West Leicestershire CCG Members Magazine Winter 2015

Members’ Magazine | Winter 2015www.wlmembership.org

The hustle and bustle around the health bus at Loughborough

52179 BHBH West-Feb 2015.indd 1 23/02/2015 15:40

2 Winter 2015, Issue 10: be healthy be heard

Dear members,With the weather varying from mild to wild and wintry, we sent our NHS ‘health bus’ across West Leicestershire to help as many people as we could to improve their winter wellbeing.

Contactus:If you have a practical tip, health suggestion or an interesting story, please send it for inclusion in the next issue using the contact details below. We are also looking for cover stars – send us your picture and health story if you would like to appear on our coverEmail: [email protected]

Post: Please send all correspondence to:

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

Telephone: 0300 555 5345

Please note that the membership helpline is open between 9am and 5pm, Monday to Friday.

Published by: GEM CSU, St John’s House, 30 East Street, Leicester, LE1 6NB


We call this campaign New Start, New You (see opposite) and I was delighted to see the bus ‘crew’ in action, sharing health tips and advice with local people. In this edition we take a closer look at the Better Care Together partnership’s wide-ranging five-year plan to change the local health and social care system, so it can better cope with growing demand (see page 6) and deliver more of the care people need in their own communities and homes. Home care features alongside that same article as we explain some of the emerging services available out of hospital, as well as those aimed at helping patients avoid hospital. A touching case study shows us an actual example of this type of home care in action (page 7). I found it especially moving.

Community healthcare features also in our ongoing review of Hinckley’s services, and how we are working with the public, local patients and frontline NHS staff towards a vision of a possible future (see pages 8 and 9).

As West Leicestershire CCG chair, my goals for the future are improving access to care, its quality and safety, as well as greater choice for patients. On a larger scale, I want to see an effective and successful

reshaping of our health and social care system through Better Care Together. This will mean stronger out-of-hospital care, particularly for patients with long-term conditions and frail older people.

CCGs like ours are already set to work more closely with NHS England in commissioning GP services. Future developments also mean preparing the groundwork for new models of care, which break down many of the traditional boundaries between separate care professions and organisations.

I look forward to this new era of closer working to give patients the most appropriate multi-skilled care possible, in a system which is fully interconnected so it works more effectively in the interests of patients.

Professor Mayur Lakhani Chair - West Leicestershire Clinical Commissioning Group


Winter 2015, Issue 10: be healthy be heard 3

As part of a our New Start, New You campaign, our CCG travelled across West Leicestershire with the bus offering health information and giveaways. It was all targeted at helping them to stop smoking, drink less alcohol, lose weight and eat better, as well as staying positive and dealing with managing long-term conditions. Many visitors to the bus had a free mini health check including blood pressure, body mass index and more. Experts offered advice on many aspects of staying fit and well, as well as how to ‘Choose Better’ and get the right treatment, in the right place at the right time.

Professor Mayur Lakhani, a GP and chairman of our CCG, said: “January is traditionally the time to look at making a new start, whether it is a specific goal such as losing weight or stopping smoking or just trying to live a healthier lifestyle, but it can be hard to know exactly where to start.

“We encouraged people to come and visit our New Start, New You health bus when it arrived in their area. We worked with our partners, including district councils, Healthwatch Leicestershire, Voluntary Action

LeicesterShire and Leicestershire County Council in order to provide advice, support and helpful information on how to improve your health, feel good and keep positive. We were also supported by Patient Participation Groups from across West Leicestershire who gave up their time to help out on the bus.”

Professor Lakhani added: “By targeting lifestyles that adversely affect health, such as smoking, excessive drinking and obesity, we can make a real difference to health outcomes and help people to reduce their risk of developing a long-term health condition and also improve their chances of living longer.”

The health bus team provided around 250 health checks, more than 30 referrals for stop smoking, as well as advice on

diabetes, alcohol consumption, healthy living and more.

