CNS
LOROS/MACMILLAN
&
Macmillan Community
Matrons in Palliative
Care
Referrals By GP List
May 2013
amended November 2013
Index
2
Map of Area
Beaumont Leys
Coalville
Hinckley
LOROS
Loughborough
Based at Overton House, Blaby
Based at Market Harborough Hosp
Melton Mowbray and Rutland
3
4–7
8 - 10
11 - 12
13 - 22
23 – 25
26 - 28
29 - 30
31 - 32
New Referral Form
Amendment sheet for changes in GPs.
33 - 34
35
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 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 35
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 35
Palliative Care Nurses
Based at Beaumont Leys Health Centre
Fax: 0116 2958721
Telephone 0116 2958743 (Melanie Smith) /0116 2958737 (Val Olivant)
GP Practice
Beaumont Leys Health Centre
1 Littlewood Close
Leicester
LE4 0UZ
0116 235 0435
Beaumont Lodge Surgery
224 Astill Lodge Road
Leicester
LE4 1EA
0116 236 6333
The Practice
Belgrave Health Centre
52 Brandon Street
Leicester
LE4 6AW
0116 323 2010
Belgrave Health Centre
52 Brandon Street
Leicester
LE4 6AW
0116 295 5000
Broadhurst Street Surgery
10 Broadhurst Street
Leicester
LE4 6NF
0116 266 2662
Colwell Medical Centre
26 Colwell Road
Leicester
LE3 9AX
0116 262 1579
Community Health Centre
Melbourne Road
Leicester
LE2 0GU
0116 262 2946
East Park Road Medical Centre
41/43 Doncaster Road
Leicester
LE4 6JL
0844 477 3472
Doctors
G.Alagasen
L.Borrill
S.Radia
B.Soleimanpour
Nurse Specialist
Val Olivant
Ackerley
Wai Lum Chu
M.Brandrapalli
D.Virdee
Val Olivant
Locum
V. Roy (caretaker GP as of April
2013)
Melanie Smith
D.J.Gandecha
Melanie Smith
K.Mojaria
H.J. Mojaria
Melanie Smith
K.Taylor
Val Olivant
K.Haque
Z.Osama
I.Sheikh
M.Sheikh
M.Khatri
B.Din
Melanie Smith
R.Pandya
M.Mahboob
Melanie Smith
Page 4 of 35
GP Practice
East Leicester Medical Practice
131 Uppingham Road
Leicester
LE5 4BP
0116 295 8282
Doctors
S.Levene
K.Sahota
S.Longworth
R.Moriarty
A.Farooqi
Nurse Specialist
Melanie Smith
East Park Medical Centre
264/266 East Park Road
Leicester
LE5 5FD
08444 773470
R.Pandya
H.Morjaria
R.Khan
A.Reddy
M.Mahboob
S.Basra
Melanie Smith
Groby Road Medical Centre
9 Groby Road
Leicester
LE3 9ED
0844 815 1366
P.Danaher
H.Kay
L.Lucraft
I.Patchett
C.Rabbitt
N.Walker
L.Neville
A.Bukhari
Val Olivant
Heatherbrook Surgery
242 Astill Lodge Road
Leicester
LE4 1EF
0116 235 6324
Highfield Medical Centre
71/73 Melbourne Road
Leicester
LE2 0GU
0116 261 6234
P Archer
C Archer
Val Olivant
A.McKenzie
JKV.Patel
K.Ramaswamy
A.Sinha
J.Hawkins
Melanie Smith
S.Bapodra
Melanie Smith
S.Arolker
D.Jawahar
E.Mathew
P.John
S.Shah
HV Trivedi
HG Trivedi
Val Olivant
Belgrave Surgery
13 Loughborough Road
Leicester
LE4 5LJ
0116 266 3653
Manor Medical Centre
577 Melton Road
Thurmaston
Leicester
LE4 8EA
0116 269 6765
Page 5 of 35
GP Practice
47 Melbourne Road
Leicester
LE2 0GT
0116 255 9869
Highfield Medical Centre
24 Moira Street
Leicester
LE4 6LA
0844 4772487
Doctors
G.Patel
R.Kapur
Nurse Specialist
Melanie Smith
A.McKenzie
Melanie Smith
Oakmeadow Surgery
87 Tatlow Road
Glenfield
Leicester
LE3 8NF
0844 4773120
P.Jones
T.Sangal
R.Leach
A.Lamlilass
Val Olivant
The Parks Medical Centre
340 Aikman Avenue
Leicester
LE3 9PW
0116 287 1230
122 Parker Drive
LE4 0JF
Leicester
0116 235 3148
