Coronavirus (COVID-19)

COVID 19 UPDATES (YOU CAN ALSO FOLLOW US ON FACEBOOK)

COVID 19 PATIENT UPDATE 24TH MAY 2021

Thank you to our wonderful patients for your continued support whilst we deliver covid vaccinations and continue to provide ‘normal’ NHS services.

‘Normal’ GP services

Following recent information in the national press, we would like to reassure patients that we have continued to see patients face-to-face where clinically necessary following a telephone appointment. Due to social distancing restrictions in the waiting rooms, we will continue to offer telephone appointments, online consultations and face-to-face appointments with GPs. Our nursing and healthcare staff have continued throughout the pandemic to offer face-to-face appointments for tests which cannot be completed remotely. This naturally impacts on our waiting room capacity. To ensure the safety of staff and patients and to meet distancing and infection control guidance, we would encourage patients to contact us by telephone where possible.

Covid vaccinations

We have now delivered over 25,000 covid vaccinations at Brough Surgery on behalf of the River & Wolds PCN (The Ridings Medical Group & Hessle Grange Medical Practice). To put this into context, we normally deliver around 5000 flu vaccines every Winter.

Astra Zeneca vaccines

All patients over the age of 40 will now have been offered a 1st Astra Zeneca vaccine. If you have not been offered a vaccine and are over the age of 40, please contact us to arrange this. For those patients who have had a 1st dose of Astra Zeneca, we are contacting all patients who had their 1st dose more than 8 weeks ago (1st dose 23rd March and before). If you have not been contacted and had your 1st dose before 23rd March, please contact us to arrange your 2nd dose.

Pfizer vaccines

The current JCVI guidance recommends that all patients aged 39 and under receive the Pfizer vaccine where possible. Following the assessment of additional Pfizer/BioNTech research data, the Medicines and Healthcare products Regulatory Agency (MHRA) yesterday approved the refrigerated storage of the Pfizer vaccine for 31 days instead of the original recommended 5 days which comes as a great relief to the practice as we will now be able to deliver more Pfizer clinics for our patients. We are awaiting a delivery of a stock of Pfizer (expected approx. 11th June) and are working with East Riding of Yorkshire CCG to hopefully secure stock before then. Once we have confirmation of stock, we will be contacting patients to book their 1st appointment starting with those aged 39.

Vaccine ‘passports’

We have had a lot of queries about vaccine passports. These are available via the NHS App and you do not require a login from us. For more information, visit https://www.nhs.uk/using-the-nhs/nhs-services/the-nhs-app/help/ or contact the help team at https://www.nhs.uk/contact-us/nhs-app-contact-us.

Thank you for your continued support and resilience during the pandemic.

For regular updates, please follow us on Facebook (https://www.facebook.com/theridingsmedicalgroup) or visit our website (www.theridingsmedicalgroup.nhs.uk)

PHASE 2 COVID VACCINATIONS (UNDER 50s)

We are delighted to share that we have now started booking patients aged 45-49 for their 1st covid vaccinations at Brough Surgery. As before, we are contacting patients in descending age order and kindly ask that you do not contact us to book - we will contact you when it is time for you to be vaccinated.

The phase 2 cohorts are: Cohort 10 - all those aged 40 to 49 years Cohort 11 - all those aged 30 to 39 years Cohort 12 - all those aged 18 to 29 years

At present, we are not expecting any further Pfizer 1st doses and will only be able to offer patients the Astra Zeneca (Oxford) vaccines. JCVI guidance advises that patients over the age of 30 with no major and significant blood clotting history should be offered the Astra Zeneca vaccine for both their 1st and 2nd dose.

It is recommended that patients under 30 receive the Astra Zeneca vaccine as a 2nd dose if they have already had a 1st dose with no major and significant blood clotting issues. Patients aged under 30 who have not received a 1st dose are advised to get a Pfizer or Moderna vaccine if supplies are available. We are unable to supply these alternatives so would encourage any patients now eligible (from cohorts 1-9) who are under 30 to contact the national booking centre on 119.

Thank you to all of our patients at Brough, South Cave, Holme on Spalding Moor and Bubwith for your patience, resilience and support whilst we deliver this service.

