A lifetime of specialist care

Pa tieThe nenwsletter fort patientFs and ouro foundationc trust memubers | Sprisng 2015

Join in the Welcome to the spring centenary celebrations edition of Patient Focus Marking 100 years of Harefield taking place HAREFIELD HOSPITAL I am very much looking forward to the coming Hospital, 2015 has got off to an at Harefield months as there is a great deal planned. exciting start. This was made even now; while a The Harefield centenary project is a real better with news of a £33,000 champagne showcase of our unique history stretching 1915 - 2015 Heritage Lottery Fund grant picnic on 19 back over the last 100 years. From Harefield awarded to Royal Brompton & June and CEL0EBRAT0 ING & MAKING HISTORY Hospital’s beginnings in 1915 to today, the Harefield Charity in centenary 1 events and projects happening offer a support of a social history project ball on 20 June, both organised by fascinating insight through the decades. Do celebrating the centenary. the Charity, will be a chance for try and come along. staff and patients to celebrate. Consisting of a series of fascinating Our governor elections are coming up this There will also be a hospital fun day events and arts projects designed to spring and there are a number of positions on 21 June. record the hospital’s rich heritage – available. Being a governor is a great from its beginnings as a hospital for For more information on the history opportunity to make a real difference to the injured soldiers from Australia and of Harefield Hospital and the full work of the Trust. For the first time we are New Zealand to its modern role as a diary of events, visit: able to offer e-voting to staff and an option to vote either electronically or by post for specialist heart and lung centre – www.rbht.nhs.uk and click on the everyone else. More details can be found on the memories of patients, staff and centenary icon. page 2. locals will be captured and shared in a major exhibition. Valerie Lapworth, a specialist diabetes nurse, gave the last members’ talk on “diabetes and The grant will be used to fund the cardiovascular disease”. More conservation of a quilt made by clinical talks are planned and staff and patients in 1915. The you can find further details piece will be displayed in the in the diary on page 7. hospital alongside a new textile I hope you enjoy reading being commissioned by a local Patient Focus . artist. Other exciting events are planned, including a reception at Australia House on 16 April and an ANZAC (Australian and New Zealand Army Philippa Corps) Day tea party on 25 April. Allibone, Tours of the hospital, lectures by membership Professor Sir and a 5A doctor and nurse with a patient at Harefield Hospital c. 1950 manager research day will highlight the ground-breaking developments

Prince Charles visits Royal Have your say on our Diary dates Brompton Hopsital strategic plans Page 7 Page 3 Pages 4-5 page 2 – Patient Focus Spring 2015

Members’ event

Diabetes and cardiovascular disease 5Valerie taking the time to advise a diabetes patient

Valerie Lapworth, clinical nurse Feedback from the event was very specialist for diabetes at Harefield positive with several members Hospital, hosted an informative describing it as both “helpful and Members’ events members’ event on “diabetes and informative”. Valerie said: “The group, a for 2015 cardiovascular disease” in November. number of them patients, were an Events take place at our two Her presentation informed people about inspiration and showed great interest”. a common condition that affects around hospitals and cover a range of topics 3.2 million people in the UK, although If you are interested in reading Valerie’s across both clinical care and many thousands go undiagnosed. The presentation, please contact research. Dates are listed on page 7 under the ‘diary dates’. disease occurs when the body cannot [email protected] for a copy. convert sugar because of a lack of the Alternatively, more detail on the clinical Further events will be advertised at hormone, insulin. condition can be found at: www.nhs.uk www.rbht.nhs.uk/members and via Twitter: @RBandH. If you would like to be informed about events in writing or book a space, please Governor elections email : [email protected]