Ben Smith, Voluntary Action LeicesterShire, said: “We welcomed the opportunity to engage with a wide range of patients and public across West Leicestershire to talk about the benefits of volunteering. We hope to see more people volunteering and also a greater awareness of local charities working to improve people’s health and wellbeing.”

And Rick Moore, chair Healthwatch Leicestershire: “The health bus was a fantastic opportunity for Healthwatch Leicestershire to get out in the communities and listen to residents about their experiences of using local health and social care services. We will now represent their views in future meetings with health and social care leaders.”

Contactus:People across West Leicestershire visited our travelling health bus to help them make a new start and get support to achieve their New Year resolutions.

NEW START, NEW YOU

Bus stop: our chair Professor Mayur Lakhani, Healthwatch Leicestershire chair Rick Moore, and Kevan Liles chief executive of Voluntary Action LeicesterShire.



If your families’ New Year resolutions to eat better and get fitter are already flagging, then take a closer look at the role played by FLiC, the Family Lifestyle

FLiC - Family Lifestyle ClubFLiC is run by Leicestershire Nutrition and Dietetics Service and local councils’ physical activity leaders in Leicestershire and Rutland.

FLiC is a free eight-week programme with sessions once each week for children and their families to learn about a healthier lifestyle in a friendly and informative way.

Each week involves a one-hour, fun activity session led by a council physical activity co-ordinator,

while the parents look at different nutrition topics with the dietitian. The sessions are free and allow for time to ask questions, share ideas and get to meet other parents.

For the second hour the families come together again for a variety of nutrition based games, such as guessing how many sugar cubes there might be in a fizzy drink, or how much fat is in snacks. Each week the families then have the opportunity to make and taste healthy foods such as smoothies, fruit kebabs, healthy pizzas

and more. The Leicestershire Nutrition and Dietetics Service (LNDS) have been running FLiC groups for several years for children aged 8-13 years and their families. Please contact the FLiC team if you would be interested in such a group, and they would be happy to answer your questions or give you more information about how it all works and how to join.

Courses are held throughout the county on a weekday between 4pm and 6pm to allow families to come.

This year’s groups started in January with more in February, May and October in a number of locations around the county. To find out where the next courses are running please contact LNDS on the numbers below.

Lisa Sinfield (Family Dietitian) 0116 222 7148 or Paula McKee (Family Dietitian) 0116 263 0861, or call the FLiC Team Office 0116 222 7154



URGENT CARE CENTRE UPDATE

LOUGHBOROUGH COMMUNITY HOSPITAL

Dr Nick Willmott, GP Clinical Lead at West Leicestershire CCG said: “Healthcare professionals know that on-the-spot diagnosis is often a key to successful urgent care, so we have enhanced the range of conditions that we can diagnose at the centre and extended the availability of x-rays.”

The x-ray services have now been extended to open at weekends from 10am to 6pm as well as being open Monday to Friday 9am to 5pm so that people with injuries or suspected fractures can be examined, x-rayed and treated at Loughborough Community Hospital.

The centre also has a special blood analyser that identifies conditions like hyperkalaemia - high levels of potassium in the bloodstream which can affect heart rhythm. GPs can refer patients directly to the centre, whereby previously patients would have needed to travel to A&E for these tests. The centre has already seen and treated a number of patients with this condition.

Clinical assessments for a range of conditions are available and, if required, changes to medication or therapy can be made. Diagnostics and treatment for cellulitis is now available for GPs to refer to, where previously patients with this condition may have

needed to visit A&E, particularly out of hours and at weekends.

To help further alleviate avoidable pressures on Leicester’s A&E unit, West Leicestershire CCG has also been working with East Midlands Ambulance Service to ensure patients can be taken to Loughborough’s Urgent Care Centre, when appropriate, to receive the right treatment, in the right place, first time.

Despite this wide range of services, the centre continues to perform above targets, offering patients with illnesses and injuries that are not life threatening shorter waiting times than A&E.