COVID VACCINE PATIENT UPDATE 09.04.2021

Success

To date we have given over 17,500 1st and 2nd dose Covid vaccines at Brough Surgery on behalf of the River & Wolds PCN (The Ridings Medical Group & Hessle Grange Medical Practice). We are delighted to share that over 95% of our patients in cohorts 1-9 have now received their 1st dose. Our staff have worked incredibly hard and worked a significant number of additional hours to deliver this service and we would like to thank them for their dedication and resilience during what has been a difficult year for both staff and patients alike.

Thanks to our success in phase 1, we have been approved to deliver vaccines for phase 2 (patients aged 18-50). We are awaiting official guidance to confirm that we can begin to vaccinate patients in cohorts 10-12 and will contact patients when we are able to.

What is the plan now?

Continue to offer patients who have received their 1st vaccine at Brough Surgery to attend for their 2nd vaccine between 8 and 12 weeks.
If you have had a 1st dose elsewhere, you will need to return there for your 2nd dose. If you have moved area and are a significant distance from your original vaccination site, please email us so we can try to arrange giving you a 2nd dose at Brough Surgery. We will not automatically contact you.
If patients are observing Islamic holy month of Ramadan between 12th April and 12th May and are concerned about being vaccinated during this time, please email us so we are able to assist you.

Information about the risk of blood clots when receiving the Astra Zeneca vaccine

We are aware that some patients may be worried following recent media reports about blood clots. We would like to reassure patients that the risk remains extremely low at 4 patients affected per million patients being vaccinated – a 0.0004% risk. More information can be found on the attached patient leaflet.

At present, we are only given Astra Zeneca vaccines to use at Brough Surgery for 1st doses. We are allocated a set amount of 2nd dose Pfizer vaccines to give to patients who had their 1st Pfizer with us. We are not allocated any Pfizer vaccines to give as 1st doses or as 2nd doses to patients who had Astra Zeneca as their 1st vaccine. If you choose not to have the AZ vaccine, there may be a delay offering you an alternative and you may have to travel to an alternative vaccination centre.

PHE_COVID-19_AZ_vaccination_guide blood clotting.pdf

COVID VACCINE SECOND DOSES

We are having a large number of queries about the 2nd vaccines following media reports about insufficient supply and a change in when the vaccine should be given. We are contacting patients to book their 2nd vaccine at around 10-12 weeks. The supply for 2nd doses is sufficient and we have deliveries for 2nd doses due over the next few weeks so please do not worry.

Here is a handy guide of when you are likely to receive your 2nd dose. We may contact you to book the week before (which will be at 10 weeks).

2nd%20dose%20guide

COVID VACCINE Q&A

Q - I am attending work but am not on the frontline health & social care worker list. Can I have a vaccine?

A - Unfortunately, we have no control over which professions are included in the frontline health & social care worker list. Any challenge to this list would need to be directed to central government. More information can be found here.

Q – I have a long-term condition but have not been contacted. Am I eligible for a vaccine?

A – Only those identified on the JCVI guidance are eligible for a vaccine. Not everyone with a long-term condition will be classed as vulnerable to covid infection so you won’t necessarily be included. For example, not all asthmatics are eligible for a vaccine as it depends on whether you have been admitted to hospital as a result of your asthma or have continuous or repeated use of systemic steroids. For more information, please read p10-11 of the green book guidance which is available online here.

Q - I live with someone who is clinically extremely vulnerable (CEV) or has a chronic condition. Can I have a vaccine?

A - Vaccines can only be given to co-habitants if they are a carer for this person. Being a co-habitant does not make you eligible in its own right.

Q - I am a carer. Can I be vaccinated?

A - Those in receipt of Carer’s Allowance can book via the National Booking Service (online) or by calling 119. Those who provide care to an elderly or disabled patient and are not in receipt of Carer’s Allowance should send an email to theridingsmedicalgroup@nhs.net providing details of who they care for. We are working closely with East Riding Council so these details can be verified. Young carers (those aged 16-18) should contact the surgery to discuss their vaccination needs.

Q - Why haven’t I received a vaccination card when attending for my 1st appointment?

A - Due to the availability of vaccine cards, it was decided that the cards would be given to patients at their 2nd appointment with details of both vaccinations on.

