Membership Magaize East Leicestershire Issue 2

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beheard

East Leicestershire and Rutland Clinical Commissioning Group

Members’ Magazine | Autumn 2012www.elrmembership.org

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Leicester Tigers tickets

2 Autumn 12, Issue 2: be healthy be heard

Dear members,Welcome to the second edition of our magazine for East Leicestershire and Rutland be healthy be heard members

As autumn approaches and we wonder what on earth happened to this year’s summer weather, we’re working hard towards taking on full responsibility for the commissioning of local healthcare services. In July we successfully completed the first part of the NHS Commissioning Board’s authorisation process with the submission of our commissioning strategy and other important documents. In September we’ll be visited by a panel of experts who will ultimately decide if we’re ready to take over the reins from the PCT in April 2013. Find out more about this process on page four.

In the last edition of our magazine, we touched briefly on our commissioning priorities, including our plans are integrated care and how we plan to work together with health, social care and voluntary organisations to ensure more seamless care pathways for patients. You can find out more about our work in this important area on page six, including a visit to a local dementia café, a valuable service which is helping to improve the lives of patients with dementia.

Thanks as always to those of you who’ve taken the time to give us your feedback – we couldn’t do this without you. Turn to page five to find out how the project to create a new hospital unit

at the St Luke’s site in Market Harborough is progressing, plans are on track to see the unit opening in 2014.

Take a look at pages eight and nine to find out how getting out and walking in Leicestershire and Rutland’s beautiful countryside can boost your mental and physical wellbeing.

Congratulations to Mrs Elizabeth Dixon, from Oakham, who won the digital camera prize from the wordsearch competition in our summer issue. Turn to the back page for your chance to win tickets to the Leicester Tigers.

Best wishes to you all for a healthy and happy autumn.

Dr Dave Briggs

Managing Director

East Leicestershire and Rutland Clinical Commissioning Group

Contactus: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 coverEmail: [email protected]

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: NHS Leicester, Leicestershire and Rutland PCT Cluster, Fosse House, 6 Smith Way, Grove Park, Enderby, Leicestershire LE19 1SX


Autumn 12, Issue 2: be healthy be heard 3

What age range does the club cater for?

“The club was founded in 1919 and our teams train at the Welford Road Ground in Wigston Magna. We cater for a range of age groups from the under sevens right up to the over fifties and we have a variety of teams available so there really is an opportunity for everyone to play.

Our first team play in the Rugby Football Union National League Three and our Vets team (over 35’s) have won the county cup for the last five years running. The

club also hosts the Leicester De Montfort University ladies team who play their home games at the South Leicester ground.”

How does the club develop its players in terms of their overall fitness and skills?

“Senior teams train for an hour and a half twice a week with additional fitness or weight training carried out by the players on other nights. Each session will have a warm up, a game of touch rugby and fitness skills for both backs and forward positions.

Players will also run through match game plays and then have a warm down and stretch. Youth players have similar training however as their bodies are still developing the club adapts the training for each age group to get the best out of the players.”

How long do matches last for?

“Our teams play in a variety of league, town and friendly games throughout the season. Under sevens to under 16’s games are time limited by the Rugby Football Union which ensures players are not overplayed and helps avoid injuries. Senior games last for 40

minutes each half with up to three player substitutions permitted per game so stamina is very important.”

Are players advised to follow any kind of healthy eating regime?“The club offers food after training and we try to stick to carbohydrates and protein based foods like pasta, rice, chicken, vegetables and fish. We also offer water to rehydrate the players and fruit as a healthy snack. All our players are advised to control their food intake prior to a game and to reduce their alcohol intake to ensure they perform at their optimum levels.”