B.Hainsworth
H.Haq
Val Olivant
S.Arolker
D.Jawahar
P.John
E.Mathew
S.Shah
HV Trivedi
HG Trivedi
Val Olivant
5 Petworth Drive
Leicester
LE3 9RF
0116 255 0030
Rushey Mead Health Centre
8 Lockerbie Walk
Leicester
LE4 7ZX
0116 2610333
Sayeed Medical Centre,
East Park Road 352
Leicester
LE5 5AY
0116 323 2030
25 Severn Street
Leicester
LE2 0NN
0116 254 3253
Val Olivant
S.Saluja
P.Bagga
J.Fry
Melanie Smith
Y.Dalal
S.Siddiqui
H.Hussain
Melanie Smith
R Choudhary
VK Singh
S.Choudhary
Melanie Smith
Page 6 of 35
GP Practice
Silverdale Medical Centre
6 Silverdale Drive
Thurmaston
Leicester, LE4 8NG
0844 4992825
Al-Waqas Medical Practice
91 St Peters Road
Leicester
LE2 1DJ
0116 254 3003
The Surgery
122 Canon Street
Leicester
LE4 6NL
0116 266 1247
The Surgery
2 Baxters Close
Leicester
LE4 0QR
0116 235 3579
Thurmaston Medical Centre
573A Melton Road
Leicester
LE4 8BD
0116 26 08844
Willows Medical Centre
184 Coleman Road
Leicester
LE5 4LJ
0116 246 1311
Doctors
S.Mali
A.Riisnaes
Y.Shah
J.Broachwalla
Nurse Specialist
Val Olivant
K.Choudhary
Melanie Smith
B.Modi
Melanie Smith
G.Ackerley
V.Ashman
M.Bandrapalli
D.Virdee
Val Olivant
H.Minhas
D.Panacer
K.Singh
Val Olivant
N.Sharan
M.Maini
Melanie Smith
Page 7 of 35
Palliative Care Nurses
Coalville/North West Leicestershire
Fax: 01530 468579
Telephone 01530 468580 (Dianne Bonken and Helen Bruce)
GP Practice
Ashby Health Centre
North St
Ashby de la Zouch
LE65 1HU
01530 414131
Manor House Surgery
1 Mill Lane
Belton
Loughborough
LE12 9UJ
01530 222368
Broomleys Surgery
Broomleys Road
Coalville
LE67 4DE
01530 832095
Family Surgery
99 Belvoir Rd
Coalville
LE67 3PH
01530 833999
Hammond & Partners
Coalville Health Centre
Market St
Coalville
LE67 3DX
01530 835544
Hugglescote Surgery
151 Grange Road
Hugglescote
Coalville
LE67 2BS
01530 832109
Doctors
J.Addison
S.Cullis
T.Stokes
R.Thorne
P.Krishamurthy
H.Robbins
N.Sanganee
H.Tailor
E.Thompson
Nurse Specialist
Helen Bruce
Dianne Bonken
M.Aram
B.Heap
J.Jolleys
A.Abdulali
G.Hazlehurst
K.Oliver
R.Peters
S.Scrivens
Dianne Bonken
J Rawat
S.Rawat
Helen Bruce
Dianne Bonken
T.Hammond
R.Sil
J.Mao
T.Gauhar
H.Noble
S.Rawat
S.Malladi
Page 8 of 35
Helen Bruce
GP Practice
Long Lane Surgery
Beacon House
Long Lane
Coalville
LE67 4DR
0844 4773722
Doctors
P.Bowyer
R.Cooper
C.Furlong
T.Hammond
N.Mayes
N.Pulman
J.Mao
N.Rushman
R.Sil
C Williams
Nurse Specialist
Helen Bruce
Markfield Medical Centre
24 Chitterman Way
Markfield
Leicester
LE67 9WU
01530 242313
C Bird
H.Fernandez
C.Hewitt
H.Heaton
R.Norgain
C.Ighofose
C.Trzcinski
Dianne Bonken
Measham Medical Unit
High St
Measham
Swadlincote
DE12 7JB
01530 270667
C.Ashton
T.Charles
E.Corbett
N.Gravestock
K.Moore
P.Randev
V.Ravji
C.Swaebe
D.Turfrey
N.Waymont
E.Morrison
Helen Bruce
The Surgery
53 Borough Street
Castle Donington
Derby
DE74 2LB
0844 4773092
H.Godridge
M.Horner
M.McGhee
C.McGrath
J.Ward Campbell
C.Wolstenholme
J.Young
Dianne Bonken
The Surgery
30 North St
Ashby de la Zouch
LE65 1HU
01530 417415
Helen Bruce
S.Shepard
Page 9 of 35
GP Practice
Whitwick Health Centre
67 North St
Whitwick
LE67 5HA
01530 839629
Whitwick Health Centre
67 North St
Whitwick
LE67 5HA
01530 838866
Whitwick Rd Surgery
Whitwick Rd
Coalville
LE67 3FA
01530 836507
Doctors
A Lewis
R Patel
