loros/macmillan clinical nurse specialists … clinical nurse specialists referrals by gp list may...

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LOROS/MACMILLAN Clinical Nurse Specialists Referrals By GP List May 2013 Amended July 2015 With effect from the 1st November 2015, Mandy Mitchell, will be leaving her post. New members of staff have been appointed but during their induction, her caseload will be covered by other members of the team. The contact numbers remain the same.

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Page 1: LOROS/MACMILLAN Clinical Nurse Specialists … Clinical Nurse Specialists Referrals By GP List May 2013 Amended July 2015 With effect from the 1st November 2015, Mandy Mitchell, will

LOROS/MACMILLAN Clinical Nurse

Specialists

Referrals By GP List

May 2013 Amended July 2015

With effect from the 1st November 2015, Mandy Mitchell, will be leaving her post. New members of staff have been appointed but during their induction, her caseload will be covered by other members of the team. The contact numbers remain the same.

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Index 2 Map of Area 3 Beaumont Leys 4 - 8 Coalville 9 - 11 Hinckley 12 - 14 LOROS 15 - 26 Loughborough 27 - 29 Based at The Warrens, Enderby 30 - 33 Based at Market Harborough Hosp 34 - 36 Melton Mowbray and Rutland 37 - 38 Current Referral Form 40 - 41 Amendment sheet for changes in GPs 42 Additional contact details 43

To use this guide it will be helpful for you to know the following:

1. Which area the patient lives in

2. GP Name and Practice Address (Please note that GP names

are shown in Alphabetical order)

Please fax your referral through to the appropriate team who will action it within the stated time. PLEASE DO NOT USE ANY OTHER PREVIOUS REFERRAL FORMS

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Areas within red lines mainly covered by LOROS Nurse Specialists.

All other areas covered by Macmillan Nurse Specialists / Community Matrons (Palliative Care)

Melton

Rutland

Ashby De La Zouch

Coalville

Leicester City

Blaby Wigston & Oadby

Hinckley & Bosworth

LutterworthMarket Harborough

Loughborough

January 09

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Palliative Care Nurses Based at Beaumont Leys Health Centre

Fax: 0116 2958721 Telephone 0116 2958737\43 (Mandy Mitchell & Sarah Underwood)

GP Practice Doctors Nurse Specialist

Al-Waqas Medical Practice 91 St Peters Road

Leicester LE2 1DJ

0116 254 3003 Fax: 0116 285 8672

KA.Choudhry B.Din

K.Hoque S.Majeed Z.Osama I.Sheikh

Mandy\Sarah

www.al-waqasmedicalpractice.co.uk

Beaumont Leys Health Centre 1 Little Wood Close

Leicester LE4 0UZ

0116 235 0435 Fax: 0116 235 0094

G.Alagasen L.Borrill

J.Macedo S.Radia V.Rawal

www.thepracticeplc.com/beaumontleys

Beaumont Lodge Medical Practice

2 Baxters Close Beaumont Leys

Leicester, LE4 0QR 0116 235 3579

Fax: 0116 234 2959

MS.Bandrapalli S.Damodaran

DS.Virdee

No webpage

Belgrave Medical Centre 52 Brandon Street

Leicester LE4 6AW

0116 253 4919 Fax: 0116 253 4912

S.Musa K.Ramaswamy

C.Patel F.Patel A.Sinha

www.thehighfieldsmedicalcentre.co.uk

Belgrave Surgery 13 Loughborough Road

Leicester LE4 5LJ

0116 266 3653 Fax: 0116 266 4905

SV.Bapodra A.Malhotra P.Malhotra

www.BelgraveSurgery.com

Brandon Street Surgery Belgrave Health Centre

52 Brandon Street Leicester LE4 6AW

0116 268 9790 Fax: 0116 261 3809

G.Boora S.D’Souza F.Fatima

P.Kumaraswamy

http://brandonstreetsurgery.co.uk

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GP Practice Doctors Nurse Specialist

Broadhurst Street Surgery 10 Broadhurst Street

Leicester LE4 6NF

0116 266 2662 Fax: 0116 266 9109

KS.Morjaria HK.Morjaria

Mandy\Sarah

www.broadhurststreetsurgery.co.uk

Canon Street Medical Centre 122 Canon Street

Leicester LE4 6NL

0116 266 1247 Fax: 0116 268 1477

BV.Modi F.Gallagher

www.drmodisurgeries.co.uk

Colwell Medical Centre 26 Colwell Road

Leicester LE3 9AX

0116 262 1579 Fax: 0116 262 1589

M.Taylor

www.hazeldine-tayloratwestcoteshc.co.uk

Community Health Centre Melbourne Road

Leicester LE2 0GU

0116 262 2946 Fax: 0116 242 2049

K.Hoque M.Khatri S.Majeed Z.Osama

M.Quereshi I.Sheikh

M.Sheikh

www.melbournecommunityhealthcentre.co.uk

East Leicester Medical Practice 131 Uppingham Road

Leicester LE5 4BP

0116 295 8282 Fax: 0116 295 8284

A.Abdulali K.Choudhry A.Farooqi

C.Macdonald R.Moriarty S.K.Sahota A.Suresh

www.elmp.co.uk

East Park Medical Centre (M) 264/266 East Park Road

Leicester LE5 5FD

0116 273 6330 Fax: 0116 273 8653

S.Basra R.Gadhvi R.Khan

M.Mahboob H.Morjaria R.Pandya A.Reddy

www.eastparkmedicalcentre.co.uk

East Park Medical Centre (B) 41/43 Doncaster Road

Leicester LE4 6JL

0116 268 9400 or ring 0116 273 6330 if no answer

Fax: 0116 266 6411

S.Basra R.Gadhvi R.Khan

M.Mahboob H.Morjaria R.Pandya A.Reddy

www.eastparkmedicalcentre.co.uk

(M) = Main (B) = Branch

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GP Practice Doctors Nurse Specialist

Glenfield Surgery 111 Station Road

Glenfield Leicester LE3 8GS

0116 233 3600 Fax: 0116 233 3602

A.Ahmed JG.Cooper N.Chotai C.Duru M.Salt

P.Sandhu J.Trayner

Mandy\Sarah

www.theglenfieldsurgery.co.uk

Groby Road Medical Centre 9 Groby Road

Leicester LE3 9ED

0116 253 6263 Fax: 0116 262 4180

P.Danaher H.Kay

L.Lucraft L.Neville C.Rabbitt N.Walker

www.grobyroadmedicalcentre.com

Heatherbrook Surgery 242 Astill Lodge Road

Leicester LE4 1EF

0116 235 6324 Fax: 0116 234 0333

R.P. Archer C.K. Archer

FA.Rizi

www.heatherbrooksurgery.co.uk

Highfield Surgery 25 Severn Street

Leicester LE2 0NN

0116 254 3253 Fax: 0116 255 6794

SK.Obeja P.Wadhwa

RK.Wadhwa

www.highfieldsurgerysevernstreet.co.uk

Manor Medical Centre 577 Melton Road

Thurmaston Leicester LE4 8EA

0116 269 6765 Fax: 0116 269 6980

SM.Arolker DR.Jawahar

ERC.Mathew SK.Shah

HG.Trivedi

www.drarolkerandpartners.co.uk

Melbourne Road Health Centre 47 Melbourne Road

Leicester LE2 0GT

0116 255 9869

V.Patel N.Raithatha AW.Siddiqui N.Summers

Z.Sumra P.Vagani

www.melbournerdhealthcentre.co.uk

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GP Practice Doctors Nurse Specialist

