full list of which clinical nurse specialist covers which GP
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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. Index 2 Map of Area Beaumont Leys Coalville Hinckley LOROS Loughborough Based at The Warrens, Enderby Based at Market Harborough Hosp Melton Mowbray and Rutland 3 4-8 9 - 11 12 - 14 15 - 26 27 - 29 30 - 33 34 - 36 37 - 38 Current Referral Form Amendment sheet for changes in GPs Additional contact details 40 - 41 42 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 Page 2 of 43 2 of 2 Areas within red lines mainly covered by LOROS Nurse Specialists. All other areas covered by Macmillan Nurse Specialists / Community Matrons (Palliative Care) Melton Loughborough Ashby De La Zouch Coalville Rutland Leicester City Blaby Wigston & Oadby Hinckley & Bosworth Market Harborough Lutterworth January 09 Page 3 of 43 Palliative Care Nurses Based at Beaumont Leys Health Centre Fax: 0116 2958721 Telephone 0116 2958737\43 (Mandy Mitchell & Sarah Underwood) GP Practice Al-Waqas Medical Practice 91 St Peters Road Leicester LE2 1DJ 0116 254 3003 Fax: 0116 285 8672 Doctors KA.Choudhry B.Din K.Hoque S.Majeed Z.Osama I.Sheikh Beaumont Leys Health Centre 1 Little Wood Close Leicester LE4 0UZ 0116 235 0435 G.Alagasen L.Borrill J.Macedo S.Radia V.Rawal Fax: 0116 235 0094 Beaumont Lodge Medical Practice 2 Baxters Close Beaumont Leys Leicester, LE4 0QR 0116 235 3579 Nurse Specialist Mandy\Sarah www.al-waqasmedicalpractice.co.uk www.thepracticeplc.com/beaumontleys MS.Bandrapalli S.Damodaran DS.Virdee No webpage Fax: 0116 234 2959 Belgrave Medical Centre 52 Brandon Street Leicester LE4 6AW 0116 253 4919 S.Musa K.Ramaswamy C.Patel F.Patel A.Sinha www.thehighfieldsmedicalcentre.co.uk Fax: 0116 253 4912 Belgrave Surgery 13 Loughborough Road Leicester LE4 5LJ 0116 266 3653 SV.Bapodra A.Malhotra P.Malhotra www.BelgraveSurgery.com Fax: 0116 266 4905 Brandon Street Surgery Belgrave Health Centre 52 Brandon Street Leicester LE4 6AW 0116 268 9790 G.Boora S.D’Souza F.Fatima P.Kumaraswamy Fax: 0116 261 3809 http://brandonstreetsurgery.co.uk Page 4 of 43 GP Practice Broadhurst Street Surgery 10 Broadhurst Street Leicester LE4 6NF 0116 266 2662 Doctors KS.Morjaria HK.Morjaria Fax: 0116 266 9109 Canon Street Medical Centre 122 Canon Street Leicester LE4 6NL 0116 266 1247 www.broadhurststreetsurgery.co.uk BV.Modi F.Gallagher www.drmodisurgeries.co.uk Fax: 0116 268 1477 Colwell Medical Centre 26 Colwell Road Leicester LE3 9AX 0116 262 1579 Nurse Specialist Mandy\Sarah M.Taylor www.hazeldinetayloratwestcoteshc.co.uk Fax: 0116 262 1589 Community Health Centre Melbourne Road Leicester LE2 0GU 0116 262 2946 Fax: 0116 242 2049 East Leicester Medical Practice 131 Uppingham Road Leicester LE5 4BP 0116 295 8282 Fax: 0116 295 8284 East Park Medical Centre (M) 264/266 East Park Road Leicester LE5 5FD 0116 273 6330 Fax: 0116 273 8653 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 K.Hoque M.Khatri S.Majeed Z.Osama M.Quereshi I.Sheikh M.Sheikh A.Abdulali K.Choudhry A.Farooqi C.Macdonald R.Moriarty S.K.Sahota A.Suresh www.melbournecommunityhealthcentre .co.uk www.elmp.co.uk S.Basra R.Gadhvi R.Khan M.Mahboob H.Morjaria R.Pandya A.Reddy www.eastparkmedicalcentre.co.uk S.Basra R.Gadhvi R.Khan M.Mahboob H.Morjaria R.Pandya A.Reddy www.eastparkmedicalcentre.co.uk (M) = Main (B) = Branch Page 5 of 43 GP Practice Glenfield Surgery 111 Station Road Glenfield Leicester LE3 8GS 0116 233 3600 Fax: 0116 233 3602 Doctors A.Ahmed JG.Cooper N.Chotai C.Duru M.Salt P.Sandhu J.Trayner Nurse Specialist Mandy\Sarah www.theglenfieldsurgery.co.uk Groby Road Medical Centre 9 Groby Road Leicester LE3 9ED 0116 253 6263 Fax: 0116 262 4180 Heatherbrook Surgery 242 Astill Lodge Road Leicester LE4 1EF 0116 235 6324 P.Danaher H.Kay L.Lucraft L.Neville C.Rabbitt N.Walker R.P. Archer C.K. Archer FA.Rizi Fax: 0116 234 0333 Highfield Surgery 25 Severn Street Leicester LE2 0NN 0116 254 3253 www.grobyroadmedicalcentre.com www.heatherbrooksurgery.co.uk SK.Obeja P.Wadhwa RK.Wadhwa www.highfieldsurgerysevernstreet.co.uk Fax: 0116 255 6794 Manor Medical Centre 577 Melton Road Thurmaston Leicester LE4 8EA 0116 269 6765 SM.Arolker DR.Jawahar ERC.Mathew SK.Shah HG.Trivedi Fax: 0116 269 6980 Melbourne Road Health Centre 47 Melbourne Road Leicester LE2 0GT 0116 255 9869 www.drarolkerandpartners.co.uk V.Patel N.Raithatha AW.Siddiqui N.Summers Z.Sumra P.Vagani Page 6 of 