A number of our governors’ terms are the performance of the board; consulting post) and are entitled to vote for the coming to an end this spring so elections on proposed strategic decisions; governor(s) within their constituency. will be held from 1 July in all three appointing the chairman and NEDs; constituencies: public, patient/carer and setting the remuneration of the NEDs; Invitation to stand staff. A total of ten positions are appointing the external auditor; and The Trust invites you to consider available and, as a member, you are approving major financial outlays. standing for election. If you do not feel eligible to stand. this role is for you but know a relative, How much time would friend or carer who may be interested in Being a governor is a great way to get I need to commit? becoming a public or carer governor, we involved in shaping the Trust’s future. You would also be delighted to hear from have the opportunity to work with board Governors typically attend four council them. Anyone standing for election must members and senior staff to improve meetings each year along with the be 16 years or older and a foundation patient care and to give your views on the annual members’ meeting. They can also trust member. way forward. Knowledge gained in your become involved in working groups and community, working life or through your committees, such as our patients and For the first time since we became a personal experience of Royal Brompton quality group and the membership foundation trust, we are planning to and / or Harefield hospitals could be of steering committee, which both meet enable members to vote electronically benefit to the Trust, along with periodically. Governors’ terms are for (e-voting). All public and patient enthusiasm and commitment. three years. members for whom we have email addresses will be sent an email What are the How are the elections run? instructing them how to vote. All other responsibilities of a members in these categories will be sent The election to the council of governors a ballot pack, this will contain governor? is run by an independent company. All instructions on how to vote. The main responsibility of a governor is interested members are asked to to represent the interests of both the complete a nomination form. If more Contact Anthony Lumley , corporate Trust’s members and the public. Other nominations are received than the governance manager, for further responsibilities include: advising the number of positions available, a ballot information, on 020 7351 8264 (Royal board of directors and holding the non- will take place. Members will receive a Brompton site) or email: executive directors (NEDs) to account for voting paper (either electronically or by [email protected] Patient Focus Spring 2015 – page 3

Prince Charles visits cystic fibrosis centre at

The Prince of Wales met patients and staff at Royal Brompton Hospital in 5The staff enjoyed a light hearted moment with The Prince of Wales December on his first official engagement as patron of the Cystic Fibrosis Trust. Prince Charles visited the cystic fibrosis the Trust has been responsible for the centre – Foulis Ward – to meet patients introduction of innovative treatments and speak to the clinical teams involved that are now regarded as routine. The in providing specialist treatment. He also unit has been a model for the met support staff involved in the day-to- development of other centres in the UK day running of the unit, which is one of and Europe. the largest of its kind in Europe. Today, the multidisciplinary team, which After unveiling a plaque to includes consultants, specialist nurses, commemorate his visit, The Prince of dietitians, physiotherapists, clinical Wales said: “I am so delighted to have a psychologists and pharmacists, provides chance of visiting the hospital and the expert inpatient and outpatient care to unit here, which I know does such 5In conversation with Nicholas Mason almost 700 adults and 350 children and wonderful work on the cystic fibrosis their families. front, but I am also so proud to become Nicholas explained to Prince Charles that patron of the Cystic Fibrosis Trust in its his lung function has dropped to about 6Prince Charles chatting with a patient 50th anniversary year. 20 per cent and he therefore needs to carry an oxygen cylinder everywhere he “I wanted to use this opportunity not goes. only to salute you all for the work you do, but also to wish all those who I know Nicholas said: “Prince Charles was very are doing such good work in finding interested in the genetic cause of cystic better and better answers to dealing with fibrosis and I explained that both of my this condition, every possible success in parents carried the gene, but had no way the future.” of knowing this until I was born.” One of the patients introduced to Prince Royal Brompton Hospital was home to Charles was 25-year-old chemistry the UK’s first adult cystic fibrosis service, graduate, Nicholas Mason, from Sussex, which was established in 1965 by Sir who was on his fourth admission of the John Batten to provide treatment to the year and had spent almost a third of increasing number of patients living into 2014 in hospital. adulthood with the condition. Since then, 6The Prince of Wales with staff on Foulis Ward page 4 – Patient Focus Spring 2015

Have your say on our strategic plans

Under the terms of our NHS provider Caring ¼ Development and implementation of licence, each year the Trust submits a set major new clinical systems, including ¼ Continue to strengthen access to non- of forward looking plans to our electronic prescribing and medicines cardiothoracic services and palliative regulator, Monitor. As part of this administration, and electronic care for patients. process, we are required to canvas the document management. opinion of our governors and members Responsive on our strategic plan, objectives and ¼ A new patient administration system priorities. These are set out below and ¼ Continue to develop seven day working (due 2016). we invite you to comment. Your views to support clinical care and optimise ¼ Clinical data warehouse with excellent will be reflected in the Trust’s strategic the admission, transfer and discharge analytical capabilities. plan when it is presented to Monitor. of patients across the whole week.

