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1 Included in this issue A warm welcome to Ashwini Walvekar! 3 Christmas Quiz and Opening Hours 4 Paratriathlon 5-6 Try these tasty recipes 7 Sue Eckstein My journey 8-12 Bionic Cat We can rebuild him Resources and Information 16-18

2 Well I guess it s that time again and Santa is ironing his red, furry suit in preparation for his annual world tour of chimneys. It must be a great job; people are always happy to see him and he only has to work one day a year; okay it s quite a long day but we all have to do a little overtime now and again. Now apart from the working hours (sadly) and the chimneys (fortunately), I realized when I sat down to write this, that my job and Santa s have a number of striking similarities. Eh? Yes, I know, but stick with me. For one thing we both have terribly unflattering uniforms, but we also have the same potential to make our recipients (for want of a better word) very happy or, unfortunately, to disappoint. After all, we have all been there, haven t we? The excitement of Christmas morning, rushing downstairs to find the half-eaten carrot and the empty sherry glass and there are the presents, piled below the tree. This can often be followed by that sinking feeling as you unwrap a new pair of tartan slippers, pants, socks and a tangerine. Now I have nothing against tartan slippers per se, but if I was expecting those Russell and Bromley ankle boots I took care to point out (husband, take note, size 4) I could be a little disappointed. However, if I received the cute pair of slippers I pointed out in Fat Face (also size 4, Brian) and the underwear was Myla, then I could almost forgive the tangerine! You see it s all about expectation. Santa s customers have their expectations and the Limb Centre patients have theirs. Do you see where I m going now? Amputee expectations are a little bit more difficult to manage. If you ask Santa for an X-Box and you get and X- Box, that s pretty much job done. You ve probably played with your mate s X-Box, you already have experience of it and know exactly what to expect. If you are having your first limb fitted however, you base your expectations on what other people have told you and on your own previous assumptions which can fall very wide of the mark. If we at the limb centre get to you quickly enough with the right information, this is not often a problem. However if another member of hospital staff, however well intentioned, gives you the wrong information, it can lead to a disappointment that affects your entire rehabilitation. You know the kind of thing I mean, Don t worry Mr. Smith, the Limb centre will give you a new limb and you ll be playing football by Christmas! Look at the marvelous things those chaps coming back from Afghanistan can do! The fact that Mr. Smith (and this is a fictional Mr. Smith, just in case you re wondering if it s the one you go to physio with) has been in a wheelchair for 5 years before his amputation and is 103 is not taken into account! If, however, Mr. Smith is correctly informed that his new limb could help him to walk a few meters down the corridor in his care home so he can get to the dining room by himself if he works hard in the gym then he is likely to be delighted when he is in fact able to get out into the garden and sit in the sun with Mrs. Smith. Although we can t arrange the sun; we have to be realistic. Page 2

3 My point is that when we manage our patients expectations realistically, not only are they happier with their results, but we get the Santa Claus feeling. And this is where Centre team has the edge on Santa and his elves; Santa doesn t get to see the little faces when they open their presents on Christmas morning, but we do! I ve always said that the best bit of my job is when someone who has always arrived in a wheelchair, walks into the Limb Centre for the first time, beaming all over their face. And while we make and supply your limbs and advise you on what to do with them, you do all the hard work. So that is why I am writing you an early Christmas thank you letter because by your achievements you make all the hard work and frustrations of working within the NHS worthwhile. Thank you. Have a very merry Christmas and the happiest of New Years Karen Singleton Senior Prosthetist and OoaL Editor I am the new physiotherapist, Ashwini Walvekar, at the limb centre. I hold a Masters degree in Physiotherapy. My experience in physiotherapy is over 16 years which includes working for nine years in India treating patients with Burns, Cancers, Fractures, etc both as inpatients and outpatients. I started working at Northampton General Hospital in 2003 and over the past years built up my experience in various fields of physiotherapy including Medical and Elderly Rehabilitation, Surgical and Intensive Care Units, Trauma and Orthopaedics. I have now moved on to work at the limb centre and will make every effort to provide you with the best of physiotherapy treatment Page 3

