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Dying Matters Week 2019 - Are we Ready?

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Every year in May, Dying Matters Awareness Week gives us all great opportunity talkopenly about dying, death and bereavement with friends and loved onesThis year, the week will run from 13-19 of May and the theme is Are We Ready?

It’s a question that challenges each of us on several levels. Are We Ready for our own deaths, or the deaths of those we care about? This is a practical question – wills, funeral planning and more – but of course it’s also emotional, even spiritual for some of us.  For many of us, the answer will not be ‘yes’. 

Research shows that most people haven’t taken care of the practical aspects, which include writing a will, deciding on organ donation, and planning our future care.

Local events 

The local NHS will be taking the message out to members of the public during Dying Matters Week with stalls at the following locations:

  • Monday 13th May, Leicester General Hospital, 10-2pm stall in the hospital canteen
  • Tuesday 14th May, Beaumont Leys shopping centre, 9am – 4.30pm, Leicester, LE4 1DE
  • Wednesday 15th May, Stamford Court - LLR Dying Matters Conference: “Are We Ready?  Let’s Talk About Dying”.  This Macmillan Sponsored event is attracting 200 delegates from organisations across LLR and includes national and local speakers; stalls publicising local work and services and a fantastic opportunity to network with colleagues about this incredibly important area of care.
  • Thursday 16th May, Leicester Royal Infirmary, 10-2pm stall in the hospital canteen.
  • Friday 17th May, Glenfield Hospital, 10-2pm stall in the reception area.
  • Friday 17th MayHaymarket shopping centre9am – 4.30pm, Leicester city centre, LE1 3YH
  • Saturday 18 May, 'Death Cafe', 10am – 12pm, G Sellers, 75 Upper Bond Street, Hinckley, LE10 1RF

Look out for local updates on social media throughout the week by following #LLRDyingMatters

LLR Dying Matters 2019 video

 

Update from the Hinckley Community Health Services Project Board – April 2019

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As you know, West Leicestershire Clinical Commissioning Group (CCG) has been working with patients, carers, staff and stakeholders to reconfigure community health services in the Hinckley and Bosworth area in recent years.

The £8 million in capital awarded by the Department of Health at the end of last year means that intensive work is currently taking place to update the information that will go into the refresh of a document called a Pre-Consultation Business Case (PCBC).  This document, which has to be approved by NHS England and NHS Improvement, before consultation with the public can begin, explains in detail what the case is for changing and improving services.  It tells the story of how proposals have been developed and discusses the strong clinical reasons for change. It also outlines how patients and the public have been involved so far, and how the proposal will uphold the values of the NHS Constitutions, particularly patient choice

Overseeing all the work that goes into gathering information to refresh this document is a Project Board.  The Board comprises of all the key partners involved in the project – local GPs, the local GP Federation, Hinckley and Bosworth Council, West Leicestershire Clinical Commissioning Group, Community Ventures.  It also comprises of the providers of local services – The Alliance and Leicestershire Partnership NHS Trust and owners of the District Hospital – NHS Property Services.  In addition, the group also has a representative of the Locality Patient Participation Group for general practices in Hinckley and Bosworth and a member of the Better Care Together Patient and Public Involvement Group.

The Project Group members are working with a range of stakeholders, including staff, architects and clinicians to have the PCBC refresh completed and approved in order to start a consultation with the public later this year.  They are also aligning the Hinckley proposals to other work that is happening to redesign community services across Leicester, Leicestershire and Rutland.

Just by way of reminding people – the proposal, which will be consulted on, focuses on using the investment to make better use of all available existing space in Hinckley Health Centre (Hill Street) and at Hinckley and Bosworth Community Hospital (Sunnyside) by:

  • refurbishing Hinckley Health Centre, to accommodate X-Ray/Ultrasound, physiotherapy and increase the number of consulting rooms;
  • creating a combined day case surgery and endoscopy unit with day-case beds at Sunnyside, which will provide an increased range of day case procedures and cancer screening services for local patients; and
  • Relocation of the out-of-hours primary care service from Hinckley and Bosworth Community Hospital (Sunnyside) into the new developed Urgent Care Hub in Hinckley Health Centre providing out-of-hours urgent care for local patients.
  • Removing services from buildings like Hinckley and District Hospital that are unfortunately not fit for purpose and relocate physiotherapy services into Hinckley Health Centre.
  • Relocating some inpatient beds from Sunnyside to provide space for day-case beds

We will update you again in June.  In the meantime further background information can be found on the West Leicestershire Clinical Commissioning Group website.

