Membership Magazine East Leicestershire Issue 3

healthybe

beheard

East Leicestershire and Rutland Clinical Commissioning Group

Members’ Magazine | Winter 2012www.elrmembership.org

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2 Winter 12, Issue 3: be healthy be heard

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

It’s been a busy few months since our last issue. In September we were visited by the NHS Commissioning Board, as part of the authorisation application process which assesses Clinical Commissioning Groups to ensure that they’re ready to take on full statutory responsibility for commissioning local health services in April 2013. September’s visit formed the final part of our path towards authorisation and we received some very positive feedback from the assessment panel – find out more on page four.

Our cover star Sonja Lennon inspires us all to wrap up warm and get active this winter with her love of Nordic Walking – find out more on page three.

Winter can be a challenging time for health. The colder weather puts increased pressure on people suffering with long term conditions, those with a disability and older people. Turn to page seven to find out how you can keep warm and well this winter, and in our centre spread on pages eight and nine read more about how to ward off the winter bugs and make the best use of your local health care services.

On page ten, we take a look at Chronic Obstructive Pulmonary Disease, including how to spot the warning signs. And, if you’re a smoker, the New Year is a great time to turn over a new leaf and kick the habit – find out more on page 11.

In this issue, you can also read more about the vital role that Patient Reference Groups (PRGs) play in local health care – on page 12, we speak to Mr Moss, a member of Latham House Surgery’s PRG.

Congratulations to Mr George Szymanski, of Melton Mowbray, winner of the Leicester Tigers tickets from the Sudoku puzzle in the last issue. Why not turn to the back page in this issue and have a go at our winter-themed word search?

As always, our thanks go to those of you who’ve taken the time to get in touch – your feedback really is vital in helping us shape the future of local healthcare.

Wishing you a warm and healthy winter.

Dr Dave Briggs

Clinical 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


Winter 12, Issue 3: be healthy be heard 3

How did you get into Nordic walking?

I first had a go at walking with poles when I was on holiday in Switzerland some years ago. I really enjoyed it and when I returned home I tried to carry on but I felt self-conscious. I recently went back to Switzerland with a friend and we would have stuck out like sore thumbs if we hadn’t used poles to get around – everyone was walking this way. It reignited my passion and enjoyment so I decided there should be no excuse this time when I came back to the UK.

What equipment do you need?

You’ll need two special walking poles which you can get from most sports stores these days. I use adjustable ones as to get the most out of the technique you need to have them at the right height for you. Apart from the poles I just wear comfortable clothes and trainers.

How often do you go walking?

I normally try to go everyday but it really is an activity that you can fit in around your life. I like to go out around lunchtime and head towards Uppingham School’s playing fields. The route I use takes about 30 to 40 minutes and leaves me feeling out of breath.

What are the health benefits for you?

Since using this style of walking I’ve found I can walk much faster. Your weight is shifted onto the poles so there is far less impact on your joints and it’s a great upper body exercise. In the past I’ve had chest problems but I don’t seem

to suffer as badly as I used to since I started walking this way. I’ve always been active and I used to walk a lot but this method is an all-round work out and it leaves me feeling energetic.

Nordic walking fact file

• It’safull-bodyexercisethat’seasy on the joints and suitable for all ages and fitness levels

• Youcouldburnupto46percent more calories compared to walking without poles

• Similartootherformsofmoderate-intensity aerobic activity, regular Nordic walking can lower your risk of chronic illnesses, such as heart disease, type 2 diabetes, asthma, stroke and some cancers

• It’sanactivitysuitableforthosewith joint conditions or who may be carrying some extra body weight

• Itcanbedoneinanylocation,urban or rural

Visit NHS Choices to find out more: www.nhs.uk/livewell/fitness/pages/nordic-walking.aspx

Visit Nordic Walking UK to find a group or class near you: http://nordicwalking.co.uk/

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Nordic walking uses specially designed walking poles to harness the power of the upper body in order to propel you forward as you walk. It’s a recognised way to turn a walk into a whole body exercise that can be done by anybody anywhere. Our cover star, 80 year old Sonja Lennon from Uppingham, explains why she likes to keep fit this way


