NHS Nottingham West Clinical Commissioning Group is clinically led by local doctors from 12 GP Practices in Broxtowe, ranging from Eastwood and Kimberley to Beeston and Chilwell. Since 1 April 2013, we are responsible for the planning and paying of NHS services for almost 100,000 local patients.
"We are committed to ensuring high-quality,
patient-focused services, fit for the future"
Patients and the public living across the Broxtowe area are invited to attend our Annual General Meeting (AGM) and Market Place on Thursday 24 September, 6-8pm, at The Haven Centre, Wadsworth Road, Stapleford, NG9 8BD.
Come along and join us to hear how we've improved local health services over the past year thanks to joint working with providers, partners, patients and the public.
A key aim of the event is not only to raise awareness of what we do as an organisation, but also to highlight how we work in partnership with other services to commission high quality health services for our local population.
Our Market Place will begin at 6pm with local organisations showcasing their work. The formal AGM will commence at 6.30pm and we will present our Annual Report and Accounts for 2014/15. This will be followed by the opportunity to ask questions to members of our Governing Body.
To submit a question for the Q&A section, please email
We look forward to seeing you at the event.
People in South Nottinghamshire (including Broxtowe) are being asked to take part in a consultation to review the provision of gluten-free foods on prescription.
Some gluten free foods like bread, flour and pasta are currently available on prescription for people who have coeliac disease - a common digestive condition, triggered by the protein gluten which is found in wheat, barley and rye.
Health commissioners from three NHS clinical commissioning groups are consulting on whether the NHS should continue to provide prescriptions for gluten free foods for the populations they serve.
Health experts say that as a protein, gluten is not essential to people's diet and can be replaced by other foods. Many gluten-free alternatives are also widely available in supermarkets and health food shops, including pasta, pizza bases and bread.
Prescriptions for gluten free foods have been available for more than over 30 years when their stocks were more limited in supermarkets, grocers and even restaurants. Since then, the availability of gluten-free foods has increased dramatically and many non-coeliac patients have taken the decision to exclude gluten from their diet. Bread is currently the most popular item on prescription.
Dr Guy Mansford, GP and chief clinical officer for NHS Nottingham West Clinical Commissioning Group said: "Gluten is not essential to people's diets and many basic foods such as meat, vegetables, cheese, potatoes and rice are naturally free from gluten. Many gluten-free alternatives are now widely available in supermarkets and health food shops. It is vital we provide the best value for taxpayers' money. We understand the proposals to withdraw or limit gluten-free foods on prescription may have an impact on some patients with coeliac disease. That's why we are keen to hear as many views as possible to help inform the outcome of the consultation."
Patients registered with a GP in areas served by Nottingham North and East CCG, Rushcliffe CCG and Nottingham West CCG are being asked to give their views about three options being proposed by health commissioners; stopping all prescribing of gluten-free foods; limiting prescriptions to 8 units of bread and/or flour each month, or to limit the products available to flour only (maximum of 4 units per month).
The 90 day consultation will run from Monday 3 August to Friday 30 October and health commissioners are asking people to complete a short survey to help them to understand what people think about the different options.
Symptoms of coeliac disease range from being mild to severe and can include abdominal pain, diarrhoea, nausea, weight loss, headaches and osteoporosis. There is no cure for coeliac disease, but switching to a gluten-free diet can help.
Dr Paul Oliver, GP and Clinical lead for NHS Nottingham North and East CCG said "We appreciate that these proposals will not be popular to many but we are proposing the changes because gluten free foods are more widely available now in supermarkets and at more affordable prices than ever before. With ever increasing demand for services, the NHS must evaluate everything it provides."
The three commissioning organisations currently estimate that £245,000 is spent on prescribed gluten free foods each year across the areas they serve.
People can complete the survey online at: www.surveymonkey.com/r/NHS-gluten-free. The full consultation document is available at the bottom of this page. Alternatively you can call PALS on 0800 028 3693 to request a printed version or complete over the telephone.
