membership magazine west leicestershire issue 4

healthybe

beheardMembers’ Magazine | Spring 2013www.wlmembership.org

SpringSpringSpringSpringSpringSpringSpringSpringTry something new this

Get inspired byour cover star!

2 Spring 13, Issue 4: be healthy be heard

Dear members,Welcome to the spring edition of our magazine for West Leicestershire be healthy, be heard members

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:

West Leicestershire Clinical Commissioning Group Freepost ADMAIL 4149 Loughborough LE11 1YW

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


We began 2013 with the excellent news that we have been authorised by the NHS Commissioning Board (NCB). Our authorisation follows a rigorous national assessment process and means that we have been deemed ready to take on our full statutory responsibility for commissioning local health services in April 2013.

We are now looking forward to the challenges and opportunities ahead, and are working on developing our plans for 2013/14 to ensure we can continue to deliver high quality healthcare services for the people of West Leicestershire.

In this edition we update you on the latest news and progress with the Loughborough Urgent Care Centre project. You can find out more about the work that has been taking place on site and how patients have been getting involved with the project on pages six and seven.

You can also read about other new initiatives that will be coming in 2013 including NHS 111, a new telephone assessment and advice service, and the Electronic Prescription Service on pages five and 12.

With warmer weather on the horizon you might be thinking about trying some new sports or activities this spring. We’ve got more information from Leicestershire Nutrition and Dietetics Service (LNDS) on some of their healthy eating and weight

management classes on page 13. Our cover star, David Verrall, tells us about horse riding on page three, or if you prefer a different kind of saddle you can find out more about Leicestershire County Council’s free cycling courses on page 14.

Congratulations to Mrs V Green from Loughborough, the winner of the £25 Marks and Spencer’s voucher from the word search competition in the last issue. Our puzzle is just for fun this time round but why not test out your puzzling skills against our Sudoku grid on page 16?

Your feedback is very important to us and our thanks go to those of you who have got in touch to share your views on local healthcare and take part in the magazine. There are many ways you can get involved with West Leicestershire CCG, if you’d like to find out more visit our website at: www.westleicestershireccg.nhs.uk/getting-involved/

Wishing you all the best for a healthy spring,

Dr Nick Pulman

Chair, West Leicestershire Clinical Commissioning Group

Spring 13, Issue 4 be healthy be heard 3

Contactus: How did you get into the sport?

I was first introduced to horse riding by my mum when I was about seven years old as she had also been a regular rider since she was a child. I remember my first lesson was just being led up and down, probably no more than a couple of miles on a quiet country road, whilst I just sat there and took it in. I don’t remember it making a big impression at the time, but here I am still riding regularly 25 years later.

Why do you enjoy it?

Riding is a sport that can be taken easily with a calm hack into the countryside, or something that makes you think when performing manoeuvres in a school or jumping a course. A horse is a living animal and they all have personalities of their own, with different strengths and weaknesses. When you’re asking them to do something you have to guide them through their weaknesses and ask nicely. It’s no good getting angry as they pick up on it and tense up, so riding is a good way to encourage me to calm down after a stressful day at work; not to mention a good form of exercise.

How often do you ride?

I ride once a week at a local riding school. It’d be nice to ride more often and consider owning my own horse, but they are a big commitment in time, money and the moral responsibility of keeping them healthy and happy. Besides, at a riding school I can ride a variety of horses, each teaching me something different about the sport and offering me new challenges.

What equipment do you need?

To be safe it is essential to wear an appropriate helmet and boots with a heel so that your feet don’t slide through the stirrups. It is also advisable to wear a body protector to help support your back and chest in case of a fall. For comfort, chaps keep the stirrup leathers from chaffing and bruising your legs, whilst jodhpur trousers fit close to the leg with carefully positioned seams, so the material doesn’t rub harshly against your legs. I also wear gloves for a better grip on the reins and to prevent blisters.

It isn’t necessary to buy everything for your first lesson, or spend a

lot on the big equestrian brands. Helmets can usually be rented from your riding school and you can now buy jodhpurs and boots from a variety of stockists including sports shops and supermarkets.

What are the health benefits of horse riding?

Despite friends commenting that the horse does all the hard work, riding is actually very good for keeping fit. Your legs and arms are always making small driving and steering inputs, but to keep balance and adjust your body weight, your core body muscles, back, shoulders and neck are working all the time too. With all this effort your cardiovascular system also has to work more to keep up.

