutland found them to be safe and providing good standards of care for mums-to-be, while also recommending a number of areas for further improvement.

asked to give their views on how the three local CCGs could make improvements to children’s emergency services in the area

July 2013

November 2013

We joined in the celebration marking the 65th birthday of the NHS.

All of our 34 practice have now been visited and supported by more than 20 CCG staff, who spending over 70 hours in total on this helpful project to discuss ways to help them deliver the best possible care.

Patients going to Leicester A&E are directed to a new emergency reception point at the adjacent Urgent Care Centre, where there needs are assessed before being directed to the most appropriate place to be treated.

December 2014

September 2013 We jointly launched the NHS 111 free helpline across are area. It was a phased launch, one section of the Leicester, Leicestershire and Rutland region at a time, while monitoring its effectiveness and quality, allowing time to learn lessons as progress was made. It proved to be the best strategy.

We extended the scope of our urgent care review to include Oadby and Wigston, which will provide even more places to go for minor injury and illness patients in future. January 2014 We launched an online video aimed at helping youngsters know how to find healthcare when they need it. “What would your mum say?” received thousands of hits.

October 2013

February 2014

£10m funding announced to support local NHS through this winter

After months of planning and engagement with local people, we launch the full public consultation on how urgent care services are provided in East Leicestershire and Rutland.

Parents, families and carers of children across Leicester, Leicestershire and Rutland were

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SPOTLIGHT ON THE BOARD

Tabitha Randell Meet Tabitha Randell, who joined our governing body in November 2012. A mum to two active teenagers, she is our clinical lead for children, young people and maternity services and represents us on Leicestershire’s Families, Children and Young People’s clinical sub-group. This group is currently looking at maternity care in the community, reducing hospital admissions and length-of-stay for children and young people, while tackling youngsters’ mental health issues. She is a member of our quality and governance committee and the clinical representative on our audit committee. What is your day job? My day job has quite a long title, I’m afraid – Consultant in Paediatric Endocrinology and Diabetes at Nottingham Children’s Hospital. Endocrinology deals with variations of physical growth and sexual development in childhood. I also have a managerial role there with an equally lengthy title – Service Lead for Paediatric Medicine and Specialties. It all means that I line-manage over 30 consultants and specialty doctors, a job which has been compared to catherding. I often suspect cat-herding would be easier! How do you see your role on the CCG governing body? My role is to provide a secondary-care perspective on decisions made by the CCG, and hopefully to help bridge the gap that has increasingly developed between primary and secondary care over 25 years of NHS reforms. What do you do in your spare time? Out of work my main hobby seems to be acting as a taxi for two teenage children, but I also love cooking and food in general. I realised early on that working full-time would mean that I would not have time to both cook and clean, and I figured that my family wouldn’t notice the dust on the furniture, but would appreciate good food. As a result, my children eat just about anything, but we do have a bit of a reputation among their friends for eating weird stuff!

On the rare occasions that we are not ferrying half the rugby or netball team across Nottinghamshire, I try to get to the cinema with my husband and will watch just about anything as long as it hasn’t got zombies in it! My other real passion is travel, and one of the reasons I have a completely rubbish car is because I would much rather have nice holidays that drive a flash Mercedes or Audi. How do I keep fit and healthy? Unlike the rest of my family, I have absolutely no interest in sport whatsoever, and am pretty hopeless at it, largely because I really don’t care if we win or not (not a helpful attitude in a team game). I keep fit and active by cycling to work and walking everywhere and have a three-second rule for lifts – if it hasn’t arrived in three seconds, I’ll take the stairs. I also enjoy Latin and ballroom dancing but am pretty hopeless at it – no danger of a new Strictly professional role any time soon!

My top health tip My top health tip would be: Stick to a healthy diet, don’t buy junk. If it’s not in the house, then you can’t snack on it. And if you have to walk to the shops to buy it, at least you’ll have burnt off few calories to get there!

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Online health directory A new self-help directory which supports people with long-term conditions has been launched on the East Leicestershire and Rutland CCG’s website.

is just a click away

By bringing together almost 100 organisations in one searchable database, the directory makes it easy for people to get in touch with the right support group or to find out more information on particular health conditions. Contact information for a variety of voluntary organisations and groups who can offer help and advice for people with long-term conditions such as asthma, arthritis, Parkinson’s disease, heart disease, diabetes and multiple sclerosis are just a click away.

The directory can be accessed by clicking on the Find your local support group button on the front page of our website www.eastleicestershireandrutlandccg.nhs.uk and users can search by category or by typing in their postcode. If you would like your voluntary or not-forprofit self-help group to be added please email the details to communications@ eastleicestershireandrutlandccg.nhs.uk

Carers can also use the resource to find out more about managing health conditions and to help them connect with people in a similar position. Dr Dave Briggs, Managing Director of East Leicestershire and Rutland CCG, said: “I am delighted that we have been able to provide our patients and GPs with this online directory. It is a fantastic resource and means we can quickly put people in contact with the right support group. “The directory also provides help and advice for carers, or those looking for support to give up smoking, as well as signposting where to go for mental health, stress or anxiety conditions. “This means that our patients will benefit from additional support to help manage their condition, which we hope will help them to feel more in control of their own health and wellbeing.”

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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

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 info@healthwatchleics.co.uk or call 0116 2574 999.

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Perfect Picnics Picnics are a great British tradition and a good way for you and your family to eat a healthy meal together.

Chicken Wraps

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.

Ingredients:

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 (ie 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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u k o d su

Sit back and relax with a Each Sudoku grid contains nine squares, each consisting of nine spaces; each square must contain the numbers one through nine, with no repeats. In addition every horizontal row and vertical column must contain the numbers one through nine, with no numbers repeated.

Congratulations to the winners of our winter competition, Mrs Joan Whitehead who wins the ÂŁ10 Boots gift voucher and Mr Dave Johnson who won a Vicks steam inhaler.

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.

Somali Polish Urdu Punjabi Gujarati Hindi Bengali

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East Leicestershire and Rutland CCG Members Magazine Spring 2014