Nurse Specialist
Helen Bruce
E.Hepplewhite
S.Virmani
Helen Bruce
N.Chawda
R.Lawrence
M.Searancke
R.Verma
Dianne Bonken
Page 10 of 35
Palliative Care Nurses
HINCKLEY
Fax 01455 441075
Telephone 01455 441907 (Mandy Mitchell and Caroline Coslett)
GP Practice
Castle Mead Medical Centre
33 Hill Street
Hinckley
Leicester
LE10 1DS
01455 637659
Doctors
P.Alizadeh
R.Dockrell
R.Glastonbury
J.Patterson
D.Tull
N.Willmott
Nurse Specialist
Mandy Mitchell
Enderby Medical Centre
Shortridge Lane
Enderby
Leicester
LE19 4LY
0116 2866088
H.Bhutani
N.Lee
Caroline Coslett
Glenfield Surgery
111 Station Road
Glenfield
Leicester
LE3 8GS
0116 2333600
N.Chotai
J.Cooper
M.Salt
P.Sandhu
J.Trayner
Caroline Coslett
Heath Lane Surgery
Earl Shilton
Leicester
LE9 7PB
01455 844431
M.Cleaver
G.Jenkins
R.Lawrence
C.Moncrieff
S.Morgan
V.Patel
W.Priestman
R. Karthikeyan
Mandy Mitchell
Kingsway Surgery
23 Kingsway
Narborough Road South
Leicester
LE3 2JN
0116 2895081
Maples Family Medical Centre
Hill Street
Hinckley
Leicester
LE10 1DS
01455 234576
J.Chan
J.Gordon
A.Hollington
S.Lambert
L.Martin
J.Moe
L.Alun-Jones
I.Cracknell
J.Harrison
A.Kothari
J.O’Hara
G.Shanbhag
A.Sood
C.Wood
Caroline Coslett
Page 11 of 35
Mandy Mitchell
GP Practice
Station View Health Centre
Southfield Road
Hinckley
Leicester
LE10 1UA
01455 635362
The Burbage Surgery
Tilton Road
Burbage
Leicester
LE10 2SE
08444 771883
The Centre Surgery
Hinckley Health Centre
Hill Street
Hinckley
Leicester
LE10 1DS
01455 632277
The Old School Surgery
Hinckley Road
Stoney Stanton
Leicester
LE9 4LJ
01455 271442
The Orchard Medical Practice
Orchard Road
Broughton Astley
Leicester
LE9 6RG
01455 282599
Doctors
L.Spencer
L.Havard
H.Howes
S.Johnson
A.Parkinson
R.Reid
V.Rowe
R.Warner
D.Jones
P.Thomason
W Turner
R Turner
S.Vincen
S.Rajan
A.Dale
N.Rhodes
P.Solanki
Nurse Specialist
Mandy Mitchell
Caroline Coslett
Mandy Mitchell
K.Rothwell
J.Scott
D.Webb
S.Kitchin
Caroline Coslett
A.Beckley
K.Brunt
S.Chan
A.Khalid
A.Major
A.Jefferies
L.Marshall
A.Morris
A.Durrani
Caroline Coslett
Page 12 of 35
Palliative Care Nurses
LOROS
Fax: 0116 2321012
Telephone: 0116 2318402
GP Practice
Alpine House Surgery
86 Rothley Road
Mountsorrel
Loughborough
Leicester
LE12 7JU
0116 2303062
Al Razi Medical Centre
Evington Lane
Leicester
LE5 5PQ
0116 2490000
Asylum Seekers
1A Clyde St
Leicester
LE1 2BG
0116 2952400
Aylestone Surgery
705 Aylestone Road
Leicester
LE2 8TG
08448 151485
705 Aylestone Road
Leicester
LE2 8TG
0116 2837825
Barwell and Hollycroft
Medical Centre
Jersey Way
Barwell
Leicester
LE9 8HR
08444 773917
Birstall Medical Centre
4 Whiles Lane
Birstall
Leicester
LE4 4EE
0844 8151434
Doctors
J.Ellison
D.Hall
I.Scofield
L.Donever
Nurse Specialist
Julie Kane/Clare Green
A.Vania
Kirsty Wright
F.Gaibi
Louise Wright
R.Sahdev
F.Kidy
A.Masson
Carol Harding
Minhas
Singh
Carol Harding
K. Bridges
M.R.Findlay
M.Findlay
A.Sivananda
J.Jackson
N.Scarborough
N.Kruczenyk
H.Rana
H.Miles
F.Ghumra
H.Robbins
Wendy Fojut/Sally Newman
B Joseph
S. Ravadera
K Shergill
S.Kereham
A.Banerjee
Julie Kane/Clare Green
Page 13 of 35
GP Practice
2 Border Drive
Leicester
LE4 2PF
08448151434/0116 3196141
Doctors
B Joseph
Nurse Specialist
Julie Kane/Clare Green
Hockley Farm Medical Centre