With warmer weather just around the corner it’s a great time to start thinking about trying new outdoor pursuits. Our cover star, David Verrall from Earl Shilton, tells be healthy, be heard more about horse riding, a healthy and challenging activity to try this spring

SpringTry something new this

For more information on horse riding, including how to find a riding school near you visit the British Horse Society’s website at: www.bhs.org.uk.

How did you get into the sport?

Try something new this


1 What is your role on the Board and what work do

you get involved in?

I’m the Locality Chair for North West Leicestershire and each month I meet with the practices in my area to discuss the changes and plans that affect individual GP practices, our locality, the CCG and the health service and patients. At Board meetings I represent the views of these practices and I can vote on agenda items.

On behalf of the Board I am jointly responsible for the prescribing portfolio and chair the Leicester Medicines Strategy Group. This group looks at all aspects of prescribing across the whole of Leicestershire for both primary and secondary care. I’m also passionate about Fairness in Funding and I’ve been working

hard with colleagues and partners for a long time to reduce the inequalities in budget allocation between areas.

2 What do you like to do in your spare time?

Outside of work I enjoy horse riding, playing squash and going out walking with my dogs. I own my own horse and like to ride two or three times a week if I can. I’m a natural worrier so riding is a really good way for me to relax – I have to concentrate on my horse and I can’t let other things interfere.

3 What is your biggest health or fitness achievement?

I first started riding when I was 47 and about three years ago I was persuaded to take on a very challenging horse. Working with him has pushed me to the limits

of my courage and I learnt how to control myself, not show fear or aggression and build a relationship with him. People often think riding isn’t ‘real exercise’ but it involves a lot of muscle groups through your core and in your legs so working hard with a horse really does improve your overall fitness.

I’ve also done really well with my squash playing which I took up about six months ago. When I started I could only play for ten minutes before I was exhausted, now I can go 40 minutes without a break and I’m looking forward to eventually being able to beat my partner in a match.

4 What are your top three health and fitness tips?

Find something you enjoy doing that fits in with your lifestyle - you need to be able to look forward to doing it.

Being healthy doesn’t have to cost money – there are plenty of free exercise options out there and we live in a beautiful area which is great for activities like walking.

Be realistic in your goals – you don’t want to feel restricted by diets all the time and there has to be some compromise between staying healthy and enjoying your life. One thing I tell my patients about dieting is that it’s not what you have as a treat; it’s what you eat every day that really matters.

Spotlight onthe Board

In this edition, be healthy, be heard had the opportunity to meet Dr Elizabeth Hepplewhite, a GP partner at Whitwick Health Centre and member of the West Leicestershire Clinical Commissioning Group (WL CCG) Board. She explained more about her role and how she likes to stay healthy


In future if people need to contact the NHS for urgent care there will only be three numbers; 999 for life-threatening emergencies; their GP surgery; or new 111. The line will be staffed round the clock, 365 days a year. Calls from landlines and mobile phones will be free.

The NHS 111 service is driven by the need to provide an improved and more efficient journey for patients through the healthcare system. With a focus on patient satisfaction and providing quality care, the new number will be available in Leicester, Leicestershire and Rutland in summer 2013.

The service will be staffed by a team of fully trained advisers, supported by experienced clinicians, who will provide a clinical assessment using NHS Pathways to assess the patient’s symptoms, give healthcare advice and direct them to the right local service as quickly as possible.

This can include an out-of-hours doctor, walk-in centre or urgent

care centre, community nurses, emergency dentist or late-opening chemist. In an emergency, a 999 ambulance will be sent immediately without the need for any further assessment.

We’ll keep you updated about the launch of NHS 111 and let you know when the service is available. In the meantime if you need medical help or advice contact your GP in the first instance. Alternatively you can contact NHS Direct on 0845 4647 or visit www.choosebetter.org.uk for information on health services near you.

NHS 111 is a new telephone service being introduced across Leicester, Leicestershire and Rutland in summer 2013

Whotocall?are you going


Urgent Care CentreWest Leicestershire Clinical Commissioning Group (WL CCG), together with our partners, are on schedule to complete the new Urgent Care Centre at Loughborough Hospital in spring 2013

ON TRACkCentral Nottinghamshire Clinical Services (CNCS) have been awarded the contract to provide the services at the centre. We will be working closely with them to ensure that urgent healthcare provision for the local community is of the highest standard.