4 We hope you enjoyed the lyrics quiz in the last issue. Here s another quiz, with a Christmas theme! You ll find the answers at the back... (many thanks again to Roger Mayhew) Match the year with the song that was number 1 at Christmas. Artist and Song Wrong Year Correct Year Queen Bohemian rhapsody 1952 Mr Blobby Mr Blobby 1962 Al Martino Here in my heart 1964 The Beatles I feel fine 1975 Queen Bohemian rhapsody (yes it has been 1982 Xmas number 1 twice) Renee & Renato Save your love 1985 Elvis Presley Return to sender 1991 Bob the Builder Can we fix it? 1993 Band Aid 20 Do they know it s Christmas? 2000 Whitney Houston Saving all my love 2004 Maths with the 12 days of Christmas a) Pipers Piping Partridges in a Pear Tree b) Turtle Doves + Maids a Milking c) Geese a Laying x French Hens d) Drummers Drumming Calling Birds e) Golden Rings + Swans a Swimming f) Lords a Leaping Ladies Dancing What language are the follow festive wishes in? a) Feliz Navidad b) Joyeux Noel c) Sawadee Pee Mai d) Sung Tan Chuk Ha e) Noeliniz Ve Yeni Yiliniz Kutle Olsun Christmas Holiday Opening Hours 24 th December 8:30 12:30 30 th December 8: th December Closed 31 st December 8: th December Closed 3 rd January Closed 29 th December 8: th January Business as usual Page 4

5 We have had some sad news of Roger Janes who has died. Many of you will know Roger, a double amputee from early childhood, who attended the Limb Centre for many years. Roger was a long term member of the User Group and his contribution will be much missed, we offer our sympathy to Roger s friends and family. The User Group wishes everyone a very Merry Christmas and a Happy New Year Di Oliver User Group Chair As a recent convert to triathlon, I joined the British Triathlon Federation. The Federation produces their own magazine and it wasn t until I received my first copy that I realized paratriathlon even existed. Triathlon consists of three disciplines of varying distance; swimming, cycling and running, in that order. Paratriathlon is more or less the same, but requires a few different techniques and in some cases equipment. For example, a visually impaired participant will have a guide to lead them through the swim and the run and will cycle with them on a tandem; some amputees will be able to complete the course in the same manner as their ablebodied counterparts while, others may use a recumbent hand bike and a racing chair. Athletes are grouped into 6 different categories according to their disabilities: Tri 1 - Wheelchair Tri 2 - Severe leg impairment Tri 3 - Les Autres Tri 4 Arm impairment Tri 5 Moderate leg impairment Tri 6 Visual impairment The World Championships in Budapest in 2010 saw 85 paratriathletes from 15 different countries compete for 12 gold medals. The British team won four of those gold medals including the first man and woman in the competition over all. Unlike able-bodied triathlon, the sport has yet to be included in the Olympics, but one of the main goals of the ITU Paratriathlon Committee is to submit a portfolio presenting triathlon s case for inclusion in the Paralympic Games in Rio de Janiero in Page 5

6 I became interested in triathlon through my running club which has an affiliated triathlon section and I really enjoyed both training for and competing in my first triathlon. When training for a running race that is pretty much all you do; run! With triathlon, you are doing little bits of everything which seems much less daunting, even though I am not a natural in the water and found the swim very hard indeed. But even if you are not interested in the sport as a participant, it is a fantastic spectator sport. Each athlete has their stronger and weaker disciplines and it is very exciting to watch a strong swimmer gradually being caught on the bike only to surge again on the run. With paratriathlon there is the added interest of how athletes in the 6 different categories cope with each discipline and the transitions between them. If you are interesting in participating or spectating, have a look at the website, Don t be put off by the elite athletes on the site; I can assure you from my own experience of triathlon that the sport attracts all levels and abilities. The British Triathlon Federation also organizes come and try days; no dates have been set for next year yet, but should be available in the New Year. Karen Singleton Senior Prosthetist and OoaL Editor Just a little reminder that if you are running short of Christmas cards, we sell a small selection of seasonal greetings cards, designed and produced by the User Group, with all proceeds going to the Artificial Limb Centre Charity fund. Page 6