43 www.melbournerdhealthcentre.co.uk GP Practice The Merlyn Vaz Health & Social Care Centre 1 Spinney Hill Road Leicester LE5 3GH 0116 261 6234 Fax: 0116 242 5602 Doctors S.Musa C.Patel F.Patel K.Ramaswarmy A.Sinha Oakmeadow Surgery 87 Tatlow Road Glenfield Leicester LE3 8NF 0116 232 0088 PR.Jones A.Lamlilass RA.Leach PL.Pathak H.Singh Nurse Specialist Mandy\Sarah www.thehighfieldsmedicalcentre.co.uk www.oakmeadowsurgery.org.uk Fax: 0116 287 2633 Parker Drive Medical Centre 122 Parker Drive LE4 0JF Leicester 0116 235 3148 SM.Arolker DR.Jawahar ERC.Mathew SK.Shah HG.Trivedi Fax: 0116 235 4816 The Parks Medical Centre 340 Aikman Avenue Leicester LE3 9PW 0116 287 1230 www.drarolkerandpartners.co.uk B.Hainsworth H.Haq www.theparksmedicalcentre.com Fax: 0116 231 4426 Petworth Drive Surgery 5 Petworth Drive Leicester LE3 9RF Rushey Mead Surgery 8 Lockerbie Walk Leicester LE4 7ZX 0116 2610333 CLOSED – July 2014 M.Jaffer Dr J.Fry has retired www.drfryatrusheymead.nhs.uk Fax: 0116 261 0270 The Practice Rushey Mead 8 Lockerbie Walk Leicester LE4 7ZX Tel: 0116 323 2020 D.Barrett N.Jain P.Waigumbulizi Fax: 0116 261 0835 www.thepracticeplc.com/rusheymead Page 7 of 43 GP Practice The Practice Sayeed Medical Centre 352-354 East Park Road Leicester LE5 5AY 0116 323 2030 Doctors Y.Dalal H.Hussain S.Siddiqui Fax: 0116 273 7443 Silverdale Medical Centre 6 Silverdale Drive Thurmaston Leicester, LE4 8NN 0116 366 2020 Nurse Specialist Mandy\Sarah www.thepracticeplc.com/sayeedmedical centre A.Bukhari A.Chawla P.Rughani www.silverdalemedicalcentre.co.uk Fax: 0116 264 1936 Thurmaston Health Centre 573A Melton Road Leicester LE4 8BD 0116 260 8844 M.Harrison HS.Minhas DS.Panacer YK.Ruhonah K.Singh Fax: 0116 264 1880 The Willows Medical Centre 184 Coleman Road Leicester LE5 4LJ 0116 246 1311 www.leicestermedicalgrouppractice.co.uk P.Pathak M.Roshan K.Vengala Fax: 0116 246 0244 www.thewillowsmc.co.uk Page 8 of 43 Palliative Care Nurses Coalville/North West Leicestershire Fax: 01530 468579 Telephone 01530 468580 (Dianne Bonken and Helen Bruce) GP Practice Ashby Health Centre North Street Ashby de la Zouch LE65 1HU 01530 414131 Fax: 01530 560732 Broom Leys Road Surgery Broom Leys Road Coalville LE67 4DE 01530 832095 Doctors J.Addison R.Hall P.Krishamurthy N.Sanganee A.Smith H.Tailor E.Thompson K.Oliver R.Peters S.Scrivens M.Srivastava Nurse Specialist Helen Bruce www.ashbyhealthcentre.org.uk Dianne Bonken Fax: 01530 832616 http://broomleyssurgery.co.uk Castle Donington Surgery 53 Borough Street Castle Donington Derby DE74 2LB 01332 856050 Fax: 01332 811748 Coalville Health Centre 1 Market Street Coalville LE67 3DX 01530 835544 Fax: 01530 832845 The Family Practice 99 Belvoir Road Coalville LE67 3PH 01530 833999 H.Godridge A.Hodson M.Horner J.Taggar J.Ward Campbell C.Wolstenholme A.Woodgate J.Young T.Hammond J.Mao N.Pulman N.Rushman GPS MOVING TO LONG LANE SURGERY BY SEPT 2015 J Rawat S.S.Rawat Dianne Bonken www.castledoningtonsurgery.co.uk Dianne Bonken www.coalvillehealthcentre.nhs.uk Helen Bruce www.the-family-practice.co.uk Fax: 01530 814101 Hugglescote Surgery 151 Grange Road Hugglescote Coalville LE67 2BS 01530 832109 T.Gauhar D.Greenyer I.Ijeneme H.Noble S.Malladi Helen Bruce www.hugglescotesurgery.co.uk Fax: 01530 832553 Page 9 of 43 GP Practice Long Lane Surgery Beacon House Long Lane Coalville LE67 4DR 01530 445945 Fax: 01530 277959 Manor House Surgery 1 Mill Lane Belton Loughborough LE12 9UJ 01530 222368 Doctors R.Chellaswamy R.Dempsey C.Furlong T.Hammond N.Kruczenyh N.Mayes N.Pulman J.Mao N.Rushman MJ.Aram BM.Heap E.Terrell Fax: 01530 224273 Markfield Medical Centre 24 Chitterman Way Markfield Leicester LE67 9WU 01530 249461 Nurse Specialist Helen Bruce www.longlanesurgery.com Dianne Bonken www.beltonsurgery.nhs.uk C.Bird F.Chaudry HL.Heaton HR.Norgain CJ.Trzcinski Dianne Bonken www.markfieldmedicalcentre.org.uk Fax: 01530 245668 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 D.Dawes SJ.Shepherd Fax: 01530 563729 Helen Bruce www.mysurgerywebsite.co.uk/contact1. aspx?p=C82663 Page 10 of 43 GP Practice Whitwick Health Centre North Street Whitwick LE67 5HX 01530 839629 Doctors AM.Lewis R.Patel Fax: 01530 839065 Whitwick Health Centre North Street Whitwick LE67 5HX 01530 838866 www.lewisandpatelwhc.co.uk E.Hepplewhite S.Virmani Fax: 01530 810581 Whitwick Road Surgery Whitwick Road Coalville LE67 3FA 01530 836507 Nurse Specialist Helen Bruce Helen Bruce