East Leicestershire and Rutland CCG Freepost Admail 4228 MARKET HARBOROUGH, LE16 7ZZ

Telephone: 0300 555 5345

Email: [email protected]

In addition to our Cover Star article which gives local people the opportunity to share their inspiring health stories and introduce others to a variety of fitness activities, we want you to be able to share even more stories and experiences with us so we can really make this your magazine. Maybe you’d like to talk about a particular health service you have used or perhaps you have recovered from an illness and would like to tell others about your journey. You might have some health and fitness tips that you’d like to pass on, or maybe

you’re a member of a Patient Participation Group (PPG) and have a local event or initiative you’d like to publicise.

Whatever your health related story we’d love to hear from you.

We also want to offer you the opportunity to get in touch with the East Leicestershire and Rutland CCG Board. Perhaps you have some questions about our commissioning plans, maybe you’d like to know more about our on-going projects, or perhaps you’d like to pass on some feedback. Whatever your question, you can

write to the magazine and we’ll try to publish as many questions and answers as possible in the next edition.

If you’d like to get involved, please include your name, a contact telephone number and a brief outline of your story or question.

You can contact as us via post, telephone or email:

This visit formed part of the NHS CB’s authorisation application process, which ensures that Clinical Commissioning Groups (CCGs) like ours can prove that they’re ready to take on full statutory responsibility for commissioning local health services in April 2013.

During the course of the day we presented our vision and strategy for transforming healthcare in East Leicestershire and Rutland, including our plans for developing the integrated care model, long term conditions, and improving

primary care quality.

The panel were impressed with our achievements so far and we received some very positive feedback. Following the desktop assessment we submitted in July, and the subsequent site visit in September, the NHS CB reviewed our evidence and highlighted 115

areas as green and only 4 as red, or in other words, needing further development. All of these areas have plans in place to resolve the conditions as outlined by the NHS CB.

In early December we hope to receive a final authorisation decision from the NHS CB.

– another step forwardAs we reported in the Autumn issue of this magazine, in September this year we were visited and assessed by a panel of experts and senior members of the NHS Commissioning Board (NHS CB), including the Chief Executive Sir David Nicholson

Authorisation

We always appreciate feedback from members on our magazine and one of the things you’ve asked for is more patient-focused articles and features. So in 2013 we’d like to offer you even more opportunities to get involved

Get involvedand make it your magazine


Did you know that you could use technology to learn more about health conditions and to help you choose the right service first time when you need help?

NHS Choices (www.nhs.uk/choosewell)

The NHS Choices website can help you make lifestyle changes such as losing weight, stopping smoking or getting fitter. It also has lots of information on a wide range of illnesses.

For people with a long-term condition, which cannot be cured but can be managed with medication and lifestyle changes, it could help patients learn more about their options.

About 15 million people in the UK have a long-term condition, such as diabetes, asthma or a heart problem. There are also short films of people with the same conditions explaining how they look after themselves.

NHS Direct (www.nhsdirect.nhs.uk)

Why not add this website to your internet favourites? Symptoms can be checked online and advice is given on conditions that may be causing concern. The site will also explain the best course of action to take whether it is self-managing the symptoms right through to going to A&E and dialling 999 for an ambulance.

If you prefer apps NHS Direct also has a mobile version of its website available for download from: www.nhsdirect.nhs.uk/en/About/MobileApps.

Choose Better (www.choosebetter.org.uk)

This special website has been developed for people in Leicester, Leicestershire and Rutland to help them choose where to go when they need healthcare. The site contains free downloadable phone apps to help local people know where best to go when they need help. They include both iPhone and Android apps. Go to the Choose Better home page and see the app links at the top of the page. You can also find more information on your local NHS services here.

LifeCheck (www.nhs.uk/lifecheck)

This is a free service which gives bespoke advice on changes you can make to improve your health. Questions about age, weight, height and lifestyle help the programme decide what aspects of your lifestyle are good and where and how improvements can be made.

This winter be healthy, be heard is encouraging you to make the most of a whole range of web and phone technology that could help you keep healthy

smartGet this winter


Around 200 people came together to comment on the integrated care model and how it could be shaped to meet the needs of our ageing population. We will launch the integrated care model from April next year, which will bring together a team of people from health and social care to deliver more effective services to people with long term conditions, so that they live healthier lives and avoid going into hospital.