The Merlyn Vaz Health & Social Care Centre

1 Spinney Hill Road Leicester LE5 3GH

0116 261 6234 Fax: 0116 242 5602

S.Musa C.Patel F.Patel

K.Ramaswarmy A.Sinha

Mandy\Sarah

www.thehighfieldsmedicalcentre.co.uk

Oakmeadow Surgery 87 Tatlow Road

Glenfield Leicester LE3 8NF

0116 232 0088 Fax: 0116 287 2633

PR.Jones A.Lamlilass RA.Leach PL.Pathak H.Singh

www.oakmeadowsurgery.org.uk

Parker Drive Medical Centre 122 Parker Drive

LE4 0JF Leicester

0116 235 3148 Fax: 0116 235 4816

SM.Arolker DR.Jawahar

ERC.Mathew SK.Shah

HG.Trivedi

www.drarolkerandpartners.co.uk

The Parks Medical Centre 340 Aikman Avenue

Leicester LE3 9PW

0116 287 1230 Fax: 0116 231 4426

B.Hainsworth H.Haq

www.theparksmedicalcentre.com

Petworth Drive Surgery 5 Petworth Drive

Leicester LE3 9RF

CLOSED – July 2014

Rushey Mead Surgery 8 Lockerbie Walk

Leicester LE4 7ZX

0116 2610333 Fax: 0116 261 0270

M.Jaffer

Dr J.Fry has retired

www.drfryatrusheymead.nhs.uk

The Practice Rushey Mead 8 Lockerbie Walk

Leicester LE4 7ZX

Tel: 0116 323 2020 Fax: 0116 261 0835

D.Barrett N.Jain

P.Waigumbulizi

www.thepracticeplc.com/rusheymead

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GP Practice Doctors Nurse Specialist

The Practice Sayeed Medical Centre 352-354 East Park Road

Leicester LE5 5AY

0116 323 2030 Fax: 0116 273 7443

Y.Dalal H.Hussain S.Siddiqui

Mandy\Sarah

www.thepracticeplc.com/sayeedmedical centre

Silverdale Medical Centre 6 Silverdale Drive

Thurmaston Leicester, LE4 8NN

0116 366 2020 Fax: 0116 264 1936

A.Bukhari A.Chawla P.Rughani

www.silverdalemedicalcentre.co.uk

Thurmaston Health Centre 573A Melton Road

Leicester LE4 8BD

0116 260 8844 Fax: 0116 264 1880

M.Harrison HS.Minhas DS.Panacer YK.Ruhonah

K.Singh

www.leicestermedicalgrouppractice.co.uk

The Willows Medical Centre 184 Coleman Road

Leicester LE5 4LJ

0116 246 1311 Fax: 0116 246 0244

P.Pathak M.Roshan K.Vengala

www.thewillowsmc.co.uk

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Palliative Care Nurses Coalville/North West Leicestershire

Fax: 01530 468579 Telephone 01530 468580 (Dianne Bonken and Helen Bruce)

GP Practice Doctors Nurse Specialist

Ashby Health Centre North Street

Ashby de la Zouch LE65 1HU

01530 414131 Fax: 01530 560732

J.Addison R.Hall

P.Krishamurthy N.Sanganee

A.Smith H.Tailor

E.Thompson

Helen Bruce

www.ashbyhealthcentre.org.uk

Broom Leys Road Surgery Broom Leys Road

Coalville LE67 4DE

01530 832095 Fax: 01530 832616

K.Oliver R.Peters

S.Scrivens M.Srivastava

Dianne Bonken

http://broomleyssurgery.co.uk

Castle Donington Surgery 53 Borough Street Castle Donington

Derby DE74 2LB

01332 856050 Fax: 01332 811748

H.Godridge A.Hodson M.Horner J.Taggar

J.Ward Campbell C.Wolstenholme

A.Woodgate J.Young

Dianne Bonken

www.castledoningtonsurgery.co.uk

Coalville Health Centre 1 Market Street

Coalville LE67 3DX

01530 835544 Fax: 01530 832845

T.Hammond J.Mao

N.Pulman N.Rushman

GPS MOVING TO LONG LANE SURGERY BY SEPT 2015

Dianne Bonken

www.coalvillehealthcentre.nhs.uk

The Family Practice 99 Belvoir Road

Coalville LE67 3PH

01530 833999 Fax: 01530 814101

J Rawat S.S.Rawat

Helen Bruce

www.the-family-practice.co.uk

Hugglescote Surgery 151 Grange Road

Hugglescote Coalville LE67 2BS

01530 832109 Fax: 01530 832553

T.Gauhar D.Greenyer I.Ijeneme H.Noble S.Malladi

Helen Bruce

www.hugglescotesurgery.co.uk

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GP Practice Doctors Nurse Specialist

Long Lane Surgery Beacon House

Long Lane Coalville LE67 4DR

01530 445945 Fax: 01530 277959

R.Chellaswamy R.Dempsey C.Furlong

T.Hammond N.Kruczenyh

N.Mayes N.Pulman

J.Mao N.Rushman

Helen Bruce

www.longlanesurgery.com

Manor House Surgery 1 Mill Lane

Belton Loughborough

LE12 9UJ 01530 222368

Fax: 01530 224273

MJ.Aram BM.Heap E.Terrell

Dianne Bonken

www.beltonsurgery.nhs.uk

Markfield Medical Centre 24 Chitterman Way

Markfield Leicester

LE67 9WU 01530 249461

Fax: 01530 245668

C.Bird F.Chaudry HL.Heaton HR.Norgain CJ.Trzcinski

Dianne Bonken

www.markfieldmedicalcentre.org.uk

Measham Medical Unit High Street Measham

Swadlincote DE12 7HR

01530 270667 Fax: 01530 271433

C.Ashton V.Bharkhada

T.Charles R.Handford

K.Moore P.Randev

V.Ravji C.Swaebe

N.Waymont

Helen Bruce

www.meashamdoctors.co.uk

The Surgery 30 North Street

Ashby de la Zouch LE65 1HU

01530 417415 Fax: 01530 563729

D.Dawes SJ.Shepherd

Helen Bruce

www.mysurgerywebsite.co.uk/contact1.aspx?p=C82663

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GP Practice Doctors Nurse Specialist

Whitwick Health Centre North Street

Whitwick LE67 5HX

01530 839629 Fax: 01530 839065

AM.Lewis R.Patel

Helen Bruce

www.lewisandpatelwhc.co.uk

Whitwick Health Centre North Street

Whitwick LE67 5HX

01530 838866 Fax: 01530 810581

E.Hepplewhite S.Virmani

Helen Bruce

www.whitwickhealthcentre.co.uk

Whitwick Road Surgery Whitwick Road

Coalville LE67 3FA

01530 836507 Fax: 01530 836615

N.Chawda R.Lawrence

M.Searancke

Dianne Bonken

www.whitwickroadsurgery.co.uk

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Palliative Care Nurses HINCKLEY

Fax 01455 441075 Telephone 01455 441907 (Caroline Coslett and Elizabeth Higham)

GP Practice Doctors Nurse Specialist

Burbage Surgery (M) Tilton Road

Burbage Leicester LE10 2SE

01455-634879 Fax: 01455 891264

Sapcote Surgery (B)