www.whitwickhealthcentre.co.uk N.Chawda R.Lawrence M.Searancke Fax: 01530 836615 Dianne Bonken www.whitwickroadsurgery.co.uk Page 11 of 43 Palliative Care Nurses HINCKLEY Fax 01455 441075 Telephone 01455 441907 (Caroline Coslett and Elizabeth Higham) GP Practice Burbage Surgery (M) Tilton Road Burbage Leicester LE10 2SE 01455-634879 Fax: 01455 891264 Doctors D.Jones Y.McManus V.Patel R.Phillips P.Thomason R.Turner W.Turner Nurse Specialist Caroline Coslett 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 Castle Mead Medical Centre (M) 33 Hill Street Hinckley Leicester LE10 1DS 01455 637659 www.burbagesurgery.co.uk R.Dockrell L.England RR.Glastonbury JE.Patterson D.Tull NJ.Willmot Caroline Coslett www.castlemeadmedicalcentre.co.uk Fax: 01455 238754 Stoke Golding Surgery (B) 28 Pine Close Stoke Golding, Nuneaton CV13 6EB 01455 212526 Fax: 01455 212473 Enderby Medical Centre Shortridge Lane Enderby Leicester LE19 4LY 0116 286 6088 HC.Bhutani N.Khan N.Lee Fax: 0116 284 4938 Elizabeth Higham www.enderbymedicalcentre.co.uk Page 12 of 43 GP Practice Heath Lane Surgery Earl Shilton Leicester LE9 7PB 01455 844431 Fax: 01530 442297 Doctors M.Cleaver S.Holt R.Karthikeyan R.Lawrence C.Moncrieff S.Morgan W.Priestman Nurse Specialist Elizabeth Higham www.heathlanesurgery.co.uk Hollycroft Medical Centre Clifton Way Hinckley LE10 0XN 01455 234414 Fax: 01455 632110 Station View Health Centre Southfield Road Hinckley Leicester LE10 1UA 01455 635362 Fax: 01455 619797 The Centre Surgery Hinckley Health Centre Hill Street Hinckley Leicester LE10 1DS 01455 632277 ML.Findlay MR.Findlay T.Ghag F.Ghumra E.Hayward DP.Jackson J.Jackson K.Lally H.Robbins RD.Rajyaguru N.Scarborough QA.Bhatti LK.Havard HK.Howes S.Johnson REG.Reid VL.Rowe L.Spencer TA.Thuthiyil A.Abdool A.Dale P.Solanki Fax: 01455-451141 The Maples Family Medical Practice 35 Hill Street Hinckley Leicester LE10 1DS 01455 234576 Caroline Coslett www.hollycroftmedicalcentre.co.uk Caroline Coslett www.stationviewhealthcentre.co.uk Caroline Coslett www.thecentresurgery.co.uk A.Hassani R.Kenyon A.Kothari R.Rajput C.Wood Caroline Coslett Fax: 01455 250506 http://www.maplesfamilymedicalpractic e.nhs.uk/ Page 13 of 43 GP Practice The Old School Surgery Hinckley Road Stoney Stanton Leicester LE9 4LJ 01455 271442 Fax: 01455 274526 Doctors L.Kirk S.Kitchin K.Rothwell D.Webb The Orchard Medical Practice Orchard Road Broughton Astley Leicester LE9 6RG 01455 282599 A.Beckley KE.Brunt SCY.Chan AM.Khalid A.Major AE.Morris S.Raj J.Soulsby Fax: 01455 286772 The Orchard Medical Practice Ullesthorpe Surgery Station Road Ullesthorpe LE17 5BT 01455 209286 Fax: 01455 286772 Nurse Specialist Elizabeth Higham www.theoldschoolsurgery.com A.Beckley K.Brunt S.Chan A.Khalid A.Major A.Morris S.Raj J.Soulsby Page 14 of 43 Elizabeth Higham www.theorchardmedicalpractice.co.uk Elizabeth Highham www.theorchardmedicalpractice.co.uk Palliative Care Nurses LOROS Fax: 0116 2321012 Telephone: 0116 2318402 GP Practice Alpine House Surgery 86 Rothley Road Mountsorrel Nr Loughborough LE12 7JU 0116 216 9947 Doctors M.Cluley LA.Doneva JA.Ellison S.Gupta IR.Schofield Nurse Specialist Julie Kane/Clare Green www.alpinehousesurgery.co.uk Fax: 0116 237 4218 Al Razi Medical Centre 1 Evington Lane Leicester LE5 5PQ 0116 249 0000 AK.Vania Melanie Rushton www.ar-razi.com Fax: 0116 249 0088 Aylestone Health Centre (Leicester Medical Group) 15 Hall Lane Leicester LE2 8SF 0116 283 7825 M.Harrison HS.Minhas DS.Panacer YK.Ruhonah K.Singh Carol Harding . www.leicestermedicalgrouppractice.co.uk Fax: 0116 283 9849 Barrow Health Centre 27 High Street Barrow upon Soar Loughborough Leicester LE12 8PY 01509 274430 D.Dayah SA.Duffy A.Patel NHR.Simpson Julie Kane\Clare Green www.barrowhealthcentre.co.uk Fax: 01509 620664 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 Page 15 of 43 GP Practice Birstall Medical Centre 4 Whiles Lane Birstall Leicester, LE4 4EE 0116 319 6141 or 216 9773 Doctors J.Rana KS.Shergill Nurse Specialist Kirsty Wright Fax: 0844 815 1435 Border Drive Surgery 2 Border Drive Leicester, LE4 2PF 0116 319 6121 www.birstallmedicalcentre.co.uk Fax: 0116 236 5561 The Practice, Bowling Green Street 29-31 Bowling Green Street Leicester, LE1 6AS 0116 204 7240 J.Broachwalla B.Soleimanpour Rebecca Paulson CLOSED Fax: 0116 255 4966 Briton Street Surgery 5 Briton Street Leicester LE3 0AA 0116 233 7744 S.Shafi Rebecca Paulson No webpage Fax: 0116 233 7749 