Cervical screening saves lives

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CSSL Post it Facebook

Today Public Health England, with support from NHS England, have launched the first ever national cervical screening campaign aimed at women who are eligible for screening (those aged 25-64).

Around 2,600 women are diagnosed with cervical cancer in England each year and around 690 women die from the disease. It is estimated that if everyone attended screening regularly, 83% of cervical cancer cases could be prevented; however, attendance is at a 20-year low, with one in four women in the UK not attending their cervical screening.

The campaign aims to raise awareness of the risks of cervical cancer and highlight the preventative benefits of screening. We are encouragng women to respond to their screening invitation letters and, if they missed previous invites, to book an appointment with their GP practice.

The key campaign is messages are:

  • Cervical screening can stop cancer before it starts by preventing potentially harmful cells from developing
  • Don’t ignore your cervical screening invite. If you missed your last cervical screening, book an appointment with your GP practice now
  • For more information, visit nhs.uk/cervicalscreening

Drop-in to discuss NHS improvement plans

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BCT Outreach posters March 19NHS partners will be visiting public venues in Coalville, Shepshed and Blaby in March to discuss proposed improvements to the healthcare that patients receive in hospital, at home and in the local community.

The drop-in sessions will be held on:

  • Thursday 21 March 2019, 10.00 – 4.00pm, Blaby Library, Lutterworth Road, Blaby LE8 4DW

The public can just drop-in for a chat and have a look at informative displays that include plans that could see significant investment in the outdated acute hospital estate in Leicester that will significantly improve services for the benefit of the local population.

People will also be able to talk to representatives from NHS partner organisations about what matters most to them about NHS services.  They can also hear about the progress being made to keep more people well and out of hospital and provide better care in a crisis, as well as discussing the changes that will deliver more care close to home - particularly for those people who have one or more long term condition and those in need of high quality specialist care. 

Further information on the work of the NHS can be found by visiting the Better Care Together website – the partnership site for Leicester, Leicestershire and Rutland www.bettercareleicester.nhs.uk

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The Better Care Together Plan - our STP

The Better Care Together Plan - Our Sustainability and Transformation Partnership The NHS commission and provide health and care services for over...

The Better Care Together Plan - Our Sustainability and Transformation Partnership

The NHS commission and provide health and care services for over a million people in Leicester, Leicestershire and Rutland. Every day our services support people to stay healthy and lead independent lives. And when people are ill, our services are there for them, their carers and families.
 
Over the next few years, the services we deliver, and where and how we offer them, will need to change, so that they can continue to be delivered in a way that is safe for patients as well as in a way the NHS can afford. The demand for services is growing more quickly than the resources which we have can cope with, as people are living longer and our population is continuing to grow. The Better Care Together Plan explains how these services can be changed for the better to improve care and the patient experience while meeting these demands.
 
In 2017 we held events across West Leicestershire to share the draft version of the plan with patients, family carers and staff to discuss the draft Better Care Together Plan. You can find out more about the events on this page, and download the findings from the STP events on this page.
 
In the 70th year of the NHS the partnership has published ‘Next steps to better care in Leicester, Leicestershire and Rutland’, a document describing the progress of partners from health and local authorities to improve the health and wellbeing of local people. Download the BCT Brochure.
 
 
 
 
To find out more, and see how you can be involved, visit the Better Care Together website

Consultations and engagement

We consult and engage with our local residents on an ongoing basis on a variety of topics to ...

We consult and engage with our local residents on an ongoing basis on a variety of topics to help us make commissioning decisions. Please contact us if you would like to comment on any of our services which aren't mentioned below.

In addition, West Leicestershire CCG is part of the Better Care Together partnership across Leicester, Leicestershire and Rutland which is working to improve services and make them sustainable for future generations. You can read more about how to get involved in these projects on the Better Care Together website or follow them on twitter https://twitter.com/BCTLLR

 

Current consultations and engagement

Gamete and Embryo Cryopreservation Policy

Patients across the East Midlands are being asked for their views on proposals to introduce a new policy which will give wider access to fertility preservation services. The new policy has been developed following guidance from NHS England, which states that fertility preservation services should be made equally available to all patients whose medical or surgical treatment may make them infertile.