Are there any other health benefits to rugby aside from keeping fit?“Of course, rugby not only helps to increase your speed, stamina and strength, it helps your mind to stay sharp. We always hope to achieve good results for our teams and whilst we inevitably cannot win all of time, the enjoyment of the players both on and off the field is a high priority. At the club we aim to create a friendly team environment which helps to build lifelong friendships well after a playing career has finished.”

health head onThis summer we met with Wayne Marsden, Chairman of the South Leicester Rugby Club, to find out more about the health benefits of the sport for all shapes, sizes and ages

We cater for a range of age groups from the under sevens right up to the over fifties...

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If you would like more information about the club and membership fees you can visit their website: www.southleicesterrugby.com or email [email protected].


David Sharp, currently Chief Executive of NHS Derbyshire PCT Cluster, has been recruited to the position of Local Area Director for the NHS Commissioning Board (NHS CB)David will head up the NHS CB’s local area team for Leicestershire and Lincolnshire and is currently working with existing chief executive of the NHS Leicester, Leicestershire and Rutland PCT Cluster, Catherine Griffiths, to agree a formal handover of responsibilities.

The NHS CB will have 27 local area teams across the country, all of which will have the same

core functions including: clinical commissioning group (CCG) development, emergency planning, resilience and response, quality and safety, and stakeholder engagement. Senior members of the teams will also play an active role on health and wellbeing boards.

The local area teams will be responsible for commissioning GP

services, dental services, pharmacy and certain aspects of optical services, and it’s thought that ten teams will lead on specialised commissioning across England. A smaller number of teams will also carry out the direct commissioning of other services, such as military and prison health.

The NHS CB takes on its full statutory responsibilities in April 2013 and in the meantime, all current NHS planning and delivery responsibilities remain with the Department of Health, strategic health authorities and primary care trusts.

Find out more at: www.commissioningboard.nhs.uk

This authorisation process ensures that we meet the required standards of governance and that we have the necessary plans and processes in place to make the most efficient use of our budget.

Proving ourselvesThe NHS CB assesses us at a number of stages, the first being a 360° stakeholder survey, and the second a desktop survey, or in other words the submission of a wide range of supporting plans and strategy documents which give us the opportunity to prove

(on paper) that we are ready to take on our commissioning duties. As well as submitting documents like our commissioning strategy, we also have to provide case studies to demonstrate how we have involved stakeholders, focused on quality, and considered the needs of vulnerable groups.

Where are we now?

We successfully completed this part of the process in July this year, and in September we will take part in the final stage of the process, a site visit by a panel of experts

including senior members of the NHS CB, a clinical leader from another CCG, an independent lay assessor and finance and commissioning experts.

This visit will determine whether we have met all the necessary requirements, and if successful, we will be able to take on full commissioning responsibility in the area from April 2013.

You can find out more about the authorisation process on the NHS CB website at: www.commissioningboard.nhs.uk/

The countdown to commissioning responsibility

NHS Commissioning Board takes shape

Before Clinical Commissioning Groups (CCGs) like ours can take on full responsibility for commissioning local health services, we must be authorised by the NHS Commissioning Board (NHS CB)


The new development will see improved services for patients and significant benefits to local healthcare, with the provision of a variety of services at one site in the town.

Since the funding was announced earlier in the year a lot of work has been going on in the background to prepare the planning application which will be submitted this autumn. Architects have been appointed and the project team is talking to builders and planners about what will go on the site.

As part of the planning process the project team is also looking at transport and accessibility for patients.

The District Hospital has a War Memorial wing, funded by public subscription and opened in 1923. Part of this wing includes a Grade II listed War Memorial which forms the entrance porch to the wing.

The Memorial lists the names of 953 local people who fought in the First World War, with those who gave their lives being signified by a red cross by their names. The War Memorial has

been recognised as having special architectural and historical interest in the national context, whilst the Memorial Wing is recognised as having significant local interest.

In the coming months people of the town will be asked their views on the future site of the War Memorial at the District Hospital. Local organisations interested in the future of the War Memorial have already been asked their opinions as to where it should

be sited and expressed serious concerns about leaving the War Memorial at the District Hospital when the building was sold.