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 Clarendon Park Medical Centre 296 Clarendon Park Road Leicester LE2 3AG 0116 319 6093 S.Ashraf A.Malik A.Prasad S.Patel Melanie Rushton www.thecharnwoodpractice.co.uk Rebecca Paulson www.clarendonparkmedicalcentre.co.uk Fax: 0844 477 3327 Desford Medical Centre 54 Main Street Desford Leicester LE9 9GR 01455 828947 A.Arora-Sethi A.Caratela M.Maini Wendy Fojut\Jude Dawson http://www.desfordmedicalcentre.co.uk/ Fax: 01455-828994 Page 16 of 43 GP Practice Downing Drive Surgery 155 Downing Drive Evington Leicester LE5 6LP 0116 241 3801 Doctors K.Ball A.Bentley A.Boughellam E.Morant E.Siddons R.Verma Nurse Specialist Melanie Rushton www.downingdrivesurgery.nhs.uk Fax: 0116 2417766 Evington Medical Centre 2-6 Halsbury Street Leicester LE2 1QA 0116 319 0343 or 0844 4773587 Fax: 0844 4773538 Forest House Medical Centre 2a Park Drive LFE Leicester LE3 3FN 0116 289 8111 Fax: 0116 2630253 J.Ahmed C.Kumar J.Dhaliwal V.Gohil P.Lad A.Malhotra B.Parmar S.Tayub R.Thakor A.Ahyow R.Badiani K.Kant S.Kinnell A.Milton N.Ranpura M.Woolford Warren Lane Surgery Warren Lane LFE Leicester LE3 3LW 0116 289 8111 Melanie Rushton www.evingtonmedicalcentre.co.uk Tracey Foster http://foresthousemedicalcentre.co.uk Fax: 0116 2630253 Fosse Family Practice 16 Fosse Road South Leicester LE3 0QD 0116 285 7329 Fax: 0116 2857375 UK.Roy G.Grera (Locum) H. Singh (Locum) 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.fossefamilypractice.co.uk Rebecca Paulson www.fossemedicalcentre.co.uk Page 17 of 43 GP Practice Greengate Medical Centre 1 Greengate Lane Birstall Leicester LE4 3JF 0116 267 7901 Fax: 0116 2677504 Groby Surgery 26 Rookery Lane Groby Leicester, LE6 0GL 0116 231 3331 Doctors RG.Ackerley IG.Anderson S.Ford B.Goddard A.Greer L.Meakin M.Patel SS.Gajebasia Nurse Specialist Kirsty Wright www.greengatemedicalcentre.co.uk Tracey Foster No webpage Fax: 0116 231 3332 Health Centre (GS) Pasley Road Health Centre Pasley Road Eyres Monsell Leicester, LE2 9BU 0116 295 8424 or 0844 4773414 S.Mahag S.Saluja G.Singh Fax: 0844 4773424 Health Centre (TKK) Pasley Road Eyres Monsell Leicester, LE2 9BU 0116 295 8430 www.drgsingh.co.uk K.Hoque T.K.Khong I.Sheikh Fax: 0116 2958402 Highgate Medical Centre 5 Storer Close Sileby Loughborough, Leics LE12 7UD 01509 816364 Carol Harding No webpage MK.Lakhani N.Lomatschinsky Fax: 01509 815528 Hilltop Surgery 22 Maidenwell Avenue Hamilton Leicester LE5 1BJ 0116 2769555 Carol Harding Julie Kane/Clare Green www.highgatemedicalcentre.co.uk R.Daud A.Girach S.Kirenalli K.Pabbaraju B.Patel K.Waraich Fax: 0116 2799589 Kirsty Wright www.johnsonmedicalpractice.co.uk Page 18 of 43 GP Practice Hockley Farm Medical Practice Braunstone Health and Social Care Centre 39 Hockley Farm Road Leicester LE3 1HN 0116 2226100 Fax: 0116 222 6101 Humberstone Medical Centre 150 Wycombe Road Leicester LE5 0PR 0116 2766605 Ibstock House Surgery 132 High Street Ibstock LE67 6JP 01530 263467 Fax: 01530 261397 Doctors N.Fernando K.Gajebasia N.Hatharamani S.Khan Prof.K.Khunti R.Knox A.Milne A.Nana S.Seidu Nurse Specialist Rebecca Paulson www.hockleyfarmmedicalpractice.co.uk I.Jones D.Salkin T.Sperry R.Than J.Kotecha P.Alizadeh Melanie Rushton F.Houghton SH.Johri C.Luke R.Sil M.Stack R.Wright Wendy Fojut/Jude Dawson Barlestone Surgery Westfields Barlestone CV13 0EN 01455 299920 www.the-hmc.co.uk www.ibstockhousesurgery.nhs.uk Fax: 01455 299923 Leicester City ASSIST Practice (Asylum Seekers) 1A Clyde St Leicester LE1 2BG 0116 295 2400 Fax: 0116 295 2412 F.Gaibie 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 No webpage Rebecca Paulson http://inclusion-healthcare.co.uk Page 19 of 43 GP Practice Leicester Homeless Service (Branch Address) Dawn Centre Conduit Street Leicester LE2 0JN 0116 2212780 Doctors J.Maxwell J.Middleton E.Orsi 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 Mahavir Medical Centre 10 Chesnut Way East Goscote Leicester LE7 3QQ 0845 045 0381 BJ.Shah Nurse Specialist Rebecca Paulson http://inclusion-healthcare.co.uk Melanie Rushton www.evingtonmedicalcentre.co.uk Julie Kane/Clare Green https://www.mahavirmedicalcentre.nhs. uk Fax: 0116 260 1008 Market Bosworth Surgery Back Lane Market Bosworth Warks CV13 0LD 01455 290200 N.Benton P.Davenport C.King U.Ngwu IWJ.Rees K.Spaul Fax: 01455 292289 Melbourne Street Surgery 56 Melbourne Street Leicester LE2 0AS 0116 253 6299 Fax: 0116 262 9298 Merridale Medical Centre 