Documente Academic
Documente Profesional
Documente Cultură
broken bones
making life easier after osteoporotic
fracture including a guide to welfare
benefits and social care
What is osteoporosis? C
Strong Fragile
dense osteoporotic
bone bone
Introduction...................................................... 4
3
Living with broken bones
4
How can fractures affect
me in my daily life
Although other bones in the skeleton may break
if they are fragile, most fractures related to
osteoporosis occur in one of three sites - the
hips, the spinal bones, or the wrists.
Osteoporotic fractures in the spine are often
referred to as vertebral compression fractures.
Bones become squashed or compressed
because of their reduced strength. These spinal
bones heal like any other bone but do not return
to their previous shape. If a number of fractures
occur together then the spine can tip forward
causing an outward curve (kyphosis). If the
bones are flattened, the trunk can be shortened
in length causing loss of height. As well as
causing chronic long-term back pain, postural
changes and spinal curvature may also affect
balance and gait. This can make older people
more unsteady on their feet and at risk of falls.
The effect of compression fractures is very
varied. Some people dont have severe
problems but for those that do, many things can
make life easier.
Hip fractures as a result of osteoporosis occur
most commonly in our late 70s or 80s. They
happen as a result of a fall and can affect all
aspects of life.
5
Full recovery is always possible but will often
depend on how well someone is before the
broken hip occurs. Getting back to being fully
mobile and independent can be difficult and
physiotherapy and social care services are often
essential.
Broken wrists often occur in middle-aged
women who have put out their arm to break a
fall. The impact of a wrist fracture is not usually
associated with the same level of debility as
fractures of the hip and spine. However, normal
wrist and hand functioning is needed for most
daily activities. A wrist fracture in an older, more
frail person may therefore temporarily affect
their ability to look after themselves.
Many older people have disabilities associated
with other conditions such as osteoarthritis, as
well as osteoporosis which can also impact on
their day-to-day living.
6
Falls
Many people worry about breaking another
bone and for some, the fear of falling can have
a significant effect on their quality of life.
A serious consequence of falling is a broken hip,
an injury which is more common in older people.
As well as causing potential injury, falls can lead
to loss of confidence and independence; a fear
of falling can affect the tasks and activities you
undertake in your daily life and feeling unsafe
outside the home is not uncommon.
Limitations on your ability to get out and about
may make you feel less in touch with the
outside world and lead to social isolation and
a sense of loneliness and even depression.
However there are many self-help steps older
people can take to help to maintain their safety
and independence at home. For those who
need them, there are also a range of support
services accessible through health and social
services.
7
Practical tips to help in the
home and with day-to-day life
Its always a real comfort to find out how other
people affected by fragility fractures cope with
the problems that they can cause. The following
information gives tips and advice - some from
members of the National Osteoporosis Society
- on how they have personally overcome a
number of problems. Many of these suggestions
relate specifically to those with compression
fractures in the spine although some might be
useful for people with other fractures affecting
their day-to-day life. These tips are suggestions
which may help you overcome
some problems but may not
be suitable for everyone.
8
Sleeping
For those affected by fractures as a result of
osteoporosis, going to bed and going to sleep
can present their own problems.
Here are some tips from our members which
may help:
If you sleep in a double bed on your own, sleep
in the middle you are less likely to turn over and
fall out.
Satin finish sheets or pyjamas can make
movement in the bed easier but do be careful
getting in and out of bed.
When sitting up in bed, having adequate back
support will help to relieve pain and encourages
good posture. There are a variety of specially
designed pillows, back rests and cushions available.
Some people find V pillows useful, particularly as
a short term measure, to relieve pressure on the
spine. However healthcare professionals will often
discourage their longer term use, since they tend to
push the shoulders forward and do not support the
lower back. Positioning a pillow or postural aid in
the small of the back helps to maintain normal back
curvature and may also help to relieve pain.
Your bed does not necessarily have to be very
expensive or hard to be comfortable. Always try
out a new bed and try to avoid mattresses that are
either very firm or too bouncy and soft.
When lying on your side in bed, try hugging a
pillow for comfort.
9
To make your bed more comfortable, try placing a
folded duvet under the bottom sheet or invest in
a mattress topper which are available from most
department stores or bed specialists.
When getting into or out of bed, you may
experience some pain. This could be helped by
placing a straight-backed, armless chair at the side
of the bed with the back adjacent to the pillows.