Q - Patients attending a hospital or mass vaccination centre are given a date for their 2nd vaccine when they have their 1st vaccine. Why have I not been given this for Brough Surgery vaccination centre?

A - Hospital hubs and mass vaccination sites have a steady supply of vaccines so are able to plan ahead much easier. Local vaccination sites can only book vaccines once we have a confirmed delivery, so we are unable to plan 2nd vaccines that are 11-12 weeks ahead.

Q - If I attend a mass vaccination centre or hospital for my 1st vaccination, can I have my 2nd vaccination at Brough Surgery?

A - 2nd vaccine doses are allocated to the site where you receive your 1st vaccine so you will need to return to the same site for your 2nd vaccine.

Q - I know of others who have received a vaccine who are younger than me. Are vaccines being given at random?

A - Vaccines are being given in priority order based on the JCVI cohorts. Patients in these groups have largely been identified centrally by NHS England based on many factors. If we have doses to use up at the end of each day (less than 10), we will contact patients in the priority groups we are targeting (currently up to cohort 7). We are unable to offer the vaccine to patients not on a priority list so if you know someone who has had a vaccine, be reassured that they are only receiving the vaccine because they are eligible. We are unable to tell others why each patient has received a vaccine due to confidentiality.

Q - Can I be added to a list to contact at short notice with spare vaccines?

A - Only those on a priority list will be contacted to use up doses at the end of each day. If you are happy to be available at short notice and are in priority cohorts 1-7, please send an email to theridingsmedicalgroup@nhs.net with your name, DOB and a contact number and we will contact you if we have a short notice vaccine. This does not enable patients to be vaccinated earlier.

Q - I am attending an appointment. Can I bring my carer or relative at the same time to be vaccinated?

A - We receive a specific number of doses each week which we have no control over and all of the vaccines delivered are allocated to an appointment. We are therefore not able to ‘slot in’ any extra appointments as we will run out of vaccines. If patients do not attend their appointment, these have to be reallocated at the end of the day to prevent wastage.

Q - When will I be called?

A - The government aim is for those in cohorts 1-9 to have received their 1st vaccine by 15th April and those in cohorts 10-12 (age 18-49) by 15th July. Your 2nd vaccine can be expected 11-12 weeks after your 1st vaccine and it is important that you are available to attend at this time. The ability to deliver within this timescale is dependent on the quantity of vaccines delivered to us and the number of patients who attend a mass vaccination site (if they are able). For this reason, we urge you to attend a mass vaccination site if you can so those who are unable to can come to Brough Surgery.

Q - How will I be contacted by the surgery?

A - We are calling patients to book their vaccination and will send a letter after several failed contacts. We will shortly be launching a new system for patients to book via a link sent to their mobile via a text message. This link will only be valid for you and will not work for others including those who live with you. This will show in the same text message thread as your normal appointment confirmation messages so you know that they are genuine. Please follow us on Facebook for future updates.

Q - I know that you have asked patients not to call with covid vaccine queries unless absolutely necessary. Why is this?

A - We have had a large increase in the number of phone calls received relating to the covid vaccines which has meant that patients with an urgent medical need have been unable to get through. We ask patients to follow our website or Facebook and have been working with our Patient Participation Group to share updates to those who are unable to use the internet. Many of the calls we receive are to ask when patients will be called for a vaccine which we are unable to confirm as it depends on our deliveries and NHS England instruction. If you need to cancel a vaccine appointment, inform us that you are a carer or you are concerned that we have moved to a later cohort and you have still not received your vaccine, please email where possible so we can keep our phone lines free.

Q - I have received a letter to attend a mass vaccination site (York or Hull) and am in cohort 5 or 7. When will I get a call from the surgery?

A - The government have sent letters to all patients in cohort 5 (age 65-69) and cohort 7 (age 60-64) encouraging them to attend a mass vaccination site. If you have received a letter and are unable to attend a mass vaccination site, please let us know via email at theridingsmedicalgroup@nhs.net. We strongly urge you to attend a mass vaccination site if you can so those who are unable to can come to Brough Surgery. At the moment, we have been instructed not to contact those in cohorts 5 & 7 and to only contact those in cohort 6 – this may change in the future.

