<EMISWebDocTemplate><DisplayGroups></DisplayGroups><DefaultDocumentType></DefaultDocumentType><DocumentTypeCodeSystem></DocumentTypeCodeSystem><Description>Imported item.</Description><TemplateRtf><![CDATA[{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff0\deff0\stshfdbch0\stshfloch31506\stshfhich31506\stshfbi31506\deflang2057\deflangfe2057\themelang2057\themelangfe1041\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f1\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial;}
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{\fdbmajor\f31501\fbidi \fswiss\fcharset128\fprq2{\*\panose 020b0300000000000000}Yu Gothic Light{\*\falt \'9f\'e0\'83\'53\'83\'56\'83\'62\'83\'4e Light};}{\fhimajor\f31502\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0302020204030204}Calibri Light;}
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{\fdbminor\f31505\fbidi \froman\fcharset128\fprq0{\*\panose 00000000000000000000}Yu Mincho{\*\falt \'9f\'e0\'96\'be\'92\'a9};}{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}
{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f47\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\f48\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\f50\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\f51\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\f52\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f53\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\f54\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\f55\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f57\fbidi \fswiss\fcharset238\fprq2 Arial CE;}{\f58\fbidi \fswiss\fcharset204\fprq2 Arial Cyr;}
{\f60\fbidi \fswiss\fcharset161\fprq2 Arial Greek;}{\f61\fbidi \fswiss\fcharset162\fprq2 Arial Tur;}{\f62\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}{\f63\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}
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{\f74\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}{\f75\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f387\fbidi \froman\fcharset238\fprq2 Cambria Math CE;}{\f388\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}
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{\f422\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);}{\f423\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\f424\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\f425\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}
{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
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{\fdbmajor\f31521\fbidi \fswiss\fcharset161\fprq2 Yu Gothic Light Greek{\*\falt \'9f\'e0\'83\'53\'83\'56\'83\'62\'83\'4e Light};}
{\fdbmajor\f31522\fbidi \fswiss\fcharset162\fprq2 Yu Gothic Light Tur{\*\falt \'9f\'e0\'83\'53\'83\'56\'83\'62\'83\'4e Light};}
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{\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Calibri Light Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Calibri Light Greek;}{\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Calibri Light Tur;}
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{\fhimajor\f31536\fbidi \fswiss\fcharset163\fprq2 Calibri Light (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}
{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);}{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic);}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}
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- a fully remote service}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid602977 ,}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid602977\charrsid602977  delivered }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid614097 by Oviva }{
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total diet replacement, aimed at supporting significant weight loss and potential remission of Type 2 diabetes}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid12076188 
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\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009\charrsid5333286 Confirmation that}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid3344495  referrer has verified }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9979009\charrsid4086565 eligibility and }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid3344495 that }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009\charrsid4086565 no exclusion}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid3344495  criteria}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009\charrsid4086565  apply}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid3023251  (see below form)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9979009\charrsid4086565 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10953625\yts16 {\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009\charrsid4086565 
Yes  /  No}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009\charrsid4086565 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 
\ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid614097\charrsid602977 \trowd \irow0\irowband0\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9214\clshdrawnil \cellx8959\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1418\clshdrawnil 
\cellx10377\row }\pard\plain \ltrpar\s17\ql \li0\ri0\widctlpar\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5651099 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\cf6\insrsid3344495\charrsid602977 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5333286\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid9324785\charrsid602977 Patient }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid9571570 i
}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid9324785\charrsid602977 nformation\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9324785\charrsid602977 \trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7088\clshdrawnil \cellx6833\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3544\clshdrawnil 
\cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5333286\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9324785\charrsid602977 Patient Name:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  {\*\bkmkstart PuFMsmrwAlCtW6B77ydh}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 0002000014000000145075464d736d7277416c4374573642373779646800000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20
{\*\ffname PuFMsmrwAlCtW6B77ydh}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 Full Name}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend PuFMsmrwAlCtW6B77ydh} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9324785\charrsid602977 \cell Date of Birth:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614  
{\*\bkmkstart PTNunOcsmIdZaHbgLyJg}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 
00020000140000001450544e756e4f63736d49645a614862674c794a6700000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname PTNunOcsmIdZaHbgLyJg}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 Date of Birth
}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend PTNunOcsmIdZaHbgLyJg} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9324785\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9324785\charrsid602977 \trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7088\clshdrawnil \cellx6833\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3544\clshdrawnil 
\cellx10377\row \ltrrow}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid12076188 Sex}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9324785\charrsid602977 :}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  {\*\bkmkstart Pux58iLG97aqQdzROEsb}}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 
0002000014000000145075783538694c473937617151647a524f45736200000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname Pux58iLG97aqQdzROEsb}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 Gender}}}
\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend Pux58iLG97aqQdzROEsb} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9324785\charrsid602977 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5333286\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9324785\charrsid602977 
Ethnicity:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid11500108 {\*\bkmkstart Pzo2Z1TqAkQrCIFpIE7i} FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid11500108 {\*\datafield 000200001400000014507a6f325a315471416b5172434946704945376900000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname Pzo2Z1TqAkQrCIFpIE7i}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\insrsid11500108 Ethnic Origin}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid11500108 
{\*\bkmkend Pzo2Z1TqAkQrCIFpIE7i} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9324785\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9324785\charrsid602977 \trowd \irow2\irowband2\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7088\clshdrawnil \cellx6833\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3544\clshdrawnil 
\cellx10377\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12076188\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid16470107\charrsid602977 NHS Number:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid8026405\charrsid602977  {\*\bkmkstart PhblMrxHR8PdnluEGphF}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 
{\*\datafield 0002000014000000145068626c4d727848523850646e6c75454770684600000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname PhblMrxHR8PdnluEGphF}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid13393814 NHS Number}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend PhblMrxHR8PdnluEGphF} }
{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid8026405\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16470107\charrsid602977 \trowd \irow3\irowband3\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\row \ltrrow}\trowd \irow4\irowband4\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7088\clshdrawnil \cellx6833\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3544\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10944614\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614\charrsid602977 Address:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614  {\*\bkmkstart P6n1PcZbUiujmOhvPtEm}}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 
00020000140000001450366e3150635a625569756a6d4f68765074456d00000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname P6n1PcZbUiujmOhvPtEm}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 