5 Fullhurst Ave Leicester LE3 1BL 0116 216 6996 Fax: 0870 890 2469 R.Daud A.Girach S.Kirenalli K.Pabbaraju B.Patel K.Waraich P.Alizadeh T.Atwal R.Clarke A.Griffiths M.Kagzi R.Tew A.Tripathi Page 20 of 43 Wendy Fojut/Jude Dawson www.newboldverdonandmarketboswort hmedicalpractice.co.uk Kirsty Wright www.johnsonmedicalpractice.co.uk Rebecca Paulson www.merridalemedicalcentre.co.uk GP Practice Mountsorrel Surgery 39 Linkfield Road Mountsorrel Leicestershire LE12 7DJ 0116 237 5089 Doctors T.Darji RK.Hirani Nurse Specialist Julie Kane/Clare Green www.hiranicharnwoodsurgery.co.uk Newbold Verdon Medical Practice St Georges Close Newbold Verdon Leicester LE9 9PZ 01455 822171 N.Benton P.Davenport C.King U.Ngwu IWJ.Rees K.Spaul http://www.newboldverdonandmarketb osworthmedicalpractice.co.uk Fax: 01455-824968 Queens Road Medical Centre 220 Queens Road Leicester LE2 3FT 0116 270 2233 Fax: 0116 270 2232 Queens Road Surgery 282 Queens Road Leicester LE2 3FU 0116 270 7067 J.Lenten Melanie Rushton CLOSING WEF 31ST MARCH 2016 www.tqrmc.yolasite.com S.Mansingh V.Mehra Fax: 0116 210 7779 Quorn Medical Centre 1 Station Road Quorn, Leics LE12 8PB 01509 410800 Fax: 01509 620652 Ratby Surgery 122 Station Road Ratby Leicester LE6 0JP 0116 239 4960 Fax: 0116 239 4061 Wendy Fojut/Jude Dawson Melanie Rushton No webpage C.Barlow M.Frost S.Gokani N.Henderson K.Langford S.Sinha Julie Kane/Clare Green www.quornmedicalcentre.co.uk P.Parwaiz Tracey Foster www.ratbysurgery.nhs.uk/ Page 21 of 43 GP Practice Saffron Group Practice 509 Saffron Lane Leicester LE2 6UL 0116 244 0888 Fax: 0116 283 0863 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 Doctors 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 R.Amin R.Choudhary A.Joshi R.Joshi HR.Mistry P.Pancholi A.Raj A.Shah SS.Sian JT.Vaghani Nurse Specialist Carol Harding www.saffrongrouppractice.co.uk Kirsty Wright www.spinneyhillmc.co.uk Fax: 0116 2611015 Springfield Road Health Centre Springfield Road Leicester LE2 3BB 0116 225 6780 R.Desor S.Ravat M.Shaffu Fax: 0116 225 6787 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 Louise Wright www.wigstoncentral.co.uk H.Bangalore L.Ojechi O.Uprichard N.Uhegwu Melanie Rushton http://www.ssafacare.co.uk/leicester Page 22 of 43 GP Practice St Elizabeth’s Medical Centre Austin Rise Surgery Netherhall Road Leicester LE5 1DR 0116 241 6392 Doctors T.Cheesman JA.Wood Fax: 0116 241 9141 No webpage St Matthew’s Health and Community Centre Prince Philip House Malabar Road Leicester LE1 2NZ 0116 295 4700 G.Leather A.Lennox St Peters Health Centre Sparkenhoe Street Leicester LE2 0TA 0116 295 7827 S.Mansingh V.Mehra Fax: 0116 295 4090 The Anstey Surgery 21A The Nook Anstey Leicester LE7 7AZ 0116 236 2531 Fax: 0116 235 7867 Melanie Rushton No webpage F.Docrat M.Khatri Fax: 0116 295 7836 Student Health Centre De Montfort Surgery 100 Mill Lane Leicester LE2 7HX 0116 222 7272 Melanie Rushton www.stmatthewshealthcentre.co.uk Fax: 0116 295 7829 St Peters Health Centre Sparkenhoe Street Leicester LE2 0TA 0116 295 7835 Nurse Specialist Louise Wright Melanie Rushton www.shefamedicalpractice.co.uk A.Ahmed N.Basu J.Casson J.Heaton S.McLoughlin T.Morton-Jones S.Nainani A.Nquyen J.Wake A.Wilkinson D.Andrew H.Hughes E.Morrison N.Osborne M.Vallis Rebecca Paulson www.demontfortsurgery.co.uk Tracey Foster www.theansteysurgery.co.uk Page 23 of 43 GP Practice The Surgery @ Aylestone 672 Aylestone Road Leicester LE2 8PR 0116 367 0012 or 0844 815 1485 Doctors A.Masson R.Sahdev Fax: 0871 221 4223 The Banks Surgery 9 The Banks Sileby Nr Loughborough Leicester LE12 7RD 01509 812343 www.thesurgeryataylestone.co.uk JM.Fitchett K.Shahzad Fax: 01509 815992 Julie Kane/Clare Green www.thebankssurgery.co.uk 10 The Common Evington Leicester LE5 6EA 0116 273 7792 TS.Cheesman JA.Wood The Cottage Surgery 37 Main Street Woodhouse Eaves Leicestershire LE12 8RY 01509 890747 S.Clay C.Eddleston J.Fitchett Louise Wright No webpage Fax: 01509 898818 The County Practice The Health Centre Melton Road Syston Leicester LE7 2EQ 0116 295 0500 Nurse Specialist Carol Harding Julie Kane/Clare Green www.thecottagesurgery.co.uk S.Bhatt GG.Chidlow S.Corner RS.Hurwood TR.Jennings JL.Walwyn Julie Kane/Clare Green www.countypracticesyston.nhs.uk Fax: 0116 295 0525 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 Page 24 of 43 Carol Harding www.hedgesmedicalcentre.co.uk GP Practice The Jubilee Medical Practice Syston Health Centre