Braunstone Health Centre and
Social care
39 Hockley Farm Road
Leicester
LE3 1HN
0116 2226100
V.Arora
Prof.K.Khunti
M.Gheewala
A.Nana
S.Arthur
S.Seidu
S.Khan
Tracey Foster
5 Briton Street
Leicester
LE3 0AA
0116 2337744
Merlyn Vaz Health and Social
Care Centre
Charnwood Practice
1 Spinney Hill Road
Leicester
LE5 3GH
0116 2943100
Charnwood Surgery
39 Linkfield Road
Mountsorrel
Leicestershire
LE12 7DJ
0116 2375089
Medical Centre
296 Clarendon Park Road
Leicester
LE2 3AG
08444 773180
Desford Medical Centre
54 Main Street
Desford
Leicester
LE9 9GR
01455 828947
S.Shafi
Rebecca Paulson
D.Moore-Elphick
J.Grera
J.Hawkins
A.Mawby
S.Akram
P.Patel
Kirsty Wright
R.Hirani
H.Bhogadia
Julie Kane/Clare Green
B.Chauhan
A.Prasad
S.Ashraf
A.Banerjee
Kirsty Wright
M.Maini
B.Lees
Rebecca Paulson
Page 14 of 35
GP Practice
Spinney Hill Medical Centre
132 Doncaster Road
Leicester
LE2 9BU
08444 773278
Doctors
A.Amin
A.Mistry
H.Mistry
P.Pancholi
S.Patel
S.Sian
A.Joshi
R.Amin
A.Raj
Nurse Specialist
Kirsty Wright
155 Downing Drive
Evington
Leicester
LE5 6LP
0116 2413801
K.Ball
A.Bentley
E.Siddons
A.Boughellam
B.Coyle
R.Verma
Louise Wright
Forest House Medical Centre
2a Park Drive
LFE
Leicester
LE3 3FN
0116 2898111
Ahyow
K.Kant
S.Kinnell
M.Mead
N.Ranpura
M.Woolford
A.Milton
Tracey Foster
Fosse Medical Centre
344 Fosse Road North
Leicester
LE3 5RR
0116 2538988
16 Fosse Road South
Leicester
LE3 0QD
0116 2857329
Freemans Common Health
Centre
161 Welford Road
Leicester
0116 2554776
H.Mukadam
G.K.Sharma
N.K.Sharma
Rebecca Paulson
U.Roy
Rebecca Paulson
L.Browne
P.Davies
A.Jethwa
P.Khunti
A.Garcea
J.Andrews
S.Raja
A.Malhotra
U.Mahalingappa
A.Hussain
Rebecca Paulson
Page 15 of 35
GP Practice
Greengate Medical Centre
1 Greengate Lane
Birstall
Leicester
LE4 3JF
0116 2677901
Doctors
R.Ackerley
S.Ford
B.Goddard
A.Greer
M.Patel
L.Meakin
Nurse Specialist
Julie Kane/Clare Green
2-6 Halsbury Street
Leicester
LE2 1QA
08444773587
Health Centre
27 High Street
Barrow upon Soar
Loughborough
Leicester
LE12 8PY
08444 770922
Health Centre (GS)
Pasley Road
Eyres Monsell
Leicester
LE2 9BU
08444 773414
Health Centre (TK)
Pasley Road
Eyres Monsell
Leicester
LE2 9BU
0116 2958430
Ibstock House Surgery
132 High Street
Ibstock
LE67 6JP
01530 263467
R.Thakor
H.Nandha
Kirsty Wright
D.Dayah
S.Duffy
S.Parker
N.Simpson
A.Jivanji
Joanna Grainger
S.Saluji
G.Singh
J.Vaghani
Carol Harding
T.Khong
I.Sheikh
K.Hoque
Carol Harding
F.Houghton
S.Johi
C.Luke
A.Peden
M.Stack
O.Jan
D.Wallis
Wendy Fojut/Sally Newman
M.Lakhani
T.Eynon
Julie Kane/Clare Green
Barlestone Surgery
01455 299920
Highgate Surgery
5 Storer Close
Sileby
Loughborough
Leics
LE12 7UD
01509 816364
Page 16 of 35
GP Practice
Hilltop Surgery
Maidenwell Avenue
Hamilton
Leicester
LE5 1BJ
0116 2769555
Homeless Project (Branch
address)
Dawn Centre
Conduit Street
Leicester
LE2 0JN
0116 2212780
Doctors
K.Waraich
A.Durant
P.Wadhwa
K.Pabbaraju
Nurse Specialist
Louise Wright
E.Dibdin
N. Hiley
Louise Wright
Main Address:
Inclusion Healthcare
Charlesberry House
45 East Bond St
Leicester
LE1 4SX
0116 2212780
Humberstone Medical Centre
Wycombe Road
Leicester
LE5 0PR
0116 2766605
0116 2765927
E.Dibdin
N.Hiley
Louise Wright
I.Jones
D.Salkin
T.Sperry
R.Than
A.Tincello
J.Kotecha
P.Alizadeh