The Urgent Care Centre will provide services including:

• observation bays to allow patients to be monitored at the centre, for example, following an asthma attack

• access to medical intervention 24 hours a day

• x rays available at weekends

• a significant reduction in the need for patient transfers which can be very distressing for patients and mean extra travel for visitors

• improvements to car parking including an additional 143 spaces, disabled and parent and child spaces

A marketing campaign to raise awareness of the closure of the Walk-In Centre at Pinfold Gate and the opening of the Urgent Care Centre launched in February 2013.

A patient group has been established and is providing input in a number of ways including interior décor and colour schemes and supporting a community roadshow in the Carillon Centre.

We are working in partnership with Rawlins College who have run a photography competition and the winning pieces of work will be displayed around the Urgent Care Centre walls as part of an on-going project. They will also provide a hand painted mural in the children’s play area using Ladybird book characters as part of the local theme.

As work progresses we would like to take this opportunity to thank everyone for their patience whilst the improvement works have been taking place.

We’ll continue to keep you informed of our progress with the project and look forward to the opening of the new centre in spring 2013. Please visit our website for the latest news: www.westleicestershireccg.nhs.uk/news/

The images are an artist’s CGI impression


“The PEG is currently made up of representatives from local Patient Participation Groups (PPGs) who were also involved in the interview panel for selecting a provider for the Urgent Care Centre. Representatives from the selected provider, Central Nottinghamshire Clinical Services (CNCS) and WL CCG also sit on the group.

“Membership of the group is voluntary and it is open to all patients who attend the centre however it aims to represent patients from across the WL CCG area. It will consist of 12 members who will attend the meetings and a virtual members’ group will be set up to get as many members of the public involved as possible. The group is in the early stages and proactive engagement and recruitment will be taking place once the centre is open.

“We’ve already been involved in selecting the providers for the Urgent Care Centre, choosing the colour scheme and designing a patient questionnaire.

Members have also helped with the filming of a TV production to promote the centre which was shown at a week-long roadshow event in February. During the roadshow members also promoted the Urgent Care Centre to the public and provided information about the Choose Better campaign.

“By working in partnership, the PEG will support the improvement of local health care services and once the centre opens

we’ll continue to engage with patients, the public, staff and partners to ensure the services provided by the Urgent Care Centre meet the needs of the local community.”

PATIENT ENGAGEMENT AT THE

The Loughborough Urgent Care Centre Public Engagement Group (PEG) has been set up to provide a way for patients to feedback and share their views on the service. The group also keep patients informed of the project’s progress. Stephen Bibby, Chair of the PEG explains more about its role…

Urgent Care Centre

From left to right: Stephen Bibby, Godfrey Moustache, Lyn Drewery, Katie Swinburn of CNCS, Shirley Siriwardena and Mick Gregory.

If you are interested in joining the PEG please contact [email protected] for more information.

the public, staff and partners to ensure the

a patient questionnaire. to engage with patients, the public, staff and partners to ensure the services provided by the Urgent Care Centre meet the needs of the local community.”

Photos from the week-long community roadshow event at the Carillon Centre in February 2013

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8 Spring 13, Issue 4: be healthy be heard8 Spring 13, Issue 4: be healthy be heard


In January, the Day or Night campaign was launched to encourage more people to use their GP and the out-of-hours service.

Backed by posters, radio advertising, website content and a mobile advertising van, the campaign urges more people to ring 0845 045 0411 when their GP surgery is closed.

Patients who call their GP surgery after hours will usually be redirected to the out-of-hours service. You should always use your GP to get advice about injuries and treatment for illness as they are the best people to treat you because they know your medical history. Your GP can review your records in order to find the best course of treatment for you.

The 149 GP practices in Leicester, Leicestershire and Rutland have jointly commissioned the out-of-hours service from a specialised organisation, Central Nottinghamshire Clinical Services, which has offices and a call centre in Enderby, Leicestershire.

The out-of-hours call centre staff take callers’ details, and each patient is then given a question-and-answer assessment over

the phone by a qualified nurse. The out-of-hours service can provide advice, recommend the next steps, such as going to a GP the next day, arrange an urgent GP visit or send an ambulance, depending on the patient’s condition.