Q - I have tried to book via the National Booking Service to attend a mass vaccination site, but Hull City Hall and York Askham Bar appointments are not offered. What should I do?

A - The volume of appointments at both of these sites will be increasing shortly. Please check again at a later date.

Q - Is the car park busy at the vaccination clinics?

A - Our car park is very busy during the vaccination clinics so where possible, we are asking patients to walk or to attend with others in their bubble or household. We have noticed an increase in cars parked on Centurion Way and whilst many of these are not cars of patients or staff at the vaccination sites, it is causing a problem for local residents accessing their property. We have asked the council to review parking on Centurion Way to ensure that residents and emergency services are able to get through. Please be considerate to our neighbours when parking your vehicle.

Q - Who do I contact if I am unhappy with the vaccine arrangements?

A - We are following government guidance issued by NHS England to determine which patients we contact. Whilst we are aware that some patients may feel unhappy about the priority order or the speed of delivery, we are unable to influence it. Any concerns about these should be directed to NHS England/central government.

We have had a lot of positive feedback from patients attending for their vaccination. If you feel that you have not had a good service and wish to discuss your experience, please email the practice so a manager can contact you.

Our staff are working incredibly hard in difficult circumstances to keep patients updated and to keep patients well. Please consider this when contacting the practice as we have seen an increase in verbal abuse to our reception team. Whilst our staff are mindful that many patients are anxious, we will continue to adopt a zero tolerance approach to any verbal or physical abuse.

PATIENT UPDATE 12TH FEBRUARY 2021

We continue to receive a high volume of calls to query when patients may receive a vaccine which is affecting patients being able to contact the practice for non-Covid19 queries.

Please do not contact us to book a vaccine or query when you will be offered one

We have made fantastic progress with the covid vaccines and the majority of patients in cohorts 1-4 have now received their 1st vaccination. We are now booking cohorts 5 and 6. Nationally cohort 5 patients are being asked to attend mass centres so if you fall into this cohort, you will likely receive a letter next week inviting you to attend a mass vaccination centre (York Askham Bar and Hull City Hall). We are being asked to focus on cohort 6 but will also be inviting those in cohort 5 who feel unable to attend the mass vaccination centres.

Please do not call us to book, we will call you. We have teams working hard to contact the eligible patients.

We are contacting patients in order of the JCVI priority below and in age descending order within each priority group. We have no influence over this list and cannot advise exact timescales due to vaccine availability which we have no control over.

residents in a care home for older adults and their carers –1st vaccine completed
all those 80 years of age and over and frontline health and social care workers - 1st vaccine completed
all those 75 years of age and over –1st vaccine completed
all those 70 years of age and over and clinically extremely vulnerable individuals –1st vaccine completed
all those 65 years of age and over – booking in progress
all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality (including registered carers) – booking in progress for those with conditions, awaiting further guidance for carers
all those 60 years of age and over
all those 55 years of age and over
all those 50 years of age and over

Our staff are working extremely hard to care for you so please be patient. Patients in earlier cohorts will also soon be contacted to book their 2nd vaccine which will mean our staff have to work even harder.

Thank you for your continued support.

QUERIES ABOUT COVID VACCINE ADMINISTRATION CODE ON PATIENT RECORDS 10.02.2021

We have had a number of patient queries about codes being applied to medical records which some of our patients are concerned is a recording of them receiving a covid vaccine when they have not yet received it. An example of the entry is below:

Administration of vaccine under patient specific direction (XaZ2P) - This PSD authorises administration of Covid-19 AstraZeneca Vaccine 0.5mls Intra-Muscular (IM) Injection or Covid-19 mRNA Vaccine BNT 162b2 0.3mls Intra-Muscular (IM) Injection in accordance with Public Health England Immunisation against infectious disease Green Book and JCVI recommendations for the purpose of protection against COVID-19.

Please be reassured that this entry is not stating that you have had a vaccine but is a clinical authorisation for you to receive a vaccine when we start vaccinating your priority group. Please do not be concerned if this is not on your record as it is not required in all cases.

PATIENT VACCINE UPDATE 26/01/2021

We continue to receive a high volume of calls to query when patients may receive a vaccine which is affecting patients being able to contact the practice for non-Covid19 queries.