Louise Wright
Bolt
Grundy
Reuben
Tracey Foster
C.Kumar
H.Nandha
R.Thakor
Kirsty Wright
B.Shah
Joanna Grainger
Hunters Lodge
Warren Lane
LFE
Leicester
0116 2392966
Loughborough Medical centre
32 Loughborough Rd
Leicester
LE4 5LD
0116 2682727
Mahavir Medical Centre
10 Chesnut Way
East Goscote
Leicester
LE7 3QQ
0845 045 0381
Page 17 of 35
GP Practice
56 Melbourne Street
Leicester
LE2 0AS
08445769442
Doctors
A.Durant
P.Wadhwa
K.Pabaraju
M.Ayubu
Nurse Specialist
Louise Wright
Merridale Medical Centre
5 Fullhurst Ave
Leicester
LE3 1BL
08444 778891
N.Mangwani
D.Cefai
R.Clarke
T.Atwal
R.Tew
Rebecca Paulson
Newbold Verdon
Medical Practice
St Georges Close
Newbold Verdon
Leicester
LE9 9PZ
01455 822171
P.Davenport
C.King
U.Ngwu
K.Pereira
I.Rees
K.Spaul
Wendy Fojut/Sally Newman
Queens Road Medical Centre
220 Queens Road
Leicester
LE2 3FT
0116 2702233
Queens Road Surgery
282 Queens Road
Leicester
LE2 3FL
0116 2957827
0116 2707067
Quorn Medical Centre
1 Station Road
Quorn, Leics
LE12 8PB
01509 412232
J.Lenten
Kirsty Wright
S.Mansingh
V.Mehra
S.Dey
Kirsty Wright
C.Barlow
M.Cluley
M.Frost
B.Patel
G.Hardy
K.Langford
Julie Kane/Clare Green
P.Parwaiz
Tracey Foster
S.Gajebasia
Tracey Foster
Ratby Surgery
122 Station Road
Ratby
Leicester
LE6 0JP
0116 2394960
26 Rookery Lane
Groby
Leicester
0116 2313331/2875141
Page 18 of 35
GP Practice
Saffron Group Practice
509 Saffron Lane
Leicester
LE2 6UL
0116 2440888
Doctors
S.Short
C.Duncan
A.Hastings
E.McSweeney
DKerbel
B.Kilty
A.Rastogi
D.Shepherd
A.Wilson
Nurse Specialist
Carol Harding
Spinney Hill M/C
143 St Saviours Rd
Leicester
LE5 3HX
08444 773284
R.Amin
A.Raj
Mistry H
P.Pancholi
S.Patel
S.Sian
A.Joshi
Kirsty Wright
Willowbrook Health Centre
Springfield Road
Leicester
LE5 2NL
0116 2256770
J.Astles
S.Borley
N.Joshi
R.Prasad
S.Jonnalagadda
R.Akhtar
Z.Adam
Louise Wright
SSAFA Care
Merlyn Vaz Health and Social
Care Centre
Spinney Hill Road
Leicester
LE5 UK
0116 2429450
St Elizabeth Centre
Austin Rise Surgery
Netherhall
Leicester
LE5 1HJ
0116 2416392
St Matthews Medical Centre
Malabar Road
Leicester
LE1 2NZ
0116 2954700
0116 2954706
D.Uprichard
N.Uhegwu
H.Bangalore
L.Ojechi
Kirsty Wright
T.Cheesman
J.Wood
Louise Wright
G.Leather
A.Lennox
Kirsty Wright
Page 19 of 35
GP Practice
St Peters Health Centre
Sparkenhoe Street
Leicester
LE2 0TA
0116 2957827
St Peters Health Centre
Sparkenhoe Street
Leicester
LE2 0TA
0116 2957835
Student Health Centre
Fletcher Quadrangle
De Montfort University
The Gateway
Leicester
0116 2553388
The Banks Surgery
9 The Banks
Sileby
Nr Loughborough
Leicester
LE12 7RD
01509 812343
The Common 10
Evington
Leicester
LE5 6EA
0116 2737792
The Cottage Surgery
37 Main Street
Woodhouse Eves
Leicestershire
LE12 8RY
01509 890747
The County Practice
The Health Centre
Melton Road
Syston
Leicester
LE7 2EQ
0116 2950500
Doctors
S.Mansingh
V.Mehra
Nurse Specialist
Kirsty Wright
F.Docrat
M.Khatri
R.Akhtar
Kirsty Wright
A.Nquyen
I.Cross
F.Duggan
A.Basu
J.Casson
J.Heaton
S.McLoughlin
J.Wake
Rebecca Paulson
W.Chu
J.Fitchett
Julie Kane/Clare Green
T.Cheesman
J.Wood
Louise Wright
S.Clay
C.Eddleston
J.Fitchett
Julie Kane/Clare Green
G. Chidlow
R. Hurwood
T. Jennings
L. Twigg
S.Corner
Joanna Grainger
Page 20 of 35
GP Practice