¼ Reduce waiting times, late starts and 4. Redevelopment of our Our mission cancellations. estate and improvement The Trust’s mission is to be “the UK’s of our facilities ¼ Actively seek and respond to patient leading specialist centre for heart and feedback on our services. We plan for continued growth in activity, lung disease”. Our strategy to achieve both in response to increased demand and this is focused on growth across the ¼ Improve the availability of relevant to meet our financial stability plan targets. whole spectrum of heart and lung clinical information for all interactions This growth is constrained by the capacity, treatments. Our clinical teams offer with patients. configuration and condition of some of patients “a lifetime of specialist care” – our buildings, for example, the shortage of from birth, throughout childhood and Well led critical care beds and outpatient clinic into adulthood and old age. ¼ Continue to develop and deliver a wide rooms. The main redevelopment plans will We are particularly focusing on four range of staff educational programmes, address these limitations. areas: including human factors, consent, Duty of Candour and simulation based Harefield Hospital 1. Clinical quality training programmes for all groups of ¼ The feasibility of a major capital staff. programme is currently being assessed, Our focus on the quality of patient to deliver an increased number of services is at the heart of everything we 2. Partnerships critical care and inpatient beds, do. We will continue to work to ensure enhanced diagnostic imaging and patients receive care which is safe, We can only provide optimal care for our scanning capability, a reconfigured effective, caring, responsive and well led. patients by operating within a “system of care” and not in isolation. As part of this operating theatre and a state-of-the-art This will be delivered in the following we will: endoscopy suite. ways: ¼ Develop new partnerships and nurture Royal Brompton Hospital existing ones in areas of clinical care, Safe care ¼ A new hybrid theatre is being built, information, research and innovation. which has been generously funded by ¼ Actively participate in the Patient charitable donations. It will combine Safety Collaborative programme and ¼ Work to develop new technologies and complex imaging equipment in an extend our links with local referring treatments. environment where different surgical hospitals and partner organisations to 3. Information technology procedures can take place at the same optimise patient pathways and the time. transition of care. We recognise that effective, accurate and timely information is important for ¼ Planned investment in new and ¼ Continue to develop and improve the delivering the best possible services for modern hospital facilities to support Trust’s Risk Register to ensure the patients. To do this we will: the future growth of clinical activity, prompt acknowledgement and and respond to new technological ¼ Continue to embark on a large management of risks. developments. programme to transform our IT systems Effective care to deliver our vision for clinical outcomes and patient care. ¼ Strengthen our multidisciplinary team If you would like any approach to patient care, improving The three year IT plan includes: further information inter-professional communications, ¼ A major redesign of our whole network, For more information about any of referrals management and including an improved guest Wi-Fi the detail described above, please documentation. service. refer to our website: ¼ Ensure patients do not stay longer with ¼ The migration of Trust computers from www.rbht.nhs.uk/strategic-plans . us than is clinically necessary. XP to Windows 7. Patient Focus Spring 2015 – page 5