Please do not contact us to book a vaccine or query when you will be offered one

We a now inviting all patients 70 years of age and over and those in clinically extremely vulnerable.

Please do not call us to book, we will call you. We have teams working hard to contact the eligible patients.

residents in a care home for older adults and their carers – 1st vaccine completed
all those 80 years of age and over and frontline health and social care workers - 1st vaccine completed
all those 75 years of age and over - 1st vaccine in progress
all those 70 years of age and over and clinically extremely vulnerable individuals - Booking in progress
all those 65 years of age and over
all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality (including registered carers)
all those 60 years of age and over
all those 55 years of age and over
all those 50 years of age and over Our staff are working extremely hard to care for you so please be patient. Thank you for your continued support.

PATIENT VACCINE UPDATE 22/01/2021

Thank you to all of our patients for your continued support whilst we deliver the Covid19 vaccinations to our patient population.

We continue to receive a high volume of calls to query when patients may receive a vaccine which is affecting patients being able to contact the practice for non-Covid19 queries.

Please do not contact us to book a vaccine or query when you will be offered one.

Many patients will have received a letter from NHS England offering them the chance to book an appointment online to attend the mass vaccination centre at Askham Bar Park & Ride. Patients can choose to be vaccinated there but will be required to return there for their 2nd vaccination. Alternatively, patients can be vaccinated at Brough Surgery but this cannot be booked online. We are contacting patients in order of the JCVI priority below and in age descending order within each priority group.

residents in a care home for older adults and their carers – 1st vaccine completed
all those 80 years of age and over and frontline health and social care workers - 1st vaccine in progress
all those 75 years of age and over - 1st vaccine in progress
all those 70 years of age and over and clinically extremely vulnerable individuals
all those 65 years of age and over
all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality (including registered carers)
all those 60 years of age and over
all those 55 years of age and over
all those 50 years of age and over

Our staff are working extremely hard to care for you so please be patient. Thank you for your continued support.

UPDATE FOR HEALTH & SOCIAL CARE FRONTLINE STAFF 20/01/2021

Thank you to those who have contacted us to add the 'health and social care worker' code to your record. We have now received confirmation that hospital hubs and mass vaccination sites will be vaccinating the majority of staff and will be contacting employers to book appointments.

Please ask your employer to email ERYCCG.ContactUs@nhs.net to request that employer details are passed to the vaccination hubs. This should not be done by individual employees and does not include unpaid carers at this point.

Please note that this cohort DOES NOT include those who are non-patient facing. For eligibility guidance, please read the Green Book at:

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/948757/Greenbook_chapter_14a_v4.pdf

COVID VACCINATIONS UPDATE 18/01/2021

Some of our patients received a letter over the weekend advising them that they can contact 119 to book a vaccine - at the moment this is for those aged over 80 and health and social care professionals who can travel to one of the mass vaccination centres - the closest for our patients being at Askam Bar Park & Ride (York). Patients are still being invited to attend Brough Surgery and you will be contacted to book this - please do not contact us as we are receiving an overwhelming number of queries.

To date, we have vaccinated nearly 3000 patients including our care home residents and staff, housebound patients and the majority of our patients aged over 80. The remainder of our aged 80+ patients will be contacted this week to be vaccinated by the end of Saturday. We will then be in a position to start vaccinating patients in cohort 3 in descending age order. Please do not contact the practice to book this - we will contact you when your vaccine is available.

Please share this message with friends, family and neighbours who may not use social media.

Thank you

COVID VACCINATIONS

We are pleased to announce that we are working with NHS England to deliver Covid vaccinations to The Ridings Medical Group and Hessle Grange Medical Practice patients as part of a River & Wolds Primary Care Network joint service for all 41000 of our patients. The Joint Committee on Vaccination and Immunisation (JCVI) have ordered the priority based on those who are at the greatest risk:

residents in a care home for older adults and their carers
all those 80 years of age and over and frontline health and social care workers
all those 75 years of age and over
all those 70 years of age and over and clinically extremely vulnerable individuals
all those 65 years of age and over
all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality (including registered carers)
all those 60 years of age and over
all those 55 years of age and over
all those 50 years of age and over

Patients will be contacted by the practice to book a vaccine in the order of eligibility. When it is the right time for you to receive the vaccine, you will receive an invitation to come forward. Please do not contact us to get an appointment until you are contacted.