Drop-in sessions are taking place at the following locations for people to give their views:
Nottingham West area:
- Thursday 3 Sept, 5.15pm-7pm, Stapleford Library
- Tuesday 8 September, 2.30-4.30pm, Beeston Library
Nottingham North & East area - all 2-5pm:
- Monday 14 September, Carlton Hill Library, Carlton Hill, NG4 1JE
- Friday 18 September Hucknall Tescos Ashgate Road Hucknall NG15 7UQ
- Monday 21 September, Arnold Library, 161 Front St, NG5 7EE
- Rushcliffe area:
- Tuesday 18 August 5.00 – 6.30 pm Bingham Library
- Thursday 20 August 5.00 – 6.30 pm West Bridgford Library
- Wednesday 2 September 10.00 – 12.00 noon East Leake Library
- Thursday 24 September 9.30 – 11.30 am Bingham Library
- Friday 25 September 1.00 – 3.00 pm West Bridgford Library
- Tuesday 8 October 4.00 – 5.30 pm East Leake Library
Health leaders are urging people in Nottinghamshire to extra care as the Met Office has issued a level 2 alert which is the official warning that high temperatures can pose a significant risk to health for elderly people and children.
Every year, accident and emergency departments are filled with people who have been affected by the hot weather - particularly those with heart conditions and respiratory problems so commissioners are urging people to take all precautions possible to avoid ending up in A&E.
Commissioners are reminding patients how best to stay well in the hot weather, how to treat the common ailments such as allergies, stings and bites and how to stay safe in the sun – and avoid an unnecessary visit to hospital.
Dr Guy Mansford, chief clinical officer for NHS Nottingham West Clinical Commissioning Group said: "People with heart and lung conditions are especially at risk from becoming really unwell as a result of high temperatures. It is therefore really important that people with those conditions take special care to avoid being outdoors during the hottest parts of the day and to take their prescribed medication. By taking sensible precautions – keeping well hydrated, avoiding excessive alcohol and using a high factor sun protection - most people can enjoy the weather safely.
"Skin problems such as insect bites and stings are very common and usually only cause minor irritation. Pharmacists can offer advice about the best treatment of most minor problems and most can be treated at home following some basic tips which will help to improve symptoms.
"In rare cases, some stings can be painful and trigger a serious allergic reaction, so if you see lots of swelling and blistering or if there's pus, which indicates an infection, you should visit your GP or call NHS 111 for expert advice over the phone. NHS 111 is available 24 hours a day, seven days a week and it can also advise you where to go if you do need medical attention."
For more information about staying well in the hot weather and treating bites and stings visit www.nhs.uk
Our CCG is proud to support a national campaign this week to build stronger carer friendly communities.
Carers Week, 8-14 June 2015, is an annual campaign to raise awareness of caring, to highlight the challenges carers face and to recognise the contribution they make to families and communities throughout the UK.
It is estimated that as many as 60% of people in the UK will be carers at some time. This figure is expected to rise as the population increases and people live longer, often with complex health conditions which requires the care of a family member or loved one.
This year the campaign’s focus is on building Carer Friendly Communities - communities which support carers to look after their loved ones well, while recognising that they are individuals with needs of their own.
The chief clinical officer for NHS Nottingham West Clinical Commissioning Group, Dr Guy Mansford said: “Carers continue to play a vital role which can be extremely physically and emotionally demanding. We will commit to do all we can to help identify carers and make sure they get the support they need to protect their own health and wellbeing. When a community is truly carer friendly, every corner – from the hospital, workplace, primary school, to leisure services and beyond – will be geared towards addressing the needs of carers.”
Gail Scott-Spicer, Chief Executive for Carers Trust, said: “Carers often care every day of the year. This is a week where we can focus and listen to the issues they face and raise awareness of the crucial part they play in their families and communities.
“They do so much for the people they care for, as well as society in general, saving the economy billions of pounds every year. It’s vital that they receive the support they need to continue caring, and help them to make the choice of whether, how and when they deliver unpaid care.
“Carers Week plays a key role in raising awareness of carers’ needs, as well as highlighting the many services available to them from charities like ourselves.”
She added that carers want to live in communities that support them to care well and safely, that respect their caring role, and help them to be involved and consulted about the care and support of the person they care for.
Carers also say that they want to be supported to be healthy themselves, to be able to work if they want to, and to have a life of their own outside their caring role. They want to be treated as an individual with needs of their own, and not only as a carer of someone else.
To find out more about Carers Week please visit www.carersweek.org – where you can also sign up to pledge your support to help build more Carer Friendly Communities.