Home Full Address (single line)}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend P6n1PcZbUiujmOhvPtEm} }{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614\charrsid602977 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid10944614\charrsid602977 Post code:}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid11500108 {\*\bkmkstart Pbo9WsOU1ZNenKKiq6yJ} FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid11500108 
{\*\datafield 00020000140000001450626f3957734f55315a4e656e4b4b697136794a00000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname Pbo9WsOU1ZNenKKiq6yJ}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid11500108 Home Address Postcode}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid11500108 
{\*\bkmkend Pbo9WsOU1ZNenKKiq6yJ} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10944614\charrsid602977 \trowd \irow4\irowband4\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth7088\clshdrawnil \cellx6833\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3544\clshdrawnil 
\cellx10377\row \ltrrow}\trowd \irow5\irowband5\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\yts16 \rtlch\fcs1 \af0\afs22\alang1025 
\ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9324785\charrsid602977 E-mail address:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  
{\*\bkmkstart PUOm3zgXGTzaGFAL5rZx}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 
00020000140000001450554f6d337a675847547a614746414c35725a7800000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname PUOm3zgXGTzaGFAL5rZx}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 
Patient E-mail Address}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend PUOm3zgXGTzaGFAL5rZx} }{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9324785\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9324785\charrsid602977 \trowd \irow5\irowband5\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\row \ltrrow}\trowd \irow6\irowband6\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4537\clshdrawnil \cellx4282\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil 
\cellx6833\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3544\clshdrawnil \cellx10377\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10944614\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid10944614\charrsid5979682 Telephone}{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid10944614  - provide at }{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid10944614\charrsid16341873 least }{\rtlch\fcs1 
\ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid10944614 one phone number}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614\charrsid602977 \cell Home:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614  
{\*\bkmkstart PzKIrR5x3RZ1SdOh7Bxj}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 
000200001400000014507a4b497252357833525a3153644f683742786a00000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname PzKIrR5x3RZ1SdOh7Bxj}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 
Patient Home Telephone}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend PzKIrR5x3RZ1SdOh7Bxj} }{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614\charrsid602977 \cell Mobile}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614 :{\*\bkmkstart PakBgNilapGMT9j5RqsU}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 00020000140000001450616b42674e696c6170474d54396a355271735500000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20
{\*\ffname PakBgNilapGMT9j5RqsU}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 Patient Mobile Telephone}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend PakBgNilapGMT9j5RqsU} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10944614\charrsid602977 
\trowd \irow6\irowband6\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4537\clshdrawnil \cellx4282\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil 
\cellx6833\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3544\clshdrawnil \cellx10377\row }\pard \ltrpar\ql \li0\ri0\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16205694 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid16205694 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid1533526\charrsid602977  Referrer information }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\cf23\insrsid602977 - }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid1533526\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1533526\charrsid602977 \trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid873014\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid1533526\charrsid602977 Name of GP practice:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid13393814  {\*\bkmkstart PDiSxXPJn3d5otqO5a1B}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 
000200001400000014504469537858504a6e3364356f74714f3561314200000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname PDiSxXPJn3d5otqO5a1B}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 
Registered GP Full Address (single line)}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\bkmkend PDiSxXPJn3d5otqO5a1B
} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid1533526\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 
\ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1533526\charrsid602977 \trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\row \ltrrow}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid873014\yts16 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid11367261 {\*\bkmkstart _Hlk45807210}Registered Practice Code:}{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\insrsid13393814  {\*\bkmkstart P5IpG2agg2kn5D8n6w4A}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814  FORMTEXT }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 {\*\datafield 
000200001400000014503549704732616767326b6e3544386e3677344100000000000000000000000000}{\*\formfield{\fftype0\ffprot\fftypetxt0\ffhps20{\*\ffname P5IpG2agg2kn5D8n6w4A}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 
Registered GP Organisation National Practice Code}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid13393814 
{\*\bkmkend P5IpG2agg2kn5D8n6w4A} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid11367261 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11367261\charrsid602977 \trowd \irow2\irowband2\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5387\clshdrawnil \cellx5132\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5245\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid1533526\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid1533526\charrsid602977 {\*\bkmkend _Hlk45807210}Name of referrer:\cell Role of referrer:\cell }\pard\plain \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid1533526\charrsid602977 \trowd \irow3\irowband3\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5387\clshdrawnil \cellx5132\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5245\clshdrawnil 
\cellx10377\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid1533526\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid16203171 GP practice}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid16203171\charrsid602977  }{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid1533526\charrsid602977 email}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid602977  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid16203171 address \endash }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\insrsid602977  }{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid16203171 this must be }{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid602977\charrsid602977 
monitored regularly for patient safety purposes}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid1533526\charrsid602977 :}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid1533526\charrsid602977 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid1533526\charrsid602977 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85......................@nhs.net}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid1533526\charrsid602977 
\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid1533526\charrsid602977 \trowd \irow4\irowband4\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\row }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs8 
\ltrch\fcs0 \b\f1\fs8\insrsid15817977\charrsid602977 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5840832\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid9979009\charrsid602977 Clinical information\cell }\pard\plain \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9979009\charrsid602977 \trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5103\clshdrawnil 
\cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5840832\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009\charrsid602977 Date of diagnosis of Type 2 diabetes:\cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9979009\charrsid602977 \trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5103\clshdrawnil 
\cellx10377\row \ltrrow}\trowd \irow2\irowband2\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil 
\cellx7684\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10377\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5333286\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9979009\charrsid602977 Weight (in kg)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009  }{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid9979009 m}{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 
\i\f1\fs20\cf6\insrsid9979009\charrsid5583458 ust be within last 12 months}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009\charrsid602977 :\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl
\tqc\tx1865\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5840832\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009\charrsid602977 \cell Date:\tab \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9979009\charrsid602977 
\trowd \irow2\irowband2\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil 
\cellx7684\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10377\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5840832\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9979009\charrsid602977 Height (in cm):\cell }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009\charrsid602977 \cell Date: \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9979009\charrsid602977 
\trowd \irow3\irowband3\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil 
\cellx7684\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10377\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5840832\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9979009\charrsid602977 BMI (kg/m}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\super\insrsid9979009\charrsid602977 2}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009\charrsid602977 ):\cell }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \f1\fs20\insrsid9979009\charrsid602977 \cell Date:\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9979009\charrsid602977 \trowd \irow4\irowband4\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil 