7 Lemon Honey This recipe was found in a publication called 501 Yorkshire Home Hints dating from sometime in the 1920s. It is described as being delicious to eat on bread and butter, or as a filling for tarts. Give it a try and see what you think. Make it with the juice of three lemons, three beaten eggs, 1lb. brown sugar and a quarter of a pound of butter. Stir the mixture in a basin standing in boiling water until it thickens. Sounds like my kind of recipe; four ingredients, one bowl and one pot! Blackberry muffins Makes 6 generous muffins. If, like me, you spent a significant amount of the autumn traipsing through the hedgerows in pursuit of brambles you may now (also like me) have a freezer full of them and no idea what to do with them! I can thoroughly recommend this recipe as I made several batches for Wootton Road Runners cross country event and they went down rather well although admittedly a hungry runner will eat anything! Ingredients 1) 110g/4oz plain flour 2) 110g/4oz butter 3) 65g/2½oz caster sugar 4) 2 free-range eggs 5) 1½ tsp baking powder 6) 125g/4½oz blackberries, or equivalent in frozen blackberries 7) pinch nutmeg Preparation method a) Cream the butter and sugar together then slowly add the eggs, mix for three minutes. Add the flour, baking powder, nutmeg, stir to combine, then refrigerate for at least an hour, preferably overnight. b) Stir in your blackberries and place a spoonful of muffin mixture into each muffin case, filling each to just over half way. c) Bake in an oven set at 200C/400F/Gas 6 for 20 minutes, or until golden on top. The original recipe suggests serving while still warm with fresh cream, but I think they would also go rather well with a little lemon honey. Page 7

8 As some of you may be aware, I am sorry to say that after almost 5 years with the Centre, and over 7 years with the Trust, I will be leaving at the end of January. I will be moving to Plymouth to work both on the trauma unit in Derriford Hospital and in the Child Development Centre, with children who have a wide variety of conditions. In case you were wondering why I have chosen Plymouth (apart from the seaside, the ice cream and the slightly warmer weather!) it is because my partner, Dave, is a submariner in the Royal Navy, and have been assured if I live with him I will never have to iron any laundry again! Although I am very excited about my move, and the constant supply of Cornish pasties of course, I am very sad to be leaving, and wish I could take my job with me. I have enjoyed every minute of the past 7 years, and it feels like I am leaving my second family behind. I have been very lucky to have worked with some of the best patients and staff in the hospital, and the Artificial Limb Centre is by far one of the most dedicated teams in the Trust. Thank you all very much for making me feel so welcome in the Centre, and for making my job so thoroughly enjoyable. Vicky Nickless Occupational Therapist Sue Eckstein wrote an article for the Guardian about losing her leg I asked her if we could use it in Out on a Limb and she generously offered permission to print excerpts from her blog, which you can find at She has just published her first novel which I enjoyed very much. Di Oliver User Group Chair Sue Eckstein worked for VSO for many years in London, Bhutan and the Gambia. Now a lecturer at Brighton and Sussex Medical School, she is also working on a PhD in autobiographical fiction at the University of Sussex. Her plays include The Tuesday Group, first performed in London in 2003, as well as Kaffir Lilies ( Really wonderful a first rate production Nell Dunn), Laura and Old School Ties ( Sparky and intriguing, written and performed with a real edge Guardian) all for BBC Radio 4. The Cloths of Heaven is her first novel. Page 8

9 Dancing on thin ice Of all the things people say to me on hearing that I m losing my leg, the response that fills me with the most dread is Look at Heather Mills! You ll be dancing on ice before you know it! I ve spent much of my life avoiding doing anything as energetic as icedancing, or as public and potentially humiliating as being filmed in sequins and spandex, or anything else for that matter. I m somewhat alarmed that, in my imminent one-legged state, this might be something I ll be expected to do. That, or running a marathon or scaling a mountain or anything equally out-doorsy. I wish there was some celebrity amputee role model who was known for just getting on with their life and work with reasonably good grace, going to the cinema occasionally, taking the dog for a walk, having friends round for dinner, braving a public swimming pool, managing to walk all right on their NHS-issue prosthetic leg, and generally just being. Sticks and stones There is something about the word amputation that renders people speechless. Or makes them cry. Even my GP rang me at home to commiserate when she received the letter from the hospital informing her of what was about to happen to me. The first time I saw the word amputation in relation to my own leg was when I signed the consent form. Under procedure was written amputation of the left leg. And suddenly my mantra that it s not the end of the world did not seem to have quite the power it had up till then. But at least they d got the right leg. Or the correct leg as my surgeon pointed out. The right leg is very definitely the wrong leg. There are other words I m not keen on. Sarcoma is one. Malignant is another. I m OK with stump for the moment. My physio tells me that some people are more comfortable with residual limb but that somehow seems rather coy. Too brainy by half My brain thinks my leg is still there and, however hard I concentrate, I can t persuade it to re-think. If I twiddle my non-existent toes I m sure I can see them shift under the bedclothes. My missing calf aches as though it has run a marathon. I ve no idea how my brain would know what running a marathon feels like. It s about twenty years since I ve run for a bus. It is just showing off. My brain is further confused by the morphine which keeps lulling me into a kind of Alice-in-Wonderland-infested sleep. I hate Alice in Wonderland but the dreams are quite diverting. Last night I dreamt I was running down the road shouting, Look, you can t even see the join. In that dream, I was feeling really fed up about losing my leg. I woke up and the gloom stayed with me for a few moments, before fading away. Shock and awe I m sure at some point perhaps tomorrow, perhaps in a few days, weeks or months the full horror of what has happened will hit me. For now, though, when I tell the nurses, doctors, my friends and family, that I feel fine, I m telling the truth. I Page 9