Dr Willmott added: “Loughborough Urgent Care Centre continues to provide outstanding results above targets. In December they saw over 3,500 patients suffering with conditions like broken bones and burns, to respiratory conditions and infections. Despite the rise in visitors over the Christmas period they were still able to triage 99.9% of patients within 20 minutes and treat 99% within four hours. Our preliminary figures show that January performance was even better, with 100% of patients triaged within 20 minutes and 99.9% treated within four hours.”

Loughborough Urgent Care Centre has recently added new services and extended the opening time of x-ray in order to help relieve the pressure on A&E and to provide a more comprehensive service.



Better Care Together plans are on track Plans are on track for Better Care Together, our joint five-year programme to prepare health and social care in Leicester, Leicestershire and Rutland to meet the challenges of the future.

Since our first plans were launched in June last year detailed proposals have been drawn up starting with neonatal and maternity services – giving people the best start in life through to end of life care.

Staff are now going out and about across Leicester, Leicestershire and Rutland, to talk to people about how they feel about the local healthcare system and its future.

Improvements are already underway in Leicester, Leicestershire and Rutland with innovative healthcare changes being supported by a national funding project to integrate health and social care.

At the first public meeting for the Better Care Together Board, Toby Sanders, our CCG’s managing director and joint responsible officer for the review, described the past year as “one of hard graft, but we have got to a really exciting place.”

Toby said changes to move services

out of hospital into the community

are already taking place with

schemes such as the acute visiting

service, which assesses patients at

home.

He added over the next year

he expected one of the biggest

changes would come in the way

GPs work together and a wider

range of service in community

hospitals.

Among the reasons for the review

is that local health and social

services are under increasing

pressure because more people

than ever before require care.

We have some world-class

services, but we also struggle

with some of the basics like

access to GP appointments, A&E

overcrowding, and above all, gaps

between different parts of the

NHS and social services.

This often mean that people spend

too long waiting for things to

happen or struggle to find their

way around the different services.

We know we can do better. We are developing plans to improve health and care. But we also need your help as readers of be healthy, be heard. We want you to be part of the solution and help us to change the quality of life and experiences of everyone.

It can be done. Our aim is to transform local NHS and social care services over the next five years. If you would like to be part of this work or just want to be kept in touch with what is going on, please let us know, we would be delighted to hear from you. If you are a member of a community or patient group and would like someone to come and talk in more detail about the plans and listen to your experiences, please contact us.

You can call us on 0116 295 1125 or write to us at: Better Care Together, St John’s House, 30 East St, Leicester LE1 6NB, or go the contact page on our website www.bettercareleicester.nhs.ukplease visit www.personalhealthbudgets.england.nhs.uk/



Professor Mayur Lakhani, our CCG chair, said: “Our CCG’s role is to help everyone to work together better. We have already started to develop services in the community so that older people in particular can be treated at home and time spent in hospital is kept to a minimum. We are encouraged by the results.”

GPs review cases to ensure every opportunity has been explored to enable patients to stay safely at home before admission is

considered. Our local GPs attend care homes if there is a risk patients require hospital admission in surgery hours.

We have also launched a service with emergency care practitioners and community paramedics, who make urgent home visits for GPs, to see if patients need to go to hospital, or be seen by their GP or other community services.Furthermore, we have a night nursing service where patients are monitored overnight in their own

homes, with the option of help from more senior nurses, if needed (See inset: Margaret’s at-home wish).

We now have an Older People’s Unit, at Loughborough Community Hospital, providing rapid assessments for the over-75s to prevent their conditions worsening or resulting in hospital admissions (for more on Loughborough Hospital, see page 5)

Home is better than hospital

The night nursing service is a new way of preventing avoidable hospital admissions and offering home based support to patients in Leicestershire and Rutland.

One of its first patients was Margaret Copson, 82, who was diagnosed with mantle cell lymphoma. Her condition

deteriorated, she became bedbound, unable to move her legs and was in pain. As she was also a carer for her husband, who suffers from dementia, her family was finding it hard to cope.

Margaret’s end-of-life plan was to die at home and she did not want to be admitted to hospital. At this stage, Margaret’s GP suggested the new night sitting service.