All of the clinical commissioning groups (CCGs) in the East Midlands, who make decisions on which services are offered in each area, have come together to make sure that people across the region are offered the same access to fertility preservation services wherever they live.

If approved, the policy will ensure a standard approach is used for patients throughout the East Midlands. This consultation is being led by Leicester City Clinical Commissioning Group on behalf of the 16 CCGs in the East Midlands.

Find out more, including how to tell us your views.

 

You can find out more about consultations that are being led by other organisations on their websites:

 

Previous consultations and engagement


Date of engagement activity

August - Oct 2019

 
Name of Engagement/Consultation
Overview

There have been a number of changes at The Surgery following inspection by the Care Quality Commission (CQC) in July 2017. Our most recent communication with patients confirmed that we had secured temporary caretaking arrangements for The Surgery following Dr Dawes leaving the practice in February 2019.

The CCG has worked with The Surgery and local health care providers over the last two years to address the CQC findings and to try to identify a sustainable long-term solution for the practice. Given the challenges, the CCG has reviewed all options and following careful consideration has decided to close the practice and request that patients register with another GP / practice.

This approach will ensure patients will have access to stable and sustainable primary care services and continuity of care. Patients are being notified of this and are being advised to register at an alternative practice by 31st October 2019.  We gave patients the opportunity to feedback to the CG via email, phone or online survey.

Next steps

You can view the summary report of the findings here.


 

Date of engagement activity

June 2019

Overview

Patients at Thurmaston Health Centre are invited to have their say on what is important to them and what services they would like to receive in future. Responses will help us make decisions about how we provide these services from April 2020.

Next steps

You can view the summary report of the findings here.


Date of engagement activity

June 2019

Name of Engagement/Consultation

Mahavir Health Centre and Jubilee Medical Practice 

Overview

Patients at Mahavir Health Centre and at Jubilee Medical Practice are invited to have their say on services at these practices.  

Next steps

We are reviewing the responses to the survey and will share them here shortly.


Date of engagement activity

June 2019

Name of Engagement/Consultation

Extended Access primary care appointments evaluation survey

Overview

Patients and staff who have used or who work in the Extended Access service at four centres have had the opportunity to respond to a survey to share their experiences and suggest where improvements might be made.  

Next steps

You can view our Board paper including evaluation results and next steps.


Date of engagement activity

February – April 2019

Overview

Members of the public and health professionals are invited to a series of events showing how children’s mental health services are changing in Leicester, Leicestershire and Rutland (LLR).

Next steps

Contact Tricia Reynolds on 0116 295 1119 or 07554 112 317 for more details or to attend an event.


Date of engagement activity

Survey closed 21 October 2018

Events – February – March 2019

Overview

We are encouraging local people to get involved in shaping the future of community health services through a series of interactive workshops.


Date of engagement activity

2014 -present

Name of Engagement/Consultation
Overview

The Hinckley and Bosworth information hub contains information about the engagement work that has taken place in Hinckley, as well as the latest news.

Next steps

Hinckley Community Services is being covered at the wider LLR Community Health Services redesign events mentioned above.

There will be more opportunities to get involved when we consult later this year.


Date of engagement activity

2016 - present

Name of Engagement/Consultation
Overview

We have joined forces with the Soil Association to help 12 local care homes to improve the health and wellbeing of its residents through an increased focus on providing good food and positive interaction over food and mealtimes that help to improve mobility, maintain independence and provide good nutrition and hydration. This is in response to engagement work with Care Homes initiated in 2016.

Next steps

Read more   and on The Soil Association website www.foodforlife.org.uk/older-people


Date of engagement activity

November 2018

Name of Engagement/Consultation

Antibiotics and self care

Overview

Come and join us at Loughborough Market Place to ask about antibiotics, looking after yourself over winter and NHS111.


Date of engagement activity

November 2018

Name of Engagement/Consultation
Overview

The Surgery Ashby and Measham Medical Unit have been working together  in response to improvements requested by the Care Quality Commission, the organisation that reviews quality of care in the NHS.

Next steps

The survey closed on 30 November 2018 and we will provide an update shortly.