The Jubilee Medical Practice
Syston Health Centre
Melton Road
Syston
Leicester
LE7 2EQ
0116 2950600
Doctors
A.Cansdale
G.Purohit
J. Inman
C Metcalf
L.Malloy
E. Sellen
L.Page
Nurse Specialist
Joanna Grainger
The Hedges Medical Centre
Pasley Rd
Eyres Monsell
Leicester
LE2 9BU 0116 2251277
S.Bailey
A.Bayford
S.Batchelor
E.Ritchie
G.Wells
N.Henwood
Carol Harding
The Maples
71 Evington Road
Leicester
LE2 1QH
08444 773222
The Nook Surgery
21A The Nook
Anstey
Leicester
LE7 7AZ
0116 2362531
The Surgery
Back Lane
Market Bosworth
Nuneaton
Warks
CV13 0LD
01455 90200
The Surgery
612 Saffron Lane
Leicester
LE2 6TD
0845 450391
Walnut Street Surgery
110 Walnut Street
Leicester
LE2 7LE
0116 285 5300
K. Newley
Kirsty Wright
D.Andrew
E.Morrison
H.Hughes
N.Osborne
Tracey Foster
P.Davenport
C.King
U.Ngwu
K.Pereira
I.Rees
K.Spaul
Wendy Fojut/Sally Newman
Carol Harding
S.Patel
B.Shikotra
N.Thomas
Rebecca Paulson
H.Minhas
D.Panacer
K.Singh
Page 21 of 35
GP Practice
The Practice Asquith
Welford Road
693 Asquith Boulevard
0116 2884450
Doctors
R.Bahl
R.Sharma Bahl
U.Montgomery
Nurse Specialist
Carol Harding
Westcotes GP Surgery W2
2 Westcotes Drive
Leicester
LE3 0QR
0116 2547887
Westcotes Family Practice
2 Westcotes Drive
Leicester
LE3 0QR
0116 2558588
Westcotes Health Centre
Main Surgery
Fosse Road South
Leicester LE3 0LP
0116 2953140
Westcotes Health Centre
Fosse Road South
Leicester LE3 0LP
0116 2953180
Barlestone Surgery
Barlestone
Nuneaton
CV13 0EN
01455 299920
S.Shafi
Rebecca Paulson
D.Jugessur
Rebecca Paulson
R.Hazeldine
Rebecca Paulson
G.K.Sharma
Rebecca Paulson
D.Walli
F.Houghton
S.Johri
C.Luke
A.Peden
M.Stack
O.Jan
Wendy Fojut/Sally Newman
J.Astles
S.Borley
N.Joshi
R.Prasad
C.Ellis
R.Akhtar
Z.Adam
S.Jonnaladda
Louise Wright
Ibstock House Surgery
01530 263467
Willowbrook Medical Centre
195 Thurncourt Road
Thurnby Lodge
Leicester
LE5 2NL
0116 2432727
Page 22 of 35
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
N.Brockhurst
S.Gopal
G.Singh
D.Gangaprasad
Referrals to be faxed to
01509 410273
Dishley Grange Medical
Practice
5 Cross Street
Hathern
Loughborough
LE12 5LB
01509 646326
R.Aktar
N.Saund
S.Williams
E.Hall
S.Gupta
01509 410273
Forest Edge Medical Centre
Old Ashby Road
Loughborough
LE11 0PQ
08445769811
T.Hall
B.Barfield
P.Goffin
C.Hale
G.Hanlon
L.Khalid
M.Wilde
01509 410273
Forest House Surgery
25 Leicester Road
Shepshed
Loughborough
LE12 9DF
01509 508412
LImehurst Avenue Surgery
7 Limehurst Avenue
Loughborough
LE11 1PR
01509 266727
K.Badiani
A.Skeoch
K.Southwell
D.Watson
A.Rao
01509 410273
R.Hirani
01509 410273
Loughborough University
Medical Centre
Loughborough
Leicester
LE11 3TU
01509 222061
A.Bhojani
H.Gill
N.Vaghela
S.Cullis
Y.Hassan
N.Ranpura
E.Terrell
01509 410273
Page 23 of 35
GP Practice
Dishley Grange Surgery
32 Maxwell Drive
Loughborough
LE11 4RZ
01509 646550
Doctors
N.Saund
E Hall
S.Gupta
S.Williams
K.Rashed-Akhtar
Nurse Specialist
01509 410273
Outwoods Medical Centre
4 Beaumont Road
Loughborough
LE11 2JB
08445769811
R.Agarwal
H.Cox
P.Goffin
C.Hale
G.Hanlon
L.Khalid
H.Lambert
K.Powell
M.Wilde
01509 410273
Park View Surgery
24-28 Leicester Road
Loughborough
LE11 2AG
01509 230717
Pinfold Medical Practice
Pinfold Gate
Loughborough
Leicester
LE11 1DQ
