Drug & Alcohol Treatment & Support Services Waltham Forest Drug & Alcohol Treatment & Support Services Directory 2013/14
Contents Welcome... 3 Help... 3 Help lines and organisations... 4 Alcoholics Anonymous Narcotics Anonymous... 4 Cocaine Anonymous Marijuana Anonymous... 4 Support for families, friends and carers... 5 Legal advice and Information Lines... 6 Needle and Syringe Programme 2013-14... 6 Service user involvement... 8 Adult Services... 9 Turning Point Open Access Service, Waltham Forest... 9 Turning Point Structured Day Programme, Waltham Forest... 11 Waltham Forest Community Drug and Alcohol Team (CDAT) part of NELFT... 13 Waltham Forest Integrated Alcohol Service... 15 QALB centre Outreach Team, Waltham Forest... 16 QALB Centre Counselling service, Waltham Forest... 17 Waltham Forest Drug Intervention Team Westminster Drug Project (WDP)... 17 Young Peoples Services... 20 722... 20 Page 2 of 20
Welcome Welcome to the directory of drug and alcohol treatment and support services for Waltham Forest. The directory is for people with drug or alcohol problems who live in the borough, their families and carers as well as professionals. This directory provides details of local organisations working specifically with problematic drug and alcohol users, as well as some national organisations and helplines. How do I know where to go for help? You can contact any agency directly but it is recommended for drugs the first agency should be Turning Point Open Access Service, Hoe Street, Walthamstow. For alcohol, all calls should be directed to the Waltham Forest Integrated Alcohol Service, 1 Beulah Road, Walthamstow. Both of these services provide a range of interventions in themselves and can provide referral to higher threshold services such as CDAT where appropriate. Help Turning Point Open Access Service Waltham Forest 0208 709 8866 Turning Point Day Programme Waltham Forest 0208 509 1888 Community Drug & Alcohol Team (CDAT) 0300 555 1241 Waltham Forest Outreach team (QALB) 0208 521 5223 Mobile: 07950722465/07950722444 Waltham Forest Qalb Counselling Service 0208 521 5223 Waltham Forest Drug Intervention Team - Westminster Drug Project (WDP) 0208 709 8850 Waltham Forest Integrated Alcohol Services 0208 509 1888 722 Young People s Substance Use Service 0300 555 1158 Adfam 0207 553 7646 Dual Diagnosis Service 0300 555 1241 Positive East 0207 791 2855 East London Community Law Service 020 8558 1865 RAMFEL (Refugee & Migrant Forum of East London) 020 8478 4513 Page 3 of 20
Helplines and Organisations UK National Drugs helpline: 0800 77 66 00 Drinkline: 0800 917 8282 Alcoholics Anonymous Narcotics Anonymous Cocaine Anonymous Marijuana Anonymous These groups are informal fellowships of people who share their experiences, strengths and hopes to support one another and solve common problems to recover from addiction. All the Anonymous groups are self help organisations based on the traditions of the 12 steps, first formulated by Alcoholics Anonymous. The fellowships consist of recovering addicts/alcoholics who meet regularly to support each other to stay free of drugs and alcohol. The only requirement of membership is the desire to stop using drugs and/or alcohol. Meetings are held in a number of places in the borough or close by. Please use the websites or call the helpline numbers to get information about meetings convenient for you. Alcoholics Anonymous (AA) www.alcoholics-anonymous.org.uk Details of local group meetings can be found on the website. Check details from the local AA Helpline Helpline 020 7833 0022 10am 10pm answering machine at other times Narcotics Anonymous (NA) www.ukna.org UK helpline 0845 373 3366 or 020 7730 0009 10am 10pm 7 days a week Out of hours home divert service Email nahelpline@ukna.org Cocaine Anonymous (CA) www.cauk.org.uk Helpline 0800 612 0225, 800 612 0225 from mobile phone 10am 10pm Email helpline@cauk.org.uk Marijuana Anonymous (MA) www.marijuana-anonymous.org Telephone 07940 503438 Famanon www.famanon.org.uk Helpline 0845 1200 660 Weekdays 1pm 4pm 6pm 10pm, Weekends 2pm 10pm