You can then sit on the chair and gently shuffle
your bottom onto the bed, carefully lifting your legs
one by one onto the mattress.
Reverse this procedure to get out of bed. You may
want to practice this with someone else present
until you are confident.
A neck cushion pillow filled with polystyrene beads
can give good neck support both sitting in bed and
during the day in a chair. On waking, your back
may be sore and painful. Gently stretching out
may be helpful to ease stiff muscles.
Try taking your pain relieving medication half an
hour before you get out of bed (except ibuprofen
or any other non-steroidal anti-inflammatory tablets
which must not be taken on an empty stomach).
This will not be possible for people taking a
bisphosphonate every day or on the day of your
weekly or monthly version.
The charity
BackCare produces
a publication about
the importance of
choosing a good
mattress entitled
Back in Bed.
10
Bathing
Although a relaxing bath can be the answer to
many problems, the process of having a bath can
be difficult for some people with fragility fractures.
The following tips should make this easier:
11
Chairs and sitting
Having a favourite comfortable chair is
always important. Here are some tips:
12
If you sit at a desk at work, the height and angle
of the seat and backrest should be adjustable with
the seat tilting slightly downwards to encourage
good posture. Ask for an occupational health
assessment of your work environment through
your Health and Safety representative.
Ensure that the desk height is correct for the height
of your chair.
A chair that is too high for your desk will result in
poor slumping posture and increased back pain.
Take regular breaks from your desk during the day
to reduce any stiffness or soreness caused by long
hours in one position.
When sitting, portable back supports can help to
reduce pain. Alternatively, a rolled up bath towel
in the small of your back can help.
Some people find relief from pain by using
reclining chairs with a high back and lumbar
support. Padded garden chairs can also be very
comfortable, especially with an added footrest, and
may be helpful to sleep in at night occasionally
if you are unable to settle in bed. Investing in an
electric riser-reclining chair may prove beneficial if
you spend a lot of time in an armchair, or if you find
it difficult to get in and out of your chair.
13
Safety in the home
Many falls, which can lead to fractures, happen
in the home. Some simple measures can help
to reduce the risk of this happening. Following
some or all of these tips can help you to be safer
in your home and will make some of your day-to-
day activities easier.
14
Buy long-life light bulbs so they do not need
changing so often and never stand on a chair to
change them. Ask a family member or friend to
change them for you.
Ensure stair carpets are not loose or frayed.
Use a high wattage light bulb on the landing
and stairs.
Ensure that wires and flexes are kept out of the way
Do not clutter up walkways with clothes, books,
washing etc.
Mop up spills immediately using a long-handled
mop to reduce the risk of slipping.
Turn on the lights at night if you need to go to the
bathroom.
Do not get up too quickly, either out of a chair or
out of bed, because you may feel dizzy.
Avoid climbing on chairs or stepladders for window
cleaning or over reaching to get items.
Use a long-handled window opener or rearrange
your cupboards!
Make sure items used regularly are within easy
reach to avoid stretching, bending down or having
to stand on a chair.
Wire baskets attached to the underside of shelves
provide extra storage space within easy reach.
Use a long-handled dustpan, brush and mops.
15
Fill a washing-up bowl in the sink and keep
specifically for washing the floor. Use it directly from
the sink which saves filling and moving a heavy
bucket or alternatively, use floor wipes, readily
available from supermarkets, on the end of a mop.
Consider a top loader washing machine to avoid
bending with heavy, wet washing, although you may
need tongs to reach washing at the bottom of the
machine. Some top loading washing machines have
wheels let down by a lever which means they can
be stored under surfaces but you will probably need
someone to help you to move the machine. Top
loaders are still available from several suppliers.
A washer-dryer avoids the need for a separate
dryer or the sometimes hazardous trip to the
washing line with a heavy basket of washing.
Use a perching stool for working at the sink.
Various aids for opening jars, cans and bottles
are available in department stores and chemists.
A built in oven at the correct height, instead of a
free-standing one, prevents unnecessary bending.
Have power points located at waist height to
avoid bending.
When choosing a fridge freezer consider the
position of the freezer compartment. It is better to
have the fresh food compartment on top since this
16
is used more frequently than the freezer and needs
to be accessible. Side by side integrated models
can be difficult to reach into.
Use a lightweight vacuum cleaner and avoid long
sessions concentrating on small areas to reduce
the strain on your back.
Use a cordless telephone to avoid having to get up
and down all the time. They are also light and the
push buttons are easy to use.