Kim Hall, Margaret’s daughter, explains: “The service started that night. A nurse came, who mum absolutely loved, and I don’t think Mum stopped talking that night! It was the relief with my mum, that when the night service came, she knew she was safe, it was a big thing to all of us, as we had been on our own and we were scared.

“It was lovely, they were very caring, it was like they were looking after their own mother. Nothing was ever too much trouble. Knowing that a nurse was looking after my mum and would have phoned and said we needed to come if necessary, meant I could go home for a few nights.

Kim continued: “There was that much love around she felt happy where she was. She passed away so peacefully. It was sad, but if I said, if there was ever such a thing as perfection in someone passing away, she got it. It’s so important that this service goes 24/7 and it continues because without it I don’t know where we would have been. It’s helped me to come to terms with things and carry on, it really has.”

Margaret’s at-home wish

Leicester A&E has been dealing with exceptional numbers of patients. However, your local NHS has been working closely together to alleviate pressures and offer more care out of hospital.



We have been working with frontline NHS staff and local people to create a shared vision of what community health services in Hinckley could look like in the future.

HINCKLEY COMMUNITY HEALTHCARE TAKES SHAPE

This vision was built on conversations that have taken place with patients, family carers and staff from the Hinckley and Bosworth area to find out the answers to this key question: “What needs to happen so that community services in Hinckley support people to keep well and recover as fully as possible.”

The background and the reason behind asking this question is the impact that we know an ageing population will have on services, particularly the increase in people with long-term conditions, and in turn the impact this will have on planned care, community beds and the use of buildings. It is part of the Better Care Together five-year strategy to transform health and social care in Leicester, Leicestershire and Rutland.

More than 950 carers, NHS staff and patients in the area have shared their experiences of care to help find the answer. As part of this quest the CCG has had conversations with patients in the two hospitals in Hinckley, people in a range of community settings, from a young carer group and English for Speakers of Other Language (ESOL) group, to patient participations groups and GP practices teams, and front line NHS teams whose experience of delivering care directly influences the quality of care and outcomes.

The aim of the conversation was to discover people’s current experiences of community health services – and their desired experiences of healthcare, alongside identifying what matters most to people about the local care system.

In December 2014 the CCG shared these findings at two events attended by patients, carers, staff and other local people who then worked together to develop a shared vision of what community health services in Hinckley could look like in the future. They began to answer the key question – “What needs to happen so we have the right community service in Hinckley for tomorrow?”

The vision includes the current situation and the goal for the year 2017 and the bold steps that people at the event believe need to be taken to achieve positive change.

It shows a positive possible future as a combination of systems, facilities and services which people believe could offer the best outcomes for the residents of Hinckley and surrounding area that need to be achieved by 2017. People added their names to the vision to show their support for the plan.

West Leicestershire CCG will use the vision to help design services in partnership with the public, and offer options for change – options that really represent what the local community has told them. We will be asking people what they feel about these options for change, and the conversation will continue.

The vision and the story of how it has been created will be on view to the Hinckley and Bosworth community in February and March, please check our website for details. We would like to hear your feedback.

Hinckley and Bosworth Community Hospital



These illustrations represent our approach to the Hinckley service review and the challenges we will face in the future.



Patients in West Leicestershire are being encouraged to enter into a discussion with their GP, consultant or other health professionals and ask some key question to find out more about the options about their care and reach any decisions together about their treatment.

And to help start the conversation we have published special cards with the five key questions for patients to ask. The postcard-size cue cards carry the title ‘MAGIC’, which stands for ‘Making All Good (decisions) In Collaboration’. They are available in all our 50 GP practices as well as being distributed by Healthwatch.

Our chair Professor Mayur Lakhani said: “A diagnosis can sometimes be a difficult time for patients and their families, who may be

concerned about the future and feel confused. They will be able to cope better if they have more information and know the right questions to ask.”

Your choice of treatment

Did you know you that if you are referred for hospital treatment, you can choose from any hospital in England offering the relevant care at NHS standards and costs?