A few examples of our recent successes

Improving care 96 per cent of for lung cancer staff would patients recommend National cancer targets clearly set out a treatment to timeline of what the government expects to happen at certain points in a patient’s care; from diagnosis through the various their friends stages of treatment. Patients require several different services and the Government continually monitors and family hospitals and other healthcare providers to ensure the right treatments are being The Trust is one of the best performing in accessed at the right time. the country, based on answers to the Friends and Family Test (FFT), which was A national review of lung cancer services made mandatory by NHS England in April at the Trust highlighted the need for 2013. improvement in some areas and work has begun to implement an agreed action Staff are encouraged to give feedback on plan. their recent experiences by answering two questions, one on “care” and the Regular visits to specialist teams within Support other on “work”. the community who refer into the Trust have helped to identify where the Reassuringly ninety-six per cent of staff patient’s journey can be improved, services would recommend the Trust to their particularly around diagnostics and friends and family if they needed treatment, with the support of staff at enhancing treatment; placing us in the top ten in Royal Brompton and Harefield hospitals. England. The involvement of a wider network of patient care Eighty-seven per cent of respondents consultants and other clinical staff from a said they would recommend the Trust as variety of disciplines – members of the a place to work; ranking the Trust joint London Cancer Alliance Clinical Lung Royal Brompton and Harefield hospitals first in London and fourth overall across Forum Group – has resulted in a “timed both scored very well in an assessment the country. pathway” for referring hospitals to of clinical environments, commonly implement in line with best practice. known as a Patient Led Assessment of the Since it started, the Trust has always The Alliance is very clear that all patients Care Environment (PLACE) - where a scored highly and remains one of the top must be referred to specialist trusts on or group of patients and staff rate different 25 in England and the third best in the before day 42 after their cancer areas of the hospital for their impact on capital. diagnosis. patient experience. The clinical advisor for the transforming A team undertook the annual self- cancer services team in London and the assessment, based on criteria set by the specialist national commissioner for Department of Health, looking at how blood and cancer for NHS England, certain support departments frequently meet with the lung cancer appropriately enhance the care and team to discuss progress that has been treatment of patients. made since the review. Areas for appraisal included the general The national clinical director for cancer, state and maintenance of buildings, the Sean Duffy, has reviewed the Trust’s approach to cleanliness, the availability plans to address any previous weaker and quality of food and drink, and finally areas, and is comfortable with the how well the ward environments approach being taken. protected a patient’s privacy and dignity. There is more to achieve in the coming Both Royal Brompton and Harefield year and it will be a key focus for the hospitals were subject to an individual lung division in 2015/16. assessment by the team. page 6 – Patient Focus Spring 2015

Celebrating the unique Care Quality connections between Commission Harefield and Australia inspection On Tuesday 10 February, three the group had also visited the ANZAC war Australian dignitaries came to Harefield graves, located just outside Harefield Hospital to plant a eucalyptus tree village, with Deirdre Mills of the 2015 commemorating the 100th anniversary Commonwealth War Graves Commission. of the hospital and the special links that The Care Quality Commission (CQC) is it has with Australia and New Zealand. Continuing the independent regulator that assesses The hospital was founded in 1915 as a celebrations at the quality of care and treatment centre for treating wounded soldiers Australia House offered at hospitals. A team of up to 40 from the two countries during the First inspectors spend three days on site, World War, and today there are several The Australian deputy visiting different wards and families and staff from the antipodes high commissioner is departments to talk to patients, staff that either work at the hospital or live very kindly hosting an and carers about their experience. in the village. event for Royal Ros Kelly AO, former Australian Senator, Brompton & Harefield The CQC has announced that it intends Hospitals Charity at Australia House on to inspect all hospitals during 2015, so helped plant the tree, accompanied by Cathi Taylor, wife of the Queensland the Strand on Thursday 16 April at the Trust is expecting a visit at some Agent General, and Hazel Phillips, wife of 6.30pm. Tickets are available at: point before 31 December. Australian high court judge, Sir Ross www.rbhcharity.org/australia-house or This inspection will be under the new Cranston. Prior to the planting ceremony, 020 7351 8613 . CQC regime, which includes gathering information from people who use 6Ros Kelly planting the tree, with Gill Raikes, chief executive of Royal Brompton & services and other stakeholders. Harefield Hospitals Charity (left), Trust chief executive, Bob Bell, and chairman, Sir Robert Finch We anticipate that it is likely the CQC will host sessions with patients and members of the public – including talking to our foundation trust members. If you would like to know more about this, with a view to potentially sharing your experience of the Trust with the CQC, please contact Philippa Allibone , membership manager, at: [email protected] or 020 7352 8121 ext 2811 .

“We anticipate that it is likely the CQC will host sessions with patients and members of the public – including talking to our foundation trust members” Patient Focus Spring 2015 – page 7 Diary dates