\cellx7684\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10377\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5333286\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9979009\charrsid602977 HbA1c (mmol/mol)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009  }{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid9979009 mu}{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 
\i\f1\fs20\cf6\insrsid9979009\charrsid5583458 st be within last }{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid9979009 12}{\rtlch\fcs1 \ab\ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\cf6\insrsid9979009\charrsid5583458  months}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9979009\charrsid602977 :\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5840832\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid9979009\charrsid602977 \cell Date:\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9979009\charrsid602977 \trowd \irow5\irowband5\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil 
\cellx7684\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10377\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5840832\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9979009\charrsid602977 Blood pressure (mmHg):\cell }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009\charrsid602977 \cell Date:\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9979009\charrsid602977 
\trowd \irow6\irowband6\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil 
\cellx7684\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10377\row \ltrrow}\trowd \irow7\irowband7\ltrrow\ts16\trgaph108\trleft-255\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5103\clshdrawnil 
\cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5840832\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570 Is the patient on the Learning Disability Register?}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570\charrsid602977 \cell }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid9571570 Yes  /  No  /  Unknown}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9571570\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9571570\charrsid602977 \trowd \irow7\irowband7\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5103\clshdrawnil 
\cellx10377\row \ltrrow}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571570\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570 Is the patient on the SMI Register?}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570\charrsid602977 \cell }{
\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9571570 Yes  /  No  /  Unknown}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9571570\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9571570\charrsid602977 
\trowd \irow8\irowband8\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid5405228\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5529\clshdrawnil \cellx5274\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5103\clshdrawnil 
\cellx10377\row }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs8 \ltrch\fcs0 \b\f1\fs8\insrsid3344495\charrsid4086565 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9834032\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\yts16 \rtlch\fcs1 \af0\afs22\alang1025 
\ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid5651099\charrsid602977 Current m}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid2975645\charrsid602977 
edications}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid4345976  and medication changes}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid11932771\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11932771\charrsid602977 
\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9834032\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\row \ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9834032\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7934241\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs8 \ltrch\fcs0 
\b\f1\fs8\insrsid7934241\charrsid10944614 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2170669\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf6\insrsid8326696\charrsid8326696 Please }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\cf6\insrsid9651950 discuss this section with the patient and }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf6\insrsid9979009 provide}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf6\insrsid9979009\charrsid8326696  }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\cf6\insrsid9979009 them with }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf6\insrsid8326696\charrsid8326696 a copy of }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf6\insrsid9651950 the }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\cf6\insrsid9979009 agreed }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf6\insrsid9651950 medication changes. We will not be able to proceed with the referral if they have not received this }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\cf6\insrsid614097 in writing.}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid8326696 
\par 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7934241\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7934241 The }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid6171135 
guidance regarding }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7934241 required adjustments for blood-pressure lowering medications and blood-glucose}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid8526578 
 lowering medications are included with this}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7934241  form.
\par 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2170669\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11566985\charrsid4086565 Please provide }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid7694818\charrsid4086565 details of}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16203171  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7694818\charrsid4086565 blood }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid16203171\charrsid1455807 glucose-lowering medications }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16203171 {\*\bkmkstart _Hlk48682682}(i.e. }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9645260 treatments}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16203171  for diabetes) {\*\bkmkend _Hlk48682682}and
\par blood }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7694818\charrsid4086565 pressure-lowering medications}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10294801  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7694818\charrsid4086565 
which are currently taken by the patient. Please specify the }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083 agreed }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7694818\charrsid4086565 change}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid10376083 s}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7694818\charrsid4086565  to these medicines to occur on the first day }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009\charrsid5333286 
of Total Diet Replacement (TDR)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009 , }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083 such as }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid5333286 stating }{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009 if the }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid6171135 medication}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009  is to be stopped}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid10376083 , }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid8526578 specific }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083 changes to dosing / frequency,}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9979009  or }
{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083 if }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid6171135 there is to be no change.}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10944614 
\par 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid6171135\charrsid6171135 Sulfonylureas, meglitinides and SGLT2 inhibitors must be stopped to safely start TDR.}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid2975645 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16203171 
\par Note that blood pressure-lowering medications includes medicines used for indications other than hypertension \endash  i.e. diuretics, alpha blockers for BPH, beta blockers for migraine prophylaxis}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid13455998 .}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16203171\charrsid4086565 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid6504157 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 If the patient is taking any other medications which may need adjustment according t
o weight or dietary changes (e.g. warfarin), it is the responsibility of the referrer to ensure that processes are in place for these medicines to be }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid614097 safely }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\insrsid10294801 adjust}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid614097 ed}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid5333286 
. If any such medicines are being taken, referral should only be sent if, prior to referral, }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 the referrer }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid5333286 has}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801  establish}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid5333286 ed}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 
 who will be responsible for obtaining weight readings (or other monitoring parameters}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid614097  - e.g. INR}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 ), the frequency}{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid614097  of such checks}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 , how this will be recorded, how the prescriber will be notified and how dose change}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid614097 s}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801  will be communicated to the patient.