What will happen next?

The CCG is now testing out the model with five GP practices which provide services to approximately 70,000 patients. The practices are South Wigston Health Centre, Latham House Medical Practice in Melton, Long Clawson Medical Practice, County Practice in Syston and Jubilee Medical Practice in Syston.

These practices will test out key areas of the model, such as identifying the patients and the role of the care co-ordinator. Integrated care is being delivered very differently around the country at the moment so it is important to see what works best for our area.

East Leicestershire and Rutland has a population of approximately 320,000 and the national evidence tells us that the ideal GP population size for each integrated care team is around 30,000. With this in mind the project will be looking to setup 10 separate integrated care teams to cover the whole population. The rollout to all 34 practices will be completed by early summer next year.

Patient views

In January 2013 the integrated care project team will be speaking to patients with long term conditions across the area, to find out if the process is going to work for them and what needs to change to make the model work even better. A patient survey on long term conditions has also been available for the public to participate in and these results will also feed into the new model.

If you have any questions or if you would like further information on the project please email: integrated.care@eastleicestershireandrutlandccg .nhs.uk

Integrated care project moves a step closer

We’ve now completed our series of engagement sessions for GPs, health and social care staff across the area, to look at new ways of improving services for patients with long term conditions



Cold weather, combined with low levels of sunlight means that many of us can feel ‘under the weather’ at this time of year. But for those people who are already vulnerable, as a result of their age, illness or disability, winter weather can have a dramatic effect on everyday life

Dress for the weather

Wear lots of thin layers rather than one chunky jumper. Clothes made from cotton, wool or fleecy fibres are particularly good at keeping in body heat. If you do go outside wear shoes with good grips to help prevent slips and falls.

Heating your home

Setting your heating to the right temperature can keep your home warm and actually lower your bills. Your main living room should be around 18-21°C (64-70°F) and the rest of the house at least 16°C (61°F). Above this and you may be wasting your money; below this, and you may be risking your health.

If you can’t heat all of the rooms you use, heat the living room

throughout the day and your bedroom just before you go to bed. Remember to close curtains and shut doors to keep heat in the rooms you use most.

For safety, it’s important to get your heating system checked regularly and keep your home well ventilated. If you have open fires, make sure that they are properly vented and use safety guards. If you use a fire or heater in your bedroom at night, always keep a window and the door open.

Get financial support

With the rising cost of gas and electricity, heating your home in winter can be a daunting prospect, but, help is available.

You may be eligible for Winter Fuel Payments to help towards your heating bills, or be entitled to help towards improving your insulation and heating within your home through the Government’s Warm Front Scheme.

Cold Weather Payments are also available for people on pension credit or income support if the weather’s going to be particularly cold for a long period of time.

You can find out more at www.gov.uk/winter-fuel-payment or call 08459 15 15 15.

warm&wellKeep this winter

Winter weather can lead to very serious health problems such as heart attacks, strokes or pneumonia, and the risks are greater if you have a long-term health condition or are over 65.

There are several things you can do to help yourself stay healthy this winter:

Eat well

Eating regular meals will help keep your energy levels up during winter, so have plenty of hot food and drinks. Make sure you eat plenty of fruit and vegetables, and stock up on tinned and frozen foods so that you don’t have to go out too much when it’s cold or icy.

Stay active

Exercise is great for your overall health and it can also keep you warm in winter. Even moderate exercise can bring health benefits – if possible, try to move around at least once an hour, but speak to your GP before starting any exercise plan.



ControlTake


this winter

Sounds simple, but visit your pharmacy.

The pharmacist will give you advice on the best over the counter medication for common winter complaints such as coughs and colds that suit your condition and medication you may already be taking. They will also advise you about what remedies to keep in your medicine cabinet – from pain relief and rehydration sachets for that hangover, to antiseptic cream and plasters for minor cuts and bruises. You can find out which pharmacies are close to you by visiting www.nhs.uk/choosewell

Catch it, kill it, bin it.