The Church Hall Sapcote, LE9 6FG

01455 634879 Fax: 0870 458 8178

Wolvey Surgery (B)

7 The Square, Wolvey LE10 3LJ

01455 221331

D.Jones Y.McManus

V.Patel R.Phillips

P.Thomason R.Turner W.Turner

Caroline Coslett

www.burbagesurgery.co.uk

Castle Mead Medical Centre (M) 33 Hill Street

Hinckley Leicester LE10 1DS

01455 637659 Fax: 01455 238754

Stoke Golding Surgery (B)

28 Pine Close Stoke Golding, Nuneaton

CV13 6EB 01455 212526

Fax: 01455 212473

R.Dockrell L.England

RR.Glastonbury JE.Patterson

D.Tull NJ.Willmot

Caroline Coslett

www.castlemeadmedicalcentre.co.uk

Enderby Medical Centre Shortridge Lane

Enderby Leicester LE19 4LY

0116 286 6088 Fax: 0116 284 4938

HC.Bhutani N.Khan N.Lee

Elizabeth Higham

www.enderbymedicalcentre.co.uk

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GP Practice Doctors Nurse Specialist

Heath Lane Surgery Earl Shilton

Leicester LE9 7PB

01455 844431 Fax: 01530 442297

M.Cleaver S.Holt

R.Karthikeyan R.Lawrence C.Moncrieff S.Morgan

W.Priestman

Elizabeth Higham

www.heathlanesurgery.co.uk

Hollycroft Medical Centre Clifton Way

Hinckley LE10 0XN

01455 234414 Fax: 01455 632110

ML.Findlay MR.Findlay

T.Ghag F.Ghumra E.Hayward DP.Jackson J.Jackson

K.Lally H.Robbins

RD.Rajyaguru N.Scarborough

Caroline Coslett

www.hollycroftmedicalcentre.co.uk

Station View Health Centre Southfield Road

Hinckley Leicester LE10 1UA

01455 635362 Fax: 01455 619797

QA.Bhatti LK.Havard HK.Howes S.Johnson REG.Reid VL.Rowe L.Spencer

TA.Thuthiyil

Caroline Coslett

www.stationviewhealthcentre.co.uk

The Centre Surgery Hinckley Health Centre

Hill Street Hinckley Leicester LE10 1DS

01455 632277 Fax: 01455-451141

A.Abdool A.Dale

P.Solanki

Caroline Coslett

www.thecentresurgery.co.uk

The Maples Family Medical Practice

35 Hill Street Hinckley Leicester LE10 1DS

01455 234576 Fax: 01455 250506

A.Hassani R.Kenyon A.Kothari R.Rajput C.Wood

Caroline Coslett

http://www.maplesfamilymedicalpractice.nhs.uk/

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GP Practice Doctors Nurse Specialist

The Old School Surgery Hinckley Road

Stoney Stanton Leicester LE9 4LJ

01455 271442 Fax: 01455 274526

L.Kirk S.Kitchin

K.Rothwell D.Webb

Elizabeth Higham

www.theoldschoolsurgery.com

The Orchard Medical Practice Orchard Road

Broughton Astley Leicester LE9 6RG

01455 282599 Fax: 01455 286772

A.Beckley KE.Brunt SCY.Chan AM.Khalid A.Major

AE.Morris S.Raj

J.Soulsby

Elizabeth Higham

www.theorchardmedicalpractice.co.uk

The Orchard Medical Practice Ullesthorpe Surgery

Station Road Ullesthorpe

LE17 5BT 01455 209286

Fax: 01455 286772

A.Beckley K.Brunt S.Chan

A.Khalid A.Major A.Morris

S.Raj J.Soulsby

Elizabeth Highham

www.theorchardmedicalpractice.co.uk

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Palliative Care Nurses LOROS

Fax: 0116 2321012 Telephone: 0116 2318402

GP Practice Doctors Nurse Specialist

Alpine House Surgery 86 Rothley Road

Mountsorrel Nr Loughborough

LE12 7JU 0116 216 9947

Fax: 0116 237 4218

M.Cluley LA.Doneva JA.Ellison S.Gupta

IR.Schofield

Julie Kane/Clare Green

www.alpinehousesurgery.co.uk

Al Razi Medical Centre 1 Evington Lane

Leicester LE5 5PQ

0116 249 0000 Fax: 0116 249 0088

AK.Vania

Melanie Rushton

www.ar-razi.com

Aylestone Health Centre (Leicester Medical Group)

15 Hall Lane Leicester LE2 8SF

0116 283 7825 Fax: 0116 283 9849

M.Harrison HS.Minhas DS.Panacer YK.Ruhonah

K.Singh

Carol Harding .

www.leicestermedicalgrouppractice.co.uk

Barrow Health Centre 27 High Street

Barrow upon Soar Loughborough

Leicester LE12 8PY

01509 274430 Fax: 01509 620664

D.Dayah SA.Duffy A.Patel

NHR.Simpson

Julie Kane\Clare Green

www.barrowhealthcentre.co.uk

Barwell Medical Centre Jersey Way

Barwell Leicester LE9 8HR

01455 849149 Fax: 01455 850065

ML.Findlay MR.Findlay

T.Ghag F.Ghumra E.Hayward DP.Jackson J.Jackson

K.Lally H.Robbins

RD.Rajyaguru N.Scarborough

Wendy Fojut/Jude Dawson

www.hollycroftmedicalcentre.co.uk

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GP Practice Doctors Nurse Specialist

Birstall Medical Centre 4 Whiles Lane

Birstall Leicester, LE4 4EE

0116 319 6141 or 216 9773 Fax: 0844 815 1435

Border Drive Surgery

2 Border Drive Leicester, LE4 2PF

0116 319 6121 Fax: 0116 236 5561

J.Rana KS.Shergill

Kirsty Wright

www.birstallmedicalcentre.co.uk

The Practice, Bowling Green Street

29-31 Bowling Green Street Leicester, LE1 6AS

0116 204 7240 Fax: 0116 255 4966

J.Broachwalla B.Soleimanpour

CLOSED

Rebecca Paulson

Briton Street Surgery 5 Briton Street

Leicester LE3 0AA

0116 233 7744 Fax: 0116 233 7749

S.Shafi

Rebecca Paulson

No webpage

The Charnwood Practice Merlyn Vaz Health and Social

Care Centre 1 Spinney Hill Road Leicester, LE5 3GH

0116 294 3100

J.Hawkins T.John

A.Mawby A.Tripathi

Melanie Rushton

www.thecharnwoodpractice.co.uk

Clarendon Park Medical Centre 296 Clarendon Park Road

Leicester LE2 3AG

0116 319 6093 Fax: 0844 477 3327

S.Ashraf A.Malik

A.Prasad S.Patel

Rebecca Paulson

www.clarendonparkmedicalcentre.co.uk

Desford Medical Centre 54 Main Street

Desford Leicester LE9 9GR

01455 828947 Fax: 01455-828994

A.Arora-Sethi A.Caratela M.Maini

Wendy Fojut\Jude Dawson

http://www.desfordmedicalcentre.co.uk/

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GP Practice Doctors Nurse Specialist