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7934241\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7934241 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7934241\charrsid7934241 Oviva will }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid1580844 encourage all patients to }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7934241\charrsid7934241 
monitor }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid1580844 their }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7934241\charrsid7934241 blood glucose and }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10944614 blood pressure}{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid1580844  at each engagement}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7934241\charrsid7934241  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid11340248 
, with the GP practice notified of any need for further medication adjustments}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7934241 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2170669\yts16 {\rtlch\fcs1 \af1\afs8 \ltrch\fcs0 \b\f1\fs8\insrsid10944614\charrsid14173236 
\par }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f1\fs24\insrsid14173236  }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f1\fs24\insrsid14173236\charrsid14173236 Patient name:                                                }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 
\f1\fs24\insrsid14173236                        }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f1\fs24\insrsid14173236\charrsid14173236      Date of birth:
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid14173236\charrsid14173236 
\par }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid14173236  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid6171135\charrsid6171135 Medication changes }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid14173236 to take place }{\rtlch\fcs1 
\af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid6171135\charrsid6171135 on 1}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\super\insrsid6171135\charrsid6171135 st}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid6171135\charrsid6171135  day of TDR}{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid14173236 :}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid6171135 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10944614\charrsid10944614 
\par }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid9645260\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236 Class of blood-glucose lowering m}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 edic}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236 ine}{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\insrsid9834032 s used at time of referral}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236 \nestcell{\nonesttables
\par }{\*\bkmkstart _Hlk48390442}{\*\bkmkstart _Hlk48390711}Name of specific }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9645260 medication}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236 (s)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid9834032  used, if any, }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236 from this class}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }}\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid5333286\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236 D}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid7039236\charrsid602977 osage}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236  and frequency at time of referral}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }}\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid8286257\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236 Agreed changes on 1}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\super\insrsid7039236\charrsid4086565 st}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236  day of TDR}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9834032 {\*\bkmkstart _Hlk48431959} }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid7039236\charrsid10376083 (}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid8286257 no change / specify dose change / stop}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7039236\charrsid10376083 )}{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 {\*\bkmkend _Hlk48431959}\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil 
\cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid9834032\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 Biguanides (}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid9834032\charrsid9645260 e.g. }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 metformin)
\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid2170669\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trrh284\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil 
\cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid2170669\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 Sulfonylureas}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid9834032\charrsid9645260  (e.g. gliclazide, glimepiride)}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\i\f1\fs18\insrsid7039236\charrsid9645260 \nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow2\irowband2\ltrrow\ts16\trgaph108\trrh284\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil 
\cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid2170669\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 Meglitinides (-glinides)\nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow3\irowband3\ltrrow\ts16\trgaph108\trrh284\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil 
\cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid2170669\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\ab\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 Thiazolidinediones}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260  (}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid9834032\charrsid9645260 e.g. }{
\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 pioglitazone)\nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow4\irowband4\ltrrow\ts16\trgaph108\trrh284\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil 
\cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid2170669\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\ab\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 DPP4 inhibitor (-gliptins)\nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow5\irowband5\ltrrow\ts16\trgaph108\trrh284\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil 
\cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid7039236\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\ab\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 SGLT2 inhibitors (-flozins)\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid2170669\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow6\irowband6\ltrrow\ts16\trgaph108\trrh284\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil 
\cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid7039236\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\ab\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 GLP-1 analogues (-tides)\nestcell{\nonesttables
\par }}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid2170669\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow7\irowband7\ltrrow\ts16\trgaph108\trrh284\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil 
\cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid2170669\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\ab\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid9834032\charrsid9645260 Alpha-glucosidase inhibitor (e.g. acarbose)}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid7039236\charrsid9645260 \nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7039236\charrsid602977 {\*\nesttableprops\trowd \irow8\irowband8\lastrow \ltrrow\ts16\trgaph108\trrh284\trleft5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 
\trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10377\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3715\clshdrawnil \cellx3720\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx5988\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1701\clshdrawnil \cellx7689\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2693\clshdrawnil \cellx10382\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9834032\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2170669\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid6433695\charrsid9645260 {\*\bkmkend _Hlk48390442}{\*\bkmkend _Hlk48390711}
\par }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid7039236\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 {\*\bkmkstart _Hlk48393652}Blood-pressure lowering m}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801\charrsid602977 edic}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid7039236 ine}{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801\charrsid602977 \nestcell{\nonesttables
\par }}\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid10294801\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 D}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid10294801\charrsid602977 osage}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801  and frequency at time of referral}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801\charrsid602977 \nestcell{\nonesttables
\par }}\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid10376083\yts16 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 Agreed chang}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid10376083 es }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 on 1}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\super\insrsid10294801\charrsid10953625 st}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801 
 day of TDR
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083\charrsid10376083 (to be stopped / dose change / no change)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10376083\charrsid602977 \nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid10294801\charrsid602977 {\*\nesttableprops\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7039236\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx3148\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil 