Date of engagement activity

September / October 2018

Overview

People in Leicester, Leicestershire and Rutland are being asked to share their views on healthcare patients receive at home and in local communities as the local NHS looks to improve community health services.

Next steps

Date of engagement activity

Autumn 2018

Name of Engagement/Consultation
Overview

The NHS organisations in Leicester, Leicestershire and Rutland (LLR) have confirmed that during July they will mark the 70th year of the NHS by publishing a document setting out the Next Steps for Better Care Together in the local area.


Date of engagement activity

August / September 2018

Overview

The NHS in Leicester, Leicestershire and Rutland would like to hear the views of local patients about 101 policies that describe when and how non-emergency operations and treatments are carried out. Some examples of these are hip and knee replacements, operations to correct a cataract, joint injections and varicose vein surgery.

Next steps

The survey and events finished on 26th September 2018. Leicester City CCG led the work on behalf of the three CCGs in LLR – you can read the outcome on their website


Date of engagement activity

August 2018

Overview

The local NHS is calling for patients to find out more about changes to prescribing and to provide their views on the changes before they take place.

Next steps

The survey closed on 9 September 2018. The results of which helped inform the self care section of our website – where you will find more information on the changes to prescribing medicines that are routinely available over the counter.


Date of engagement activity

August 2018

Overview

NHS England is committed to ensuring that patient and public voices are at the centre of shaping our healthcare services. Every level of our commissioning system needs to be informed by listening to those who use and care about our services.

We are looking for expert PPV partners for a variety of groups who have a good knowledge and understanding of the health and care system nationally, regionally and/or locally to join our various advisory groups, and help shape NHS digital health services for people, patients and carers.

Next steps

Applications should be received by 3 September 2018 Contact: england.digitalhealth@nhs.net .


Date of engagement activity

July 2018

Overview

Are you a patient at The Centre Surgery, Hill Street, Hinckley?

If so, NHS West Leicestershire Clinical Commissioning Group (CCG) wants your views to help us design the service to be available from March 2019 when the current contract ends.

Next steps

The survey closed on 27 July 2018


Date of engagement activity

July 2018

Name of Engagement/Consultation

Lay members being recruited in the Midlands

Overview

The Medical Directorate at NHS England (Central Midlands) & (North Midlands) are seeking to recruit a number of Lay Members to sit on decision making panels on an ad-hoc basis. Payment - £50 per hour or part thereof (inclusive of VAT).

Next steps

Contact: susan.dyson2@nhs.net or by post


Date of engagement activity

June 2018

Name of Engagement/Consultation

GP Extended Access engagement

Overview

Engagement with patients, carers, GPs and other staff following a pilot of extended access appointments. Including focus groups, face to face interviews and telephone interviews from January – June 2018.


Date of engagement activity

April – June 2018

Overview

Local health and social care leaders together with voluntary sector organisations in Leicester, Leicestershire and Rutland (LLR) have unveiled new plans for supporting people with dementia and their carers.


Date of engagement activity

Spring 2018

Overview

Health and care organisations in Leicester, Leicestershire and Rutland want to hear your views on the draft Joint Carers Strategy 2018-2021.

Next steps

This consultation closed on 22 April 2018. Read
the Board paper covering the final version of the document.


Date of engagement activity

Spring 2018

Name of Engagement/Consultation
Overview

People in Leicester, Leicestershire and Rutland are being asked for their views on possible changes to the children’s blood test clinic.

Next steps

The survey closed on 6th May 2018.

Outcome: There will be no change to the current phlebotomy service in the county


Date of engagement activity

April 2018

Name of Engagement/Consultation

Drop in event for patients at Thurmaston Health Centre

Overview

GP Services at Thurmaston Health Centre have changed since April and we understand that patients may have questions to ask, or wish to find out more information.


Date of engagement activity

January/February 2018

Overview

West Leicestershire CCG undertook a review of repeat prescription processes, to understand if there are ways they can be improved for patients, pharmacies and practices.

Next steps

The survey closed on 27 February 2018 and the results are being reviewed. 


Date of engagement activity

August – October 2017

Overview

From today, patients who receive wheelchair, orthotics and prosthetics services in Leicester, Leicestershire and Rutland will receive their care from Opcare, part of the Ability Matters Group.

This service was previously provided by Blatchford. Opcare were appointed following engagement with patients in 2017 and a procurement process earlier this year.