Almost everyone will have a cough or cold this winter. Don’t spread your germs. Cough or sneeze into a tissue, put it in the bin and wash your hands to stop the spread of germs. It really is that simple. Use symptom relief from the pharmacy and take plenty of rest. Your GP won’t be able to prescribe anything to help.

Cold outside? It’s the perfect excuse to eat well and wrap up warm.

Keep warm inside and out by keeping active and having regular hot drinks and nutritious meals. If you have breathing problems even a small change in temperature can affect you. So take extra care.

Keeping well this winter is particularly important if you, or someone you know, has a health condition – such as asthma, diabetes, MS, or a chest, heart, liver or kidney complaint. By planning ahead and taking a few simple steps, you can help yourself to stay healthy and on top of your condition. No-one likes being ill or wants to spend time in hospital so we all need to take responsibility for looking after ourselves as best we can.

A&E is meant for real emergencies and saving lives, although it is often a first stop for many people who aren’t feeling quite right. We need to remember that A&E, and dialling 999, are emergency services that should only be used in the event of a serious injury, or when someone shows the symptoms of critical illness.

The right NHS services are everywhere – we just need to stop and think – and then choose the right one.

With the colder weather setting in we want to help you keep healthy and make sure you know the best health services to choose if you become unwell this winter


Winter 12, Issue 3: be healthy be heard 9 Winter 12, Issue 3: be healthy be heard 9

QR code for NHS Choices:


Think ahead.

If you’re taking any medication, make sure that you have enough to last you when your GP surgery may be closed. It’s important that you book any routine appointments with your practice in plenty of time and ensure that you have enough medication to last you over these times. Don’t use A&E as a back-up pharmacy, plan ahead.

Know when NHS services near your home are open.

A&E and your GP aren’t your only options. You’ll often be seen quicker at other NHS services, so check out NHS Choices (www.nhs.uk/choosewell) for your nearest pharmacy, walk-in centre or minor injuries unit. It’s better to do this first, rather than face a long wait in A&E. Alternatively if it’s urgent, but not an emergency, and you’re not sure what to do, call NHS Direct on 0845 4647.

Personalised Care Plan?

It’s a good idea for those with a long term condition to have an up-to-date personalised care plan. A care plan will help you manage your condition better – especially during the cold weather. It will also help loved ones know what to do if you need medical attention. If you’re not sure if you have a Personalised Care Plan, contact your GP for more information.


Chronic obstructive pulmonary disease (COPD) is one of the most common respiratory diseases in the UK. It is thought there are over three million people living with the disease in the UK, of which only about 900,000 have been diagnosed. Many people who develop symptoms of COPD do not get medical help because they often dismiss their symptoms as a ‘smoker’s cough’. Symptoms can often get worse in the colder weather so this winter we want to help you understand more about COPD

COPD is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have trouble breathing in and out and these difficulties are caused by long-term damage to the lungs.

The main cause of COPD is smoking. The smoke irritates and inflames the lungs, which results in scarring and over many years this inflammation leads to permanent changes in the lung. The walls of the airways thicken and more mucus is produced. Damage to the delicate walls of the air sacs in the lungs causes emphysema and the lungs lose their normal elasticity. The smaller airways also become scarred and narrowed. These changes cause the symptoms of breathlessness, cough and phlegm associated with COPD.

Some cases of COPD are caused by fumes, dust, air pollution and genetic disorders, but these are rarer.

The symptoms of COPD usually develop over a number of years, so you may not be aware you have the condition. If you notice any of the following symptoms

and you’re over 35 you should visit your GP:

• increasing breathlessness when exercising or moving around

• a persistent cough with phlegm that never seems to go away

• frequent chest infections, particularly in winter

• wheezing

The damage to your lungs cannot be reversed and treatment for COPD usually involves relieving the symptoms with medication. You might be offered an inhaler to help make your breathing easier, however small changes to your lifestyle might also help you manage your condition better and slow down the progression of the disease.

If you smoke, quitting is particularly effective at doing this and you can find out more about stopping smoking on page 11. Being as active as possible and learning breathing techniques will also help reduce the symptoms of COPD.