Melton Road Syston Leicester LE7 2EQ 0116 295 0600 Fax: 0116 295 0626 The Maples Surgery 71 Evington Road Leicester LE2 1QH 0116 285 7111 The Practice Asquith 693 Welford Road Leicester LE2 6FQ 0116 323 2000 Doctors A.Bharkhada T.Blount P.Green N.Khoosal CA.Metcalfe LM.Malloy G.Purohit EM.Sellen KP.Newley Nurse Specialist Julie Kane/Clare Green www.jubileemedicalpractice.com Melanie Rushton CLOSED ON 31ST JANUARY 2016 www.themaplessurgery.co.uk B.Joseph Rebecca Paulson www.thepracticeplc.com/asquith Fax: 0116 2880308 The Surgery 612 Saffron Lane Leicester LE2 6TD 0116 291 1212 Victoria Park Health Centre 203 Victoria Park Road Leicester LE2 1XD 0116 215 1105 Fax: 0116 2151100 S.Bolarum C.Duncan G.Dosanjh D.Kerbel B.Kilty S.Patel A.Rastogi C.Sanders N.Sharan D.Shepherd S.Short J.Andrews L.Browne N.Fernando A.Garcea A.Hussain P.Khunti U.Mahalingappa U.Patel S.Raja J.Shah F.Vindhani Page 25 of 43 Carol Harding http://www.saffronsurgery.co.uk/ Rebecca Paulson www.victoriaparkhealthcentre.co.uk GP Practice Walnut Street Medical Centre 110 Walnut Street Leicester LE2 7LE 0116 285 5300 Doctors M.Harrison H.Minhas D.Panacer K.Singh http://walnutstreet.leicestermedicalgroup.co.uk/ Fax: 0116 285 5577 Westcotes Family Practice W1 2 Westcotes Drive Leicester LE3 0QR 0116 255 8588 S.Shafi Fax: 0116 247 1552 Westcotes GP Surgery W2 2 Westcotes Drive Leicester LE3 0QR 0116 254 7887 Nurse Specialist Rebecca Paulson Rebecca Paulson No webpage S.Shafi Rebecca Paulson No webpage Fax: 0116 254 7887 Westcotes Health Centre Main Surgery Fosse Road South Leicester LE3 0LP 0116 2953140 R.Hazeldine M.Taylor Fax: 0116 295 3137 Westcotes Medical Practice Fosse Road South Leicester LE3 0LP 0116 295 3180 Rebecca Paulson www.hazeldinetayloratwestcoteshc.co.uk S.D’Souza P.Kumaraswamy Rebecca Paulson Fax: 0116 240 4878 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 Page 26 of 43 Louise Wright www.willowbrookmedicalcentre.co.uk Palliative Care Nurses - North Charnwood Charnwood Mill CNS – Maxine Leeson Telephone 01509 410181 GP Practice Bridge Street Medical Practice 20 Bridge Street Loughborough LE11 1NQ 01509 263018 Doctors P.Cannon S.Eveson S.Jassal S.McGreal Referrals to be faxed to 01509 410273 Fax: 01509 211427 www.bsmp.co.uk Dishley Grange Medical Practice 5 Cross Street Hathern Loughborough LE12 5LB 01509 646326 H.Abbas L.Adlam KR.Akhtar N.Brockhurst J.Green NS.Saund S.Williams Fax: 01509 646098 Dishley Grange Medical Practice 32 Maxwell Drive Loughborough LE11 4RZ 01509 646550 Fax: 01509 646911 Forest Edge Medical Centre (Charnwood Medical Group) Old Ashby Road Loughborough LE11 0PQ 08445 769 811 or 01509 324115 option 3 Fax: 01509 260069 Forest House Surgery 25 Leicester Road Shepshed Loughborough LE12 9DF 01509 508412 Fax: 01509-502229 01509 410273 www.dishleygrangemedicalpractice.co.uk H.Abbas L.Adlam KR.Akhtar N.Brockhurst J.Green NS.Saund S.Williams B.Barfield P.Bowyer R.Dempsey P.Goffin C.Hale G.Hanlon L.Khalid G.Singh M.Wilde C.Williams KN.Badiani L.Chukuezi A.Rao J.Scott ARB.Skeoch KF.Southwell J.Watson Page 27 of 43 01509 410273 www.dishleygrangemedicalpractice.co.uk 01509 410273 www.charnwoodcommunitymedicalgroup.c o.uk 01509 410273 www.foresthousesurgeryshepshed.co.uk GP Practice LImehurst Avenue Surgery 7 Limehurst Avenue Loughborough LE11 1PR 01509 266727 Doctors R.Hirani Loughborough University Medical Centre Ashby Road Loughborough LE11 3TU 01509 222061\2 S.Cullis H.Gill Y.Hassan J. O’Hara A.Ruparella N.Vaghela Nurse Specialist 01509 410273 CLOSED 01509 410273 www.lborounimedicalcentre.co.uk Fax: 01509 223996 Outwoods Medical Centre (Charnwood Medical Group) 4 Beaumont Road Loughborough LE11 2JB 0844 576 9811 or 01509 324114 option 2 Fax: 01509 260058 Park View Surgery 24-28 Leicester Road Loughborough LE11 2AG 01509 230717 B.Barfield P.Bowyer R.Dempsey P.Goffin C.Hale G.Hanlon L.Khalid G.Singh M.Wilde C.Williams E.Clode-Baker J.Ford G.Mahony K.Neuberg L.Page 01509 410273 www.charnwoodcommunitymedicalgroup.c o.uk 01509 410273 www.parkviewsurgery.nhs.uk Fax: 01509 236891 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 Page 28 of 43 01509 410273 www.pinfoldmedicalpractice.co.uk GP Practice Rosebery Medical Centre (Charnwood Medical Group) Rosebery Street Loughborough Leicester LE11 5DX 08445 769 811 or 01509 324115 option 1 Fax: 01509 213002 Shepshed Health Centre 22 Field Street Shepshed Loughborough LE12 9AL 01509 601201 Doctors B.Barfield