A grab, also known as an extending arm, can be
useful to pick things up with.
Do not try to lift heavy bin bags. Take an empty bin
bag to the dustbin or the end of the drive and carry
smaller, filled carrier bags to it.
Keep warm in your home. If your muscles get cold
they wont work so efficiently.
17
Staying steady
Choose the suggestions and activities that feel
right for you and make some positive changes.
Despite the fact that falling is common in old
age, its not inevitable and many of these
suggestions will make a difference.
e.
19
19
21
Make sure there is clear access to all parts
of the garden
Try dwarf varieties of fruit trees to avoid climbing
ladders when pruning.
Use a perching stool in the greenhouse or
potting shed.
Attach a basket to your walking frame to leave
your hands free.
Wooden rails can help if garden levels are
changeable and slopes or ramps are better
than steps.
22
Driving and getting around
Driving may become uncomfortable but, for
many, it is important not to lose this lifeline to
independence. If you are able, change your car
from a manual one to an automatic one with
power-assisted steering, which may make driving
much easier for you. The type of car seat, leg
room and seat height can all contribute to your
comfort. Car seats should give good support to
your spine and thighs.
23
Check the level of the upper seat belt attachment
point because these can sometimes be lowered
to allow the seat belt to move away from the side
of the neck.
If, when driving, you find it difficult to see all
around, convex or panoramic mirrors can be
attached to the interior mirror but be aware that
it may be more difficult to judge the speed or
distance of approaching vehicles.
Parking lenses (small plastic mirrors) can be
attached to the back window of a car to help
reverse parking. (Available from car accessory
shops.)
If you have difficulty in walking, you may qualify
for a disabled badge that will allow you to park
closer to places you wish to go. Apply to your local
council for more information.
Use a walking stick or umbrella to help with
balance if necessary, ensuring it is the right height
for you.
Avoid very crowded areas where you may be
easily jostled or pushed.
Always use a trolley in a supermarket rather than a
basket. Some shops now have trolleys specifically
designed for disabled shoppers and you can
always ask for help with packing and the carry-out
service. Use a shopping basket on wheels that can
be pulled along.
24
When getting out and about take your time and
plan ahead. Poor weather and road conditions can
contribute to the frequency of falls and accidents.
Ice and snow or wet leaves on pavements can
make walking outside hazardous. If you do need to
go out on these occasions consider asking a friend
or relative to accompany you.
You may qualify for the governments Motability
Scheme to help purchase a new car, scooter
or powered wheelchair. The Scheme is open
to anyone who receives either the Higher Rate
Mobility Component of the Disability Living
Allowance or the War Pensioners Mobility
Supplement. (See page 33 for details
on benefits)
25
Equipment and aids for
independent living
When you have to cope with a disability, having
the right equipment and aids can make all the
difference.
How to acquire the equipment you need
Some standard equipment is provided free or
on loan from your local council social services
department or health authority (depending
on your situation, assessment criteria and
resources). It is always worth making enquiries
and the best starting point is to speak to your
GP or social services department.
You may be able to get help with funding for
certain equipment or qualify for a Disabled
Facilities Grant towards the cost of providing
adaptations to your home. The Disabled Living
Foundation have produced a very helpful fact
sheet entitled Sources of funding for obtaining
equipment for disabled and older people.
Equipment for help with everyday living will
usually be provided by social services following
an assessment by an occupational therapist
(OT). This can include the provision of home
safety aids such as grab rails or equipment to
help with personal care such as bath aids or
a raised toilet seat.
26
The health service is responsible for providing
medical support equipment. For nursing
equipment such as a pressure relieving mattress
or cushion you would need to contact your GP or
district (or specialist) nurse. A physiotherapist will
generally be responsible for assessing a persons
mobility, and choosing an appropriate walking aid
or wheelchair as necessary.
However this is just a general guide about
who does what. There can be considerable
overlap between services and the way they are
organised can vary from area to area.