Because of this the options are now to either move it to the St Luke’s site or the Memorial Gardens. More work is needed to determine the feasibility of these options and when this is complete the options will be presented to the people of the town and surrounding area to have their say.

If you are interested in putting forward your views about the future of the War Memorial at the District Hospital when the discussion is opened to the public, please contact Caroline Richardson on:

0116 295 7663 or email: [email protected]

The people of Market Harborough and the surrounding area will be able to access healthcare services from one site when a new hospital unit at St Luke’s opens in 2014. When the new unit is up and running, all services currently offered at the District Hospital site will be transferred from the District Hospital and the building will be sold

Work to start on

new hospital unitin Market Harborough



What is an integrated model?

The number of people with multiple health issues and conditions is increasing. In order to ease their journey through what often seems a complicated and disjointed process, it’s important that we work together to make sure that health and social care services are integrated or ‘joined up’ so that they meet patients’ needs, especially those with more complex health issues.

Why are we doing this?

With people continuing to live longer there will be an increasing number developing chronic diseases. At the moment the focus is still on treating people in hospitals, and there needs to be more of a shift towards prevention and self-care. We can achieve this by providing care that is more co-ordinated and integrated and by seeing more consistent standards of primary care.

Patients tell us they don’t want to have to keep repeating their story, and waiting for practitioners to visit their homes means that care is ‘disjointed and sporadic with little planning’, while no single person seems to have an overview of their care.

How are we doing this?

During September and October we will be holding engagement sessions with as many GPs and health and social care staff as possible to help us develop the model.

Have your say

Take part in our online survey at www.surveymonkey.com/s/Longtermconditions (closing date 23 September 2012) to give your views. Printed copies, large print and translations of the survey are available on request, call 0116 295 7571 or email [email protected]. Once we have a final integrated model we will be working with our patient groups, GPs and health staff to introduce it to the area from April 2013.

Further information

For more information about the project contact Anne-Maria

Olphert, Integrated Care Development Lead, on 0790 110 4101.

An integrated approach to healthcareEast Leicestershire and Rutland Clinical Commissioning Group (ELR CCG) is working in partnership with local authorities, Leicestershire Partnership NHS Trust and other sectors to develop an integrated model for healthcare



Patients will be able to receive routine care at their local surgery and all practice nurses and GPs have undergone extensive training in diabetes management to support the changes to the service. Any care requiring more than one healthcare professional such as renal care will continue to take place at University Hospitals of Leicester.

Both newly-diagnosed patients and those who have had diabetes for a longer period of time will also see the benefits of the investment as improvements will be made to educational courses such as the ‘Diabetes Education and Self Management for Ongoing and Newly Diagnosed’ or DESMOND programmes. These informal courses offer support and enable patients to become the experts by increasing understanding of the condition and encouraging better self-management.

Transformingdiabetescare

Throughout autumn, outpatient appointments will be moved from the University Hospitals of Leicester (UHL) to Market Harborough Hospital and local GP surgeries, as part of considerable investment by the CCG to transform diabetes care and bring services closer to patients’ homes

Find out more about educational courses for self-management by contacting your GP or Practice Nurse, or alternatively you can self-refer to the nearest course by telephoning Indira Mistry on 0116 258 4369.

The work on leading diabetes is being co-ordinated by Bernie Stribling and if you would like to contact her, you can do so at [email protected] or call 07971 426592.

In April 2013, Local Involvement Networks will be replaced by Local HealthWatchBoth Leicestershire LINk and Rutland LINk are working on their vision for what this will look like but primarily, your Local HealthWatch will be an independent and proactive consumer champion, giving everyone a real say on how their local health and social care services are run.

Local HealthWatch will retain all involvement and scrutiny functions of the LINk, including:

• promoting involvement of patients and the public

• obtaining their views

• monitoring health and care services

• making reports and recommendations

• carrying out ‘enter and view’ visits to all publically funded health and social care services.

