Q2 / 2019 AN INDEPENDENT PUBLICATION DISTRIBUTED ON BEHALF OF MEDIAPLANET WHO TAKE SOLE RESPONSIBILITY FOR ITS CONTENTS JEREMY HUGHES CBE CHIEF EXECUTIVE, ALZHEIMER’S SOCIETY A future isolated from society is the stark truth for many living with dementia. » p2
HILARY EVANS CHIEF EXECUTIVE, ALZHEIMER’S RESEARCH UK Technology has the potential to change the lives of people with dementia. » p4
HELEN WALKER CHIEF EXECUTIVE, CARERS UK How to care for someone with dementia without losing sight of yourself. » p6
Understanding Dementia HEALTHAWARENESS.CO.UK
Alzheimer’s Society Ambassador and Inspector Morse’s Kevin Whately tells of his mum’s dementia: “She attempted to walk home, forgetting she was 300 miles from her beloved Northumberland.” p6
PHOTO CREDIT: ALZHEIMER’S SOCIETY
Dementia Action Week 20-26 May Find out more at alzheimers.org.uk/DAW #AskUsAnything Registered charity no. 296645
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We mustn’t shy away from talking about it - or talking to people with dementia. People with dementia are still people.”
Starting a conversation is the first step in creating a dementiafriendly generation A future isolated from society is the stark truth for many living with dementia. It’s time to start a conversation about dementia, because it isn’t going away.
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y 2021, one million people will be living with dementia. There are currently 850,000 people living with dementia and twothirds are living in their community. Many are left without adequate support and over half tell us they feel isolated and lonely. We hear, too often, the harrowing testimonies from people who have lost touch with friends and are forced to give up their careers. Alzheimer’s Society’s recent survey has shown half of people with dementia have experienced loneliness and lost touch with people since being diagnosed. Do you know someone with dementia? Around two fifths of the population know a family member or close friend living with dementia, so we
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all have a role to play in making the UK a place where they are included and supported. It starts by tackling feelings of worry and awkwardness about ‘saying the wrong thing’ about dementia. This Dementia Action Week (20-26 May), Alzheimer’s Society is encouraging everyone to be a friendly face or listening ear. Small acts of kindness help people with dementia feel part of their community. With someone in the UK developing dementia every three minutes, we mustn’t shy away from talking about it - or talking to people with dementia. People with dementia are still people. Volunteering opportunities for people with dementia An amazing 2.8 million Alzheimer’s Society Dementia Friends are instru-
mental in helping create a dementia-friendly generation, changing the way people think, talk and act about dementia. And it’s not just individuals – there are also over 400 dementia-friendly communities and businesses. Restaurant chains are uniting with us as part of an unprecedented movement for change – Dining4Dementia. It is inspiring to see people with dementia volunteer in restaurant roles, showing that with the right support and small adjustments; many can continue to contribute to the workplace. Help is available online and over the phone Being diagnosed with dementia can often be a confusing and overwhelming time. You don’t know
JEREMY HUGHES CBE Chief Executive, Alzheimer’s Society
where or who to turn to for help. The Alzheimer’s Society Helpline is vital as people face the challenges of dementia. People affected by dementia tell us what a difference our support and advice can make. Ultimately, research will beat dementia. But while we’re working tirelessly to find a cure, we’re committed to finding proven ways to transform the lives of people with dementia today - such as Alzheimer’s Society’s £5.6 million investment in three University Centres of Dementia Research Excellence, as well as the groundbreaking Dementia Research Institute. 40 years of Alzheimer’s Society 2019 marks the 40th anniversary of Alzheimer’s Society. It’s incredible to see how far we’ve come. This
Dementia Action Week is the biggest yet. We are funding more research than ever before. We have the backing of millions, who are uniting with us against dementia. And we continue to speak ever louder to the government to campaign for change. But we’ve still got a long way to go, which is why we need everyone to start talking to people with dementia, about dementia.
This Dementia Action Week, it’s time to start talking. Find tips on how to start a conversation with someone living with dementia at dementiafriends.org.uk Or call Alzheimer’s Society Dementia Friends on 0300 222 1122 MEDIAPLANET
Does your bank adapt to your needs?
MIKE FINNEGAN Head of Customer Experience, HSBC UK
People’s circumstances change, and when dementia is the cause, they can become vulnerable. Businesses – especially banks, who deal with sensitive, personal, financial information – must be prepared to adapt.