Next steps

The new provider began their contract in October 2018


Date of engagement activity

2017

Name of Engagement/Consultation
Overview

Earlier this year (2017), NHS West Leicestershire Clinical Commissioning Group (CCG) reviewed how people accessed over the counter medicines for the short term treatment of minor ailments. Thank you, if you responded to our survey.

Next steps

Changes to prescriptions for minor conditions - The results of this survey have informed our new Self Care web pages, including advice and guidance on over the counter treatments of minor ailments. From this page you can also view our paracetamol and gluten-free prescription survey report and read more about the results of the survey.


Date of engagement activity

2016

Name of Engagement/Consultation
Overview

The Non-Emergency Patient Transport Service (NEPTS) in Leicester, Leicestershire and Rutland is provided by TASL. This service provides non-emergency transport to and from medical appointments for patients who have a medical condition that would prevent travel by other means.

Next steps

TASL took over the contract to provide these services in October 2017 after a period of engagement with local patients and a formal procurement process. Read more on the engagement that took place to inform the development of the service specification.


Date of engagement activity

Summer 2016

Name of Engagement/Consultation
Overview

In the summer of 2016 we invited people to talk to us about changes to the way we prescription gluten-free products for patients diagnosed with Coeliac Disease and Dermatitis Herpetiformis.

Next steps

The results of this survey have informed our new Self Care web pages, including advice and guidance on over the counter treatments of minor ailments. From this page you can also view our paracetamol and gluten-free prescription survey report and read more about the results of the survey


Date of engagement activity

Summer 2016

Name of Engagement/Consultation
Overview

In the summer of 2016 we invited people to talk to us about possible changes to the way we prescribe paracetamol products in Leicester, Leicestershire and Rutland

Next steps

The results of this survey have informed our new Self Care web pages, including advice and guidance on over the counter treatments of minor ailments. From this page you can also view our paracetamol and gluten-free prescription survey report and read more about the results of the survey


Date of engagement activity

2014

Overview

Our CCG and Leicestershire Partnership NHS Trust (LPT) have reached a decision on how to best meet the long-term health needs of people living in and around Ashby de la Zouch.


 

Make a difference with your local PPG

Would you like to get involved with our campaigns and make a difference in the care patients receive? Your GP surg...

Would you like to get involved with our campaigns and make a difference in the care patients receive?

Your GP surgery has its own small team of people who provide a voice for all the patients on the practice’s list. Known as a Patient Participation Group or a PPG, these groups meet regularly to work with the GPs and staff at the practice to improve the way things are run.

The work of PPGs is invaluable to our work  as a CCG too. The feedback we get from our PPGs help shape the decisions that we make and directly influence the services we commission for all our patients and carers.

Read more

Stay in touch with the NHS

Do you want to be the first to know about what is happening with your local NHS services in West Leice...

Do you want to be the first to know about what is happening with your local NHS services in West Leicestershire?

By signing up to our In Touch mailing list, you will receive monthly messages to keep you up to date including information on local health events, new services, opportunities to get involved in the planning and design of new services, or information about health conditions and support which you are particularly interested in. 

We’ll never pass your details on to anyone else, and we’ll never try to sell you anything – this is about keeping you in touch with what is happening in your local NHS.

Sound interesting? Read more

 

The Surgery, Ashby

The Surgery, Ashby is now closed. During our engagement with patients on the closure of The Surgery in Ashby the CC...

The Surgery, Ashby is now closed.

During our engagement with patients on the closure of The Surgery in Ashby the CCG received a total of 37 enquiries, two of which were raised as formal complaints.  All enquires were resolved and all patients are now registered with an alternative practice.

You can view the summary of the patient feedback here


Important information about The Surgery, Ashby.

There have been a number of changes at The Surgery following inspection by the Care Quality Commission (CQC) in July 2017. Our most recent communication with patients confirmed that we had secured temporary caretaking arrangements for The Surgery following Dr Dawes leaving the practice in February 2019.

The CCG has worked with The Surgery and local health care providers over the last two years to address the CQC findings and to try to identify a sustainable long-term solution for the practice. Given the challenges, the CCG has reviewed all options and following careful consideration has decided to close the practice and request that patients register with another GP / practice.

This approach will ensure patients will have access to stable and sustainable primary care services and continuity of care. Patients are being notified of this and are being advised to register at an alternative practice by 31st October 2019.  