If you want to know more about what this will look like locally or be involved in shaping the vision, call the Leicestershire LINk or Rutland LINk Host office on 0116 229 3103.

A LINk to the future


Walking– take a step in the right direction


Autumn is all about change so why not take the opportunity to make a few simple changes to your lifestyle and get walking this season?

Turn your walk into a work outTo get the most out of your walk you should aim to break a sweat and raise your heart rate, so your pace will need to be faster than a stroll. If you’re new to walking as a hobby, you should start each walk slowly and gradually increase your pace as you go. As you near the end of your route, start to slow your pace to cool down and when you’re done, a few gentle stretches can help improve your flexibility.


The average person walks anywhere between 3,000 and 4,000 steps a day. Increasing your step count not only has a number of health benefits, but can also be a really enjoyable past time.

Regular brisk walking reduces the risk of cardiovascular disease, stroke, type two diabetes, some cancers and asthma, and increasing your step count to around 10,000 steps per day could also help with weight loss, general fitness and reduce stress.

You don’t need any specialist equipment, just a good pair of comfortable shoes or trainers that provide adequate support and won’t cause you blisters. Loose fitting clothing is also recommended and if you’re going on a longer walk you may like to take a bottle of water and some healthy snacks.

Walking is also a great activity to do with your family and friends. Why not pack up a picnic, and take a walk around one of the county’s many great locations?

A walk along a waterwayFoxton Locks near Market Harborough is home to a unique set of ten locks that were built to avoid the steep hill at Foxton by raising and lowering boats up a 75ft stretch of waterway. Around 50 working boats a day used the lock system at the peak of Britain’s canal trade and it could often take many hours to get past the locks as they became a bottleneck for canal traffic.

Today, Foxton Locks offers a more relaxed atmosphere for both canal users and visitors to this historic location. For those wanting to mix a healthy walk in with interesting views and educational opportunities, the locks are a great choice and the Discovery Trail is an excellent starting point with a sign posted one and a half mile walk which covers all the key points of interest.

The trail itself is fairly level with well-maintained pathways along the majority of the route making it easy underfoot and also suitable for pushchairs. There are plenty of interesting sights along the way including the boat lift that opened in 1900 and was built to bypass the bottleneck of the locks and help wider boats pass through Foxton.

If you fancy a different route the Foxton Inclined Plane Trust have a selection of other walks in and around the area which offer the opportunity to find out more about the history of the canals and the significance of local towns. You can find comprehensive guides to all their published walks at www.fipt.org.uk/timewalks.html.


Find out more information on walking, including other local routes, clubs and parks:

NHS Choices: www.nhs.uk/Livewell/getting-started-guides/Pages/getting-started-walking.aspx

Leicestershire County Council: www.leics.gov.uk/index/environment/countryside/walking.htm


Supporting people withdementiaThe strategy aims to improve early diagnosis and access to treatment for people living with dementia, and ensure they and their carers have access to a coordinated health and social care service.

Early diagnosis is essential to ensure that any identified care and support plan is based on individual need and allows choice and control. However, often people are unknown to health or social care with services only being provided in response to a crisis.

The strategy includes five priorities which aim to improve

the experience of those with dementia and their carers and are to be implemented over the next few years:

1 early diagnosis and access to care and support services

2 improved experience of hospital care

3 improved quality of care in residential/care homes

4 personalisation of care and living well with dementia

in the community

5 a workforce fit to deliver services to support the care pathway for dementia.

Some of the services identified as part of this strategy are

already benefitting people in East Leicestershire and Rutland and this summer we visited a dementia café in Countesthorpe to find out more.

Tea and empathyRaucous laughter and the constant buzz of chatter are probably not the first things that come to mind when someone mentions dementia, but here at the Countesthorpe dementia café, this is exactly the atmosphere you’ll find.