Downing Drive Surgery 155 Downing Drive

Evington Leicester LE5 6LP

0116 241 3801 Fax: 0116 2417766

K.Ball A.Bentley

A.Boughellam E.Morant E.Siddons R.Verma

Melanie Rushton

www.downingdrivesurgery.nhs.uk

Evington Medical Centre 2-6 Halsbury Street

Leicester LE2 1QA

0116 319 0343 or 0844 4773587

Fax: 0844 4773538

J.Ahmed C.Kumar

J.Dhaliwal V.Gohil P.Lad

A.Malhotra B.Parmar S.Tayub R.Thakor

Melanie Rushton

www.evingtonmedicalcentre.co.uk

Forest House Medical Centre 2a Park Drive

LFE Leicester LE3 3FN

0116 289 8111 Fax: 0116 2630253

Warren Lane Surgery Warren Lane

LFE Leicester LE3 3LW

0116 289 8111 Fax: 0116 2630253

A.Ahyow R.Badiani

K.Kant S.Kinnell A.Milton

N.Ranpura M.Woolford

Tracey Foster

http://foresthousemedicalcentre.co.uk

Fosse Family Practice 16 Fosse Road South

Leicester LE3 0QD

0116 285 7329 Fax: 0116 2857375

UK.Roy G.Grera (Locum) H. Singh (Locum)

Rebecca Paulson

www.fossefamilypractice.co.uk

Fosse Medical Centre 344 Fosse Road North

Leicester LE3 5RR

0116 295 7100 Fax: 0116 2957111

H.Mukadam GK.Sharma NK.Sharma

Rebecca Paulson

www.fossemedicalcentre.co.uk

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GP Practice Doctors Nurse Specialist

Greengate Medical Centre 1 Greengate Lane

Birstall Leicester LE4 3JF

0116 267 7901 Fax: 0116 2677504

RG.Ackerley IG.Anderson

S.Ford B.Goddard

A.Greer L.Meakin M.Patel

Kirsty Wright

www.greengatemedicalcentre.co.uk

Groby Surgery 26 Rookery Lane

Groby Leicester, LE6 0GL

0116 231 3331 Fax: 0116 231 3332

SS.Gajebasia

Tracey Foster

No webpage

Health Centre (GS) Pasley Road Health Centre

Pasley Road Eyres Monsell

Leicester, LE2 9BU 0116 295 8424 or

0844 4773414 Fax: 0844 4773424

S.Mahag S.Saluja G.Singh

Carol Harding

www.drgsingh.co.uk

Health Centre (TKK) Pasley Road

Eyres Monsell Leicester, LE2 9BU

0116 295 8430 Fax: 0116 2958402

K.Hoque T.K.Khong I.Sheikh

Carol Harding

No webpage

Highgate Medical Centre 5 Storer Close

Sileby Loughborough, Leics

LE12 7UD 01509 816364

Fax: 01509 815528

MK.Lakhani N.Lomatschinsky

Julie Kane/Clare Green

www.highgatemedicalcentre.co.uk

Hilltop Surgery 22 Maidenwell Avenue

Hamilton Leicester LE5 1BJ

0116 2769555 Fax: 0116 2799589

R.Daud A.Girach

S.Kirenalli K.Pabbaraju

B.Patel K.Waraich

Kirsty Wright

www.johnsonmedicalpractice.co.uk

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GP Practice Doctors Nurse Specialist

Hockley Farm Medical Practice Braunstone Health

and Social Care Centre 39 Hockley Farm Road

Leicester LE3 1HN

0116 2226100 Fax: 0116 222 6101

N.Fernando K.Gajebasia

N.Hatharamani S.Khan

Prof.K.Khunti R.Knox A.Milne A.Nana S.Seidu

Rebecca Paulson

www.hockleyfarmmedicalpractice.co.uk

Humberstone Medical Centre 150 Wycombe Road

Leicester LE5 0PR

0116 2766605

I.Jones D.Salkin T.Sperry R.Than

J.Kotecha P.Alizadeh

Melanie Rushton

www.the-hmc.co.uk

Ibstock House Surgery 132 High Street

Ibstock LE67 6JP

01530 263467 Fax: 01530 261397

Barlestone Surgery Westfields Barlestone CV13 0EN

01455 299920 Fax: 01455 299923

F.Houghton SH.Johri C.Luke

R.Sil M.Stack R.Wright

Wendy Fojut/Jude Dawson

www.ibstockhousesurgery.nhs.uk

Leicester City ASSIST Practice (Asylum Seekers)

1A Clyde St Leicester LE1 2BG

0116 295 2400 Fax: 0116 295 2412

F.Gaibie Rebecca Paulson

No webpage

Leicester Homeless Service (Main Address)

Inclusion Healthcare Charles Berry House

St Peter’s Lane Leicester LE1 4SX

0116 2212780

J.Maxwell J.Middleton

E.Orsi

Rebecca Paulson

http://inclusion-healthcare.co.uk

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GP Practice Doctors Nurse Specialist

Leicester Homeless Service (Branch Address)

Dawn Centre Conduit Street

Leicester LE2 0JN

0116 2212780

J.Maxwell J.Middleton

E.Orsi

Rebecca Paulson

http://inclusion-healthcare.co.uk

Loughborough Road Medical Centre

32 Loughborough Rd Leicester LE4 5LD

0116 268 2727 or 0844 4773509

J.Dhaliwal V.Gohil P.Lad

A.Malhotra B.Parmar S.Tayub R.Thakor

Melanie Rushton

www.evingtonmedicalcentre.co.uk

Mahavir Medical Centre 10 Chesnut Way

East Goscote Leicester LE7 3QQ

0845 045 0381 Fax: 0116 260 1008

BJ.Shah Julie Kane/Clare Green

https://www.mahavirmedicalcentre.nhs.

uk

Market Bosworth Surgery Back Lane

Market Bosworth Warks

CV13 0LD 01455 290200

Fax: 01455 292289

N.Benton P.Davenport

C.King U.Ngwu IWJ.Rees K.Spaul

Wendy Fojut/Jude Dawson

www.newboldverdonandmarketbosworthmedicalpractice.co.uk

Melbourne Street Surgery 56 Melbourne Street

Leicester LE2 0AS

0116 253 6299 Fax: 0116 262 9298

R.Daud A.Girach

S.Kirenalli K.Pabbaraju

B.Patel K.Waraich

Kirsty Wright

www.johnsonmedicalpractice.co.uk

Merridale Medical Centre 5 Fullhurst Ave

Leicester LE3 1BL

0116 216 6996 Fax: 0870 890 2469

P.Alizadeh T.Atwal R.Clarke

A.Griffiths M.Kagzi R.Tew

A.Tripathi

Rebecca Paulson

www.merridalemedicalcentre.co.uk

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GP Practice Doctors Nurse Specialist

Mountsorrel Surgery 39 Linkfield Road

Mountsorrel Leicestershire

LE12 7DJ 0116 237 5089

T.Darji RK.Hirani

Julie Kane/Clare Green

www.hiranicharnwoodsurgery.co.uk

Newbold Verdon Medical Practice

St Georges Close Newbold Verdon

Leicester LE9 9PZ

01455 822171 Fax: 01455-824968

N.Benton P.Davenport

C.King U.Ngwu IWJ.Rees K.Spaul

Wendy Fojut/Jude Dawson

http://www.newboldverdonandmarketbosworthmedicalpractice.co.uk

Queens Road Medical Centre 220 Queens Road

Leicester LE2 3FT

0116 270 2233 Fax: 0116 270 2232

J.Lenten

CLOSING WEF 31ST MARCH 2016

Melanie Rushton

www.tqrmc.yolasite.com

Queens Road Surgery 282 Queens Road

Leicester LE2 3FU

0116 270 7067 Fax: 0116 210 7779

S.Mansingh V.Mehra

Melanie Rushton

No webpage

Quorn Medical Centre 1 Station Road Quorn, Leics

LE12 8PB 01509 410800

Fax: 01509 620652

C.Barlow M.Frost S.Gokani

N.Henderson K.Langford

S.Sinha

Julie Kane/Clare Green

www.quornmedicalcentre.co.uk

Ratby Surgery 122 Station Road

Ratby Leicester LE6 0JP

0116 239 4960 Fax: 0116 239 4061

P.Parwaiz

Tracey Foster

www.ratbysurgery.nhs.uk/

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GP Practice Doctors Nurse Specialist