For relatives and friends concerned about the use of drugs and related behavioural problems. Famanon is a fellowship of relatives and friends of people using mind altering substances. They have group meetings which meet regularly to offer mutual support. Members are helped to adopt a consistent and honest approach towards the addict/user. Adfam Adfam is the national organisation for family support & advice Telephone: 0207 553 7646 Email: K.Peake@adfam.org.uk or admin@adfam.org.uk Al-anon www.al-anonuk.org.uk Helpline 020 7403 0888 10am 10 pm, 365 days a year Email enquiries@al-anonuk.org.uk Phone the helpline or visit the website for more information and nearest meeting to you. Al-anon meetings offer understanding and support to families and friends of problem drinkers. Members are people from all walks of life. They are wives, husbands, lovers, sisters, brothers, children, parents, friends or colleagues of alcoholics. They meet together to share their experiences. Alateen www.al-anonuk.org.uk/alateen Helpline 020 7403 0888 10am 10 pm, 365 days a year. Alateen is a part of the Al-anon fellowship and is aimed at supporting 12 17 year olds whose lives have been affected by a problem drinker. Members share their feelings and experiences and are supported in gaining a better understanding of alcoholism and focussing on their own needs and development. Support for families, friends and carers Waltham Forest Families & Friends Support Group Provides information/advice and the support group runs every fortnight on Thursday from 6pm-7pm at E17 Recovery Centre, 398a Hoe Street, E17 Contact Chris Savva at Turning Point on 0208 509 1888/0208 709 8866 Email: chris.savva@turning-point.org.uk Family & Friends One to One Support Counselling and telephone advice service available at Turning Point Day Programme, 1 Beulah Road, E17 Contact Chris Savva Carer Involvement Coordinator for an informal chat on 0208 509 1888 or Email: chris.savva@turning-point.org.uk Page 5 of 20
Legal advice and Information Lines Release www.release.org.uk Helpline 0845 4500 215 11am 1pm & 2pm 4pm Monday to Friday. A message service is available 24 hours and Release will return your call within one business day. All the services are confidential. When calling you do not have to provide any personal details. Release is the national centre of expertise on drugs and the law, providing free and confidential specialist advice to the public and professionals. Release also have a campaigning role for changes in drug policy. The website is a useful resource for accurate information about drugs and the law as well as the services offered and publications on sale. Frank www.talktofrank.com Helpline 0800 77 66 00 Text 82111 open 24 hours Open 24 hours / 7 days a week The National Drugs Helpline is a 24-hour, seven-days a week, free and confidential telephone service that offers advice and information for those who are concerned, or have questions, about drugs. The service is available to anyone. Callers might be drug users, recovering or past users, friends, family, colleagues or contacts of drug users. Drinkline: 24 hour Helpline Helpline 0800 917 8282 Open 24 hours Drinkline offers information and self-help materials, help to callers worried about their own drinking, support to the family and friends of people who are drinking and advice to callers on where to go for help. Page 6 of 20
Needle and Syringe Programme 2013-14 There is pharmacy Needle Exchange Scheme in the borough that provides a service for intravenous drug users. The pharmacies participating in the Needle Exchange Scheme provide free sterile injecting equipment and harm reduction advice to help reduce the risks of infection associated with injecting. Users are encouraged to return their used injecting equipment within their personal sharps containers for safe disposal. MS Dispensing Chemist 467 Lea Bridge Road, Leyton E10 7EA Monday, Tuesday, Wednesday and Friday 9.00-20.00 and Thursday and Saturday 9.00-18.00 Lloyds Pharmacy 413 Hoe Street, Walthamstow E17 9AP Monday to Friday 9.00 19.00 and Saturday 9.00-16.00 Medicos Dispensing Chemist 399 Hoe Street, Walthamstow E17 5RQ Monday to Wednesday 9.00-19.30 and Thursday to Saturday 9.00-19.00 Hatch Pharmacy 30 Hatch Lane, Chingford E4 6LQ Monday, Tuesday, Wednesday & Friday 9.00-18.00 and Thursday 9.00-14.00 and Saturday 9.00-17.30 Marijak 354 High Road, Leyton, London E10 6QE Monday to Friday 9.00-13.00 then 14.00-18.00 and Saturday 9.00-13.00 Hainault Pharmacy 49 Hainault Road, Leytonstone, E11 1EA Monday to Friday 9.00-19.00 and Saturday 9.00-14.00 Burns Chemist 334 High Road, Leytonstone E11 3HR Monday to Friday 9.00-19.00 and Saturday 9.00-17.00 Langthorne Pharmacy 13 Langthorne Road, Leytonstone E11 4HX Monday, Tuesday, Wednesday & Friday 9.00-18.00 and Thursday 9.00-13.00 Turning Point Open Access Service (offer advice and access to BBV testing and vaccination) 398a Hoe Street, Walthamstow, E17 9WA Monday & Thursday - 9.30am - 8pm, Tuesday & Wednesday - 9.30am - 5.30pm and Friday 9.30am- 5.00pm Page 7 of 20