Your GP practice can book your hospital appointment for you using an online system called ‘Choose and Book’. Or they will give you information on how to book your hospital appointment yourself if you need more time to decide.

Either way, ‘Choose and Book’ allows you to select a hospital, including some independent ones, based on whatever matters most to you - this could include your

GP’s recommendation, quality of service, your previous experience, the opinions of other patients, or the location and waiting times of each hospital.

You can find information to help you choose hospital services at www.nhs.uk/comparehospitals It lets you to compare hospitals on a wide range of factors, including overall quality of service, patient opinions, locations and waiting times.

You should not have to wait more than 18 weeks from your referral before your treatment starts. Sometimes however, it may not be appropriate for to receive treatment in 18 weeks, say, because you need several tests first, or you may not be fit enough to start treatment yet. Also you may choose to wait longer than 18 weeks. Use your MAGIC card and discuss the options with your GP or clinician.

‘MAGIC’ QUESTION CARDS TO GIVE PATIENTS MORE CONTROL OF THEIR CARE

1. “What is my diagnosis – could it be something else?”

2. “What are my treatment options”

3. “What are the pros and cons of my treatment options – do you have the facts and figures to help me decide?”

4. “What can I do to help myself and manage my condition?”

5. “I would like to talk about my prognosis – what can I expect and what is likely to happen in the future?”

There are five questions on the MAGIC cue cards:



AgeUK Staying steady guideIf you are in your later years and you want to stay active in 2015, without adopting a punishing training schedule, you will find that AgeUK’s guide is filled with useful, practical, everyday advice. It is called Staying steady.

It suggests you try taking a brisk walk, for example, or doing some gardening or dancing. If you need help moving about or don’t usually do any exercise, doing any amount of activity is better than nothing. It’s never too late to start and you can build up gradually.

As you get older, it’s important to be as active as you can. Regular physical activity will help you maintain strength, flexibility and energy levels, so that you can carry on doing the things you enjoy and stay independent.

The Government advises older people to aim to be active every day and to build up to two-and-a-half hours per week of moderate intensity activity (activities that get you breathing harder and your heart pumping faster) in bouts of ten minutes or more.Do activities that improve muscle strength at least twice a week –

these are repetitive activities that strengthen muscles. And do some activities that improve balance and co-ordination twice a week – this is particularly important if you have had a fall or are afraid of falling. It’s also wise to limit or break up the time you spend sitting still.

There are lots of simple things you can do to help you stay steady on your feet. Whether you’re fit and active, have difficulty walking and getting around, or are worried about falling, this new AgeUK guide has some useful information for you.

General health and wellbeing can make a big difference to your quality of life, whatever your age. Eating well and keeping fit are important. But there are also specific things you can do to improve your strength and balance, which are set out in this guide.

Building and maintaining your strength and balance can help you carry on doing the things you enjoy. Once you know what kind of physical activities are right for you, start gently and build up gradually. Aim to do a little bit more every day. Most people find being more active easier than they expected – and more enjoyable. The more you enjoy an activity, the easier it is to keep it up, and

that’s when you’ll really reap the benefits. You may be surprised by how much you can achieve.

You should tell your GP if you’ve had a fall or start feeling unsteady, even if you feel fine otherwise. There could be many reasons and, equally, many different ways to help you feel confident again. Your GP can check your balance and walking to see if they can be improved. With your agreement, your GP can also refer you for a falls risk assessment. You may be referred to the falls prevention service for your assessment, which will be carried out by healthcare professionals with specialist training and experience.

You can obtain copies from Age UK Leicester Shire & Rutland, which is responsible for 24 charity shops that sell good second-hand furniture, clothing, items of bric-a-brac and books. To find your nearest store visit the web page www.ageuk.org.uk/leics/our-shops1/ .

steady guide

There are lots of simple things



Pharmacy First free advice and medication

We call this approach ‘Pharmacy First’.