There are four dementia cafés in the Blaby and Lutterworth areas which are run by Age UK and supported by the Leicestershire Partnership NHS Trust. Usually around twenty people turn up to each one, but this café is particularly busy with extra chairs


East Leicestershire and Rutland Clinical Commissioning Group have been working together with the local authorities and other key local partners to develop The Joint Dementia Strategy for Leicester, Leicestershire and Rutland

Kerry Turnbull


being pulled round the tables neatly set out with cups, saucers and scones.

Upon meeting the facilitator, it is plain to see why this café is so popular. Kerry Turnbull, Voluntary Services Organiser, radiates enthusiasm and energy and is clearly passionate about her work.

“I want to put services in place that all people can access no matter where they live in the area,” she says as she hands out cups of tea and coffee. “Most of my cases are referred to me by consultants and my role involves supporting carers, implementing services and care packages, educating people about dementia and providing help with practical things such as benefit applications and council tax exemptions.”

For Kerry, the dementia cafés can be a vital step forward in getting patients to accept services in their home. “Each case is different but some patients can be very resistant to having any kind of help or support. The cafés are a great way to encourage acceptance of other services and we invite care providers such as respite workers along so they can introduce themselves to patients

in a relaxed and social environment.”

But it’s not just about the patients. Kerry explains that very often it’s the carers’ own health that suffers, some being unable to go to their own medical appointments because of their responsibilities. “We see a lot of

carers under immense strain and whilst the patient is well looked after, the carer is often neglected. The cafés provide them with a bit of respite from their role and also offer the opportunity for them to meet other carers and share experiences.”

Martha and Arthur Spencer (pictured above) are well into their eighties and go to each of the four cafés run by Kerry. “We’ve been married for 61 years” says Arthur as he takes a sandwich from the cake stand, “I’m a carer for my wife and they help provide a bit of relief for me. We’ve been coming since they opened and everyone knows us now. The people here are really friendly and the volunteers help us a lot.”

Another carer was also full of praise for the cafés. “Kerry is the font of all knowledge when it comes to dementia and she does a great job in the county. We tried out the cafés last year but it wasn’t the right time for my mother, however we’ve come back because I’d noticed she was becoming isolated from people her own age. The cafés are a way for her to be social in a place where she doesn’t need to feel embarrassed, something she had been feeling in other situations. It’s really nice to see her relaxed and the cafés are a valuable thing in the community.”

Sheila Jordaan (pictured above), a

former carer has now offered her time as a volunteer to the cafés after losing her partner. “I was his full time carer and when I lost him I felt I needed something to fill my

time. I also wanted to give something back to Age UK. Kerry organises everything so well and it’s a great social activity for both me and the people who come here for support.”

With no empty seats at this particular café and the scones long gone, there is no sign of the

energy in the room dropping as a lively game of Play Your Cards Right is started.

For the dementia patients and their carers this really is an opportunity to relax and spend some time in the company of those who can offer support and understanding. “It doesn’t matter if people repeat themselves, have difficulty communicating or are nervous about their condition, there’s a lot of empathy, acceptance and support here” concludes Kerry.

If you’d like to find out more about the dementia cafés you can contact Kerry Turnbull on 01455 443600.

Martha and Arthur Spencer

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As the weather becomes colder it’s often a time when the emergency department and ambulance service are put under increased pressure from winter illnesses and injuries.

However there are many alternative services you could use to get the treatment you need and the Choose Better campaign aims to help you make the right choice.

Self Care. For very minor illnesses including coughs, colds, sore throats and upset stomach; these can all be treated at home with a well-stocked medicine cabinet.

NHS Direct is a 24 hour, confidential helpline. Patients

can call 0845 46 47 to get health advice and guidance, or if you are unsure of where to go locally for help. To find out more visit www.nhsdirect.nhs.uk

NHS Choices is a website where you can find up-to-date, expert advice on a range of illnesses and complaints as well as find your nearest pharmacist, GP, dentist and walk in centres. Visit www.nhs.uk.