Service user involvement Service User Involvement is about getting involved with the design, planning, delivery and evaluation of Drug and Alcohol Services. Service User Involvement is not about ticking boxes, it is about developing constructive relationships, building strong partnerships and communicating effectively. Service User Involvement is crucial to developing Drug and Alcohol Services and is often the catalyst for improving the way services are delivered. Service User Groups It means discussing and talking about:- Your plans Your ideas Your experiences, if any, of using services What exactly you want from the service How to make the best use of resources Understanding the plans of the service There is a service user coordinator in Waltham Forest whose role is to bring together the different groups within each service across the borough with the aim of assisting and developing Drug and Alcohol Services across the borough. Contact Turning Point on 020 8509 1888 for more information Page 8 of 20
Adult Services Adult Service Who is the service aimed at? Summary of services Opening times Turning Point Open Access Service, Waltham Forest Unit 5, Alpha Business Centre 60 South Grove, Walthamstow E17 7NX Telephone: 0208 509 8082 Fax: 0208 509 8125 Email: walthamreferrals@turningpoint.co.uk Website: www.turningpoint.co.uk Transport Links: Overground rail and Underground: Walthamstow central & St. James Street Station Local Buses W12,W15, W19, 230 from Walthamstow central Waltham Forest residents experiencing problems with their drug and alcohol use. Criteria: Over 18 yrs old and resident in Waltham Forest. Focus: All drugs including alcohol, cannabis and heroin. Access for people with disability: Yes Referral Routes: Referrals or self referral by telephone or drop in Language spoken: English, German, Spanish, Polish, Farsi, Punjabi, Hindu, Urdu Type of organisation: Voluntary Sector Turning Point Waltham Forest offers information, advice and support for anyone over 18 concerned about their own or somebody else's drug or alcohol use. The Open Access Service operates a drop in service where clients can get advice, information and assessments. The Open Access Service is designed to support individuals into structured treatment and to meet their immediate needs. The service can refer clients on to appropriate agencies such as structured treatment, employment/training/education services, housing advice and benefits advice. The service provides: A needle exchange service Introduction to Change Group programme. This is a 4 week programme designed to give people an idea of what a group work programme may be like. Helping you to think about your current situation and to make some decisions about your treatment goals. Access to Drug and Alcohol workers Advice and Information on Drugs and Alcohol Signpost to other agencies including structured treatment, employment, training, education, housing and benefit advice. Drop In Service Monday- 10am - 8pm, Tuesday- 10am-4pm Wednesday- 10am-4pm Thursday- 10am- 8pm Friday -10am-4pm Opening times Monday- 9.30am- 8pm Tuesday- 9.30am- 5.30pm Wednesday- 9.30am- 5.30pm Thursday- 9.30 am- 8pm Friday- 9.30am- 5.00pm Page 9 of 20
Adult Service Who is the service aimed at? Summary of services Opening times Auricular Acupuncture Harm Reduction Advice/needle exchange/bbv testing and Vaccination Evening service - Monday and Thursday until 8pm. Family & Friends Support Group providing information/advice every fortnight on Thursdays from 6pm 7.30pm at E17 Recovery Centre, 398a Hoe St, E17 Contact Rebecca Mistry on 0208 509 1888/0208 709 8866 or Email: chris.savva@turning-point.org.uk To find out more and check dates Page 10 of 20
Adult Service Who is the service aimed at? Summary of services Opening times Turning Point Structured Day Programme, Waltham Forest 1 Beulah Rd, Walthamstow, E17 9LG Telephone:0208 509 1888 Fax: 0208 509 8181 Email: walthamreferrals@turningpoint.co.uk Website: www.turningpoint.co.uk Transport Links: Overground rail and Underground: Walthamstow central and Leyton Midland Road Local Buses W12 Walthamstow Central Bus station or 10min walk from Bus station Turning Point Day Programme offers specific groups for those who are abstinent or who have made a decision to stop using. Offering support along the Service User s recovery journey. Criteria: Over 18 yrs old and resident in Waltham Forest Focus: Heroin, crack, cannabis, alcohol and other drugs. Access for people with disability: Yes Referral Route: Self referral via telephone or through professionals working