Saffron Group Practice 509 Saffron Lane

Leicester LE2 6UL

0116 244 0888 Fax: 0116 283 0863

A.Cansdale G.Dosanjh C.Duncan D.Kerbel

B.Kilty E.McSweeney

M.Mitra K.Patel

R.Pulakkal A.Rastogi C.Sanders

D.Shepherd S.Short

Carol Harding

www.saffrongrouppractice.co.uk

Spinney Hill Medical Centre (M) 143 St Saviours Rd

Leicester LE5 3HX

0116 319 2568 Fax: 0844 477 8926

Spinney Hill Medical Centre (B) 132 Doncaster Road

Leicester LE4 6JJ

0116 319 6717 Fax: 0116 2611015

R.Amin R.Choudhary

A.Joshi R.Joshi

HR.Mistry P.Pancholi

A.Raj A.Shah SS.Sian

JT.Vaghani

Kirsty Wright

www.spinneyhillmc.co.uk

Springfield Road Health Centre Springfield Road

Leicester LE2 3BB

0116 225 6780 Fax: 0116 225 6787

R.Desor S.Ravat

M.Shaffu

Louise Wright

www.wigstoncentral.co.uk

SSAFA Care CIC Health & Walk-in Centre

Merlyn Vaz Health & Social CC Spinney Hill Road

Leicester LE5 UK

0116 242 9450 Fax: 0116 253 6711

H.Bangalore L.Ojechi

O.Uprichard N.Uhegwu

Melanie Rushton

http://www.ssafacare.co.uk/leicester

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GP Practice Doctors Nurse Specialist

St Elizabeth’s Medical Centre Austin Rise Surgery

Netherhall Road Leicester LE5 1DR

0116 241 6392 Fax: 0116 241 9141

T.Cheesman JA.Wood

Louise Wright

No webpage

St Matthew’s Health and Community Centre Prince Philip House

Malabar Road Leicester LE1 2NZ

0116 295 4700

G.Leather A.Lennox

Melanie Rushton

www.stmatthewshealthcentre.co.uk

St Peters Health Centre Sparkenhoe Street

Leicester LE2 0TA

0116 295 7827 Fax: 0116 295 7829

S.Mansingh V.Mehra

Melanie Rushton

No webpage

St Peters Health Centre Sparkenhoe Street

Leicester LE2 0TA

0116 295 7835 Fax: 0116 295 7836

F.Docrat M.Khatri

Melanie Rushton

www.shefamedicalpractice.co.uk

Student Health Centre De Montfort Surgery

100 Mill Lane Leicester LE2 7HX

0116 222 7272 Fax: 0116 295 4090

A.Ahmed N.Basu

J.Casson J.Heaton

S.McLoughlin T.Morton-Jones

S.Nainani A.Nquyen

J.Wake A.Wilkinson

Rebecca Paulson

www.demontfortsurgery.co.uk

The Anstey Surgery 21A The Nook

Anstey Leicester LE7 7AZ

0116 236 2531 Fax: 0116 235 7867

D.Andrew H.Hughes

E.Morrison N.Osborne

M.Vallis

Tracey Foster

www.theansteysurgery.co.uk

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GP Practice Doctors Nurse Specialist

The Surgery @ Aylestone 672 Aylestone Road

Leicester LE2 8PR

0116 367 0012 or 0844 815 1485

Fax: 0871 221 4223

A.Masson R.Sahdev

Carol Harding

www.thesurgeryataylestone.co.uk

The Banks Surgery 9 The Banks

Sileby Nr Loughborough

Leicester LE12 7RD

01509 812343 Fax: 01509 815992

JM.Fitchett K.Shahzad

Julie Kane/Clare Green

www.thebankssurgery.co.uk

10 The Common Evington Leicester LE5 6EA

0116 273 7792

TS.Cheesman JA.Wood

Louise Wright

No webpage

The Cottage Surgery 37 Main Street

Woodhouse Eaves Leicestershire

LE12 8RY 01509 890747

Fax: 01509 898818

S.Clay C.Eddleston

J.Fitchett

Julie Kane/Clare Green

www.thecottagesurgery.co.uk

The County Practice The Health Centre

Melton Road Syston

Leicester LE7 2EQ

0116 295 0500 Fax: 0116 295 0525

S.Bhatt GG.Chidlow

S.Corner RS.Hurwood TR.Jennings JL.Walwyn

Julie Kane/Clare Green

www.countypracticesyston.nhs.uk

The Hedges Medical Centre Pasley Road

Eyres Monsell Leicester LE2 9BU

0116 225 1277 Fax: 0116 295 1146

SA.Bailey SE.Batchelor

A.Bayford R.Farmah

N.Henwood EC.Ritchie

Carol Harding

www.hedgesmedicalcentre.co.uk

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GP Practice Doctors Nurse Specialist

The Jubilee Medical Practice Syston Health Centre

Melton Road Syston

Leicester LE7 2EQ

0116 295 0600 Fax: 0116 295 0626

A.Bharkhada T.Blount P.Green

N.Khoosal CA.Metcalfe LM.Malloy G.Purohit EM.Sellen

Julie Kane/Clare Green

www.jubileemedicalpractice.com

The Maples Surgery 71 Evington Road

Leicester LE2 1QH

0116 285 7111

KP.Newley

CLOSED ON 31ST JANUARY 2016

Melanie Rushton

www.themaplessurgery.co.uk

The Practice Asquith 693 Welford Road

Leicester LE2 6FQ

0116 323 2000 Fax: 0116 2880308

B.Joseph

Rebecca Paulson

www.thepracticeplc.com/asquith

The Surgery 612 Saffron Lane

Leicester LE2 6TD

0116 291 1212

S.Bolarum C.Duncan G.Dosanjh D.Kerbel

B.Kilty S.Patel

A.Rastogi C.Sanders N.Sharan

D.Shepherd S.Short

Carol Harding

http://www.saffronsurgery.co.uk/

Victoria Park Health Centre 203 Victoria Park Road

Leicester LE2 1XD

0116 215 1105 Fax: 0116 2151100

J.Andrews L.Browne

N.Fernando A.Garcea A.Hussain P.Khunti

U.Mahalingappa U.Patel S.Raja J.Shah

F.Vindhani

Rebecca Paulson

www.victoriaparkhealthcentre.co.uk

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GP Practice Doctors Nurse Specialist