Many winter ailments – coughs, colds, sore throats, dry skin – along with other complaints such as constipation and diarrhoea, joint or muscle pain, allergies, rashes, conjunctivitis, cuts and grazes can be treated under our new scheme without the need for a GP appointment.

Pharmacy First is available to patients who currently receive free prescriptions and are registered with a GP in the area. Under the service, eligible patients will receive a consultation with the pharmacist about their minor ailment. If pharmacists feel an over-the-counter medicine is appropriate to treat the problem they will be able to supply a product listed under the scheme free of charge.

Professor Mayur Lakhani, practicing GP and our CCG chair, said: “I urge all eligible people to try this service wherever possible, it’s an excellent scheme. Pharmacists should be the go-to people for minor illnesses. We need to increase people’s awareness of the clinical skills of pharmacists and the services they offer. The NHS Pharmacy First service not only increases patients’ choices, but it also allows GPs to

focus on our many patients with more complex needs.”

Although the Pharmacy First scheme is only available to those who already qualify for free prescriptions, pharmacists should still be the first option for anyone who has a minor ailment which can be treated by over the counter medicines. Apart from expert advice on a range of health issues, and medicines for common complaints, there is on-the-spot help with self-care. Consultations are conducted in a private space, not at the pharmacy counter.

Kishan Kotecha, pharmacist and manager of Earl Shilton Pharmacy, said: “Many people don’t realise the wide range of additional services available - we pharmacists do so much more than dispense prescriptions. We see patients

without an appointment - that’s always been one of our main advantages - and you will get advice from qualified pharmacy staff.

“Pharmacists are highly qualified healthcare professionals who have undertaken five years of education and training for this specialist role. And if we think you need to see somebody else – if it’s something we can’t deal with – we will refer you on.”

Eligible patients can register for the Pharmacy First minor ailments service with any pharmacy taking part. You can register at any time – you don’t have to make an appointment.

When you register, your pharmacist may ask you for some information and possibly proof that you are exempt from paying prescription charges. If you regularly use a pharmacy they may already have this information but try to remember to take proof of exemption with you.

Your pharmacist will complete a computerised form and will ask for your consent to share information about your ailment and medication supplied with your GP. You need to give your consent to be eligible to use the service.

With A&Es, GPs and urgent care centres under pressure, we’d like patients with minor ailments to think of making their local pharmacy their first port of call.

exemption with you.

Your pharmacist will complete

Pharmacist Kishan Kotecha



YOUNG AT HEART?“Feeling young at heart wards off death, scientists find,” the Daily Telegraph recently reported. A UK study found that people who reported feeling younger than their actual age were less likely to die than those who reported feeling their actual age or older.

The study asked almost 6,500 people in their 50s and over how old they actually felt, and followed them up over 99 months to identify any who died. It found that a quarter of people who feel considerably older than their actual age died over the following eight years, compared to only 14% of those who felt considerably younger. The difference remained even if the researchers took into account other factors, which they called ‘confounders’ that could affect their risk of death, such as physical and mental health.

So, how do you feel younger? Health professionals would recommend staying as physically active as possible, connecting with others and trying out new activities, such as yoga, which coincidentally has also been recently shown by research to possibly reduce the risk of heart disease (see below). The ‘young as you feel’ study was carried out by researchers

from University College London (UCL). The study in which the data was collected was funded by the National Institute on Aging in the United States and a consortium of UK government departments coordinated by the Office for National Statistics.

The researchers were supported by UCL, the International Longevity Centre UK and the British Heart Foundation. The study was published as a letter in the peer-reviewed medical journal JAMA Internal Medicine.

Yoga may help protect against heart disease Researchers have pooled the results of previous studies and report finding “promising evidence” of yoga’s health benefits, specifically in reducing the risk of cardiovascular disease.

Compared to doing nothing, or treatment that did not include exercise, yoga reduced body weight by 2.32kg, on average,

and also improved body mass index, blood pressure and cholesterol levels, all of which have a protective effect against CVD.

It also found there was no significant difference between yoga and other types of exercise for improving risk factors for heart disease. However, it should be noted that there were some limitations to the evidence available. Most of the studies were small and rated as only of moderate quality.