\cellx5699\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4111\clshdrawnil \cellx9810\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid10294801\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid10294801\charrsid602977 {\*\nesttableprops\trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trrh284\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx3148\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil 
\cellx5699\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4111\clshdrawnil \cellx9810\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid10294801\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801\charrsid602977 {\*\bkmkend _Hlk48393652}\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid10294801\charrsid602977 {\*\nesttableprops\trowd \irow2\irowband2\ltrrow\ts16\trgaph108\trrh284\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx3148\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil 
\cellx5699\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4111\clshdrawnil \cellx9810\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid10294801\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid10294801\charrsid602977 {\*\nesttableprops\trowd \irow3\irowband3\ltrrow\ts16\trgaph108\trrh284\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx3148\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil 
\cellx5699\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4111\clshdrawnil \cellx9810\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid10294801\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10294801\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid10294801\charrsid602977 {\*\nesttableprops\trowd \irow4\irowband4\lastrow \ltrrow\ts16\trgaph108\trrh284\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 
\trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx3148\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2551\clshdrawnil \cellx5699\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4111\clshdrawnil \cellx9810\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9834032\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2170669\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid5333286\charrsid9645260 
\par }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid4086565\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid5333286 {\*\bkmkstart _Hlk48392079}Any }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570 other }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid5333286 
medicine needing adjustment due to weight or dietary changes}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid5333286\charrsid602977 \nestcell{\nonesttables
\par }}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid5333286 Agreed process for managing the}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570  monitoring and dose adjustment of the}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid5333286 se medicines (must be }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570 established}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid5333286  prior to referral)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid5333286\charrsid602977 \nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid5333286\charrsid602977 {\*\nesttableprops\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7039236\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx3148\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6662\clshdrawnil 
\cellx9810\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid5333286\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid9571570\charrsid602977 {\*\nesttableprops\trowd \irow1\irowband1\ltrrow\ts16\trgaph108\trrh284\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx3148\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6662\clshdrawnil 
\cellx9810\nestrow}{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid5333286\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9571570\charrsid602977 \nestcell{\nonesttables
\par }\nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid9571570\charrsid602977 {\*\nesttableprops\trowd \irow2\irowband2\lastrow \ltrrow\ts16\trgaph108\trrh284\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 
\trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx3148\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6662\clshdrawnil \cellx9810\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9834032\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2170669\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid5333286\charrsid9645260 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid12076188\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid12076188 {\*\bkmkstart _Hlk48682990}Have the}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid6433695 se}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid12076188 
 medication changes been discussed }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid6433695 and agreed }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid12076188 with the patient?}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid12076188\charrsid602977 \nestcell{\nonesttables
\par }}\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2\pararsid12076188\yts16 {\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid12076188 Yes}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid6433695  }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid5333286  }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid12076188 /}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid6433695  }{\rtlch\fcs1 \ab\af1\afs20 
\ltrch\fcs0 \f1\fs20\insrsid5333286  }{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid12076188 No}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid12076188\charrsid602977 \nestcell{\nonesttables
\par }}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap2 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid12076188\charrsid602977 {\*\nesttableprops\trowd \irow0\irowband0\lastrow \ltrrow\ts16\trgaph108\trleft171\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth3\trwWidth9639\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7039236\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind166\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8221\clshdrawnil \cellx8392\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1418\clshdrawnil 
\cellx9810\nestrow}{\nonesttables
\par }\ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9834032\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2170669\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid12076188 {\*\bkmkend _Hlk48392079}{\*\bkmkend _Hlk48682990}
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083\charrsid10376083 If any new glucose-lowering }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid15169090\charrsid10376083 medications }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid15169090 o}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083\charrsid10376083 r blood pressure-lowering {\*\bkmkstart _Hlk48432387}medications {\*\bkmkend _Hlk48432387}are commenced }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid15169090 following referral but }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083\charrsid10376083 prior }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid15169090 to start of TDR, this section on medication changes }{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083\charrsid10376083 must be updated}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid15169090  accordingly with revised}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid10376083\charrsid10376083  version}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083 s}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083\charrsid10376083  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083 
provided to }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid15169090 the }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083 patient and }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083\charrsid10376083 Oviva }{\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid15169090 \endash  please send to }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15600068  HYPERLINK "mailto:ovivauk.lcd@nhs.net" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13393814 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b4e0000006d00610069006c0074006f003a006f00760069007600610075006b002e006c006300640040006e00680073002e006e00650074000000795881f43b1d7f48af2c825dc485276300000000a5ab000300}}
}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs21\f1\fs20\ul\cf19\insrsid3885862\charrsid8460387 ovivauk.lcd@nhs.net}}}\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid10376083\charrsid10376083  
\par }{\rtlch\fcs1 \af1\afs8 \ltrch\fcs0 \f1\fs8\insrsid10376083\charrsid9645260 
\par }{\rtlch\fcs1 \ab\af1\afs8 \ltrch\fcs0 \f1\fs8\insrsid15088181\charrsid12076188 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 
\ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2975645\charrsid602977 \trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9834032\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\row }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\tx1284\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2170669 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid12076188\charrsid14173236 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trrh161\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9645260\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5662930\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid12076188\charrsid602977 Past relevant medical history / co-morbidities\cell }\pard\plain \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid12076188\charrsid602977 \trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trrh161\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9645260\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\row \ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trrh384\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14173236\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9834032\yts16 \cbpat8 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid12076188\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12076188\charrsid602977 