Find out more about COPD here: www.nhs.uk/Conditions/Chronic-obstructive-pulmonary-disease/Pages/Introduction.aspx

COPD know the facts


The new year is always a good time to make a fresh start. In 2013, why not take the opportunity to give up smoking and improve your health?

Smoking causes many serious and fatal diseases including lung cancer, heart disease, bronchitis and emphysema. It also causes many other cancers, respiratory diseases, strokes and can affect fertility.

With cigarettes containing over 4,000 toxic chemicals, 50 of which cause cancer, it’s never too late to stop smoking. Quitting may seem daunting but there is plenty of support available including websites, telephone advice and one-to-one support.

Why not start by calling the NHS Smoking Helpline on 0800 022 4332. They can help you decide on the best way to quit and provide information about your nearest services.

You can also talk to your GP. They could enrol you in a local ‘stop smoking’ clinic and provide information on the range of nicotine replacement therapies and stop smoking medication that is available.

Visit http://smokefree.nhs.uk/ to find out more information about the effects of smoking and the range of support on offer.

New Yearand a newsmoke

free you

The quitting timeline

• After 20 minutes your blood pressure and pulse return to normal.

• After 24 hours your lungs start to clear.

• After two days your body is nicotine-free and your sense of taste and smell improve.

• After three days you can breathe more easily and your energy increases.

• After two to 12 weeks your circulation improves.

• After three to nine months coughs, wheezing and breathing improves.

• After one year your heart attack risk is half that of a smoker.

• After 10 years your lung cancer risk is half that of a smoker.


“I’ve been a member of my local PRG for nearly five years now. I first found out about the group when I was asked to volunteer by another member. My family owes a huge debt to the NHS and for me it was an opportunity to give a little back.

“The PRG is a patient organisation which supports the practice. We have six men and six women from different backgrounds and age groups and we try to keep a good mixture of members so we can be representative of the local area. Our practice is a very large one with over 35,000 patients and this has enabled the practice to develop expertise in specialist areas such as minor injuries.

“We meet for two hours each month and as we’re independent we can set our own agenda and determine our own priorities. We often invite GPs, health professionals and administration staff from the practice along to our meetings so we can hear their views and offer them feedback. We also meet with other service providers such as the hospital

manager, local chemists and representatives

from local schools.

“One of our primary functions is to share information. We publish a regular newsletter, hold open meetings with patients, reassure people about service changes and remind people to access services such as the free flu jabs. In the past we’ve also helped with maximising responses to patient surveys and have made improvements to services at the practice. Our improvements include increasing the practice’s opening hours and changing prescription services so people can now collect repeat scripts during lunchtimes.

“As the Clinical Commissioning Group (CCG) moves towards taking on its full responsibilities from April 2013 we want them to recognise the unique circumstances of each practice. We do not want PRGs to become a tick box exercise when it comes to consultation and we really hope

the CCG will use the opportunity to engage with us to develop local services that are right for local people. We don’t want to see one size fits all services being implemented and we feel our role as a PRG will be to ensure services continue to reflect the needs of patients.

“The health reforms pledged to put patients at the heart of services and to treat people locally. The CCG have already been working towards this and recently invited a representative from our group to attend a meeting at county level to discuss the way forward. This was a valuable opportunity and we hope to continue working closely with the CCG in the future. We’re also looking forward to working with other health partners including HealthWatch.”

Patient Reference Groups or PRGs are a valuable way for you to get involved in developing local health services and supporting your local practice. Mr Don Moss, a member of the PRG at Latham House Medical Practice in Melton Mowbray, explains what PRGs do and why he decided to take part

local patient group

yourGETINVOLVED

WITH

If you’d like to get involved in a PRG, contact your local practice to find out if they already have one or to find out how you can get one started.

Winter 12, Issue 3: be healthy be heard 13 Autumn 12, Issue 2: be healthy be heard 13

Do you haveType 2 diabetes?

What will I get out of a DESMOND session?Quite a lot! As well as getting up-to-date information, you will learn practical skills which you may find helpful in managing your diabetes. An opportunity will be provided to discuss and explore factors relating to diabetes, such as food choices, activity and medication.

You will also be able to meet and talk to others in the same situation. At the end of the sessions, everyone taking part in DESMOND will have information to take away for reference.

www.desmond-project.org.uk

The DESMOND programme was brilliant - really helped me understand MY diabetes

But what makes DESMOND so special?