The researchers suggest, yoga could be an ideal option for people unable to take part in exercises because of mobility problems.

The study was carried out by researchers from Harvard University and Erasmus MS in the Netherlands and was published in the peer-reviewed European Journal of Preventive Cardiology.



Healthwatch Leicestershire spent four days at Leicester Royal Infirmary (LRI) asking patients about their experience of the service.

We spoke to patients, carers and family members about their experiences of A&E, the ears, nose and throat department, ophthalmology and the discharge lounge.

We requested to visit these departments following issues raised by the public during their summer engagement events. By speaking and listening to patients we aimed to gain an insight and see first-hand the services being delivered, and the feedback is

being analysed. Patients were asked a range of questions about waiting times, who advised them to come to hospital, cancelled appointments, staff - and how they would improve the service. LRI staff members were given an opportunity to feed in their views regarding improvements that would benefit patients.

Rick Moore, chair of Healthwatch Leicestershire said: “We are grateful to University Hospitals of Leicester NHS Trust for letting us conduct this four-day survey in various departments.

“This visit will enable us to better understand the patient experience. We will go on to

represent their views at meetings with health leaders across the county with the aim to influence and improve services for local people.”

The findings will be shared with John Adler, Chief Executive of Leicester hospitals, UHL patient experience managers as well as health and social care agencies across the county. It will also feed into the continuing work of Healthwatch Leicestershire and be reported to Healthwatch Leicester.

A report of our findings will be published at www.healthwatchleicestershire.co.uk by mid-March.

We’ve been listening to patients at Leicester Royal



A real winter wellbeing dish with a zesty hint of orange. Citrus chicken A zesty protein-rich dish, not to be confused with lemon chicken. Try serving it with brown rice and some green beans.

These recipes and more can be found on the NHS Choices website

• Serves: 2

• Time: 45 minutes

Ingredients

• 1 tsp sunflower oil

• ½ onion, finely chopped

• 1 chicken breast

• 1 dessert spoon plain flour

• ½ red pepper, sliced

• juice of 1 orange, or 75ml

orange juice plus 25ml water

• 1 carrot, peeled and sliced

• 1-2 medium potatoes, cubed

• chopped parsley (optional)

• black pepper, freshly ground

• 130g brown rice, raw

The reference intake of an average adult is 8400kJ/2000kcal a day.

Method1. Heat the oil in a pan and brown

the onions over a low heat for two to three minutes.

2. Cut the chicken breast into large pieces and coat each piece in

the flour. Then add the chicken to the pan and brown for two minutes, stirring all the time to make sure it doesn’t stick.

3. Once the chicken is cooked, add the other ingredients. Then bring it to the boil, turn the heat down and simmer over a low heat for about 20 minutes, until the vegetables are soft and the chicken is thoroughly cooked.

4. While the chicken is cooking, cook rice according to packet instructions.

Allergy advice

This recipe contains wheat (gluten).

Food safety tips• always wash your hands, work

surfaces, utensils and chopping boards before you start and after handling raw meat, including poultry

• keep raw meat away from ready-to-eat foods such as salad, fruit and bread

• make sure that the chicken is cooked until steaming hot all the way through, that no pink meat is left and that any juices run clear

• cook the rice as required and use immediately, or cool within one hour, refrigerate, then use within 24 hours

Nutrition informationNutrient Per 100g Per 621g servingEnergy 464kJ/110kcal 2881kJ/684kcalProtein 6.9g 42.7gCarbohydrate 18.1g 112.3g(of which sugars) 1.7g 10.7gFat 1.7g 10.5g(of which saturates) 0.3g 2gFibre 1.1g 6.5gSodium 0.01g 0.09gSalt 0.1g 0.2g


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Our next edition will be in the Spring so here’s a Spring themed puzzle ...

Looking forward to Spring puzzle

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West Leicestershire CCG Members Magazine Winter 2015

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Transcript of West Leicestershire CCG Members Magazine Winter 2015