10 genuinely don t think that I m suppressing my real emotions, proving some kind of point, or just plain bonkers, though I m sure some people suspect me of at least one of those. But I reserve the right to do an awe-inspiring about-turn and plunge into the deepest trough of unrelenting and unbearable self-pity. What I am truly blessed by is the knowledge that all those people who continue to sustain me with their love, thoughts, and acts of incredible kindness will still be there for me when the jokes finally wear thin and the misery sets in. Home Very Sweet Home There may be no more Horlicks at 9.00p.m.and it s unlikely I ll ever finish watching the complete Sex In the City, but on the plus side, I m home. I m so exhausted with relief that I managed to get out despite a couple of near misses during the eight hour discharge process, when someone thought I should see someone else who wasn t in today, and the head physio contradicted the advice of the head wound viability nurse and I feared there would be an incident that I can t think of a thing to say. A Profound Thought While the staples are being removed from my leg, Matron Anna, the practice nurse and I discuss the likelihood of getting a discount for a quarter leg wax. Doctor! Doctor! The Occupational Therapists have been wonderful. A couple of days after my return home, they came round to discuss various options and by the end of the following day I had new stair rails and a shower seat which is the envy of Nurse Jackie and the rest of the team. There was one alarming moment when the OT asked me if I was managing to prepare meals and it sounded like the opening line of that old joke: Doctor, Doctor, will I be able to drive after my operation? Yes you will That s funny because I can t drive now. Faith, hope and charity I was about to go into the church of St Martin in-the-fields to hear my dear friend Sarah sing the Bach Mass in B Minor with the Vasari Singers, when an earnest young man accosted me. Instead of glancing at my missing leg and looking away very quickly as is the norm, he gazed straight into my eyes and said, I can see you have lost a leg and that must be very difficult for you. We d like to pray for you what would you like us to pray for? Flustered, and suddenly feeling that I d somehow become a character in my very favourite faith-healer joke, the punch line of which is Frank s fallen over, I muttered, er a speedy recovery thank you very much. As I entered the church, the words, we pray for a speedy recovery for her boomed out from behind me, to the bemusement of my fellow concert-goers. Hopping to my pew, I wished I d asked for the miraculous restoration of a healthy lower leg or paid employment for Nurse Jackie, but it was too late. Later, as the sublime music soared through the church and my soul, and the evening light shone through the extraordinary new east window, I pondered on the kindness of friends and Page 10