Walnut Street Medical Centre 110 Walnut Street

Leicester LE2 7LE

0116 285 5300 Fax: 0116 285 5577

M.Harrison H.Minhas D.Panacer

K.Singh

Rebecca Paulson

http://walnutstreet.leicester-medicalgroup.co.uk/

Westcotes Family Practice W1 2 Westcotes Drive

Leicester LE3 0QR

0116 255 8588 Fax: 0116 247 1552

S.Shafi

Rebecca Paulson

No webpage

Westcotes GP Surgery W2 2 Westcotes Drive

Leicester LE3 0QR

0116 254 7887 Fax: 0116 254 7887

S.Shafi

Rebecca Paulson

No webpage

Westcotes Health Centre Main Surgery

Fosse Road South Leicester LE3 0LP

0116 2953140 Fax: 0116 295 3137

R.Hazeldine M.Taylor

Rebecca Paulson

www.hazeldine-tayloratwestcoteshc.co.uk

Westcotes Medical Practice Fosse Road South Leicester LE3 0LP

0116 295 3180 Fax: 0116 240 4878

S.D’Souza P.Kumaraswamy

Rebecca Paulson

www.westcotesmedicalpractice.co.uk

Willowbrook Medical Centre 195 Thurncourt Road

Thurnby Lodge Leicester LE5 2NL

0116 243 2727 Fax: 0116 241 1704

Z.Adam R.Akhtar JG.Astles SR.Borley

C.Ellis R.Goonetilleke

N.Joshi R.Prasad

Louise Wright

www.willowbrookmedicalcentre.co.uk

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Palliative Care Nurses - North Charnwood Charnwood Mill CNS – Maxine Leeson

Telephone 01509 410181

GP Practice Doctors Referrals to be faxed to

Bridge Street Medical Practice 20 Bridge Street Loughborough

LE11 1NQ 01509 263018

Fax: 01509 211427

P.Cannon S.Eveson S.Jassal

S.McGreal

01509 410273

www.bsmp.co.uk

Dishley Grange Medical Practice

5 Cross Street Hathern

Loughborough LE12 5LB

01509 646326 Fax: 01509 646098

H.Abbas L.Adlam

KR.Akhtar N.Brockhurst

J.Green NS.Saund S.Williams

01509 410273

www.dishleygrangemedicalpractice.co.uk

Dishley Grange Medical Practice

32 Maxwell Drive Loughborough

LE11 4RZ 01509 646550

Fax: 01509 646911

H.Abbas L.Adlam

KR.Akhtar N.Brockhurst

J.Green NS.Saund S.Williams

01509 410273

www.dishleygrangemedicalpractice.co.uk

Forest Edge Medical Centre (Charnwood Medical Group)

Old Ashby Road Loughborough

LE11 0PQ 08445 769 811 or

01509 324115 option 3 Fax: 01509 260069

B.Barfield P.Bowyer

R.Dempsey P.Goffin C.Hale

G.Hanlon L.Khalid G.Singh M.Wilde

C.Williams

01509 410273

www.charnwoodcommunitymedicalgroup.co.uk

Forest House Surgery 25 Leicester Road

Shepshed Loughborough

LE12 9DF 01509 508412

Fax: 01509-502229

KN.Badiani L.Chukuezi

A.Rao J.Scott

ARB.Skeoch KF.Southwell

J.Watson

01509 410273

www.foresthousesurgeryshepshed.co.uk

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GP Practice Doctors Nurse Specialist

LImehurst Avenue Surgery 7 Limehurst Avenue

Loughborough LE11 1PR

01509 266727

R.Hirani

CLOSED

01509 410273

Loughborough University Medical Centre

Ashby Road Loughborough

LE11 3TU 01509 222061\2 Fax: 01509 223996

S.Cullis H.Gill

Y.Hassan J. O’Hara

A.Ruparella N.Vaghela

01509 410273

www.lborounimedicalcentre.co.uk

Outwoods Medical Centre (Charnwood Medical Group)

4 Beaumont Road Loughborough

LE11 2JB 0844 576 9811 or

01509 324114 option 2 Fax: 01509 260058

B.Barfield P.Bowyer

R.Dempsey P.Goffin C.Hale

G.Hanlon L.Khalid G.Singh M.Wilde

C.Williams

01509 410273

www.charnwoodcommunitymedicalgroup.co.uk

Park View Surgery 24-28 Leicester Road

Loughborough LE11 2AG

01509 230717 Fax: 01509 236891

E.Clode-Baker J.Ford

G.Mahony K.Neuberg

L.Page

01509 410273

www.parkviewsurgery.nhs.uk

Pinfold Medical Practice Pinfold Gate

Loughborough Leicester LE11 1DQ

08444 771 881 or 01509 274033

Fax: 01509 568879

I.Brockhurst J.Brunskill M.Euden

F.Fuad D.Jewson E.Roberts

S.Scott SJ.Wong

01509 410273

www.pinfoldmedicalpractice.co.uk

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GP Practice Doctors Nurse Specialist

Rosebery Medical Centre (Charnwood Medical Group)

Rosebery Street Loughborough

Leicester LE11 5DX

08445 769 811 or 01509 324115 option 1

Fax: 01509 213002

B.Barfield P.Bowyer

R.Dempsey P.Goffin C.Hale

G.Hanlon L.Khalid G.Singh M.Wilde

C.Williams

01509 410273

www.charnwoodcommunitymedicalgroup.co.uk

Shepshed Health Centre 22 Field Street

Shepshed Loughborough

LE12 9AL 01509 601201

Fax: 01509 651311

PS.Ghatora A.Khoktar

01509 410273

No webpage

Woodbrook Medical Centre 28 Bridge Street Loughborough

LE11 1NH 01509 239166

Fax: 01509 239649

K.Bridges A.Clayton MS.Ghaly

MG.Kok Shun B.Noble

AP.Taylor

01509 410273

www.woodbrookmedicalcentre.co.uk

N.B. Please note that any referrals for Dr GS Patel from Sutton Bonnington and East Leake Health Centre should be directed to East Leake Macmillan Nurses, Tel: 0115 8834370, Fax: 0115 8834375.

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Palliative Care Nurses Fax: 0116 222 7209

Based at The Warrens, 25 Warren Park Way, Enderby, Leicester, LE19 4SA

Telephone 0116 222 7230 (Val Olivant) – Blaby\Enderby\Narborough\Countesthorpe\Sth Wigston Telephone 0116 222 7214 (Jayne Decker\Sarah Underwood) – Oadby and Wigston

GP Practice Doctors Nurse Specialist

Bushloe Surgery Two Steeples Medical Centre

Abington Close Wigston Magna

Leicester LE18 2EW

0116 344 0233 Fax: 0116 257 8021

Moved from 48 Leicester Road on the 26th September 2014

S.Adcock V.Bolarum B.Cowling S.Harrison

H.Miles R.Palin S.Levy

T.Tobin

Jayne Decker\ Sarah Underwood

www.bushloesurgery.co.uk

Countesthorpe Health Centre Central Street Countesthorpe

LE8 5QJ 0116 277 6336

Fax: 0116 278 0851

C.Bird R.Browne N.Collins K.Fraser

B.Gaillard M.Keerig S.Kumar S.Makda S.Pearce K.Pereira

E.Rainbow S.Ring

Val Olivant

www.countesthorpehealthcentre.co.uk

Hazelmere Medical Centre 58 Lutterworth Road

Blaby Leicester LE8 4DN

0116 277 1666 Fax: 0116 277 2416

R.Bhalla J.Dover

P.Furber O.Jan

HJ.Watson

Val Olivant

www.hazelmeremc.co.uk

Kingsway Surgery 23 Kingsway

Narborough Road South Leicester LE3 2JN

0116 289 5081 Fax: 0116 2630195

JCK.Chan J.Gordon

AM.Hollington SH.Lambert LE.Martin JFA.Moe

Generic

www.kingswaysurgery.co.uk

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GP Practice Doctors Nurse Specialist