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uccessful adaptation needs a business-wide desire to help those with dementia. Internal dementia awareness sessions can build colleagues’ understanding of the disease and even position them as Dementia Friends, an initiative founded by Alzheimer’s Society. SEB_RA
This is particularly important for customer-facing staff who are keen to help customers, whatever their situation. I mprove d u nder s t a nd i n g of dementia also allows businesses to develop innovative, tailored product ranges to support their customers with new solutions. Staying connected to your bank It’s imperative that customers whose circumstances change, continue to feel they’re able to talk to their bank. HSBC’s ‘Managing money with dementia’ guide was developed with Alzheimer’s Society and Alzheimer Scotland and is available in all branches and online. By working directly with people impacted by dementia, we agreed an approach within the banking industry and built an understanding of how we could help. The guide draws together useful banking services, helping people living with dementia understand how they can stay connected to their financial service providers.
Customers should be at the heart of any organisation... Businesses can deliver new initiatives, working directly with people living with dementia to understand how to make a real difference.” Benefits to colleagues Across the banking sector, colleagues are often driven by opportunities to learn and develop in order to better serve their community, and the positive impact of dementia awareness training shouldn’t be understated. Being able to recognise and understand dementia, and then being able to provide the help and support needed, must be key. The pride people feel in initiatives like this encourages them to spread the word of Dementia Friends and motivated a great deal of involvement in other areas of our three-year partnership with Alzheimer’s Society, such as fundraising. Our colleagues
are hiking, biking and baking to hit our £3 million fundraising target to support the charity. Making a difference Customers should be at the heart of any organisation. By working with Alzheimer’s Society, businesses can deliver new initiatives, working directly with people living with dementia to understand how to make a real difference. Often, the result will be unexpectedly far-reaching. By becoming more dementia-friendly, organisations become more customer-f r iend ly, prov id i n g g re ater support for their customers when they need it the most.
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HSBC’s Independence Service Even when it becomes difficult to manage your finances, it can be very hard to give up control and rely completely on someone else. Customers often want to maintain a level of financial independence. To help, we’ve created our Independence Service. This industry-leading service enables customers to maintain the independence to go about day-to-day tasks such as food shopping and paying bills with a debit card, providing peace of mind for our customer and their legal third party, with the third party retaining the management of all other financial arrangements. Read more at hsbc.co.uk/help/life-events/
Getting your confidence back in the great outdoors Interview with: NEIL MAPES CEO, Dementia Adventure
Being outside is good for everyone’s wellbeing — and that particularly applies to people with dementia who are at risk of social isolation says Neil Mapes, CEO of Dementia Adventure. Q: How do outdoor activities help those living with dementia? There's plenty of evidence to demonstrate the physical and emotional benefits of being outside. It's good for our wellbeing because we're human and hard-wired to want a connection with nature. That especially applies to people with dementia who are more likely to be isolated from society.
Q: Why do they become isolated? Say you love walking your dog, cycling and going on holiday each year, but then you're diagnosed with dementia. All those things you enjoy are taken away from you because you lose the confidence to do them. How would you feel about not being able to walk the dog because your partner was worried that you might not come MEDIAPLANET
back? We want people to get outdoors, connect with nature and enjoy a sense of adventure in their lives. Because there's something magical that happens when you cross the threshold. It's the sun on your face, a breath of fresh air.
Q: Why are supported holidays good for people with dementia? Just say you get to a service station w it h you r hu sba nd, who h a s dementia. He goes to the gents and you go to the ladies, but there's a queue – so he gets out before you do and doesn't know where you are. Then you come out in a panic wondering where he is. Those sorts of experiences are enough to stop people going on holiday. Supported holidays rebalance the narrative of dementia being wholly negative, and focus on the things
people can do if they have the right support. That gives them confidence to try new things.
Q: What new activities can people living with dementia try? Kayaking or zip-wiring are just some of the activities that people may have never done before and which place them out of their comfort zone. Supported holidays can offer these types of adventure, which make smaller activities feel more manageable. When they get home, they might think: 'We went zip-wiring last week! I'm sure we can go to the local park.' Supported holidays are beneficial for carers, too, because they're not solely responsible for the person with dementia, 24/7, in the way they are at home. They can be so embroiled in
occupational therapy, social work visits and benefits assessments that they forget about the simple pleasures of being outdoors together. When we've done training with family carers, 82% of delegates say they have more confidence to go outdoors and try new things because they've a more positive understanding of their situation.