11 acquaintances who, while knowing that I am situated somewhere on the agnostic spectrum, and don t adhere to any particular faith, have nevertheless been holding me in their thoughts and prayers, and for that I am truly thankful. Best foot forward After four post-holiday practice sessions at the rehabilitation centre, with support and advice from my wonderful prosthetist, wound nurse and physiotherapist, and helpful comments from passing amputees, I have been allowed to take my new leg home. It reminds me, oddly, of the first day alone at home with a newborn baby. I gaze at it as it rests, propped up against my chair, with a mixture of exhilaration and trepidation. There s no way back; the leg is here to stay. The joy of having it is tempered by weariness and apprehension as I go from expert, speedy crutch-hopper to beginner, tentative, prosthetic-leg-walker. Matron Anna, the first-born, says she knows how Stumpy must be feeling. No one s interested in him, or even his beautifully healed scar, any more. It s all lovely leg, amazing leg, incredible leg now. Not that she s still bitter, or anything. Place your bets My new leg has slowly but surely wheedled its way into my affections. It was touch and go initially. For the first week, putting it on and attempting to cross a room was so incredibly uncomfortable that I seriously considered not bothering with a prosthetic at all. But then Sebastian pointed out the hypocrisy of my going on and on and on that he had to learn to touch-type during the holidays; that starting anything from scratch was tedious; that there was no gain without pain; that we can t always spend all our time doing things we enjoy and that he d be thankful in the end. If I wasn t going to bother to learn to walk properly, he wouldn t do his typing. And so he s on 19 wpm and I m on a prosthetic leg and one walking stick. By the time he makes 30 wpm, I ll be walking hands free without a limp. Snap, crackle and pop Dr Elisabeth Kübler-Ross s five stages of grief model may resonate with people who have lost limbs. But none of the descriptors: denial, anger, bargaining, depression and acceptance seem to accord with how I am feeling exactly five months post amputation. I think I missed out the first three stages and now I m teetering around massive irritation. Having decided to try to manage my phantom limb sensation without drugs, I m left with a fizzing and tingling in my missing leg that is literally driving me to distraction. Someone without a blue badge has parked in the disabled space outside our house and, three days later, shows no sign of turning up to move it. The council can do nothing as they have yet to erect the sign making it official. I can t find an outfit to wear to a black tie 50th birthday party that works with an American Tan clad calf that looks like it once belonged to Miss Trunchbull or a wellnourished Ukrainian shot-putter. And to cap it all, my style consultant has handed in her notice and is going away to university. Nurse Jackie and the rest of the team are keeping a low profile. Page 11

12 On the casting couch I am thinking of signing up with Amputees in Action an agency that specialises in providing amputee extras to the film industry. In my mind, I am already in Hollywood, bravely enduring the loss of my left leg, while Mark Ruffalo battles through the jungle/pileup/towering inferno to carry me off into the sunset Hello! My name is Polly, I am a dachshund and I live in a bungalow with a safe, enclosed garden. You may remember hearing about my possible arrival in the 2009 summer edition of Out on a Limb and yes, I arrived last November. I m sort of adopted, and my first name was Lily, but as I couldn t live with the first lady who had me (she became very ill), I came to my new home and my new people changed my name to Polly. I think I have behaved quite well since arriving and have only had to stay at the vet s once, after eating some horrible tablets that made me sick. I went on holiday to Wales where I had lovely walks up the mountains and also to the seaside called Southwold. I didn t bother with the wet stuff called sea water; as the cottage we stayed in was next to a rabbit warren and full of rabbits, I did so love it, even though I was kept on a long lead. Karen called one day for a parcel and we had great fun playing with my toys. She has a bigger dog than I am, but I m sure if we met in the forest out walking we would have a lovely run around. Some strange things have happened to me since I came here: my mistress disappeared for five weeks and when she came back, I couldn t make out where her hand and arm had got to. There was a lot of blue stuff; foam padding all over it which I thought I would grab and pull and have a game with, but they said, NO! and wouldn t let me. And then the other day, she got out of her wheelchair on two long, silvery things called crutches and started to come after me up the passage. I didn t like this as I had to bend my head to look up at her and she was so slow that I got there before her and got fed up waiting! I was glad when she sat down again and could fuss me from the chair. Sometimes I go and hide under her chair to get away from the boss if he wants to go out or to put on my waterproof; but I have to mind my tail as this hidey hole has a habit of moving! As I live next door to a children s play area I am enjoying all the lovely leaves which keep falling down. When I run around they make a lovely crunch and I also find shiny, brown things called conkers. As I don t eat bones I haven t dug any holes in the garden to hide them that pleased them with their flowers and veg., although some of the garden is too high for me as it s what they call the raised flower beds. I had to be careful they didn t see me under the plum tree where there were a lot of fallen plums; I rather like to bite them, especially the squashy ones! The missus has a Page 12