DESMOND is pretty unique. It’s an education

programme designed to support you, the

person with diabetes, to become the

expert. The Educators are there to

help you increase your knowledge and

understanding of what having diabetes

will mean for you. But at the end of the

day, you will be the person in control

and making the decisions.

I attended DESMOND recently and found it very helpful. Everyone with

diabetes should go if they get the chance

Referral can be made via your GP/practice Nurse or self referral by calling Indira on 0116 2584369

So, who or what is DESMOND?

DESMOND stands for Diabetes Education and Self

Management for Ongoing and Newly Diagnosed.

More simply...

• It’s a way of finding out more about

Type 2 diabetes.

• It’s a resource to help you manage the

changes diabetes will bring to your life.

• It’s an opportunity to meet and share

experiences with others.

Then meet DESMOND!

Desmond Poster_2012.indd 1 22/11/2012 09:04


Information and advice isjust a click awayHealth information for members of the public, patients and stakeholders is just a click away with the launch of East Leicestershire and Rutland Clinical Commissioning Group’s (ELR CCG) new innovative website.

The website will provide easy access to information on health services in the area including the best places to go for the right treatment. You will also be able to find out how to get involved in influencing decisions about your local health services including how you can join Patient Participation Groups and take part in consultations.

The website will have more information about the work and structure of the CCG. You’ll find information about our board members, learn about our commissioning priorities and see how we plan to improve and deliver services in your area.

Dr Dave Briggs, Clinical Managing Director of the ELR CCG, said: “The new website aims to provide comprehensive information on what health services are available as well as an insight into how the CCG is organised. It is one of many ways we are working to improve communications to the public and encourage them to have their say on how services are run.”

Visit our new website at www.east leicestershireandrutlandccg.nhs.uk



To add a little variety to these tasty scones, why not add ½ teaspoon of cinnamon to the flour to make apple and cinnamon scones or add about five chopped glacé cherries for apple and cherry scones?

These sweet scones make a lovely afternoon treat with a cup of tea, but don’t forget to indulge in moderation…

Apple sconesIngredients:

1 medium apple

250g self-raising flour

1 teaspoon baking powder

60g polyunsaturated margarine

60g sugar

Milk to mix

Method:

1 Preheat the oven to 180°C/400°f/gas mark 6.

2 Grease a baking tray.

3 Peel, core and chop the apple.

4 Sift the flour and baking powder into a bowl.

5 Add the margarine to the flour and using your fingertips rub the margarine in until the mixture resembles breadcrumbs.

6 Stir in the sugar, add the chopped apple and mix together.

7 Add the milk, a little at a time, to form a soft dough.

8 Place the dough onto a floured surface and roll out to 1/2 of an inch thickness.

9 Use a biscuit cutter to cut out the scones, brush lightly with a little milk and bake in the oven for 12 - 15 minutes until golden brown.

If you’re diabetic you can make these scones healthier for you by replacing sugar with sweetener. Generally you’ll need to substitute a spoon of sugar for a spoon of sweetener although this can vary a little depending on the type of sweetener you use.

For example our recipe calls for 60g of sugar, measure out the 60g into a bowl and count how many spoonfuls this is. Then use the same number of spoonfuls of sweetener in the recipe.


It’s competition timeIt’s our winter edition so here’s a winter themed puzzle for you. Simply tell us which word in our list doesn’t appear in the word search to be in with a chance to win £25 of M&S vouchers

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 1170. Please state which publication you require when you call.

Somali

Polish

Urdu

Punjabi

Gujarati

Hindi

Bengali

WINTER SNOWING SCARF GLOVES JACKET SLEDGING HAT

FROSTY ICE SLIPPERY FIREPLACE WELLINGTONS SNOWBALLS LAUGHTER

Answer:

Name:

Membership number:

Email address:

Cut out this page and post your completed word search to:

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

The closing date for entries is 25 January 2013. The first correct entry randomly drawn will receive the prize.

Membership Magazine East Leicestershire Issue 3

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Transcript of Membership Magazine East Leicestershire Issue 3