Q: What benefits have you seen supported holidays give people with dementia? Pure joy on people's faces. And relief, knowing that they are not on their own because there are volunteers choosing to spend time with them, supporting them. That says a lot about how valued they are as members of society. Written by: Tony Greenway
Dementia Adventure With the generous £1.4 million of funding received to date, players of People’s Postcode Lottery directly help Dementia Adventure keep the cost of short breaks affordable for more people.
Sponsored by
Read more at dementiaadventure.co.uk HEALTHAWARENESS.CO.UK
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The power of technology to overcome dementia HILARY EVANS Chief Executive, Alzheimer’s Research UK
Innovative technology has the potential to change the lives of people with dementia; not only by shaping care and support, but by revolutionising research and transforming the way we diagnose and treat the condition.
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etecting the diseases that cause dementia early is critical. Research shows that Alzheimer’s disease, the most common cause of dementia, begins in the brain decades before symptoms start to show. This is a vital window of opportunity to intervene before there has been widespread damage to the brain. But we need to radically improve the way the disease is detected and diagnosed. While better medical equipment like high-tech brain scans and sensitive blood tests hold huge potential benefits, technology closer to home is also playing an important role.
Gaming to better understand spatial awareness On the surface, the mobile game, Sea Hero Quest, is a fun, seafaring adventure. But as its millions of players make their way through the game, they are helping to create the world’s first, crowd-sourced database of human spatial navigation ability. This data is allowing researchers to better understand orientation and spatial awareness and how these abilities begin to change in people with dementia. Researchers have already shown that in a small group of people, the game can identify those at genetically higher risk of Alzheimer’s. A conventional memory test is unable do Research shows that this - an intriguing step Alzheimer’s disease when it comes to moving begins in the brain decades before symptoms start to show.” the goal posts for diagnosis research. Capitalising on a digital revolution At Alzheimer’s Research UK we are working to harness more of the untapped potential presented by the digital revolution. Mobile apps and wearable devices have the ability to capture a wide range of information that could provide clues about the health of our brains. By forging collaborations between leading dementia researchers and experts in machine learning and data science, we believe we will be able to detect signs of a disease like Alzheimer’s decades earlier than we can today. Technology at home Improving diagnosis is not the only way technology is powering progress towards new ways to help people living with dementia. A new, £20m research centre at the UK Dementia Research Institute is developing new technologies to support people with dementia in their day-to-day lives and to make it much simpler for them to take part in research. While technology is opening new doors in dementia research, it won’t just solve all our problems for us. Breakthroughs are only possible thanks to dedicated scientists, passionate research volunteers, and people who donate to support dementia research. But technology is a powerful tool. And it’s driving a research revolution both inside and outside the laboratory. Read more at healthawareness.co.uk
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Clinical trials – dementia research needs you DR CAROL ROUTLEDGE Director of Research, Alzheimer’s Research UK
‘Where are the treatments? What are the latest drug trials? How can I get involved in this research?’ Three things I get asked most often when I speak to people about dementia. There has been no new dementia drug for over 15 years, and there is still no treatment to slow or stop diseases like Alzheimer’s developing in the brain. So how far are we from a cure?
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ast year, researchers presented promising results from a clinical trial of a new potential drug targeting the amyloid protein. Dr Alois Alzheimer first observed amyloid in the brain of someone with the disease in 1906, and it is still at the centre of our understanding of Alzheimer’s disease. The early results suggest that the drug may slow the processes that drive Alzheimer’s and help improve symptoms. We now need to see further tests in even larger, finalstage clinical trials. These trials will follow people over longer periods of time to show whether the drug delivers on its promise.
The comeback is stronger than the setback In March, we heard that another potential Alzheimer’s drug targeting amyloid wasn’t able to show a benefit to people with the disease in a clinical trial.1 Many people, especially those with dementia and their loved ones, had high hopes that it would be the first drug to help slow down
the disease and make a meaningful difference to people’s lives. Sadly, it didn’t, and two major trials of the drug were stopped. Scientists must learn as much as they can from this result and use it to make progress faster. What is positive, is that researchers are pursuing many different approaches in the hunt for new treatments. We don’t keep all of our eggs in one basket. 230 Alzheimer’s treatments on the horizon R ight now, t here are over 2 30 potential Alzheimer’s treatments bei ng tested i n cl i n ica l t r ia ls across the world, with 23 new drug compounds being developed in three Drug Discovery Institutes funded by Alzheimer’s Research UK. There are also treatments being tested to tackle some of the devastating symptoms of diseases like Alzheimer’s, including a cannabis-based treatment for agitation. These studies are only possible thanks to the inspirational participants who take part, both those with and without dementia.