08444771881
W.Aust
E.Clode-Baker
J.Ford
K.Neuberg
01509 410273
J.Brockhurst
J.Brunskill
M.Euden
F.Fuad
S.Wong
D.Jewson
R.Price
S.Scott
E.Roberts
01509 410273
Shepshed Health Centre
22 Field Street
Shepshed
Loughborough
LE12 9AL
01509 601201
Rosebery Medical Practice
Rosebery Street
Loughborough
Leicester
LE11 5DX
08445769811
P.Ghatora
01509 410273
R.Agarwal
H.Cox
P.Goffin
C.Hale
G.Hanlon
L.Khalid
H.Lambert
K.Powell
M.Wilde
01509 410273
Page 24 of 35
GP Practice
Woodbrook Medical Centre
28 Bridge Street
Loughborough
LE11 1NH
01509 239166
Doctors
M.Ghaly
M.Kok Shun
A.Newton
D.Ryan
A.Taylor
B.Noble
Nurse Specialist
01509 410273
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 25 of 35
Palliative Care Nurses
Fax: 0116 2642699
Based at Overton House, Blaby
Telephone 0116 2642678 (Mandy Bowpitt)/0116 2642679 (Jayne Decker)
GP Practice
Bushloe End Surgery
48 Bushloe End
Wigston Magna
Leicester
LE18 2BA
08448151425
Doctors
P.Bagga
V.Bolarum
S.Adcock
R.Palin
B.Shapiro
T.Tobin
S.Levy
Nurse Specialist
Jayne Decker
Countesthorpe Health Centre
Central Street
Countesthorpe
LE8 5QJ
0116 2776336
G.Aram
R.Browne
N.Collins
B.Gaillard
M.Keerig
S.Pearce
S.Ring
S.Akram
S.Tejani
C.Bird
L.Griffiths-Brown
Mandy Bowpitt
Hazlemere Medical Centre
58 Lutterworth Road
Blaby, Leicester
LE8 4DN
0116 2771666
J.Dover
O.Jan
M.Roshan
H.Watson
D.Dosanjh
Mandy Bowpitt
Wigston Central Surgery
48 Leicester Road
Wigston
Leicester
LE18 1DR
0116 2882566
24 Long Street
Wigston
Leicester
LE18 2AH
0116 2883314
K. Baker
R.Desor
B.Griffin
S.Ravat
Jayne Decker
Jayne Decker
A.Dayah
V.Mannan
Page 26 of 35
GP Practice
Narborough Health Centre
Thornton Drive
Narborough
Leicester
LE9 5GX
08450450561
Northfield Medical Centre
12 Villers Court
Blaby
Leicester
LE8 4NS
08444 773507
103 Rosemead Drive
Oadby
Leicester
LE2 5PP
0844 4992858
Severn Surgery
159 Uplands Road
Oadby
Leicester
LE2 4NW
0116 2719042
South Wigston Health Centre
80 Blaby Road
South Wigston
Leicester
LE18 4SE
0116 2782028
152 Station Road
Wigston
Leicester
LE18 2DL
0116 2813722
The Central Surgery
Brooksby Drive
Oadby
Leicester
LE2 5AA
0844 4996973
Doctors
R.Kapur
P.Goyal
Nurse Specialist
Mandy Bowpitt
H.Bharkhada
G.Boora
N.Glover
H.Kundu
R.Wright
D.Jones
N.Lawrence
Mandy Bowpitt
S.Chohan
S.Husain
Jayne Decker
P.Cusack
S.London
M.Shanks
S.Shah
J.Bartlett
Jayne Decker
M.Drucquer
R.Vickery
J.Shaw
A.Sharp
C.Gordon
A.Ward
Mandy Bowpitt
Jayne Decker
B.Shaffu
A.Cook
L.Ryan
S.Anniss
V.James
M.Davies
S.Hadley
I.Kuncewicz
E.Hayward
Page 27 of 35
Jayne Decker
GP Practice
The Croft Medical Centre
2 Glen Road
Oadby
Leicester
LE2 4PE
0116 2711740
Doctors
S.Anwar
N.Dadge
T.Blount
R.Dalby
S.Hardman
L.McCole
V.Varakantam
Nurse Specialist
Jayne Decker
The Limes Medical Centre
65 Leicester Road
Narborough
Leicester
LE19 2DU
0116 2864421
R. Bennetts
S.Maxted
A.Moltu
G.Prowse
H.Rowley
C.Ruddock
M.Rowe
Mandy Bowpitt
Page 28 of 35
Palliative Care Nurses Based at
Market Harborough Hospital
Fax: 01858 440897
Telephone: 01858 448310
GP Practice
Great Glen Surgery
24a Main Street
Great Glen
Leicester
LE8 0GG
0116 2592353
Fleckney Surgery
64a High Street
Fleckney
Leicester
LE8 0AJ
0116 2403139
Husband Bosworth Surgery
Kilworth Road
Husband Bosworth
LE17 6JZ