with people experiencing problems with substance misuse. Language spoken: English, German, Spanish, Polish, Farsi, Punjabi, Hindu. Type of organisation: Voluntary Sector Page 11 of 20 This service offers Service Users treatment and intensive community based support. The Recovery Skills Programme is a 12 week group programme designed to ensure that individuals are able to meet whatever their treatment goals may be with high support in a structured environment. The group will consist of a 2 hour session (with a break), 3 times a week for 12 weeks. The Mindfulness Skills Programme is a 12 week programme designed for individuals who are currently abstinent from illicit drugs and/or alcohol. It is designed to primarily focus and deal with difficulties in the present rather than the past. The programme is based on learning new skills to manage day to day challenges so as to sustain long term recovery. The group will consist of a 2 hour session twice a week on Monday and Friday from 1pm 3pm for 12 weeks The service also provides: Structured one to one key working sessions Complementary therapies such as Yoga and Acupuncture to help manage anxiety ease stress and reduce cravings. Cognitive Behavioural Therapy based session Weekend Planning and Coping strategies Signposting to appropriate advice services for housing support, welfare rights and legal advice. Access to BBV testing SMART Recovery mutual aid group offering science-based addiction support where Monday, Wednesday, Thursday 9.30am 5.30pm Tuesday 9.30am 8pm Friday 9.30am 5pm
Adult Service Who is the service aimed at? Summary of services Opening times service users learn self-empowering skills to support one another in recovery. Wednesday evening 6pm -7.30pm at Turning Point, Beulah Road. Contact for more information on 0208 509 1888 STARS Start To Access Recovery Service- Peer led weekend service facilitated by service users and staff which runs on a Saturday and Sunday 1.30pm 6pm. Referrals to this service must be made through local drug and alcohol treatment teams and service users need to be abstinent on the day they attend. Activities include music group, arts and crafts, gardening, games, films, internet access and Spanish lessons and yoga. Contact Turning Point on 0208 509 1888 for more information Aftercare Support in accessing education, training and employment opportunities in the community Service User Involvement Group Peer led groups facilitated by service users Page 12 of 20
Adult Service Who is the service aimed at? Summary of services Opening times Waltham Forest Community Drug and Alcohol Team (CDAT) part of NELFT 714 Forest Road, Thorpe Coombe Hospital, Walthamstow, E17 3HP Telephone: 0300 555 1241 Fax: 0844 493 0270 CDAT is a service for adults aged 18 and over who are drug users and/or alcohol users living in the borough of Waltham Forest. CDAT also provides the dual diagnosis service for clients with drug/alcohol issues combined with mental health issues. Service Users with mental health needs will be assessed by the Dual Diagnosis worker Criteria: Over 18 yrs old with an opiate/stimulant/alcohol dependency residing in Waltham Forest Substitute prescribing for opiate dependant clients One to one key working Referrals for detoxification programme and residential rehabilitation Community Detoxification Assessment Brief intervention Medical Consultation Health Advice Alcohol Support Group Citizens Advice Bureau Access to Alcoholics Anonymous (AA) Specialist Services : Monday to Friday 9am 5pm Drop In Service Monday Tuesday Thursday Friday 9.30am 3.45 pm AA on the first and third Tuesday every month from 7pm 8pm Transport Links: Overground rail: Walthamstow central and Wood street Underground: Walthamstow central Local buses 123 from Blackhorse road station. Buses 275 and 212 from Walthamstow central. 15 min from Wood street station Focus: Heroin, methadone, alcohol and other. Access for people with disability: Yes Referral Route: Open referral system Language spoken: English and Gujarati but interpreters can be arranged for other languages Type of organisation: NHS GP Shared Care Scheme: CDAT can support appropriate Service Users in accessing drug misuse treatment from GP surgeries which are participating in this scheme. Substitute prescribing for opiate dependant Service Users. Key working Liaison, consultation, advice and training to other professionals Dual Diagnosis Service Assessment Onward referral Page 13 of 20