See also: https://twitter.com/hashtag/carersweek
We have published our Annual Report and Accounts for 2014/15. The report highlights the CCG's progress from 1 April 2014 to 31 March 2015 and details how we discharged our statutory functions.
Nigel Hallam, CCG Chair said: "2014/15 has been a challenging year and achievements would not have been possible without the continued hard work and commitment of our colleagues in the CCG and equally importantly in our Member Practices. We recognise that the strength of our CCG is based on the engagement of each Member Practice and despite the challenges our colleagues have worked tirelessly throughout the year to ensure the development of services for our patients and to improve the quality of care they receive.
"We would like to extend our collective gratitude to our Member Practices, Local Authority and the local health community as our success is dependent on our collaborative working and team work. We look forward to building upon our achievements which are set out in this report as we continue to move towards our mission of improving the health outcomes for the people of Nottingham West".
The document is available in large print and other formats, including translations, upon request.
For more details about any of the information included within this document, you can contact us through a variety of ways:
NHS Nottingham West Clinical Commissioning Group
Stapleford Care Centre
Telephone: 0115 883 5100
Dr Mansford, chief clinical officer for the CCG, is urging Broxtowe residents to become a Dementia Friend during Dementia Awareness Week, 17-23 May 2015.
Around 70% of Broxtowe patients living with the condition have a diagnosis, ranking the area amongst the best in the country at recognising dementia.
The CCG aims to increase its diagnosis rates further by encouraging people to become a Dementia Friend - an initiative led by the Alzheimer's Society, based on the principle that people with dementia can live well with a little help from other people. The previous target set at one million has been met and a new ambitious target of four million is to be reached by 2020.
People can sign up to become a Dementia Friend at www.dementiafriends.org.uk, it takes about 5 minutes and involves watching a short video and filling in an application form and in return you receive a Dementia Friends badge and a Little Book of Friendship.
Brian Hughes, who's 72, from Stapleford, attends the Beeston Memory Cafe with his wife Ann, 72, who was diagnosed three years ago. The cafe provides a social hub for people with dementia and their carers. It was set up with support from the CCG's Lifestyle Fund which is a £50k pot of money which supports local groups to improve health and wellbeing in the borough.
Brian said: "The memory cafe has been a great help to both Ann and I. It gives me the opportunity to relax and chat with others, whilst Ann enjoys the activities such as singing. I'd encourage people to come along to the memory café, become a Dementia Friend and have fun, as well as an informative afternoon".
Dr Guy Mansford, chief clinical officer for NHS Nottingham West Clinical Commissioning Group said: "Recognising the symptoms and achieving a diagnosis is so important for those affected because it will enable your GP and community health teams to put in place the help you need. Some of the most common problems for people with dementia are, not being able to recognise foods, forgetting what food they like, memory loss, the fear of forgetfulness and the ability to understand and think quickly. If you are concerned about these symptoms your GP can arrange for you to attend a memory clinic. With the right support, and depending on the stage of the condition many people can continue to remain active and lead a fulfilling life."
If you're not already a Dementia Friend, you can get involved by watching a short video on the Dementia Friends' website www.dementiafriends.org.uk – it takes five minutes, all you have to do is fill in an application form and leave your details on the site, in return you will receive a Dementia Friends badge and a little Book of Friendship to get you started.
As more people live longer in Nottinghamshire, local NHS leaders are reminding older patients not to put their health at risk by opting out of bowel cancer screening.
The call comes as NHS England launched new independent taskforce to develop a five-year action plan for cancer services that will improve survival rates and save thousands of lives.
Bowel cancer is the second most common cause of cancer death in the UK. The incidence of bowel cancer in Nottinghamshire is higher than the national average* (53.2 per 100,000 compared with the national average of 46.5 per 100,000).
Dr Guy Mansford, GP and chief clinical officer for NHS Nottingham West Clinical Commissioning Group said: "Survival rates for bowel cancer are dramatically increased when detected early. People over 60 who are most at risk, so it is so important that they accept their invitation to the screening process when it arrives on their door mat. It could save their lives."
Bowel cancer occurs when the cells in the bowel multiply and attack the surrounding tissue - which can then spread to the other parts of the body. It is also called colon cancer.
The symptoms of bowel cancer can be:
· bleeding from your bottom and/or blood in your poo
· a change in bowel habit for three weeks or more especially to looser or runny poo
· unexplained weight loss
· extreme tiredness for no obvious reason
· a pain or lump in your tummy.