Long Street Surgery Two Steeples Medical Centre

Abington Close Station Road

Wigston Leicester LE18 2EW

0116 288 3314 Fax: 0116 288 6711

Moved from 24 Long Street, Wigston in September 2014

AR.Dayah V.Mannan

Jayne Decker\ Sarah Underwood

http://longstreetsurgery.org.uk/

Narborough Health Centre (M) Thornton Drive

Narborough Leicester LE19 2GX

0116 286 2386 Fax: 0116 286 7009

193 Narborough Road (B)

Leicester LE3 0PE

0116 291 5355 Fax: 0116 286 7009

V.Arora R.Kapur

V.Sharma

Val Olivant

www.narboroughhealthcentre.co.uk

Northfield Medical Centre 12 Villers Court

Blaby Leicester LE8 4NS

0116 319 2203 Fax: 0116 264 2299

NAJ.Glover R.Habershon NW.Lawrence

A.Sood

Val Olivant

www.northfieldmedicalpractice.co.uk

103 Rosemead Drive Oadby, Leicester

LE2 5PP 0116 216 6997

Fax: 0116 272 8899

33 Harborough Road

Oadby Leicester, LE2 4LE

0116 216 6997 Fax: 0116 272 8899

SS.Chohan M.Joshi B.Patel

Jayne Decker\ Sarah Underwood

www.rdhr.co.uk

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GP Practice Doctors Nurse Specialist

Severn Surgery 159 Uplands Road

Oadby Leicester LE2 4NW

0116 271 9042\271 8551 Fax: 0116 271 0990

J.Bartlett P.Cusack N.Gohil S.Shah

M.Shanks K.Shikotra

Jayne Decker\ Sarah Underwood

www.severnsurgery.co.uk

South Wigston Health Centre 80 Blaby Road South Wigston

Leicester LE18 4SE

0116 278 2028 Fax: 0116 277 1518

N.Austin A.Delaney A.Ghouri

CA.Gordon L.Griffiths-Brown

JF.Shaw RM.Vickery

A.Ward

Jayne Decker\ Sarah Underwood

www.southwigstonhealthcentre.nhs.uk

The Central Surgery Brooksby Drive

Oadby Leicester LE2 5AA

0116 319 7909 Fax: 0116 271 4015

S.Anniss A.Cook

V.Jameson I.Kuncewicz

U.Montgomery L.Ryan

Jayne Decker\ Sarah Underwood

www.thecentralsurgeryoadby.co.uk

The Croft Medical Centre 2 Glen Road

Oadby Leicester LE2 4PE

0116 271 1740 Fax: 0116 272 9529

P.Alizadeh MS.Anwar RT.Dalby

S.Hardman S.Makda L.McCole J.Pringle

N.Stanley VKR.Varakantam

Jayne Decker\ Sarah Underwood

www.thecroftmedicalcentre.co.uk

The Limes Medical Centre 65 Leicester Road

Narborough Leicester LE19 2DU

0116 286 4421 Fax: 0116 284 7980

S.Maxted A.Moltu T.Rowley

C.Ruddock S.Vincent

E.Wiseman

Val Olivant

www.limesmedicalcentre.co.uk

The Surgery 152 Station Road

Wigston, Leicester LE18 2DL

0116 281 3722 Fax: 0116 281 3774

CLOSED PRACTICE MERGED WITH WIGSTON

CENTRAL SURGERY AND MOVED TO TWO STEEPLES MEDICAL CENTRE IN SEPTEMBER 2014

Jayne Decker\ Sarah Underwood

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GP Practice Doctors Nurse Specialist

Wigston Central Surgery Two Steeples Medical Centre

10 Abington Close Wigston Leicester LE18 2EW

0116 288 2566 Fax: 0116 257 3314

R.Desor S.Ravat

M.Shaffu

Jayne Decker\ Sarah Underwood

www.wigstoncentral.co.uk

FOR INFORMATION Oadby & Wigston

Walk-in Centre 18 The Parade

Oadby, Leicester LE2 5BJ

0116 271 1360

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Palliative Care Nurses Based at Market Harborough Hospital

Fax: 01858 440897 Telephone: 01858 448310

GP Practice Doctors Nurse Specialist

Billesdon Surgery (M1) 4 Market Place

Billesdon LE7 9AJ

0116 2596206 Fax: 0116 259 6388

Bushby Branch Surgery (B1)

Hill Court Main Street

Bushby LE7 9NY

0116 241 4956

M.Austin H.Burton S.Cooke J.Gray

S.Rayner

Janice Dilks

www.billesdonsurgery.co.uk

Fleckney Surgery (B4) 6 High Street

Fleckney Leicester LE8 8AJ

0116 240 4462

RM.Hardman C.Hogrefe

JRB.Kilpatrick M.Mistry

SD.Montgomerie HK.Sangha TA.Spencer

RJ.White

Janice Dilks

www.doctorkilpatrickandpartners.co.uk

Fleckney Surgery (B2) 6A High Street

Fleckney Leicester LE8 8AJ

0116 240 3139

N.Choudhury S.Freestone

N.Ranu N.Stollery

Janice Dilks

www.kibworthhealthcentre.co.uk/TheFleckneyMedicalCentre.html

Great Glen Surgery (B2) 24a Main Street

Great Glen Leicester LE8 9GG

0116 259 2353

N.Choudhury S.Freestone

N.Ranu N.Stollery

Janice Dilks

www.kibworthhealthcentre.co.uk/GreatGlenSurgery

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GP Practice Doctors Nurse Specialist

Husbands Bosworth Surgery (B3) Kilworth Road

Husbands Bosworth LE17 6JZ

01858 880522 Fax: 01858 880111

FM.Bishop TM.Blake JN.Cook

JM.Crowley HJ.Delargy R.Eardley D.Findlay S.Harrison PD.Healey HK.Mistry

S.Rai R.Tosar

MT.Yates

Janice Dilks

www.husbandsbosworthsurgery.co.uk/

Kibworth Health Centre (M2) Smeeton Road

Kibworth Leicester LE8 0LG

0116 279 3308 Fax: 0116 279 3320

N.Choudhury S.Freestone M.Williams N.Stollery

Janice Dilks

www.kibworthhealthcentre.co.uk/KibworthHealthCentre

Market Harborough Medical Centre (M3)

67 Coventry Road Market Harborough

Leicestershire LE16 9BX

01858 464242 Fax: 01858 431871

FM.Bishop TM.Blake JN.Cook

JM.Crowley HJ.Delargy R.Eardley D.Findlay S.Harrison PD.Healey HK.Mistry

S.Rai R.Tosar

MT.Yates

Janice Dilks

www.marketharboroughmedicalcentre.co.uk

The Masharani Practice Lutterworth Medical Centre

Gilmorton Road Lutterworth

LE17 4EB 01455 552346

Fax: 01455 559653

C.Decker A.Gupta

V.Masharani J.Taylor

Janice Dilks

www.lutterworthhealthcentre.org.