If you do decide to purchase your own
equipment it is always worth seeking
professional advice and finding out whether any
funding is available. Disabled Living Centres
27
Holidays and travel
insurance
(DLCs) can provide independent advice and Holidays are events to look forward to. For
assessment before you buy, to help to identify some, this can be overshadowed by concerns
the right equipment for you and can tell you about the facilities at the destination and also
how much it should cost. While DLCs do not the very real problems posed by travelling.
sell equipment they do have a large range Some travel companies specialise in providing
of products on display. These include highly information for disabled travellers - your travel
specialised equipment such as electric powered agent should be able to provide further advice.
beds, hoists and wheelchairs to smaller
If travelling to a European country, remember
everyday items such as aids for the kitchen.
to obtain a European Health Insurance Card
Most DLCs employ their own OTs and you can (EHIC) which entitles you to the health care in
arrange to have an individual assessment at the that particular country. This is available from
centre. The OT can then provide tailored advice your local Post Office or you can apply online.
about the choice of equipment to help meet any Insurance is also very important and you may
specific needs and problems that you may have. find that some insurance companies will not
You can also, where this is appropriate, arrange insure someone with a chronic condition, while
for your own OT to accompany you to a centre. some offer cover for an increased fee. Others
To find out where your nearest Disabled Living do not automatically exclude people with a
Centre is located call Assist on pre-existing condition, providing you are able
or visit their website www.assist-uk.org to comply with their conditions on the policy. In
most cases these will include requirements such
Hiring equipment
as the following:
You can also hire equipment on a temporary You have sought medical advice on the advisability
basis, from organisations like the British Red of your journey and destination including climate
Cross (for example the loan of a wheelchair and medical services available there, especially if
for a holiday). Also some specialist suppliers you have received medical treatment as an in-
operate a hire scheme for larger items such patient in hospital during the previous six to twelve
as stair lifts, powered wheelchairs or scooters. months.
Your local DLC will often hold a list of local You are not travelling against medical advice or
companies that provide this type of service. specifically to obtain medical treatment.
28 29
Holidays and travel
insurance
Holidays are events to look forward to. For
some, this can be overshadowed by concerns
about the facilities at the destination and also
the very real problems posed by travelling.
Some travel companies specialise in providing
information for disabled travellers - your travel
agent should be able to provide further advice.
29
You are not awaiting treatment as a hospital patient
at the date of issue of the policy.
The British Insurance Brokers Association can direct
customers to an appropriate insurance broker and
can be contacted on 0870 950 1790 and accessed
by the internet at www.biba.org.uk Some of the
larger charities who work with older people often
have competitive insurance rates, so it is worth
shopping around.
30
Accessibility
Travelling to and from your holiday destination
can be made easier with a little forward
planning. The facilities at airports vary, so a
telephone call prior to your departure checking
the assistance they can give is a good idea.
In return, the airline will probably need exact
details of the assistance you need, both moving
through the airport and on board the plane, such
as how far you can walk and any equipment
you need (some offer a wheelchair or buggy
service). The Disabled Living Foundation have
a fact sheet called Out and about with your
wheelchair. If travelling by rail in the UK, train
t
companies have adopted a code of practice for
disabled travellers. If notified at least 24 hours
prior to your journey, they will endeavour to give
you assistance at every stage of your journey
and pre-book your seat. Dont forget your
lumbar back support for longer journeys.
31
32
33
34
Are all benefits income dependent?
It varies. Some benefits are means-tested
for those with low incomes, or contributory
with entitlement based on National Insurance
contributions. Others are universal or non-
contributory and are not dependent on either
individual income or National Insurance history,
but may only be paid if you meet certain criteria
such as having a disability.
35
Attendance Allowance (AA)
Attendance Allowance is a non-contributory
tax free benefit for people aged 65 or over who
have an illness or disability and need help with
personal care.
AA is paid on top of other benefits and for some
people may increase the amount of benefit they
already get such as pension credit. AA is paid
at two rates depending on an individuals care
needs. To qualify for AA you must have needed
the care or supervision for *6 months; and have
lived in the UK for six months out of the last
twelve months.
(*If you are terminally ill you do not have to
satisfy this qualifying period)
36
Other benefits
Income Support (IS) provides a basic income
for some single parents and carers under
pensionable age for women who are working for
less than 16 hours per week.
Pension Credit is a means-tested benefit to
raise pensioners minimum income. There are
two forms of this benefit:
Guarantee Credit is equivalent to income
support for people who have reached the
pensionable age for women. It ensures that
an individuals weekly income is brought up
to a guaranteed minimum level. Additional
amounts may be paid over and above this set
rate to people with disabilities or to a carer.
38
Other significant changes for disabled
people of working age:
Personal Independence Payment (PIP) : will be
replacing Disability Living Allowance (DLA). This
will continue to be a non-means tested benefit
however there are some significant changes
proposed as follows:
People claiming this new benefit will need to
have experienced a disability for longer before
they can apply a qualifying period of six months
is required compared to three months for DLA.