We have not made this decision lightly and we fully understand that this decision may cause patients some concerns. The following sections set out what you need to do if you are registered at this practice and the support that is available.  

 

What do I need to do next?

If you are registered at The Surgery, Ashby, you will need to register with a new GP practice before Thursday 31st October 2019, to ensure continuity of access to a GP. Below is a list of GP practices surrounding The Surgery.

Some GP practices will only allow you to register with them if you live within their catchment area. Therefore, we advise you to register with a practice close to home. Please visit the website of the pratice you wish to register with or use the contact details below to check if you live within a practice’s catchment area. You can find out more about all practices on the NHS website: www.nhs.uk.

Once you register with a new practice, your patient records will be automatically transferred so that your new doctor and clinical staff can understand your health history and continue to provide any care that you might need.

Read our Frequently Asked Questions document. 

Organisation Name

Tel Number

Website

Castle Medical Group, 118 Burton Road, Ashby-De-La-Zouch, LE65 2LP

01530 414131

www.castlemedicalgroup.co.uk

Measham Medical Unit, High Street, Measham, DE12 7HR

01530 270667

www.meashamdoctors.co.uk

Woodville Surgery, Swadlincote, DE11 7JE

01283 217036

www.woodvillesurgery.co.uk

Whitwick Road Surgery, Whitwick Road, Coalville, LE67 3FA

01530 836507

www.whitwickroadsurgery.co.uk

Dr S Virmani & Dr G Bedi, 67 North Street, Coalville, LE67 5HX

01530 838866

www.whitwickhealthcentre.co.uk

Dr R M Patel & Dr H Tailor, 67 North Street, Coalville, LE67 5HX

01530 839629

www.lewisandpatelwhc.co.uk

Dr Vishnu Parmar, 1 Hallcroft Avenue, Swadlincote, DE12 6JF

01283 760595

www.oversealsurgery.co.uk

Heartwood Medical Practice, Swadlincote Health Centre, Swadlincote, DE11 0AE

01283 818100

www.heartwoodmedicalpractice.co.uk

Manor House Surgery, Mill Lane, Belton, LE12 9UJ

01530 222368

www.beltonsurgery.nhs.uk

Long Lane Surgery, Beacon House, Long Lane, Coalville, LE67 4DR

01530 445945

www.longlanesurgery.com

Hugglescote Surgery, 151 Grange Road, Hugglescote, Coalville, LE67 2BS

01530 832109

www.hugglescotesurgery.co.uk

Swadlincote Surgery, Darklands Rd, Swadlincote, DE11 0PP

01283 551717

www.swadlincote.gpsurgery.net

Ibstock House Surgery, 132 High St, Ibstock, LE67 6JP

01530 263467

www.ibstockhousesurgery.nhs.uk

Broom Leys Surgery, Broom Leys Rd, Coalville, LE67 4DE

01530 832095

www.broomleyssurgery.co.uk

 

Supporting patients

You can provide feedback online using the following link http://bit.ly/TheSurgeryAshby; by email on enquiries@westleicestershireccg.nhs.uk; or you can call the CCG Corporate Affairs Team on 01509 567702 (Monday to Friday, 9am to 5pm). 

 

  

 

Woodgate offices will be closed as from Friday 27 March

Please note: Due to Coronavirus (COVID-19) Woodgate offices will be closed as from Friday 27 March. We would like to reassure you that you can s...

Please note: Due to Coronavirus (COVID-19) Woodgate offices will be closed as from Friday 27 March.

We would like to reassure you that you can still contact us during this unprecedented period, but where possible please can we ask that you do this by email or using our online forms.

Thank you for your patience and cooperation.

Departmental contacts during Coronavirus (COVID-19) emergency

DEPARTMENT

NAME / EMAIL

NUMBER

Medicines Optimisation

Gillian Stead

07818 410064

Corporate Affairs

Stuart Fletcher

07917 000491

Primary Care Services, Redesign and Delivery

David Muir

07770 815314

Finance and Planning

Gill Killbery

07917 553532

Service Redesign & Integration

Steve McCue

07825 657990

Clinical Quality Team

Wendy Pinson

07393 763127

Urgent and Emergency Care

Dan Webster

07770 644454

For further details please visit 'Contact Us' 

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