01858 880522
Kibworth Health Centre
Smeeton Road
Kibworth
Leicester
LE8 0LG
0116 2793308
Main Street Surgery
Hill Court
Main Street
Bushby
LE7 9PL
0116 2414956
Market Harborough Medical
Centre
67 Coventry Road
Market Harborough
Leicester
LE16 9BX
01858 464242
Doctors
S.Freestone
M.Williams
N.Ranu
N.Choudhury
N.Stollery
Nurse Specialist
Janice Dilks/
Sue Adams
S.Freestone
M.Williams
N.Ranu
N.Choudhury
N.Stollery
Janice Dilks
H.Delargy
J.Crowley
H.Mistry
C.Cavanagh
Janice Dilks
N.Choudhury
S.Freestone
M.Williams
N.Stollery
N.Ranu
Janice Dilks
M.Austin
S.Cooke
S.Rayner
K.Shikotra
J.Gray
Sue Adams
J.Crowley
H.Delargy
H.Mistry
R.Tosar
M.Yates
F.Bishop
T.Blake
P.Healey
Janice Dilks
Billesdon Surgery
4 Market Place
Billesdon
LE7 9AJ
0116 2596206
S.Rayner
M.Austin
S.Cooke
H.Burton
Sue Adams
Page 29 of 35
GP Practice
Empingham Health Centre
37 Main Street
Empingham
Oakham
LE15 8PR
01780 460202
Masharani Practice
Lutterworth Health Centre
Gilmorton Road
Lutterworth
LE17 7EB
01455 552346
The Old School Surgery
(Satelite at Fleckney)
2A Station Street
Kibworth
Leics. LE8 0LN
0116 2792422
Doctors
M.Eaves
A.Guthrie
S.Selmes
J.Thorpe
Nurse Specialist
Sue Adams
Janice Dilks
V.Masharni
J.Macedo
J.Taylor
R. White
C.Hogreth
J.Kilpatrick
R.Hardman
S.Montgomerie
T.Spencer
M.Mistry
Janice Dilks
The Wycliffe Medical Practice
Lutterworth Medical Centre
Gilmorton Road
Lutterworth
LE17 4EB
01455 553531
S.Maity
J.Cowling
J.Greaves
G.Johnson
L.Kirk
C.Kendal
Janice Dilks
Two Shires Medical Centre
Torch Way
Market Harborough
LE16 9HL
01858 434523
Uppingham Health Centre
2 London Road
Uppingham
Rutland
LE15 9TJ
01572 823531
S.Montgomerie
T.Spencer
C.Hogrefe
H.Sanga
Janice Dilks
H.Fox
J.Jones
C.McElroy
D.Pickering
E.Price
V.Mistry
Sue Adams
Page 30 of 35
Palliative Care Nurses
Rutland/Oakham/Melton
Fax 01664 855538
Telephone 01664 854818
GP Practice
54 High Street
Somerby
Melton Mowbray
Leicester
LE14 2PZ
0844 8151470
Latham House
Sage Cross Street
Melton Mowbray
Leicester
LE13 1NX
01664 503000
Long Clawson Surgery
The Sands
Long Clawson
Melton Mowbray
Leicester
LE14 4PA
01664 822214
Doctors
J.Fenby-Taylor
B.Dorling
Nurse Specialist
Clair Snape/Alison Noble
D.Bennison
K.Berry
J.Harris
J.Harvey
M.Jones
G.Hirani
S.Hirani
B.Kirkup
E.Loughridge
S.Paliath
B.Miri
F.Dhanji
H.Pearce-Smith
M Riley
F Wong
G.Dabali
P.Atkinson
T.Wyatt
Clair Snape/Alison Noble
G.Hooper
P.Rathbone
S.Wooding
K.Rice
B.Dorling
Alison Noble
Page 31 of 35
GP Practice
Market Overton Surgery
Thistleton Road
Market Overton
Rutland
LE15 7PP
0844 8151470
Somerby Surgery
Oakham Road
Somerby
Leics
LE14 2QF
0844 8141470
Oakham Medical Centre
Cold Overton Road
Oakham
Rutland
LE15 6NT
01572 722621
Doctors
J.Fenby-Taylor
D.Ker
B.Dorling
Nurse Specialist
AlisonNoble/Clair Snape
K.Bailey
G.Ansah
S.Cheverton
D.Cowie
A.Davison
T.Gray
N.Hansford
D.Ker
G.McCormack
S.Martin
L.Pearson
S.Gupta
H.Sadler
A.Betts
Clair Snape
Page 32 of 35
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
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
General Practitioner
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 LCP 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 34 of 35
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 35 of 35