Patients might experience one, some, all of the above or no symptoms at all. Most symptoms will not be bowel cancer. People who are worried about any symptoms that might be caused by bowel cancer, should make an appointment with their GP.
Patients aged 60 to 74 will automatically be sent an invitation and a screening kit to do the test at home. The testing kit is a very simple way to collect small samples on a special card at home. There are clear instructions sent with the kit. People then send the card in a hygienically sealed, prepaid envelope to a laboratory for testing. They will be sent the results of the test by post within two weeks.
We are delighted to be inviting local groups to apply for a share of £50,000 to fund health and wellbeing initiatives.
It’s part of the Lifestyle Fund launched by our CGG, in which grants of up to £2,500 are available to fund projects and self-help groups that seek to improve the health and wellbeing of local communities. It aims to tackle local health priorities such as smoking, poor diet and lack of exercise.
In 2014, the fund successfully supported 26 local community projects and groups across Broxtowe including support groups for people with dementia to an exercise group for people living with Parkinson’s disease.
The grants also helped to fund an Eastwood based respiratory support group called Breathe Easy, a project to support victims of domestic violence and an allotment society who support people with learning disabilities.
This year, applications are being sought to tackle priority areas such as smoking cessation, healthy eating, reducing substance misuse and alcohol related harm; support for older people; improving mental health, supporting physical activity, tackling domestic violence, supporting people with the poorest health, sexual health and reduction of teenage pregnancy and supporting people with learning disabilities.
The CCG says is it hopes to attract a variety of health and wellbeing projects once again. Dr Guy Mansford, chief clinical officer for NHS Nottingham West Clinical Commissioning Group said: “Healthcare starts at home, so funding groups who help others like them is a very important step because it can change perception that support for good health and wellbeing is only provided in the hospital or the GP surgery and allows the community to take a role in supporting each other. I very much look forward to once again, receiving a broad range of applications.”
Lifestyle Fund applications are awarded by a panel of members made up of NHS Nottingham West CCG, Broxtowe Borough Council, Public Health and Voluntary Action Broxtowe.
The deadline for receiving applications is 5pm on Friday 8 May 2015.
We are proud to be one of the first CCGs in the country to sign the British Sign Language Charter, committing to improve the experience of deaf people who use health services.
The pledge was made at a special event organised by Nottinghamshire Deaf Society .
There are estimated to be around 1700 deaf people in Nottinghamshire but around 132,000 with some degree of deafness. Commissioners say that signing the pledge gives them a platform to eradicate health inequalities of the deaf community as lay chair for NHS Nottingham West CCG Nigel Hallam explains: “Signing the pledge is a sign of our dedication to deaf people that we are committed to making sure they have equal access to health services, information and support. It gives us a lever to make sure providers are delivering equal services to their deaf patients. It is part of our collective commitment as commissioners to remove direct and indirect discrimination against deaf people to give them the ability and independence to access services and to provide better educational options for deaf children.”
Robin Ash; empowerment and campaigns officer for BSL said: ‘This pledge is very significant for the National Deaf Community. For years, deaf people have experienced inequality through lack of awareness and lack of knowledge on the part of service providers. This will enable both parties to come together to improve the health of the deaf community.”
Gloria Pullen of the Nottinghamshire Deaf Society said: “We have problems accessing services. With the signing of the charter, those barriers have begun to be lifted. There are lots of information leaflets and reading it is all well and good but some people can’t read it because of literacy issues. Through sign language it overcomes the barriers we face so we welcome this move.”
Public Health England (PHE) and Alzheimer’s Society are calling on people to become Dementia Friends, as research reveals the risk of isolation for people with … - Support people with dementia at Christmas, urge Public Health England and Alzheimer’s Society
Three in four toddlers miss free flu vaccine
England’s chief medical officer, Professor Dame Sally Davies, has warned that too few toddlers are having the seasonal flu vaccine and health chiefs at NHS Nottingham West Clinical Commissioning Group (CCG) are urging all parents of eligible children to take advantage of the free flu vaccine as soon as possible.
Figures released show that just a quarter of eligible toddlers have had their free flu vaccine in England. The uptake, so far, is down on the same point last year, which was the first time children were routinely immunised against flu.