‘Day or Night’ is part of the Choose Better campaign which encourages patients to consider where the best place to go for treatment is. Many patients often choose to head to A&E as a first port of call, however there are many alternative services you could use to get the treatment you need and the Choose Better campaign aims to help you make the right choice.

Visit www.choosebetter.org.uk for more information on your local health services.

Did you know that your local GP operates an out-of-hours service? The service is just a phone call away, but many patients with everyday medical problems often go to the A&E unit at Leicester Royal Infirmary instead, which should be for emergencies only

You can call your usual surgery number day or night to arrange an appointment and if the surgery is closed you will be put in touch with the out-of-hours service.

All GP surgeries are open from Monday to Friday, 8am to 6.30pm, and many offer appointments in the evenings and weekends.

The out-of-hours service is available from 6.30pm to 8am.

You can also call the national NHS Direct service, 0845 46 47, any time of the day or night for medical advice and assessment.

Day or Night– who should you call?


In January be healthy, be heard was invited to the bi-monthly meeting of the Newbold Verdon medical practice and Market Bosworth surgery PPG to find out what goes on around the table…

Sitting in the meeting room together with the patient group there is a buzz of energy as they run through the agenda. First on the list is a very important decision – how the PPG will spend the money they have raised from

events including a cake day which raised over £300. Previous funds have been put towards a waiting room blood pressure machine, improving the baby changing facilities and fitting a bike rack. It’s suggested the PPG sponsor a project to renovate some local playing fields. This seems like a good idea and members point out they could buy outdoor gym equipment or an assault course to encourage people to do more exercise.

involvedGetting

the patieNt perSpeCtiveIn this edition, be healthy, be heard has been talking to Patient Participation Groups (PPGs) in West Leicestershire to find out more about the great work they’ve been doing for local patients.

PPGs are a great way for you to work in a unique partnership with your local practice. PPGs are groups of active volunteer patients that work with practice staff and GPs to achieve high quality and responsive care. They provide a patient’s perspective ensuring services, plans and activities respond to the needs and priorities of local residents.

If you are interested in joining your local PPG, please contact your practice for more information as PPGs are always looking for new members

the money they have raised from exercise.

Representatives at the PPG networking event in January 2013

44856 - West March 2013.indd 10 27/02/2013 12:43


The meeting moves on and practice manager Rebecca Bowler provides an update on a project to improve the car park at the Market Bosworth surgery. The project has been going on for a year as the initial planning application was opposed because there was a tree preservation order in place. The practice appealed the order with support from the PPG and in November 2012 it was lifted allowing these much needed improvements for access to go ahead. Rebecca explains they now need to resubmit the planning application and hopefully the work can begin soon.

Next is a discussion about the tea and cake afternoons for elderly people. They’re clearly popular as one member explains previous attendees have already been asking about the next date. It’s a challenging discussion though

– the practice has limited space and there are quite a few people interested in coming along. It’s agreed the practice must work out which patients could benefit most from an invitation such as those who are vulnerable or recently bereaved and need a bit of extra support.

As the meeting begins to wrap up it’s on to any other business and Rebecca asks for volunteers to help with the action plan following the latest patient survey. The PPG members helped patients

fill in the surveys and the response rate was really good as people found it easier to talk through their views.

At the close of the meeting it’s clear this group has a lot of passion, energy and enthusiasm for their work and these local people are making a big difference to their practices and their local communities.

Lynne Drewery, Chair of the PPG at Park View Surgery in Loughborough tells be healthy, be heard more about the work the PPG has been doing to improve patients’ understanding of local health services…

“We’ve been working on a number of initiatives to support the practice and one of the things we’re most proud of is our efforts to inform patients about what to do when the surgery is closed.

“Many patients were choosing to use the walk-in centre at Loughborough, however there is a cost involved to our practice if they haven’t been referred by the out-of-hours service first. We invited the out-of-hours team to the practice to find out more about the service and to offer

them our views. During this meeting we suggested producing a small wallet-sized card that would explain to people what they should do if they felt unwell after the surgery was closed.

“The team was so impressed with the idea that they have begun the design process to actually produce it and they will be distributing these county-wide. We’re thrilled with this and through our efforts we’ve already seen a significant

reduction in the number of local residents accessing the walk-in centre without using the out-of-hours service first. This has saved our practice money which can be better spent on improving other services.