TRUST EVENTS running as usual – or to buy the Philippa Allibone, membership Breatheasy support groups Singing for Breathing CD. manager Email: [email protected] Email: [email protected] Opportunities for local residents and their carers living with chronic lung Tel: 020 7351 4087 Member events are advertised at : conditions to join informal, friendly Web: www.rbht.nhs.uk/arts www.rbht.nhs.uk/members discussions. Presentations are made by members of Royal Brompton Hospital’s chronic obstructive pulmonary disease (COPD) team with TRUST BOARD MEETINGS guest speakers. MEMBERSHIP EVENTS Date and time: Members of the public are welcome Pacemakers in 2015 to attend. Held on the first Tuesday of and what the future holds every month at 2.00pm ¼ 1 April 2015 Having a pacemaker fitted can Venue: Time: 10.30am-1.00pm greatly improve the quality of life for Education Centre, Respiratory Venue: Concert Hall, Harefield those who have problems with their Clinical Research Facility, 1st floor, ¼ 29 April 2015 Fulham Wing, Royal Brompton. heart rhythm, and the device can be lifesaving for some people. Hear Time: 10.00am-12.00pm Contact: Rebecca Tanner, clinical from Dr Mark Mason on the recent Venue: Board Room, Royal Brompton research physiotherapist exciting developments in pacemaker ¼ 20 May 2015 Email: [email protected] technology and what is on the Time: 10.30am-1.00pm Tel: 020 7351 8029 horizon that will transform care as Venue: Concert Hall, Harefield we know it. ¼ 29 July 2015 ¼ 20 May 2015 Time: 2.00pm-4.00pm Time: 3.30pm-4.30pm Venue: Board Room, Royal Brompton Singing for Breathing Venue: STaR Centre, Harefield ¼ 30 September 2015 Aimed at those with respiratory Hospital conditions, or breathlessness Time: 10.30am-1.00pm associated with cardiac conditions, Annual members’ meeting Venue: Concert Hall, Harefield sessions are relaxed, informative and ¼ 22 July 2015 ¼ 28 October 2015 fun. They aim to teach basic singing Time: 11.00am-2.00pm Time: 2.00pm-4.00pm techniques, which can help with Venue: Board Room, Royal Brompton breath-management and release Venue: Chelsea Old Town Hall, 250 stress. Kings Road, London SW3 5EE ¼ 25 November 2015 ROYAL BROMPTON HOSPITAL: Skeletal Muscle in COPD – Time: 10.30am-1.00pm Open workshop for all patients why bother? Venue: Concert Hall, Harefield (except those attending Foulis Ward) Chronic obstructive pulmonary Date and time: disease (COPD) is the name for a Every Monday, 2.00pm-3.00pm collection of lung diseases including COUNCIL OF Venue: chronic bronchitis, emphysema and GOVERNORS’ MEETINGS The Quiet Room, Victoria Ward, 2nd chronic obstructive airways disease. ¼ 1 June 2015 floor, Fulham Wing, Royal Brompton People with COPD have difficulties Hospital breathing, primarily caused by the Time: 11.00am-1.30pm HAREFIELD HOSPITAL: narrowing of their airways (airflow Venue: Concert Hall, Harefield Open workshop for all patients obstruction). ¼ 22 July 2015 Date and time: ¼ 2 November 2015 Combined council of governors’ AGM Every Tuesday, 3.30pm-4.30pm Time: 2.00pm-3.00pm, and members’ annual meeting Venue: Venue: CRF Education Centre, 1st Time: 11.00am-2.00pm Rehabilitation & therapies Floor, Fulham Road, Royal Venue: Chelsea Old Town Hall, seminar room, 2nd floor, 250 Kings Road, London SW3 Harefield Hospital Brompton Hospital ¼ Contact: Karen, Annabelle or Jenni in If you would like to attend a member 22 October 2015 the arts team before your first event or want more information, Time: 11.00am-1.30pm session and to make sure the class is please contact: Venue: Concert Hall, Harefield U p í í F R í í O í í H í í í í H R H w a o a o w o g e o t y r e w e u a h T E E E E E E T T T C M H W E C H A H A H E K M N C D T C A C C C T E T W E W E T T T R H y a s

s fi e e e e e e e e e e m m m m m m m x m m m 1 h o o o o h l d d a a . e o a l a i e e a e e e e n r l l l l l l l l l l e e e a p m m n n a a d d l e i c r r 2 B : : : : : : : : : : r a a a a a a a a a a b b b r b - r r c

a a s c e e i i r r t t k m t k l

e B i i i i i i i i i i s u s s r m m e r r p a a d l e e f f r h i e – d i l l l l l l l l l l l l e e m m i i i i i o