Your local pharmacy can treat coughs, colds, sore throats, ear or toothaches. You can also get advice on prescription medicines and contraception. All requests for advice are treated in confidence.

Your GP can help with vomiting, ear pain, sore stomach and back

pain that won’t go away. They should be your first port of call if you are unwell and many GPs offer extended opening hours at evenings and weekends. If you require a GP outside of normal surgery hours call the GP Out of Hours service on 0845 045 0411.

Walk in centres, urgent care centres and minor injury units can be used for minor illnesses and injuries including deep cuts, burns and strains. Therefore this would be the most appropriate place for many sporting injuries for example. You will be seen by an experienced nurse without appointment. X-ray is also available at some locations.

The Emergency Department and 999 should only be used in an emergency, a critical or life threatening situation. Only call 999 in the event of a serious accident or illness which involves traumatic blood loss, chest pain or loss of consciousness.

For more information on Choose Better visit www.choosebetter.org.uk.

Blackberry, iPhone and Smartphone users can also scan a special barcode available on Choose Better posters or the website to carry the information on where to go for medical treatment with them on their phones.

This autumn, East Leicestershire and Rutland CCG is encouraging you to choose better when deciding where to go for treatment if you are ill or injured choice

Making the right

You can

Unsure or confused about an illness

Many patients can be treated elsewhere. The Emergency Department is for real emergencies only.

Please play your part. Visit www.choosebetter.org.uk to find the right place for treatment.

Local libraries hold leaflets.

The Emergency Department is for serious and life threatening conditions: Heavy bleeding, broken bones, burns or scalds, chest pain, strokes.

choose better

Should have

Sore throat

treated themselves

cabinet

at home fromtheir medicine

Find out more

Should have calledNHS Direct

Should be at thePharmacy

Painful cough Stomach acheShould be at

the GP

Minor cutsShould be at the

Urgent Care Centre,

or Minor Injuries Unit

Walk-in Centre

Should havebeen at the

front of thequeue

Severe chest pain

Autumn 12, Issue 2: be healthy be heard 13 Autumn 12, Issue 2: be healthy be heard 13

Make sureyour health meets the

grade

Get registeredIf you’re moving away from home to study, you’ll need to register with a local GP to make sure you can access health services quickly and easily.

The registration process is straightforward and you can choose to register with any local health centre or surgery. Your college or university may have an attached health centre and the staff working there will be experienced in responding to the health needs of students. Registering somewhere local is particularly important if you have an on-going health condition such as diabetes, asthma or epilepsy. You should also consider registering with a local dentist

and financial support for treatment, prescriptions and other health costs may be available. To find your nearest health centre and dentist surgery visit: www.nhs.uk/Livewell/studenthealth

Know your limits

The student lifestyle is well known for

its party atmosphere but alcohol can

have a significant impact on your body,

even if you don’t drink to excess that often.

Alcohol affects your concentration so you may find your

academic performance suffers after a heavy night out. In

the longer term regular drinking also puts you at greater risk

from illnesses such as liver and heart disease and a number of

different cancers.

With these risks in mind, it’s important to know your

limits and government advice states that men should not

regularly drink more than three to four units a day and

women should stick to a maximum of two to three

units. Bear in mind, a small

glass (125ml) of wine can be

1.5 units and pint of lager

can be 2 units, it only takes a

few drinks to go over those

daily amounts.

It’s also important to

remember that alcohol

can put your health at risk

in other ways, for example,

being drunk makes you more likely

to be a victim of violence or having

unprotected sex.

To find out more about alcohol

and your health, including a

smartphone app to help track

your units, visit: www.nhs.uk/

LiveWell/Alcohol

Moving away from home to study is a

new and exciting experience for most

students but it also brings with it the

challenge of maintaining a healthy

lifestyle.