“We’ve also held themed coffee mornings to help patients understand more about particular health conditions such as Diabetes and Chronic Obstructive Pulmonary Disease (COPD). These events have been attended by speakers and clinicians from partnership organisations, the practice and local charities. These events have been very positive and many people said it they helped to break down a lot of myths and fears.”

the patieNt perSpeCtive Members of the PPG and local residents after a day trip to Trentham Gardens

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West Leicestershire Clinical Commissioning Group (WL CCG) is involved in a project aiming to roll out EPS across the county from April 2013. EPS is an NHS service which gives you the chance to change how your GP sends your prescription to the place you choose to get your medicines or appliances from. It is a largely paperless system which allows a prescription to be sent electronically to your nominated dispensary.

The EPS project is running across the whole of Leicester, Leicestershire and Rutland and was initially piloted in March 2012 at Markfield Medical Centre in West Leicestershire. As part of the pilot the medical centre identified patients on repeat prescriptions and invited them into the practice to learn more about EPS. The project team spoke to over 100 patients during a ten-day period answering questions on how the service would work and gathering their feedback.

From April 2013, practices across the county will move over to EPS and patients will be informed by their practice when the service is available in their area.

kalpesh Raithatha, Project Manager for EPS, said: “Essentially the procedures at your practice won’t change very much. EPS gives practices more control over repeat prescriptions, as they can cancel or amend them electronically without having to chase up paper copies.

“Other benefits include giving you a greater freedom of choice – when your practice is using EPS you can choose to have your prescription sent to a dispensary

convenient to you without needing to come in to collect it. It should also help reduce pharmacy waiting times as dispensers will be able prepare prescriptions in advance of patients’ arrival.”

to a practice near you...With almost one billion prescription items being issued every year in England, the Electronic Prescription Service (EPS) will help make the issuing, receiving and dispensing of prescriptions more efficient

How can I find out more information?

The Electronic Prescription Service is being rolled out across the county during 2013/14. When it is available at your practice you will be contacted with more information on how to use the service and nominate your preferred dispensary. Until then, if you would like more information, please visit: www.cfh.nhs.uk/epspatients

to a practice near you...COMING SOON


Help your family learn more about

being healthy

Leicestershire Nutrition and Dietetic Services (LNDS) provide a range of services across Leicestershire and they have one of the largest teams of dieticians in the country. Registered dieticians are qualified health professionals who assess, diagnose and treat diet and nutrition problems. They can offer practical guidance to help you to make appropriate lifestyle and food choices.

To find out more about their services visit www.lnds.nhs.uk

L E A P your way to healthLEAP is an NHS funded weight management group run by a dietician and local exercise instructor. With the aim of helping you to lose weight sensibly and gradually, and keep it off, the group will support you to learn about eating healthily and help you to be more active.

Sessions run for 10-12 weeks and last for about two and half hours with a mixture of nutrition advice and exercise. You can learn about different healthy eating topics such as fats, sugars, label reading, comfort eating and snacking. For the exercise section you’ll need to wear comfy clothes and soft shoes or trainers, and bring a drink.

There is an opportunity to weigh-in at the sessions and this is done in private away from other group members.

If you’re interested in joining a group the next set of courses start in April. You’ll have an initial assessment appointment with a dietician either face-to-face or by telephone and they can help you set some initial goals to aim for.

To book your place or for more information, please call 0116 222 7154.

The Family Lifestyle Club (FLiC) is a fun club run by the NHS family dieticians and local district council physical activity leaders.

It is a free, eight week programme for families with children aged 8-13 years old keen to learn more about becoming fit, healthy and managing their weight in a safe and friendly setting.

Each week families can gain lots of practical tips such as how to make healthy snacks. The sessions involve fun games for the children, an informal, friendly food and activity discussion for parents and a practical food preparation and tasting session

for parents and children together.

Groups start in January, May and

September each year in a variety

of locations across the

county. To book a place or

for more information please contact

0116 222 7154.


Free adult cycle courses are being run across Leicestershire between spring and autumn 2013 – if you’re looking for a new leisure activity or planning on cycling to work, why not give it a go?

The courses, run by Leicestershire County Council, are aimed at developing confidence and skills for riding both on and off the road. They are ideal for people who have never been on a bike before, riders who want to improve their confidence and people who haven’t cycled for years.