How you can get involved in research At A l z hei mer ’s Re s e a rc h U K , we support a service called Join Dementia Research in partnership with the National Institute for Health Research, Alzheimer Scotland, and Alzheimer's Society. It matches you to research studies that need your help and so far, over 40,000 people across the UK have signed up. These studies cover a range of types of research from surveys into attitudes towards dementia to vital clinical trials to bring about treatments that change lives.
This International Clinical Trials Day you can all make a meaningful contribution by joining in. Find out more at joindementiaresearch.org or by calling Alzheimer’s Research UK on 0300 111 5111
1: www.dementiablog.org/in-the-news-alzheimers-drug-trial-set-back/
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Treating symptoms of dementia by resetting brain genes’ responses Research into a new, experimental treatment for Alzheimer’s disease (AD) and other central nervous system disorders is underway, with testing on mice showing positive results.
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he ma i n r i sk fac tor for dementia is age, so research u ses m ice bre d to have accelerated ageing. They develop cognitive impairment, plus many of the signs seen in human dementia. Remarkably, this treatment not only restored memory loss when it first appeared, but it restored memory at every stage it was tested, including in very impaired mice. Also, these same mice became more sociable and less aggressive with treatment. These findings were later confirmed in other experiments; meaning a treatment was available for a clinical trial, which restores memory, reduces aggression and increases sociability. Manipulating brain genes to fight dementia Genome functioning is affected as
we age through interactions with the environment. The study of this is called epigenetics. Research is exploring a treatment used clinically in the central nervous system, which works by “resetting” the expression of brain genes, notably turning on genes involved in improving synaptic connections and turning off others that cause brain inflammation. This allows a multimodal treatment in one single daily pill. Early trials in human patients with Alzheimer’s With good results in animals, the ETHER AL study is now testing patients with mild to moderate Alzheimer’s. Although there are 50 million people worldwide with dementia that need effective treatments now, most current pharmaceutical research has been on people
with very early signs of impairments, or at-risk populations; believing that starting very early would yield better results. To date, this strategy has been unsuccessful, while, people who have actual dementia are underserved of clinical trials. Reduced aggression Results show there is potential for improvement in mild and moderate patients as, besides memory loss, other impairments in AD patients include social-withdrawal, apathy and aggression. The beneficial effects on these core features in rodents and these preclinical findings have recently been confirmed in patients with Borderline Personality Disorder and Attention Deficit Hyperactivity Disorder. Here, again, aggressiveness has
DR ROGER BULLOCK Chief Medical Officer, Oryzon Genomics SA
been reduced and overall well-being improved.1 Using placebos to test success In a six-month, randomised study, participants receive the experimental treatment as a daily pill or a dummy tablet. Everyone then gets the real treatment for a further six months. It involves many clinical measurements, trying to map all possible effects in a human Alzheimer’s patient. The information gained will help in deciding how to move forward. Dementia research has experienced numerous setbacks in recent years. However, there are still new, disruptive ideas about how to improve the lives of patients and their families.
Oryzon Oryzon is proud to be part of this continuing effort. Following an honorable tradition of British academia involvement in cutting-edge science, an important piece of ETHERAL study is being performed in the UK, where eight institutions2 and many renowned professionals are involved. The study is open and still recruiting.3
Sponsored by
Read more at oryzon.com/en/patient patient-information
1: data presented at EPA-2019 and ADHD-2019 Conferences 2: St Pancras Clinical Research, London: Re:Cognition London, Guildford, Birmingham and Plymouth: Glasgow Memory Clinic, Kingshill Research Centre, Swindon and Exeter University 3: www.oryzon.com/en/patient/patient-information
Solving the health crisis of our time - dementia
In the coming weeks, the government will make decisions about support for dementia research that will have a major impact on our ability to overcome the condition. This means the UK now faces a unique window of opportunity to ensure dementia research receives the funding it needs to transform lives.