Adult Service Who is the service aimed at? Summary of services Opening times Dedicated service within the Assertive Outreach Team Harm Minimization Service Blood born virus testing Hep B vaccination, HIV, Hep B & C information and testing Needle Exchange Scheme Page 14 of 20
Adult Service Who is the service aimed at? Summary of services Opening times Waltham Forest Integrated Alcohol Services 1 Beulah Rd, Walthamstow, E179LG Telephone:0208 509 1888 Fax: 0208 509 8181 Email: walthamreferrals@turningpoint.co.uk Waltham Forest Integrated Alcohol Service is a partnership between Turning Point and North East London Foundation Trust Community Drug and Alcohol Team. The partnership exists to provide a single point of contact integrated service for individuals experiencing problems with their alcohol use. Criteria: Over 18 yrs old and resident in Waltham Forest Focus: Alcohol The service offers a range of recovery focused services including: Multi-agency Assessment (including for In- Patient Detox and Residential Rehabilitation) Care Planning Community Prescribing including Detox Counselling Group Therapy Brief Treatment Recovery Support (including Peer Support, Mentoring and Weekend Programmes) Monday-9.30am- 5.30pm Tuesday-9.30am 8pm Wednesday-12pm- 5.30pm Thursday- 9.30am- 5.30pm Friday-9.30am- 5.30pm Website: www.turningpoint.co.uk Transport Links: Overground rail Underground: Walthamstow central and Leyton Midland Road Local Buses W12 Walthamstow Central Bus station or 10min walk from Bus station Access for people with disability: Yes Referral Route: Self, GP,referrals from other agencies e.g. Job Centre, Social Services To make a referral contact Beulah Road on 0208 509 1888 or via e-mail waltham.referrals@turning-point.co.uk Or fax 0208 509 2255 where possible please fax a copy of any assessments Language spoken: English, German, Spanish, Polish, Farsi, Punjabi, Hindu, Urdu Type of organisation: Voluntary Sector Page 15 of 20
Adult Service Who is the service aimed at? Summary of services Opening times QALB Centre Outreach Team, Waltham Forest Ferguson Centre, 26 Low Hall Lane Walthamstow, London, E17 8BE The Outreach Service works with hard to engage groups providing advocacy and outreach for drug and alcohol users residing in Waltham Forest. Criteria: Over 18 yrs old and resident in Waltham Forest The Outreach team Will provide Street Outreach and satellite service provision to facilitate and support access into drug and alcohol treatment Assessment and referral into drug and alcohol treatment Monday to Friday, 9.30am 5pm Telephone: 0208 521 5223 Mobile :07950722465 07950722444 Fax: 0208 503 6846 Website: www.theqalbcentre.co.uk Transport Links: Overground rail, St James street Underground: Blackhorse road and Walthamstow central Local Buses 58 from Walthamstow Central Bus station. Bus 158 from Blackhorse Road station Focus: Heroin, crack, cannabis, alcohol and other drugs. Access for people with disability: Yes Referral Route: Self referral and referral from other services Language spoken: English, French, Gujarati, Urdu, Punjabi and Hindi Type of organisation: Voluntary Sector Advocacy work to address issues that impact on substance misuse in order to increase stability while in treatment 6 weeks of support after referral into treatment Will meet with Service Users in a setting comfortable to them Provide home visits wherever assessed as necessary and safe Provide onward referral to appropriate services Offer assistance with other areas of Service User s life that is affected by drug or alcohol use Page 16 of 20
Adult Service Who is the service aimed at? Summary of services Opening times QALB Centre Counselling service, Waltham Forest Ferguson Centre 26 Low Hall Lane Walthamstow, London, E17 8BE QALB Counselling provides a substance misuse counselling service for Waltham Forest residents experiencing drug and alcohol problems. Criteria: Over 18 yrs old and resident within Waltham Forest. QALB counselling offer 12 weeks of structured counselling ( which can be extended upon review) In addition to counselling QALB offer complementary therapies such as massage, reflexology and aromatherapy Monday to Friday, 9.30am 5pm Telephone:0208 521 5223 Access for people with disability: Yes Fax: 0208 503 6846 Website: www.theqalbcentre.co.uk Transport Links: Overground rail, St James street Underground: Blackhorse road and Walthamstow central Referral Route: Professional referral from other services only. Language spoken: French, Urdu, Punjabi, Hindi and English Type of organisation: Voluntary Sector Local Buses 58 from Walthamstow Central Bus station. Bus 158 from Blackhorse Road station Waltham Forest Drug Adult drug and alcohol users in the The Waltham Forest team works from the Waltham Page 17 of 20