We are having to respond quickly to updated guidance from NHS England and JCVI and all staff are working extremely hard to roll out the vaccine service whilst maintaining normal services. We thank you for your continued support and patience.

LETTERS TO HIGH RISK PATIENTS

Patients considered to be very high risk for COVID-19 due to underlying health conditions will have received a letter from NHS Business Services or from their hospital specialist department advising them to shield (stay at home at all times and avoid any face to face contact for twelve weeks)

https://www.nhs.uk/conditions/coronavirus-covid-19/advice-for-people-at-high-risk/

Community Hubs

Community Hubs are now setup to support you and anyone in the community who maybe struggling to pickup and drop of medication, food or to deal with any worries or concerns you may have at this difficult time. Please call 01482 393939 or email helper@heysmilefoundation.org

Self Isolation Guidance

https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance

Coronavirus social distancing

https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults

Advice for Parents regarding coronavirus

Please visit https://www.rcpch.ac.uk/resources/covid-19-resources-parents-carer

COVID-19 AND SAFEGUARDING RESOURCES FOR PATIENTS

Safeguarding is everyone's business

All the surgery staff have safeguarding training and are always willing to talk to anyone concerned about the safety of a member of our community. Here are some numbers and websites which may be helpful-

Advice for and about children

If you think a child is being abused you can get advice from http://erscb.org.uk/

including how to make a confidential referral. This is the East Riding Safeguarding Children's website.

The NSPCC has lots of useful advice there website can be found at https://www.nspcc.org.uk/

NSPCC helpline: 0808 800 5000 If you're worried about a child, even if you're unsure, contact NSPCC professional counsellors for help, advice and support.

If your baby or the baby of someone you know is crying and causing distress advice can be sought at http://iconcope.org/

Childline offers support to children and young people. Their website has contact details and lots of useful support https://www.childline.org.uk/

Childline 0800 1111: Offers free, confidential advice and support for any child 18 years or under, whatever the worry.

Advice if you think an adult is being abused

If you think an adult who is unable to protect themselves is being abused, use the East Riding Safeguarding Adults website http://www.ersab.org.uk You can report abuse via this website.

The Ann Craft Trust https://www.anncrafttrust.org/ has advice on safeguarding young people over 18 particularly those with a learning disability as well as what to do if you suspect a sports coach is being abusive.

Domestic Abuse

Domestic abuse may affect any intimate relationship within a family setting. This may include the use of excessive control, coercive or threatening behaviour as well as physical abuse such as hitting or slapping someone. You can refer yourself or ask for help for someone else by contacting

East Riding Domestic Violence and Abuse Service

https://www.eastriding.gov.uk/living/crime-and-community-safety/domestic-violence/domestic-violence-adult-services/

Online chat service available for anyone wanting confidential support or someone to talk to online for support around domestic abuse. It is available from 10-2pm Mon - Fri and can be found on the above DVAP ERYC website.

If the risk of harm is high at the present moment ring the police on 999

Refuge, (a charity) have a 24 hour helpline accessed by ringing 0808 2000 247

Men's advice line - 0808 801 0327

The EVERYMAN Project 0207 263 8884 supports men who are violent or concerned about their violence.

SafeLives have developed specific resources for domestic abuse and COVID:

http://safelives.org.uk/news-views/domestic-abuse-and-covid-19

MIND: Mental Health Support with specific advice on ‘Coronavirus and your wellbeing’. www.mind.org.uk

YoungMinds: Supporting children and young people and their parents/carers with their mental health and wellbeing. Specific advice on managing self-isolation and anxiety about coronavirus. https://youngminds.org.uk

The Citizens Advice site www.citizensadvice.org.uk also contains wide-ranging information and self-help material

IRISi interventions: https://irisi.org/iris/find-your-local-iris-site/

Adviceline 03444111444 (local rate)

Universal Credit 0800 144 8444 (freephone)

E Mail e-advice@hull-eastridingcab.org.uk