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ight now, dementia is the UK’s leading cause of death a nd cost s ou r e conomy £26bn each year. A recent Alzheimer’s Research UK poll shows that one in two people know someone living with the condition.1 This is a condition that is permeating our lives, straining our health system, and stealing our loved ones from us. No one has ever survived dementia and we still cannot effectively treat or prevent the condition entirely. Research investment can change the future The government’s Challenge on Dementia, a five-year commitment
to make progress for dementia research and care, is currently under review. At the end of this review, the government will decide whether to continue the Challenge on Dementia and, if so, what goals to include. This is a critical opportunity to capitalise on the good progress made so far, to set ambitious, world-leading research goals, and to bring about new treatments for dementia. Through the current Challenge, the government has doubled the funding put towards researching effective treatments, 2 surpassing the goal of £60 million a year and investing over £80 million annually in 2016, 2017 and 2018. The government must not only
HELEN DAVIES Head of Public Affairs, Alzheimer’s Research UK
c ont i nue f u nd i n g p otent i a l ly life-saving research through the Cha l lenge but sca le up f ut ure ambition to meet the crisis at hand.
researching the condition. In comparison, 1.6% of the cost of cancer was put towards cancer research in the last year on record.
Fairer funding for dementia research With long-term and sustained funding, breakthrough treatments now exist for health conditions like HIV/AIDS and cancer. But despite moves to increase funding, financial support for dementia research has lagged behind other serious conditions, resulting in slower progress in our ability to treat people with dementia. I n 2 017-18, t he gover n ment committed £82.5m, or 0.3%, of the annual cost of dementia towards
Just 1% can transform lives A s t he U K’s lead i ng dement ia re se a rch ch a r it y, A l z hei mer ’s Research UK is calling on the gover n ment to i nc rea se resea rch spending to just 1% of the annual c o s t of d e m e nt i a b y 2 0 2 5 t o transform research efforts. Earlier this year nearly 35,000 people backed this call 3 when they signed our petition to the government. And the call, which has been echoed by A lzheimer’s Disease International, aligns with recent
commitments to research funding made by the United States. Increasing dementia research funding to 1% would accelerate breakthroughs like those made for other health conditions, which have already transformed thousands of lives. We know that, without an intervention or treatment, one in three people born today will go on to develop dementia. We owe them better futures. The government must join us in leading the way to make dementia breakthroughs possible. Read more at healthawareness.co.uk
1: dementiastatistics.org/attitudes/ 2: dementiastatistics.org/statistics/uk-government-investment/ 3: petition.parliament.uk/petitions/228954
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Conversation is so important for people living with dementia KEVIN WHATELY Ambassador, Alzheimer’s Society
Someone develops dementia every three minutes. Shocking statistics, but they’re a reality. Inspector Morse’s Kevin Whately tells us how loved ones with dementia need patience and kindness.
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am by no means academically qualified in this field. However, I am qualified on what I watched my mum go through when she was diagnosed. In this I am qualified to say: Be kind. Be patient. Dementia needs to be understood and embraced, not excluded. My mum was a fiercely independent and very bright woman. She was a teacher of English and history and even used to take part in archaeological digs. She was the first person I had ever known to be diagnosed with dementia. At first, she would forget where she had left the car but, over time, she began to deteriorate. One Christmas in London, she attempted to walk home, forgetting she was 300 miles from her beloved Northumberland. My siblings and I would phone every day and take it in turns to make the 700-mile round trip to visit every weekend to make sure she was alright. We were so grateful that her neighbour, Barry, also kept an eye on her. She often wandered into his house as if she owned it and he would sit her down with a glass of wine. I lived for the little sparks that reminded me I lived for the little sparks that reminded of how she was before her diagnosis, like when she me she was still Mum.” used to call me, “our Kev”. Repeat showings of Inspector Morse helped Mum remember Even in the later stages of Mum’s dementia, it was the smallest things that seemed to make the world of difference to her life after her diagnosis. I used to coincide my visits with afternoon repeats of Inspector Morse. It helped her to remember and all it took was a conversation (albeit about the high crime rate in Oxford!) to see Mum was still Mum for that moment. Alzheimer's Society’s Dementia Action Week is all about the small acts of kindness that help people living with dementia feel part of their communities. My mum is sadly no longer with us, but by telling her story, she is still helping create a dementia-friendly generation. I’m determined to campaign for improved research and funding for dementia. But I’m also determined to make sure people with dementia can continue to live the life they choose. Because EVERY life matters. I invite you today to unite with Alzheimer’s Society, join the conversation and get involved with Dementia Action Week. Are you with me? All it takes is a conversation to see we’re still us. This Dementia Action Week, it’s time to start talking. Read more at alzheimers.org.uk/DAW
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How to care for someone with dementia without losing sight of yourself HELEN WALKER Chief Executive, Carers Uk
Caring for a loved one with dementia can be hugely rewarding – but also tough on top of the usual pressures of family life. In the UK, there are more than 6.5 million unpaid carers looking after a loved one who is older, disabled or seriously ill. Many care for friends and family for over 50 hours a week, often alongside their paid employment.