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GP Practice Doctors Nurse Specialist

The Old School Surgery (M4) 2A Station Street

Kibworth Leics. LE8 0LN 0116 2792422

RM.Hardman C.Hogrefe

JRB.Kilpatrick M.Mistry

SD.Montgomerie HK.Sangha TA.Spencer

RJ.White

Janice Dilks

www.doctorkilpatrickandpartners.co.uk

The Wycliffe Medical Practice Gilmorton Road

Lutterworth LE17 4EB

01455 553531 Fax: 01455 550083

J.Cowling G.Johnson C.Kendal S.Maity

N.Rhodes B.Shapiro

Janice Dilks

www.wycliffemedicalpractice.nhs.uk

Two Shires Surgery (B4) Torch Way

Market Harborough LE16 9HL

01858 434523

RM.Hardman C.Hogrefe

JRB.Kilpatrick M.Mistry

SD.Montgomerie HK.Sangha TA.Spencer

RJ.White

Janice Dilks

www.doctorkilpatrickandpartners.co.uk

(M) = Main (B) = Branch

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Palliative Care Nurses Rutland/Oakham/Melton

Fax 01664 855538 Telephone 01664 854818 (Clair Snape and Clare Ferguson)

01664 854931 (Alison Noble)

GP Practice Doctors Nurse Specialist

Empingham Medical Centre 37 Main Street

Empingham Oakham LE15 8PR

01780 460202 Fax: 01780 460283

M.Eaves A.Guthrie T.Jenkins SE.Selmes JF.Thorpe

Clare Ferguson

www.empinghammedicalcentre.co.uk

Latham House Medical Practice

Sage Cross Street Melton Mowbray

Leicester LE13 1NX

01664 503000 Fax: 01664 501825

Branch Surgery based at Asfordby

01664 503006 Fax: 01664 501825

PJ.Atkinson DP.Bennison

K.Berry G.Dabali F.Dhanji J.Harris

JM.Harvey M.Jones G.Hirani S.Hirani

EA.Loughridge B.Miri

R.Modi S.Paliath

HA.Pearce-Smith R.Pemberton

M Riley TA.Wyatt

Clair Snape/Alison Noble

www.lhmp.co.uk

Long Clawson Medical Practice The Sands

Long Clawson Melton Mowbray

Leicestershire LE14 4PA

01664 822214 Fax: 01664 823486

B.Dorling C.Griffiths

P.Rathbone K.Rice

S.Wooding

Alison Noble/Clair Snape

www.lcmp.co.uk

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GP Practice Doctors Nurse Specialist

Market Overton Surgery Thistleton Road Market Overton

Rutland LE15 7PP

01572 490399 Fax: 01572 767008

Somerby Surgery

Oakham Road Somerby

Leics LE14 2QF

01572 490399 Fax: 01664 454879

V.Cheeseman G.McCormack

D.Rudman

AlisonNoble/Clair Snape

www.marketovertonandsomerbysurgeries.co.uk

Oakham Medical Practice Cold Overton Road

Oakham Rutland

LE15 6NT 01572 722621

Option 2 – General enquiries Fax: 01572 722257

K.Bailey R.Bietzk D.Cowie

A.Davison N.Hansford

DAJ.Ker G.McCormack

S.Martin L.Pearson G.Prowse

H.Stellmacher

Clair Snape/Clare Ferguson

www.oakhammedicalpractice.co.uk

Uppingham Surgery North Gate Uppingham

Rutland LE15 9EG

01572 823531 Fax 01572 821145

H.Fox L.Hopkins

J.Jones D.Pickering

E.Price H.Sadler R.Singh V.Mistry

Clare Ferguson

www.uppinghamsurgery.nhs.uk

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THIS PAGE IS LEFT DELIBERATELY BLANK

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MAC&LOROS REFERRAL FORM - July 2013 1 of 2

SPECIALIST PALLIATIVE CARE SERVICES CNS in PALLIATIVE CARE REFERRAL FORM PLEASE ENSURE THIS FORM IS COMPLETED

All referral forms must be sent to the Palliative Care CNS, who will assess what level of input is required. (Service hours – Monday to Friday 9.00 – 5.00)

Criteria for referral - the patient has a diagnosis of advanced life limiting illness and:

Symptom control or other complex problems which are escalating or are unable to be managed by the current clinical team (symptoms may be physical, psychological, spiritual, social)

Complex social needs resulting from their illness or whose carers show exceptional emotional distress

Standard for Response Time urgency of response: (Working days - please circle)

within 2 WD - must be accompanied by telephone call from referrer within 5 WD within 10 WD

NHS Number (essential) Patient consent to Specialist Palliative Care & electronic share of notes Yes No Unable

Surname: Male/Female

DOB

First Name Marital status

Address

Post Code

Ethnicity Religion

Telephone

Mobile

First Language

Would an interpreter be helpful Yes No

Other barriers to communication

Carer / Next of Kin Name Address Telephone Mobile Relationship to patient

District Nurse involved? Please circle

Y N Unknown

Team Name

General Practitioner Name Address Telephone Other services

Name Based at Telephone

Continuing Health Care assessment completed Y N

Main Carer if different from above Name Telephone Mobile Relationship

Consultant/s

Primary DIAGNOSIS (please give brief history) Date of diagnosis:

Secondary Cancer

Prognosis, if known Days Weeks Months

Is the patient aware of diagnosis Yes No Is the patient aware of prognosis Yes No

Does the patient discuss their illness freely Yes No

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Patients Preferred Place of Care

Is patient on GSF Is End of Life documentation in use?

Patients Preferred Place of Death

DNAR-CPR

EOL DRUGS

REASON FOR REFERRAL

AGITATION PATIENT

DISTRESS

NAUSEA CARER

DISTRESS

VOMITING DEPRESSION

DYSPNOEA OTHER

CONSTIPATION

PAIN

END OF LIFE (LAST 48-72 HRS OF LIFE) YES NO

Additional Information (please indicate) Any unresolved symptom/psychological/spiritual issues (Please attach any relevant letters/annotations)

REFERRER NAME AND JOB TITLE: Date of referral

BASE AND CONTACT DETAILS:

PATIENT NAME

CURRENT TREATMENT / INTERVENTION Drug regime / any palliative treatments e.g. radiotherapy/chemotherapy etc.

DRUG ALLERGIES/ADVERSE REACTION

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DIRECTORY OF GENERAL PRACTITIONERS with

Nurse Specialist (Macmillan/LOROS)

AMENDMENTS

Nurse Specialist(s): _______________________________________________________________

Contact details if changed: Original GPs name with initials: _______________________________ Page no in Directory: _____________ New GPs name with initial(s): _________________________________ Address with telephone nos and fax nos if changed: If known, please indicate if GP is a locum, partner or registrar. Any other comments/queries: Please return completed form(s) to Palliative Care Services, Charnwood Mill, Sileby Road, Barrow-on-Soar, Leics. LE12 8LR.

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Additional contact details

West Leicestershire Clinical Commissioning Group, 55 Woodgate, Loughborough, Leicestershire, LE11 2TZ. Tel: 01509 567700 Email: [email protected] www.westleicestershireccg.nhs.uk East Leicestershire and Rutland Clinical Commissioning Group, Unit 2-3 (Ground floor), Bridge Business Park, 674 Melton Road, Thurmaston, Leicestershire, LE4 8BL. Tel: 0116 295 5105. www.eastleicestershireandrutlandccg.nhs.uk Leicester City Clinical Commissioning Group, St Johns House, 30 East St, Leicester LE1 6NB, Tel: 0116 295 4138. www.leicestercityccg.nhs.uk Travelling Families Service, New Parks Health Centre, St Oswalds Road, Leicester, LE3 6RJ. Tel: 0116 295 8759 Email: [email protected]