\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trrh384\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14173236\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\row }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\tx1284\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2170669 {
\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid2170669\charrsid602977 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid11932771\charrsid602977 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trrh151\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9645260\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14235179\yts16 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid10105531\charrsid602977 Any additional }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\cf23\insrsid9645260 relevant }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\cf23\insrsid10105531\charrsid602977 information}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid10105531\charrsid602977 \cell }\pard\plain \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid10105531\charrsid602977 \trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trrh151\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9645260\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat24\cltxlrtb\clftsWidth3\clwWidth10632\clcbpatraw24 \cellx10377\row \ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trrh389\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14235179\yts16 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid15088181\charrsid9834032 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10105531\charrsid602977 
\trowd \irow1\irowband1\lastrow \ltrrow\ts16\trgaph108\trrh389\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10944614\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10632\clshdrawnil \cellx10377\row }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\tx1896\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10105531 {
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9859437\charrsid14173236 
\par \ltrrow}\trowd \irow0\irowband0\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9645260\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9498\clshdrawnil \cellx9243\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1134\clshdrawnil \cellx10377
\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10953625\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9645260\charrsid9645260 Does the patient confirm that they will:
\par {\listtext\pard\plain\ltrpar \s33 \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \f1\fs20\insrsid9645260\charrsid9645260 \hich\af1\dbch\af0\loch\f1 1.)\tab}}\pard\plain \ltrpar
\s33\ql \fi-360\li720\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\ls21\adjustright\rin0\lin720\pararsid9645260\yts16\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9645260\charrsid9645260 continue attending diabetes review appointments at their GP practice, regardless of whether remission is achieved}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid9645260\charrsid9645260 
\par {\listtext\pard\plain\ltrpar \s33 \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \f1\fs20\insrsid9645260\charrsid9645260 \hich\af1\dbch\af0\loch\f1 2.)\tab}}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9645260\charrsid9645260 
notify the GP practice of any unexpected or concerning symptoms which are considered urgent}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9645260\charrsid9645260 
\par {\listtext\pard\plain\ltrpar \s33 \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \f1\fs20\insrsid9645260\charrsid9645260 \hich\af1\dbch\af0\loch\f1 3.)\tab}}{\rtlch\fcs1 \ab\af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid9645260\charrsid9645260 
notify their GP practice if they disengage or drop out before the end of the intervention}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9645260\charrsid9645260 \cell }\pard\plain \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10953625\yts16 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \ab\af1\afs20 
\ltrch\fcs0 \f1\fs20\insrsid9645260 
\par 
\par Yes  /  No}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid9645260\charrsid602977 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs22\alang1025 
\ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9645260\charrsid602977 \trowd \irow0\irowband0\lastrow \ltrrow\ts16\trgaph108\trleft-255\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10632\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9645260\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind-147\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9498\clshdrawnil \cellx9243\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1134\clshdrawnil \cellx10377
\row }\pard \ltrpar\ql \li0\ri0\sa160\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4086565 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs16\insrsid9645260\charrsid14173236 
\par }\pard \ltrpar\ql \li0\ri-286\sa160\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-286\lin0\itap0\pararsid6171135 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid14823072\charrsid602977 Once complete please send this form via e-mail}{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid1584188\charrsid602977  to {\*\bkmkstart _Hlk48432042}}{\field{\*\fldinst {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16652733  HYPERLINK "mailto:}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid16652733\charrsid16652733 ovivauk.lcd@nhs.net}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid16652733 " }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid13393814 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b4e0000006d00610069006c0074006f003a006f00760069007600610075006b002e006c006300640040006e00680073002e006e00650074000000795881f43b1d7f48af2c825dc485276300000000a5ab000300}}
}{\fldrslt {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \cs21\f1\fs20\ul\cf19\insrsid16652733\charrsid8460387 ovivauk.lcd@nhs.ne{\*\bkmkend _Hlk48432042}t}}}\sectd \ltrsect
\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid5651099\charrsid602977 . }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid14823072\charrsid602977 Only send patient information via secure NHS}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid3344495 m}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid14823072\charrsid602977 
ail. If you are unsure how to do this or have any other question}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid3235680\charrsid602977 s}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid14823072\charrsid602977 , please contact Oviva on 0207}{
\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid6171135  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid14823072\charrsid602977 622}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid6171135  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid14823072\charrsid602977 4777 or using the e-mail address above.}{\rtlch\fcs1 \ab\af0\afs2 \ltrch\fcs0 \b\fs2\insrsid6171135\charrsid6171135 
\par }\pard\plain \ltrpar\s17\ql \li0\ri0\widctlpar\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4086565 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid3344495 Please }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid3344495\charrsid10953625 code }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid3344495 referral as }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid3344495\charrsid10953625 \lquote Referral to total diet replacement programme\rquote  (SNOMED 1239571000000105)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\b\f1\fs20\insrsid15751455 \sect }\sectd \ltrsect\linex0\headery567\footery567\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid15751455\sftnbj {\headerr \ltrpar \pard\plain \ltrpar\s17\ql \li0\ri0\widctlpar
\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15751455 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid15751455\charrsid15751455 
\par }}\pard\plain \ltrpar\s35\qc \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid15751455 \rtlch\fcs1 \af1\afs24\alang1025 \ltrch\fcs0 \f1\fs24\cf1\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\b\fs28\ul\insrsid15751455\charrsid11340248 NHS Low Calorie Diet Programme Overview}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\fs28\ul\insrsid15751455 
\par }{\rtlch\fcs1 \af1\afs4 \ltrch\fcs0 \b\fs4\ul\insrsid15751455\charrsid13907825 
\par }\pard \ltrpar\s35\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid15751455 {\rtlch\fcs1 \af1\afs26 \ltrch\fcs0 \fs26\insrsid15751455\charrsid13907825 
\par }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 
The NHS Low Calorie Diet Programme is an evidence-based intervention using Total Diet Replacement (TDR) to support people recently diagnosed with Type 2 diabetes to achieve significant weight loss and potentially }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\fs21\insrsid15751455 attain }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 diabetes remission (non-diabetic HbA1c}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455  r}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\fs21\insrsid15751455\charrsid10755220 esults, at least 6 months apart, off all glucose-lowering medicines). There is no cost to participants with all TDR (shakes}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455 , soups, and bars}{\rtlch\fcs1 
\af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 ) funded by the NHS.
\par 
\par }{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 In }{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455 Humber, Coast and Vale (HCV)}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 
, this service is provided by }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\cf25\insrsid15751455\charrsid10755220 Oviva, a digital behaviour change company. Oviva}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\cf25\insrsid15751455 \rquote 
s Low Calorie Diet Programme}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220  is a 12}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455  }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 