People in receipt of PIP will be assessed more
often. It is likely that the new benefit will be
introduced in 2013/2014 and existing claimants
of DLA will be reassessed and moved across to
PIP shortly after this time frame.
The new benefit will only have two levels of
payment for the care component (currently with
DLA there are three levels low, middle and
high)
The DLA mobility component for those in
care homes will be retained until March 2013,
however it likely that this may change in the
future.
People will not be paid PIP once they reach
the age of 65 or pensionable age (whichever is
higher).
Other benefits under review
Decisions concerning other key benefits such
as Council Tax Benefit or Carers Allowance are
still being considered. It is not clear yet whether
those above working age (or children) will also
be reassessed. 39
Where to go for advice
advice and
and support
support G
The Citizens Advice Bureau (CAB) is a good
The Citizens Advice Bureau (CAB) is a good
source of free advice; your local branch should
source of free advice; your local branch should
be listed in your phone directory or visit
be listed in your phone directory or visit
www.citizensadvice.org.uk
www.citizensadvice.org.uk
(for England and Wales)
(for England and Wales)
www.citizensadvice.co.uk for bureaux
www.citizensadvice.co.uk for bureaux
in Northern Ireland and www.cas.org.uk
in Northern Ireland and www.cas.org.uk
for Scotland.
You can also contact the Benefits Enquiry
You can also contact the Benefits Enquiry
Line on 0800 882200. They can arrange for
Line on 0800 882200. They can arrange for
someone to help you to fill out the form if
someone to help you to fill out the form if
required.
required.
40
40
41
Community care services
42
On your initial telephone call you may be put
through to a duty social worker or someone in
a first point of contact team (in some areas
called Care Direct). You will be asked for basic
information such as your name, address and
the name of your GP as well as brief details
about your circumstances. Priority to have an
assessment is made according to need. Some
people will be seen very quickly, depending on
how urgent their situation is.
The second stage of the assessment process
will usually involve a home visit by a social
worker who will talk to you about your situation
and your individual needs, and decide what kind
of help that you or your carer may need and
whether this can be provided by social services.
Assessments if appropriate can also take place
at a relatives home or in hospital. Also if you are
a carer, you can ask for a separate assessment
to look at any support you may need.
Once your needs have been identified, social
services will then arrange for the services to be
set in place for you. Social services may provide
some services directly to meet your identified
needs or arrange for you to receive direct
payments (see page 46).
43
Is everyone eligible for community care?
Everyone can request to have a CCA, but not
everyone will be able to receive services from
social services after having an assessment.
It very much depends on an individuals level
of need and circumstances.
Local authorities are required to follow guidance
from the Department of Health called Fair
Access to Care Services which sets out
eligibility criteria to ensure that decisions
around assessment are applied fairly.
If you do not qualify for community care
services, social services may be able to offer
advice and information about alternative
organisations that could help you.
Paying for community care services
In England and Wales local authorities can
charge for some community care services
and charging arrangements can vary between
authorities. If you have a certain level of income
or savings you will be expected to contribute
towards the cost of any services you receive.
You will be asked to complete a financial
assessment form so that social services can
work out how much, if any, you will have to pay.
In Scotland personal care is free if you are over
65 and have been assessed by the local authority
social work department as needing it.
44
Whatever your circumstances your social
services department will be able to advise you.
Alternatively you can seek professional advice
from organisations such as the Citizens Advice
service.
Types of help
Home Carers will provide help with personal
care such as getting washed and dressed, or
practical assistance with tasks including preparing
meals or shopping.
Meals Service some councils offer a hot meal
delivery service or they can organise for you to
receive a delivery of frozen meals which can be
heated in a microwave.
Day Centres and Luncheon Clubs provide
locally based day care and lunch with a programme
of activities. Social services can often organise
transport to get you to the day centre.
Equipment for Daily Living occupational
therapists can provide disability equipment
and adaptations to your home to help you with
every day tasks. Simple equipment for help
with everyday living will usually be provided
free of charge following an assessment by an
occupational therapist. You may have to pay or
part fund the purchase of larger items of
equipment yourself.
45
Community Emergency Alarm Service this
is a special unit connected to your telephone line
which is fitted with an alarm button. It allows you to
summon help quickly any time of the day or night.
If you are receiving certain welfare benefits there
may be a reduction in the charge for this service.