Adult Service Who is the service aimed at? Summary of services Opening times Intervention Team Westminster Drug Project (WDP) Unit 31, Alpha Business Centre, 60 South Grove, Walthamstow, E17 7NX Telephone: 0208 709 8850 Fax: 0208 521 7339 24/7 Referral Line: 0800 294 2422 Email: enquiries@wdpdrugs.org.uk Transport Links: Overground rail: Walthamstow central and St. James Street Station Underground: Walthamstow central Local Buses W15, W12, W19, 230, from Walthamstow central criminal justice system. Prison, probation, in custody or in court. The service aims to engage and support as many drug using offenders as possible into identified treatment. Criteria: Over 18 yrs old and resident in Waltham Forest and involved in the criminal justice system. Focus: Heroin, crack, cannabis, alcohol and other drugs. Access for people with disability: Yes Referral Route: Self referral and referral from other services Language spoken: English, Polish, Rumanian, German, French, Hungarian, Swedish and Russian Type of organisation: Voluntary Sector Page 18 of 20 Forest Police Station in Leyton and the Waltham Forest Magistrates court. Services includes: Comprehensive assessment with a key worker One to one support Drug Rehabilitation Requirement assessment Meet at gates and visiting clients in prison Coordination of transfer from prison to the community Support at court Rapid prescribing appointments Advice on housing and benefits Support for Service Users in applying for residential rehab and in-patient detox Citizens Advice Bureau surgery Arrest Referral Our Arrest Referral Team works within the custody suites at police stations, assessing people who have tested positive for crack and heroin and offering assessments to others who may have concerns about their drug use. Within this assessment the Arrest Referral Practitioners work with service users to identify their needs, and the most suitable course of action. The Arrest Referral Team work out of Leyton police station in the custody suite Monday to Friday from 7.30am 10.30pm and Saturday and Sunday from 12pm 7.30pm. DIP staff are based at Thames Magistrates court on weekdays Prison Release Monday to Friday 9.30am 5pm
Adult Service Who is the service aimed at? Summary of services Opening times We can meet service users on their prison release date to help them overcome any anxieties they may have, support them in attending appointments they may have to attend on that day and accessing support services and treatment. Escorting We can assist and be with service users when they are attending any services for the first time. Page 19 of 20
Young Peoples Services Young Peoples Services Who is the service aimed at? Summary of Services Opening Times 722 (Part of NELFT) 722 High Road Leytonstone E11 3AJ Telephone: 0300 555 1158 Fax: 0844 931 0166 Transport Links: Overground rail: Leytonstone High road Underground: Leytonstone Local Buses W15, W19 connect Walthamstow to Leytonstone plus the W16 and 97 with a change at Bakers Arms for the 257 Young people up to the age of 19 living in Waltham Forest (or in the care of Waltham Forest Social Services) who misuse drugs and alcohol or are affected by someone else s substance use. Criteria: Children and Young People up to 19 years old. Children and Young People resident within the borough of Waltham Forest, or in the care of WF Social Services Access for people with disability: Yes Referral Route: Children and Young People are required to consent to the referral and can either be referred or can self refer. A Drug Use Screening Tool (DUST) is our referral tool. DUST forms can be completed via a paper pro forma or electronically. The 722 Young People Service, based in Leytonstone High Road, has been specifically designed to listen to young people's concerns and tackle any drug and alcohol related issues they may have. The Service provides comprehensive assessment and a range of specialist substance use interventions for young people aged 10 to 19 years: Care planning Family support work Harm reduction work Motivational interviewing Reduction and cessation planning Relapse management and prevention Substitute prescribing Advocacy Signposting to benefits and housing advice services Joint working Onward referral Drug and alcohol awareness training Monday to Friday 9am 5.00 pm Leyton to Leytonstone is via tube or a W15 bus Language spoken: English but interpreters can be arranged for other languages. Type of organisation: NHS Page 20 of 20