13 special, long-handled rake which she uses to keep things tidy, and I certainly have to look out for that! I do come to the Centre sometimes, but have to look out of the car window at you all; apparently you might trip over me if I came in I would love the fuss though. As yet, my first year has brought many adventures, but who knows what s around the corner? I love chewing and playing with my red ball, although it gets lost sometimes under the chest and the bed. The twigs I bring into the house keep getting taken away as they make a mess! but I still carry them in. I have a boyfriend next door called Alfie. When I first arrived, he jumped over the wall to greet me, but we only rub noses through the gate now; maybe a gift of a bone might do the trick! If I have any more adventures, I will tell you another time; there must be more to life than eating, sleeping in front of the fire and going for long walks. By the way, I do have a cuddle on my master s knee for a while hour before I go to bed such bliss! Love and licks, Polly Translated from the original dog by Pauline Davidson, mistress of Polly and member of the User Group. As well as being interested in technology and innovation, a less geeky passion of mine is cats. So, when I saw a chance to write an article which combines the two, I seized the opportunity with relish! Whilst flicking through the TV channels one evening earlier this year, I stumbled across a documentary on BBC1 called The Bionic Vet and was amazed by what I saw. The series reported the outstanding work of Noel Fitzpatrick and his team who use revolutionary new surgical techniques to save and improve the lives of pets from all over the country. And, it definitely wasn t for those with a delicate stomach as the methods and techniques used were, putting it mildly, extremely brutal compared to other types of surgery. Coming from a background of attending more post mortems than I wish to remember, this didn t deter me from watching Qualifying as a vet in 1990, Noel is now the Managing Director of a world renowned state of the art practice in Eashing, Surrey and, in 2009, became the first surgeon in the world to bio-engineer two bionic feet and successfully administer them to a cat called Oscar. Page 13

14 Oscar became the most famous patient of the series. Like many cats, he enjoyed a life of lying in the fields near his home in Jersey, basking in the sun, until one unfortunate day when he was struck by a combine harvester and had both his back feet severed. Working with a team led by Professor Blunn of University College, London, Noel fitted him with two new feet which are custom-made implants that peg the ankle to the foot. What s revolutionary is that the implants are bio-engineered to mimic the way that deer antler bone grows through the skin and, by developing an exoprosthesis, the implant works as a see-saw at the bottom of Oscar s limbs, giving him a normal gait. Whilst we can only marvel at such brilliant technology, Oscar s owners report that their beloved pet had a very laid-back approach to the whole incident, an attribute they feel made him an ideal candidate for the procedure. Their key concern was whether Oscar s quality of life would go forward but he appears to have returned to a happy, carefree life basking in new, safer places (hopefully). What was interesting is the mass of attention this story attracted from around the world. Forums galore displayed the varied reactions which ranged from support to disgust. Whilst many were overjoyed at the outcome, some slated the owner s decision and the alleged waste of resources and skills allocated to a cat, rather than being invested in more worthwhile causes. But, the truth of the matter is how the pioneering surgery allowed valuable lessons to be learnt that can now be applied elsewhere. The technology is being tested on humans and has already been used to create a prosthetic for a woman who lost her arm in the July 2005 bombings. It has the potential to change the lives of amputees around the world both furry and nonfurry alike. What do you think about it? Did anyone else see the programme? I d be really interested to hear your thoughts. For more information on the Bionic Vet, Noel Fitzpatrick, and his expertise in small animal neuro-orthopaedics, visit I d like to thank the Out on a Limb team for making me so welcome I ve really enjoyed helping to put these last few editions together and am looking forward to the year ahead. I wish you all a great Christmas, and a happy and healthy Penny Mayhew Graphic Designer Page 14

15 Music Quiz Answers Artist and Song Correct Year Queen Bohemian rhapsody 1975 Mr Blobby Mr Blobby 1993 Al Martino Here in my heart 1952 The Beatles I feel fine 1964 Queen Bohemian rhapsody 1991 Renee & Renato Save your love 1982 Elvis Presley Return to sender 1962 Bob the Builder Can we fix it? 2000 Band Aid 20 Do they know it s Christmas? 2004 Whitney Houston Saving all my love 1985 Maths with the 12 days of Merry Christmas Christmas a) 10 (11+1) a) Spanish or Argentine b) 10 (2+8) b) French c) 18 (6x3) c) Thai d) 3 (12 4) d) Korean e) 12 (5+7) e) Turkish f) 1 (10-9) RDAC Regional Driving Assessment Centre Are you in receipt of the High Rate Component of DLA? If so, you are eligible for a free driving or passenger assessment through the Motability Managed Adaptations Programme. This can: Recommend the most suitable type of car Advise on a range of adaptions Ensure you are safe to drive For more information, contact: Page 15

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