month programme led by a team of Diabetes Specialist Dietitians and supported by Diabetes Specialist Nurses}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455 , with 12 weeks of TDR and ongoing }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\fs21\insrsid15751455\charrsid10755220 education and behaviour change support}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\cf25\insrsid15751455\charrsid10755220 
\par }{\rtlch\fcs1 \af1\afs26 \ltrch\fcs0 \b\fs26\insrsid15751455\charrsid13907825 
\par }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\fs21\insrsid15751455\charrsid10755220 Individuals who satisfy all the following eligibility criteria may be referred to the Service: 
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s33\ql \fi-360\li720\ri0\sa80\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin720\itap0\pararsid15751455\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs21 
\ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 Aged 18 to 65 years (inclusive)
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Diagnosed with Type 2 diabetes within the last 6 years 
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Is not a current insulin user
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}BMI }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\cf26\chshdng0\chcfpat0\chcbpat8\insrsid15751455\charrsid10755220 \u8805\'3d }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 27kg/m\'b2 (adjusted to }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\cf26\chshdng0\chcfpat0\chcbpat8\insrsid15751455\charrsid10755220 \u8805\'3d}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220  25kg/m\'b2 or higher in people of black, Asian and minority ethnic origin)
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ltrpar\s33\ql \fi-360\li1440\ri0\sa80\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\ilvl1\adjustright\rin0\lin1440\itap0\pararsid15751455\contextualspace {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 
BMI obtained from self-measured weight is acceptable for referral. If this cannot be obtained, a clinic-measured value wi
thin the last 12 months may be used, provided there is no concern that weight may have reduced since last measured such that the individual would not be eligible for the LCD programme at present
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\s33\ql \fi-360\li720\ri0\sa80\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin720\itap0\pararsid15751455\contextualspace {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 HbA1c measurement taken within the last 12 months, in line 
with the following:
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ltrpar\s33\ql \fi-360\li1440\ri0\sa80\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\ilvl1\adjustright\rin0\lin1440\itap0\pararsid15751455\contextualspace {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 If on diabetes medication, HbA1c 43-87 mmol/mol
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}If not on diabetes medication, HbA1c 48-87 mmol/mol
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}
If there is any concern that HbA1c may have changed since last measured, such that repeat testing may indicate that the individual would not be eligible for the LCD programme at present, HbA1c should be rechecked before referral is considered\u8203\'3f

\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\s33\ql \fi-360\li720\ri0\sa80\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin720\itap0\pararsid15751455\contextualspace {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 
Must have attended for monitoring and diabetes review when last offered, including retinal screening, and commit to continue attending annual reviews, even if remission is achieved
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Is not currently pregnant or planning to become pregnant within the next 6 months
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Is not currently breastfeeding
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Does not have any of the following significant co-morbidities:
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ltrpar\s33\ql \fi-360\li1440\ri0\sa80\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\ilvl1\adjustright\rin0\lin1440\itap0\pararsid15751455\contextualspace {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 active cancer
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}heart attack or stroke in last 6 months
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}severe heart failure (defined as New York Heart Association grade 3 or 4)
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}severe renal impairment (most recent eGFR < 30mls/min/1.73m2)
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}active liver disease (not including NAFLD)
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}active substance use disorder
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}active eating disorder
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}porphyria 
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}known proliferative retinopathy that has not been treated
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar\s33\ql \fi-360\li720\ri0\sa80\sl259\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin720\itap0\pararsid15751455\contextualspace {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 Had not recently lost greater than 5% body weight
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Is not currently on a weight management programme
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Has not undergone / is not awaiting bariatric surgery (unless willing to come off waiting list)
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}
Health professional assessment that the person is able to understand and meet the demands and monitoring requirements of the NHS LCD Programme}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455 
\par }\pard \ltrpar\s33\ql \li720\ri0\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15751455\contextualspace {\rtlch\fcs1 \af1\afs26 \ltrch\fcs0 \f1\fs26\insrsid15751455\charrsid13907825 
\par }\pard\plain \ltrpar\ql \li0\ri0\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15751455 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid15751455\charrsid10755220 Responsibilities of the referring GP practice:}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar
\s35\ql \fi-360\li720\ri0\widctlpar\wrapdefault\faauto\ls14\rin0\lin720\itap0\pararsid15751455 \rtlch\fcs1 \af1\afs24\alang1025 \ltrch\fcs0 \f1\fs24\cf1\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\fs21\insrsid15751455\charrsid10755220 Identify eligible patients and offer referral as appropriate
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}
Provide information on concept of remission of Type 2 Diabetes, the LCD service and potential risks and benefits to obtain informed consent
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Di
scuss medication changes to take place on first day of TDR and provide written confirmation of these change to the patient and Provider
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}
Respond to any clinical need to further adjust medications according to capillary blood glucose and blood pressure monitoring by the Provider
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Respond to adverse even
ts if patient contacts practice directly with an urgent clinical need or is directed to the GP practice by the Provider
\par {\listtext\pard\plain\ltrpar \s17 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s17\ql \fi-360\li720\ri0\widctlpar
\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\faauto\ls14\adjustright\rin0\lin720\itap0\pararsid15751455 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid15751455\charrsid10755220 Arrange review of patient at 6 months and 12 months after starting LCD programme with repeat HbA1c \endash with further medication adjustment as necessary
\par }\pard \ltrpar\s17\ql \li0\ri0\widctlpar\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15751455 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid15751455 
\par }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid15751455\charrsid13055807 Responsibilities of Oviva (}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid15751455 HCV}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\b\f1\fs21\insrsid15751455\charrsid13055807 \rquote s LCD Service Provider):
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid13055807 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar
\s35\ql \fi-360\li720\ri0\widctlpar\wrapdefault\faauto\ls15\rin0\lin720\itap0\pararsid15751455 \rtlch\fcs1 \af1\afs24\alang1025 \ltrch\fcs0 \f1\fs24\cf1\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\fs21\insrsid15751455\charrsid13055807 Attempt contact with patients referred within }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455 5}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid13055807 
 working days to provide further information about the LCD service and book Individual Assessment
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid13055807 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Confirm medication changes with patient and written instructions from referrer
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid13055807 \loch\af3\dbch\af0\hich\f3 \'b7\tab}
Perform / arrange for monitoring of capillary blood glucose and blood pressure (in people taking BP-lowering medications at time of referral)
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid13055807 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Identify where capillary blood glucose and blood pressure fall outs
ide of specified parameters and communicate appropriately with GP practice for further action
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid13055807 \loch\af3\dbch\af0\hich\f3 \'b7\tab}
Act as initial contact for patients experiencing a concurrent or adverse event which is not considered an emergency
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid13055807 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Appropriately triage and respond to adverse events \endash 
including signposting the patient to the GP practice or to other services
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid13055807 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Provide }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455 details on how to order }{