The courses are run over five two-hour sessions and training is delivered by experienced instructors qualified to a national standard. Participants don’t

need their own bike as bikes and helmets can be hired, subject to availability, for a small, refundable deposit. Last year over 350 people took part in the courses across Leicestershire.

Regular cycling can help you lose weight, reduce stress and improve your fitness. As it’s a low-impact type of exercise it’s easier on your joints than running or other high-impact aerobic activities but it still helps you get into shape. It’s also a great way to travel, friendly to the environment and a

fun activity to share with the family as anyone can do it if they have the right equipment.

For more information, including dates of courses and how to book your place visit: www.leics.gov.uk/cycling, email [email protected] or call 0116 305 8307.

Leicestershire County Council has appointed Voluntary Action LeicesterShire to establish Healthwatch Leicestershire as the new consumer champion for health and social care issues in Leicestershire.

Rutland County Council is in discussion with potential providers to establish Healthwatch Rutland as the new consumer champion for health and social care issues in Rutland.

What will Healthwatch do?

It will carry forward the functions of LINks and will have additional functions and powers.

Local Healthwatch will build on the good practice of LINks, establishing relationships with local hospital, community and mental health trusts, clinical commissioning groups (CCGs), patient representative groups and the local voluntary and community sector.

It will give local communities a bigger say in how health and social care services are planned, commissioned, delivered and monitored to meet the health and wellbeing needs of local people and groups, and address health inequalities.

Local Healthwatch will strengthen the voice of local people and groups, helping them to challenge poor quality services.

It will have an important role supporting everyone in the community, but particularly those who are vulnerable or often unheard. It must be inclusive and truly representative of the community it serves.

Local Healthwatch will provide information about health and care services and about the choices people can make.

Find out more on the Healthwatch England website which provides information during the implementation phase for Healthwatch – www.healthwatch.co.uk.

Free adult Cycle Coursesin your area

Local healthwatch and LiNksLocal Involvement Networks (LINks) will be replaced by Local Healthwatch a new consumer champion for health and social care services on 1 April 2013


Serves: 4 adults

Preparation time: 10 minutes

Cooking time: 5 minutes

Tortilla cheeseWhat to do:

Make the salsa by mixing together the tomatoes, avocado and spring onions. Add a squeeze of lemon juice, then season the mixture with some pepper.

Grease a non-stick frying pan with a few drops of vegetable oil. Place the pan over a medium-high heat.

Add a tortilla to the pan and sprinkle one quarter of the cheese over the top. Heat for a few moments until the cheese starts to melt, then sprinkle about 2 tablespoons of the salsa onto one half of the tortilla. Fold in half using a wooden spatula or a fish slice, then cook for another few seconds to warm through.

Slide the cooked tortilla onto a serving plate and cut in half. Continue to cook the remaining tortillas in the same way.

Spring 13, Issue 4: be healthy be heard 15

Tips:

Why not add little bits of cooked chicken or chopped ham to the tortillas if you like? Just add it just after the cheese.

You can keep the filling really simple with just grated reduced fat cheese and chopped tomato – or whatever you have available.

turnovers

Nutritional information per portion (i.e ¼ recipe)

•291kcals/1218kJ

•10gprotein

•13gfatofwhich5gsaturates

•36gcarbohydrateofwhich3gsugars

•3gdietaryfibre

•298mgsodium

•0.7gsalt

Recipe from www.nhs.uk/Change4Life

the cheese starts to melt, then sprinkle about 2 tablespoons of the

turnovers

Ingredients:

2 tomatoes finely chopped

1 small avocado peeled, pitted and finely chopped

3 spring onions finely chopped

1 lemon (just a squeeze will do)

1 pinch ground black pepper

1 tsp vegetable oil (for greasing the pan)

4 soft flour tortillas

75g reduced fat mature Cheddar cheese grated

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

Just for fun!Why not have a go at the Sudoku puzzle and test your skills? Each Sudoku grid contains nine squares, each consisting of nine spaces; each square must contain the numbers one through nine, with no repeats. In addition, every horizontal row and vertical column must contain the numbers one through nine, with no numbers repeated.

membership magazine west leicestershire issue 4

Documents

healthy spring

leicestershire nutrition

people of west leicestershire

west leicestershire

spring edition

healthy eating

new sports

health story