P.Bowyer R.Dempsey P.Goffin C.Hale G.Hanlon L.Khalid G.Singh M.Wilde C.Williams PS.Ghatora A.Khoktar Fax: 01509 651311 Woodbrook Medical Centre 28 Bridge Street Loughborough LE11 1NH 01509 239166 Fax: 01509 239649 Nurse Specialist 01509 410273 www.charnwoodcommunitymedicalgroup.c o.uk 01509 410273 No webpage 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. Page 29 of 43 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 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 Countesthorpe Health Centre Central Street Countesthorpe LE8 5QJ 0116 277 6336 Fax: 0116 278 0851 Hazelmere Medical Centre 58 Lutterworth Road Blaby Leicester LE8 4DN 0116 277 1666 Doctors S.Adcock V.Bolarum B.Cowling S.Harrison H.Miles R.Palin S.Levy T.Tobin C.Bird R.Browne N.Collins K.Fraser B.Gaillard M.Keerig S.Kumar S.Makda S.Pearce K.Pereira E.Rainbow S.Ring R.Bhalla J.Dover P.Furber O.Jan HJ.Watson Fax: 0116 277 2416 Kingsway Surgery 23 Kingsway Narborough Road South Leicester LE3 2JN 0116 289 5081 Nurse Specialist Jayne Decker\ Sarah Underwood www.bushloesurgery.co.uk Val Olivant www.countesthorpehealthcentre.co.uk Val Olivant www.hazelmeremc.co.uk JCK.Chan J.Gordon AM.Hollington SH.Lambert LE.Martin JFA.Moe Fax: 0116 2630195 Page 30 of 43 Generic www.kingswaysurgery.co.uk GP Practice Long Street Surgery Two Steeples Medical Centre Abington Close Station Road Wigston Leicester LE18 2EW 0116 288 3314 Doctors AR.Dayah V.Mannan Nurse Specialist Jayne Decker\ Sarah Underwood Fax: 0116 288 6711 http://longstreetsurgery.org.uk/ Moved from 24 Long Street, Wigston in September 2014 Narborough Health Centre (M) Thornton Drive Narborough Leicester LE19 2GX 0116 286 2386 V.Arora R.Kapur V.Sharma Val Olivant Fax: 0116 286 7009 193 Narborough Road (B) Leicester LE3 0PE 0116 291 5355 www.narboroughhealthcentre.co.uk Fax: 0116 286 7009 Northfield Medical Centre 12 Villers Court Blaby Leicester LE8 4NS 0116 319 2203 NAJ.Glover R.Habershon NW.Lawrence A.Sood Val Olivant www.northfieldmedicalpractice.co.uk Fax: 0116 264 2299 103 Rosemead Drive Oadby, Leicester LE2 5PP 0116 216 6997 SS.Chohan M.Joshi B.Patel Jayne Decker\ Sarah Underwood Fax: 0116 272 8899 33 Harborough Road Oadby Leicester, LE2 4LE 0116 216 6997 Fax: 0116 272 8899 www.rdhr.co.uk Page 31 of 43 GP Practice Severn Surgery 159 Uplands Road Oadby Leicester LE2 4NW 0116 271 9042\271 8551 Doctors J.Bartlett P.Cusack N.Gohil S.Shah M.Shanks K.Shikotra Nurse Specialist Jayne Decker\ Sarah Underwood www.severnsurgery.co.uk Fax: 0116 271 0990 South Wigston Health Centre 80 Blaby Road South Wigston Leicester LE18 4SE 0116 278 2028 Fax: 0116 277 1518 The Central Surgery Brooksby Drive Oadby Leicester LE2 5AA 0116 319 7909 N.Austin A.Delaney A.Ghouri CA.Gordon L.Griffiths-Brown JF.Shaw RM.Vickery A.Ward S.Anniss A.Cook V.Jameson I.Kuncewicz U.Montgomery L.Ryan Jayne Decker\ Sarah Underwood www.southwigstonhealthcentre.nhs.u k Jayne Decker\ Sarah Underwood Fax: 0116 271 4015 www.thecentralsurgeryoadby.co.uk The Croft Medical Centre 2 Glen Road Oadby Leicester LE2 4PE 0116 271 1740 Fax: 0116 272 9529 The Limes Medical Centre 65 Leicester Road Narborough Leicester LE19 2DU 0116 286 4421 P.Alizadeh MS.Anwar RT.Dalby S.Hardman S.Makda L.McCole J.Pringle N.Stanley VKR.Varakantam S.Maxted A.Moltu T.Rowley C.Ruddock S.Vincent E.Wiseman Jayne Decker\ Sarah Underwood www.thecroftmedicalcentre.co.uk Val Olivant www.limesmedicalcentre.co.uk Fax: 0116 284 7980 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 Page 32 of 43 Jayne Decker\ Sarah Underwood GP Practice Wigston Central Surgery Two Steeples Medical Centre 10 Abington Close Wigston Leicester LE18 2EW 0116 288 2566 Doctors R.Desor S.Ravat M.Shaffu Nurse Specialist Jayne Decker\ Sarah Underwood www.wigstoncentral.co.uk Fax: 0116 257 3314 FOR INFORMATION Oadby & Wigston Walk-in Centre 18 The Parade Oadby, Leicester LE2 5BJ 0116 271 1360 Page 33 of 43 Palliative Care Nurses Based at Market Harborough Hospital Fax: 01858 440897 Telephone: 01858 448310 GP Practice Billesdon Surgery (M1) 4 Market Place Billesdon LE7 9AJ 0116 2596206 Doctors M.Austin H.Burton S.Cooke J.Gray S.Rayner Nurse Specialist Janice Dilks Fax: 0116 259 6388 Bushby Branch Surgery (B1) Hill Court Main Street Bushby LE7 9NY 0116 241 4956 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 Fleckney Surgery (B2) 6A High Street Fleckney Leicester LE8 8AJ 0116 240 3139 