\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid13055807 a starter pack of fibre supplements and ongoing supply as necessary
\par {\listtext\pard\plain\ltrpar \s17 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid13055807 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s17\ql \fi-360\li720\ri0\widctlpar
\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\faauto\ls15\adjustright\rin0\lin720\itap0\pararsid15751455 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid15751455\charrsid13055807 Optimise uptake and retention on the programme}{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid13055807 
\par }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15751455 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \ab\af1\afs40 \ltrch\fcs0 \b\f1\fs40\insrsid15751455\charrsid3366325 
\par }{\rtlch\fcs1 \ab\af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid15751455\charrsid11340248 REQUIRED MEDICATION ADJUSTMENTS \endash  PLEASE READ
\par }\pard \ltrpar\ql \li0\ri0\sa40\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15751455 {\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid15751455\charrsid10755220 Blood glucose-lowering medication 
{\*\bkmkstart _Hlk48400210}adjustments{\*\bkmkend _Hlk48400210}:
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar
\s33\ql \fi-360\li720\ri0\sa40\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls19\adjustright\rin0\lin720\itap0\pararsid15751455 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\ab\af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 It is essential that sulfonylureas, meglitinides, and SGLT2 inhibitors are stopped on the first day of TDR as these medicines are not safe with TDR
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar
\s33\ql \fi-360\li720\ri0\sa40\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin720\itap0\pararsid15751455 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\cf1\insrsid15751455\charrsid10755220 People on 1-2 glucose-lowering 
{\*\bkmkstart _Hlk48399038}medications {\*\bkmkend _Hlk48399038}should stop these medications on the first day of TDR
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar
\s33\ql \fi-360\li720\ri0\sa40\widctlpar\wrapdefault\faauto\ls18\rin0\lin720\itap0\pararsid15751455 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\cf1\insrsid15751455\charrsid10755220 People on \u8805\'3d 3 {\*\bkmkstart _Hlk48400658}medications 
{\*\bkmkend _Hlk48400658}should stay on metformin only (or, if not taking metformin as it is contraindicated / not tolerated, stay on an oral medication which is safe with TDR
, e.g. DPP4 inhibitor or pioglitazone) and stop the remaining glucose-lowering medications on the first day of TDR
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar
\s35\ql \fi-360\li720\ri0\sa40\widctlpar\wrapdefault\faauto\ls18\rin0\lin720\itap0\pararsid15751455 \rtlch\fcs1 \af1\afs24\alang1025 \ltrch\fcs0 \f1\fs24\cf1\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\fs21\insrsid15751455\charrsid10755220 Counsel the patient about the osmotic symptoms of diabetes and advise them of when and how to seek appropriate support
\par }\pard\plain \ltrpar\ql \li0\ri0\sa40\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid15751455 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\cf1\insrsid15751455 
\par }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\cf1\insrsid15751455\charrsid10755220 Blood pressure-lowering medication }{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid15751455\charrsid10755220 adjustments}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\b\f1\fs21\cf1\insrsid15751455\charrsid10755220 :
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar
\s35\ql \fi-360\li720\ri0\sa40\widctlpar\wrapdefault\faauto\ls20\rin0\lin720\itap0\pararsid15751455 \rtlch\fcs1 \af1\afs24\alang1025 \ltrch\fcs0 \f1\fs24\cf1\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\fs21\insrsid15751455\charrsid10755220 Note that BP-lowering medications include those used for other indications (e.g. tamsulosin for benign prostatic hypertrophy, furosemide for oedema) as well as }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\fs21\insrsid15751455 those}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220  used specifically for managing BP
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}If blood pressure is considered uncontrolled at time of referral (systolic \u8805\'3d
 140mmHg or diastolic \u8805\'3d 90mmHg), make no changes to BP-lowering medications
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}
If blood pressure is considered controlled at time of referral (both systolic < 140mmHg and diastolic < 90mmHg), one BP-lowering medications should be adjusted on the first day of TDR
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}
If reviewing the patient remotely, it is reasonable to use self-reported blood pressure. If not available, the last clinic-recorded blood pressure may be used, provided there is no concern }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455 of whi
te coat hypertension or that }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 blood pressure may have changed significantly since last measured
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Medications }{\rtlch\fcs1 \ab\af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 bei
ng used specifically and solely for managing blood pressure, in a particular patient, are the priority for adjustment. Suggested process:}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\cf1\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ltrpar
\s35\ql \fi-360\li1440\ri0\sa40\widctlpar\wrapdefault\faauto\ls20\ilvl1\rin0\lin1440\itap0\pararsid15751455 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 
Identify the medications used by the patient solely for managing blood pressure (i.e. not also being used for nephropathy, angina, heart failure, BPH, migraines etc)
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\cf1\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}
Stop the medication which would have been added last according to current NICE guidance - unless other clinical factors affect decision making
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\cf1\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}If not being used for other indications, this would be (in order of stopping first):
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f10\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ltrpar
\s35\ql \fi-360\li2160\ri0\sa40\widctlpar\wrapdefault\faauto\ls20\ilvl2\rin0\lin2160\itap0\pararsid15751455 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 Spironolactone or alpha-blocker or beta-blocker
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f10\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af10\dbch\af0\hich\f10 \'a7\tab}Thiazide diuretic (or calcium-channel blocker)
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f10\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af10\dbch\af0\hich\f10 \'a7\tab}Calcium-channel blocker (or thiazide diuretic)
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f10\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af10\dbch\af0\hich\f10 \'a7\tab}ACE-inhibitor or Angiotensin receptor blocker
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\cf1\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ltrpar
\s35\ql \fi-360\li720\ri0\sa40\widctlpar\wrapdefault\faauto\ls20\rin0\lin720\itap0\pararsid15751455 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 If the patient is taking {\*\bkmkstart _Hlk48399929}medications 
{\*\bkmkend _Hlk48399929}which affect blood pressure but all are being used for other indications (none are being used solely to manage blood pressure):
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\cf1\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ltrpar
\s35\ql \fi-360\li1440\ri0\sa40\widctlpar\wrapdefault\faauto\ls20\ilvl1\rin0\lin1440\itap0\pararsid15751455 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \fs21\insrsid15751455\charrsid10755220 use clinical judg
ement and shared decision making and take into account the BP reading
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\cf1\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}cautiously reduce the dose of this medication rather than stopping it
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\cf1\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}consider arranging early review, in relation to the specific indication for the {\*\bkmkstart _Hlk48399916}
medication{\*\bkmkend _Hlk48399916}
\par {\listtext\pard\plain\ltrpar \s35 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f2\fs21\cf1\insrsid15751455\charrsid10755220 \hich\af2\dbch\af0\loch\f2 o\tab}in some circumstances, it may be reasonable not to adjust these {\*\bkmkstart _Hlk48399959}medications 
{\*\bkmkend _Hlk48399959}initially but to carefully monitor and respond accordingly
\par {\listtext\pard\plain\ltrpar \s33 \rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f3\fs21\insrsid15751455\charrsid10755220 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ltrpar
\s33\ql \fi-360\li720\ri0\sa40\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls20\adjustright\rin0\lin720\itap0\pararsid15751455\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455\charrsid10755220 Counsel the patient about symptoms of postural hypotension and when }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455 and}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid15751455\charrsid10755220  how to seek support}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid15751455 
\par }\pard\plain \ltrpar\s17\ql \li0\ri0\widctlpar\tqc\tx4513\tqr\tx9026\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4086565 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\langnp1033\insrsid15751455\charrsid15751455 
\par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a

656d652f7468656d65312e786d6c504b01022d00140006000800000021000dd1909fb60000001b01000027000000000000000000000000008b0a00007468656d652f7468656d652f5f72656c732f7468656d654d616e616765722e786d6c2e72656c73504b050600000000050005005d010000860b00000000}
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