Also some organisations such as the British Legion
or the ex-servicemens charity, SSAFA, may be
able to offer financial assistance towards the
installation of a phone alarm system.
Short Break Service following a Carers
Assessment there are a number of different short-
break schemes which may be available for you or
for someone who cares for you. It can include care
in the home or day care (away from home) and
residential breaks.
46
Other useful sources of
information and advice
Accessing services
Carers UK
Information and advice for carers providing
unpaid care to an ill or disabled relative or
family member.
CarersLine Tel: 0808 808 7777
(CarersLine is the same for the 3 UK
countries apart from Northern Ireland )
wwwcarersuk.org
www.carerswales.org
www.carersscotland.org
47
Driving and Travel
Driving and Travel
48
48
49
Age
Age UK
UK B
The four national Age Concerns in the UK have
The four national Age Concerns in the UK have U
joined together with Help the Aged to form Age UK.
joined together with Help the Aged to form Age UK. 4
L
Age
Age UK
UK
Tavis House T
FREE POST (SWB 30375)
1-6 Tavistock Square se
Ashburton
London m
Devon 9NA
WC1H a
TQ13 7ZZ
p
Age
Age UK
UK Advice
Advice Tel:
Tel: 0800
0800169
1696565
6565 Te
www.ageuk.org.uk
www.ageuk.org.uk w
For Scotland, Wales and Northern Ireland contact
For Scotland, Wales and Northern Ireland contact
the helpline number above or visit the Age UK D
the helpline number above or visit the Age UK
website. A
website.
Arthritis Care D
Arthritis Care o
Floor 4
18 Stephenson Way L
Linen Court
London NW1 2HD
10 East Road p
London N1 6AD
Tel: 080 8800 4050 (Helpline) to
Tel: 080 8800 4050 (Helpline)
www.arthritiscare.org.uk liv
www.arthritiscare.org.uk
B
BackCare
S
16 Elmtree Road, Teddington
BackCare
T
Middlesex TW11 8ST
16 Elmtree Road, Teddington
D
Middlesex TW11 8ST
Tel: 0845 130 2704 (Helpline)
Tel: 0845 130 2704 (Helpline) Te
www.backpain.org.uk
www.backcare.org.uk w
50
50
51
51
Telephone
Telephone helpline:
helpline: 0845
0845 010
302 9000
0203
www.hmrc.gov.uk
www.hmrc.gov.uk
Help
Help in
in the
the home
home and
and day-to-day
day-to-day living
living
Disability Rights UK
Publishers of the Disability Rights Handbook, is
a leading authority on social security benefits for
disabled people. They provide regularly updated
information about benefits, tax credits and community
care. The Disability Rights Handbook is updated
each year. It contains information on social security
benefits, tax credits and related services for disabled
people and is available from the address below.
12 City Forum
250 City Road
London EC1V 8AF
Tel: 0845 026 4748
www.disabilityrightsuk.org 53
Equality Advisory
and Human Rights
and Commission
Support Services (EASS) J
Gives information and guidance on
Advisory service aimed at individulals who S
discrimination and human rights issues
need expert information, advice and support B
including disability. There are offices in
on discrimination and human rights issues U
and the applicable law.
Manchester, London, Cardiff and Glasgow. t
FREEPOST o
EnglandAdvisory
Equality Tel: 0845 604 6610
Support Service
Scotland
FPN 4431 Tel: 0845 604 5510 Y
Wales Tel:800
0845 604 8810 o
Tel: 0808 0082
www.equalityhumanrights.com
www.equalityadvisoryservice.com
Equality Commission for Northern Ireland
Equality Commission for Northern Ireland
Tel: 028 90 500
890 600
890
www.equalityni.org F
o
Advicenow
Web-based resource which provides links to
Web-based resource which provides links to
information an the law and your rights in England
information and the law and your rights in England
and Wales. It does not provide advice itself.
www.advicenow.org.uk F
a
Patients Association
The Patients Association provides information
The Patients Association provides information
and advice on access to health services,
complaints procedure and patients rights.
complaints procedure and patients rights.
O
PO Box 935
PO Box 935 b
Harrow
Harrow
Y
Middlesex HA1 3YJ
Middlesex HA1 3YJ
O
Tel:
Tel: 0845
0845 608
608 4455
4455 o
(Helpline open 9.30am-5pm)
(Helpline open 10am-4pm, Monday-Friday)
www.patients-association.com
www.patients-association.com
54
54