Public Health England said that young children are "super-spreaders" of the flu as they come into close contact with friends, don’t often wash their hands or cover their mouths when coughing. Health chiefs at NHS Nottingham West CCG are particularly concerned toddlers may spread the flu to elderly relatives who then may go on to develop bronchitis and pneumonia and subsequently end up in A&E taking up valuable beds over the winter period.
Last winter was a relatively mild flu season and health agencies have warned of complacency when it comes to getting immunised.
More than two million toddlers have been being targeted in vaccination campaigns, but so far immunisation rate data up to 23 November shows that:
- 28.5% of two-year-olds have been immunised, down from 34.1% this time last year
- 30.5% of three-year-olds have been immunised, slightly down from 30.6% this time last year
- 23.9% of four-year-olds had been immunised
Two and three-year-olds were vaccinated for the first time last winter and the programme has been extended to four-year-olds this year. But Professor Dame Sally Davies, said that parents are citing awareness as part of the problem with half of mums unaware that the vaccine existed or that children needed vaccinating every year.
Last winter in Nottinghamshire around 40% of two year olds had the flu vaccine and around 33% of three year olds. In the autumn/winter of 2014/15 the annual nasal spray flu vaccine is available for children aged two, three and four years old as part of the NHS childhood vaccination programme.
Dr Guy Mansford, clinical lead for NHS Nottingham West Clinical Commissioning Group said: “ The nasal spray is such a simple and pain free way of protecting young people from a particularly nasty illness - which will be especially important as we approach Christmas when families are due to spend more time together. By protecting our children we are also protecting people around us . ”
Professor Dame Sally Davies said: "Flu can be really nasty for toddlers, leading to time off nursery which has a big impact on mums and dads and sometimes even a stay in hospital. They also spread the virus easily and often pass flu to grandparents and other relatives who can become very ill, fast. Giving two, three and four year olds the free nasal spray really is in everyone's interests if you want to help avoid a miserable winter for all the family."
On average, every person with flu passes on the infection to two people every two days and that is why the ambition is to gradually extend vaccination to all two to 16-year-olds as children are more likely than most to spread flu. The vaccination programme is aimed at reducing flu in children and in turn cutting cases in at-risk groups.
Parents who wish to find out more about the flu vaccine are encouraged to visit www.nhs.uk/flu2014 or contact their local GP practice.
NB: . The vaccine is being offered routinely to all children aged two, three and four on 1 September 2014. That is children with a date of birth on or after 2 September 2009 and on or before 1 September 2012. Over time, as the programme rolls out, potentially all children between the ages of two and 16 will be offered vaccination against flu each year with the nasal spray.
Provisional Seasonal flu vaccine uptake in GP patients - 1 September 2014 to 31 October 2014
Health leaders say they are proud of their achievement after it misses out on a top health award
Chairman of NHS Nottingham West Clinical Commissioning group, the body that oversees health services for the people of Eastwood and Kimberley has praised the work of health partnership for being shortlisted for a major health award.
NHS Nottingham West CCG was nominated for its partnership with Broxtowe Borough Council in the Improved Partnerships between Health and Local Government category which recognises how NHS and local government bodies work together to tackle health problems such as dementia and social isolation. The award went to NHS Great Yarmouth and Waveney clinical commissioning group.
The awards attracted record 1300 entries from over 500 organisations and celebrate the projects and initiatives that deliver healthcare excellence and innovation, to improving the quality of healthcare in the UK. To see the 2014 HSJ Award winners click here. The ceremony was attended by Secretary of State for Health Jeremy Hunt, and was compared by BBC political editor, Nick Robinson.
NHS Nottingham West CCG Chairman Nigel Hallam said “ It is a great honour and achievement for Nottingham West CCG to have been shortlisted. Although we didn’t win, I am absolutely proud of our achievement which is national recognition of the work we have done to tackle some of the biggest health challenges facing our population and we will continue to work hard with our partners at Broxtowe Borough Council to identify people who need support with dementia so they can remain independent.”
NHS Nottingham West CCG was shortlisted for a prestigious national health award for their commitment with Broxtowe Borough Council to improving the health and wellbeing of local people.
The CCG used the nomination to call on the public and health professionals to continue the work to tackle dementia, end loneliness in older people and promote healthy living in Broxtowe.
The award attracted a record 1,300 entries.