Along with the pressures of your studies and living

on a budget you’ll also be offered a wealth of social

opportunities where you’ll be able to meet new

people and try new things.

With such a vibrant lifestyle on offer it’s important

to have a few tricks up your sleeve to help you

stay healthy and in this edition of the member’s

magazine we’ve put together some helpful advice

to keep you in great shape as you study.

The NHS Choices website has plenty of

information on a whole variety of student

health issues including eating, drinking,

exercise, sex, drugs and stress management.

Visit NHS Choices at: www.nhs.uk/Livewell/

studenthealth


As the autumn sets in and winter approaches, it’s time for those at greatest risk from flu to protect themselves and their families, and get flu safe with a free flu jab.

Flu is a highly contagious infection that anyone can catch, and it can be a really serious illness for some. Those at greater risk from flu include people aged 65 or over, pregnant women, and those with health conditions such as severe asthma, chest or heart complaints and diabetes.

The best time to be vaccinated is at the start of the flu season from October to early November, so it’s good to get in early and get flu safe in time for the winter.

Simply contact your GP to arrange a convenient

appointment and get your jab. It’s quick, safe and free for those most at risk from the virus.

For more information, speak to your GP or local

pharmacist, or visit www.nhs.uk/flu.

Get the jab, get flu safe

S T A D I U M@WR

tigersconferenceandevents

Over 6,000 guests enjoyed our party nights in 2011 and this year we’re delighted to bring you Christmas Rocks @ Welford Road Stadium. Delicious food, sparkling surroundings, the option of a fantastic live band and then our resident DJ to round off the night – a perfect way to get Christmas started!

Contact us:Leicester Tigers @ Welford Road StadiumAylestone Road, Leicester LE2 7TR Call us on: 0116 2171280

Email us at: [email protected]

Visit us at: www.welfordroad.com

CHRISTMASPARTIES 2012

EVERYONE LOVED Christmas 2011


Muffins are very easy to make, and they’re perfect for breakfast on the go. You can freeze them too, so you don’t have to eat them all at once

Serves: 12 adults | Preparation time: 20 minutes | Cooking time: 25 minutes

Mini apple and banana muffins

Ingredients:150g plain flour1½ tsp baking powder50g caster sugar100ml semi-skimmed milk1 egg1 tsp vanilla extract (optional)40g low-fat spread, melted1 medium apple peeled, cored and chopped1 banana, mashed

Nutritional information:Per muffin (1/12 recipe)93 kcals2.4g protein2g fat (of which 0.6g saturates)17g carbohydrate (of which 7g sugars)0.5g dietary fibre623mg sodium1.5g salt

What to do:Preheat the oven to 200°C, fan 180°C, gas mark 6. Put 12 paper cases into a bun tray.

Sift the flour and baking powder into a mixing bowl, then stir in the sugar.

Put the milk, egg, vanilla extract and melted low-fat spread in a jug and beat together. Add to the dry ingredients with the apple and mashed banana. Stir until just combined. Do not over mix.

Spoon the mixture into the paper cases and bake for 20 to 25 minutes, until the muffins are risen and golden.

Carefully take the muffins in their paper cases out of the bun tray. Cool on a wire rack.


You can find more delicious recipes like this one on the Change4Life website at www.change4life.co.uk

Answer:

Name:

Membership number:

Email address:

Cut out this page and post your completed Sudoku to:

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

The closing date for entries is 31 October 2012. The first correct entry randomly drawn will receive the prize.

Win two tickets to a Leicester Tigers gameTo win this great prize, complete the Sudoku puzzle and tell us, reading from left to right, the four digits in the green squaresEach 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.

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 the engagement and involvement department on 0116 295 7626. Please state which publication you require when you call.

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Membership Magaize East Leicestershire Issue 2

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Transcript of Membership Magaize East Leicestershire Issue 2