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t’s no surprise that, while trying to juggle everything, almost three quarters of carers report they have suffered mental ill health, such as stress or depression, as a result of caring. It’s so important that carers are able to take care of their own health and wellbeing too. Looking after yourself while taking care of a loved one with dementia can be hard but there are a number of solutions that can help improve wellbeing:
1. Find out about carers’ rights and support Trying to navigate the health and social care systems and knowing what financial support is available can be a challenge. For a guide outlining all the rights and support available to carers in one place, Carers UK’s ‘Looking after someone’ guide is a great place to start. Go to carersuk.org/help-and-advice/get-resources/looking-after-someone for a free copy.
2. Make the most of technology Different types of equipment and technology can help make a home safer, life easier and provide independence for the person being looked
after. Everyday tech like mobile apps can take the stress out of tasks such as shopping and coordinating care. Find out what’s out there and how to get it at carersuk.org/help-and-advice/ technology-and-equipment
3. Have fun together It can often feel like it isn’t possible to do the same activities with a loved one that they enjoyed in the past, but it’s still possible to have fun together by trying new things. Music is a particularly powerful way to trigger memories. Using BBC Music Memories carers can create playlists of music from particular decades and styles that can be enjoyed together: musicmemories. bbcrewind.co.uk/
4. Reach out for understanding from other carers Whether it’s round-the-clock or for a few hours a week, caring can feel overwhelming at times so it’s important to know that you’re not alone. The Carers UK forum is a supportive online community of current and former carers who understand the ups and downs of caring. Sharing an experience, a problem or just having a good old rant to a fellow carer can make a world of difference. Go to carersuk.org/forum
5. Don’t feel guilty about taking a break Caring for someone with a complex condition such as dementia can take up a lot of personal time and energy, so taking a break is vital to recharge the batteries, meet up with friends or simply catch up on sleep. There are various options for getting support for a person being looked after or taking a break together, whether that’s support from friends or family or support services. Something as simple as going out for a walk when the weather’s nice can really help your mental wellbeing. Search online for our Taking a Break factsheet: carersuk. org/help-and-advice/health/looking-after-your-health/taking-a-break
Carers Week From 10th to 16th June we’ll be celebrating Carers Week, the UK’s annual drive to raise awareness of caring and celebrate the vital contribution of carers. This year, Carers UK joins forces with Age UK, Carers Trust, Motor Neurone Disease Association, MS Society, Rethink Mental Illness and Sense to help get carers connected to information and support. Read more at carersweek.org MEDIAPLANET
Ask us anything this
Can you still kiss people if you have Alzheimer’s?
Dementia Action Week 20–26 May All it takes is a conversation to see we’re still us Find out more at alzheimers.org.uk/DAW #AskUsAnything
Alzheimer’s Society operates in England, Wales and Northern Ireland. Registered charity no. 296645.
Care you can Trust The Orders of St John Care Trust (OSJCT) is a specialist provider of dementia care, offering an innovative but practical approach to caring for people living with dementia, and providing support for family and friends through the transition of coming into long term care. Additionally, OSJCT are proud to be one of the few care providers to employ our own Admiral Nurses, supported by Dementia UK who are specifically trained to support people living with dementia, their friends, families and carers. To find out more about our care homes in Gloucestershire, Lincolnshire, Oxfordshire and Wiltshire: Operated by not-for-profit charity Registered Charity No. 1048355
• call 0800 988 8133
healthawareness.co.uk Get in touch for the next edition 44 (0) 2036 420 739 katy.heinemann@mediaplanet.com uk.info@mediaplanet.com @mediaplanetUK
• visit osjct.co.uk
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