The clinical commissioning group is now urging people to become a dementia friend to spot the signs of dementia and to look out for elderly relatives or neighbours who may need support as the weather turns colder.
The CCG has been working with the Alzheimer’s Society to train people to become Dementia Friends; who would act as eyes and ears to spot the signs of dementia in other people and to act on it. The scheme has been so successful that 55 members of staff from GP practices across Broxtowe have trained to be dementia friends alongside more than 80 other health care staff from across Nottinghamshire.
Around 64% of our patients living with dementia in Broxtowe and surrounding areas have a diagnosis of the condition, which ranked the CCG eighth best at recognising the disease in England.
The nomination also recognised the CCG’s investment in local health groups. This summer the CCG invested more than £50,000 into local community group to promote health and wellbeing in deprived communities in Broxtowe. The Broxtowe Health Partnership awarded grants of up to £2,500 each as part of a special Lifestyle Fund that has so far supported a range of projects such as support for victims of domestic abuse, dance sessions for older people, a travelling kitchen, breastfeeding peer support and a range of others across Broxtowe.
The CCG was also recognised for its partnership with the council to help keep older people who live alone, independent and safe in their homes. A special Older People’s Sub Group was set up by the partnership to identify people who needed help in their homes and to get them the support they need to stay on their feet, avoid falls and keep warm in the winter.
Dr Guy Mansford, chief clinical officer for NHS Nottingham West CCG said: “Loneliness, dementia and health and wellbeing are interdependent. If we recognise dementia we can put support in place. If we provide support for people to remain independent in their homes we help towards sustaining the future of NHS services by preventing unnecessary visits to hospital. Achieving national recognition of the work we are doing is a strong sign that our approach is working so I would encourage more people to look out for their neighbours, be vigilant about signs of dementia and to get involved in what your local GP practice does to help improve the health and wellbeing of people in your area.”
Councillor Jacky Williams, Chair of the Broxtowe Health Partnership said: “We have had an amazing commitment from health workers and indeed our own housing teams, training as dementia friends. We have been able to support various groups and organisations across the District in their efforts to tackle health inequalities in our communities, with signs of the life expectancy gap narrowing. Whatever the outcome of the nomination, we can be proud that we have a strong and supportive network across Broxtowe and commitment to improving the health outcomes of our population.”
The NHS Five Year Forward View and Next Steps Towards Primary Care Co‐Commissioning
NHSE has Published Two Important Policy Documents that Affect the CCG. At the end of October NHS England (NHSE) published its “Five Year Forward View” which describes how the NHS plans to develop over the next few years. A key theme here is the development of primary care provision.
Following on from the Forward View, NHSE published “Next Steps Towards Primary Care CoCommissioning” on the 10th November. The document is clearly an enabler for the vision described in the Forward View, but it has some significant implications for CCGs that require some urgent action. This paper attempts to summarise some of the key points from these publications and proposes a response from the CCG. If the Governing Body agrees the recommendations this could lead to a change
to the CCG constitution.
The two documents can be found by following these links:
Both publications are about 40 pages long (excluding Annexes), but they both have useful Executive Summaries that are only a couple of pages long. Members are recommended to read these.
Further details are available on the attachment below; however, please note that the links mentioned in the document have changed to the above website links.
Nottinghamshire Healthcare NHS Trust announces findings following public consultation
The organisation that provides mental health services across Nottinghamshire has published the findings of a consultation about proposed changes to some of its Adult Mental Health Services and Mental Health Services for Older People.
The proposals included plans to close Wards A42 and A43 at the Queen’s Medical Centre in Nottingham, and Enright Close residential rehabilitation unit in Newark. As part of the proposal, the trust will still retain hospital and rehabilitation inpatient beds across the City of Nottingham and Nottinghamshire. Nottinghamshire Healthcare NHS Trust plans to enhance its community services for adults following feedback from patients and clinical evidence that shows that people want to be cared for in their own homes, which aids their recovery. The proposals include an enhanced Crisis and Home Treatment Service, available 24 hours/seven days a week, and a Community Rehabilitation Team.
The Trust presented its findings to the Joint Health and Scrutiny Committee on 7 October which confirmed that the Trust can proceed with its proposals.
A summary report including public feedback, and details of the next steps are now being shared with the public.
To find out more please visit: http://www.nottinghamshirehealthcare.nhs.uk/our-services/local-services/have-your-say/