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.doctorkilpatrickandpartners.co.uk Janice Dilks www.kibworthhealthcentre.co.uk/TheFle ckneyMedicalCentre.html N.Choudhury S.Freestone N.Ranu N.Stollery Page 34 of 43 Janice Dilks www.kibworthhealthcentre.co.uk/Great GlenSurgery GP Practice Husbands Bosworth Surgery (B3) Kilworth Road Husbands Bosworth LE17 6JZ 01858 880522 Fax: 01858 880111 Kibworth Health Centre (M2) Smeeton Road Kibworth Leicester LE8 0LG 0116 279 3308 Doctors 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 N.Choudhury S.Freestone M.Williams N.Stollery Nurse Specialist Janice Dilks www.husbandsbosworthsurgery.co.uk/ Janice Dilks www.kibworthhealthcentre.co.uk/Kibwo rthHealthCentre Fax: 0116 279 3320 Market Harborough Medical Centre (M3) 67 Coventry Road Market Harborough Leicestershire LE16 9BX 01858 464242 Fax: 01858 431871 The Masharani Practice Lutterworth Medical Centre Gilmorton Road Lutterworth LE17 4EB 01455 552346 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 C.Decker A.Gupta V.Masharani J.Taylor Fax: 01455 559653 Janice Dilks www.marketharboroughmedicalcentre.c o.uk Janice Dilks www.lutterworthhealthcentre.org. Page 35 of 43 GP Practice The Old School Surgery (M4) 2A Station Street Kibworth Leics. LE8 0LN 0116 2792422 The Wycliffe Medical Practice Gilmorton Road Lutterworth LE17 4EB 01455 553531 Fax: 01455 550083 Doctors RM.Hardman C.Hogrefe JRB.Kilpatrick M.Mistry SD.Montgomerie HK.Sangha TA.Spencer RJ.White J.Cowling G.Johnson C.Kendal S.Maity N.Rhodes B.Shapiro Nurse Specialist Janice Dilks www.doctorkilpatrickandpartners.co.uk 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 (M) = Main (B) = Branch Page 36 of 43 Janice Dilks www.doctorkilpatrickandpartners.co.uk Palliative Care Nurses Rutland/Oakham/Melton Fax 01664 855538 Telephone 01664 854818 (Clair Snape and Clare Ferguson) 01664 854931 (Alison Noble) GP Practice Empingham Medical Centre 37 Main Street Empingham Oakham LE15 8PR 01780 460202 Doctors M.Eaves A.Guthrie T.Jenkins SE.Selmes JF.Thorpe Nurse Specialist Clare Ferguson www.empinghammedicalcentre.co.uk Fax: 01780 460283 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 Long Clawson Medical Practice The Sands Long Clawson Melton Mowbray Leicestershire LE14 4PA 01664 822214 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 B.Dorling C.Griffiths P.Rathbone K.Rice S.Wooding Alison Noble/Clair Snape www.lhmp.co.uk www.lcmp.co.uk Fax: 01664 823486 Page 37 of 43 GP Practice Market Overton Surgery Thistleton Road Market Overton Rutland LE15 7PP 01572 490399 Doctors V.Cheeseman G.McCormack D.Rudman Nurse Specialist AlisonNoble/Clair Snape Fax: 01572 767008 Somerby Surgery Oakham Road Somerby Leics LE14 2QF 01572 490399 www.marketovertonandsomerbysurgerie s.co.uk Fax: 01664 454879 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 Page 38 of 43 Clare Ferguson www.uppinghamsurgery.nhs.uk THIS PAGE IS LEFT DELIBERATELY BLANK Page 39 of 43 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: DOB Male/Female First Name Marital status Address Ethnicity Religion Telephone Mobile Other barriers to communication Post Code First Language Would an interpreter be helpful Yes No Carer / Next of Kin General Practitioner District Nurse involved? Name Please circle Y Address N Unknown Telephone Team Name Other services Name Mobile Based at Relationship to patient Main Carer if different from above Telephone Name Address Telephone Continuing Health Care assessment completed Y N Consultant/s Name Telephone Mobile Relationship Primary DIAGNOSIS (please give brief history) Date of diagnosis: Secondary Cancer Prognosis, if known Days Is the patient aware of diagnosis Yes Does the patient discuss their illness freely MAC&LOROS REFERRAL FORM - July 2013 Weeks No Yes Months Is the patient aware of prognosis Yes No No 1 of 2 PATIENT NAME CURRENT TREATMENT / INTERVENTION Drug regime / any palliative treatments e.g. radiotherapy/chemotherapy etc. DRUG ALLERGIES/ADVERSE REACTION 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: BASE AND CONTACT DETAILS: Date of referral Page 41 of 43 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. Page 42 of 43 Additional contact details West Leicestershire Clinical Commissioning Group, 55 Woodgate, Loughborough, Leicestershire, LE11 2TZ. Tel: 01509 567700 Email: enquiries@westleicestershireccg.nhs.uk 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: Mary.bonomaully@leicspart.nhs.uk Page 43 of 43