h : : : : : : : : : : t r s s t t c c n

e t t t f e e t o

F t u u b t

i

s s e e e e P

t t i h h m B E a H v i a a l l . u

n a r n n : : : : r a d d : : : e e n w H a

e

e n n a w w y g a i i o

t

t

p t

t t r r l c T h : : s a

s i l f

t y y i d s Z a a s r a a g i t e s o s

t e s

a a p e n r h o f f s

i o t t w . g n d H u u n

m i u u d

i c c n S i m t s t i n n s s t f h 8 k d a h n h w 0 k 0 0 0 0 g 0 o m 0 A P 0 0 0 B c K 2 U C

p o o n a h h t k

c p a e

c d d h e . F . a m o h e f e . e e . r 5 2 2 1 2 2 2 2 1 2 1 6 n H u n l o h e w m

f z o e

l f i o r r l n o a c n O v a a a n i – – h r t

0 0 8 0 0 0 0 8 0 4

a

i a m i h i a i p a a m , l B M o g t w h y d i m c e g . e l l l t r c T

i l n n

9

9 9 l s r c s

i i t t t C f H p a 8 7 7 7 8 7 7 e H K y @ o m e 2 r s g s s u m b a a . t h h h r t r

5 5 4 m t t f h n r

r r p U @ e e w 8 3 3 3 9 3 3

n p i s 5 r c e i p m t e s w w w

i l C e i i u

s a r a o r r k o @ l a b r s 6 5 8 5 5 6 5 2 5 4 n y e l a u , c

a o r i , , p b l n l n

n r h a r a a e S o

r l p

s t

u y S c r w 8 2 2 2 2 8 1 7 2 7

H R a e t r A e o i @ s h L i i s t t t @ r E e t a @ m s n p i

h b c s

8

2 2 i n o @ c f c c d b u

t n a e l R i

t 7 8 8 8 7 8 8 n a i S n a a l i l n r a h . h h y

9

b a n @ r m h e i o h n g r n t , l y 5 1 8 1 1 0 2 1 4 i

q t f b e t r a d h

t c c n b t n 9 t o t l i a a & h t t S b 7 2 2 2 2 4 6 2 7 d h g u

l f

i d o w w o . l i r @ e h 7 s

d r e n g

n i

s l h y w 1 1 0 1 1 9 4 1 0 b a R a n h e n B e o t u l s t l l y . , t h

i r t

u h

l d o . @ . s r f a 2 b e r e

o p a n L c n n e e e / e e . d s c b i o

n k t m H

r u t n p o o e m n 0 g x x x x . h a ,

6 . n

m h h c n

u H h n r o . l n t t t t T t d s e 1 s

h d 7 u a d e t e y k

s a h o r h p . d t o a 4 2 4 2 . s y 5 h k u 7 n .

s h t t n , e s s u n C e t o n

2 2 2 8 .

t /

i k a 1 a p c . h o H g r r S l k i

e u k n . 6 1 6 1 d s P o t l g a m o i n r s e i n k t t

a e . o 9 0 7 1 . a e m . n

W o r

a o r u n s C t H g u v r r

g r e r l t a r k s f e . 1 g i o p e h e g d u i l e

s 0 fi n i , i r

o k

e o t p s g

e e / n , 6 n . l i

t

o c t . l s L s B o o a l d r , e o N n g

r l d U

g a - n U c . x t u

d h B b k e o r 9 i s l n d s

6 e g

S a e J

W

H U f

B 3 8

6 o

1 N L H P

r

T T F T r í í í í í í í í í í o e e l l l u : : l

o + + i T F A C E W T T A T A E A T E E F T A C C F C F A R A D C P T T S T F T T T T W T E T W T W E H E E H W H W E W E n w w w a a o e e e h e e e e e e u m m m m m m m m m m 4 4 o o o o d d d d d d r r e e e i h h h r y a s t u e e e e e e e c c l l l l l l l l l r p e n i i n n n n d d d d d d l l l i i e i

4 4 o : : : : : : : : : s a a a a a a a a a a b b b b b b b y

s e e e p p p e e t t e e u

c m p p r r r r r r n t t t t y O t t u

i i i i i i i i i i : s : s s s s b b t

l l l a a a a e e e e e e n

h e e

o l l l l l l l l l l n n a s s ( ( i i i i i i i i r S O B i : : : : : : : : : :

c o o s s s s s s

c c c c n n n t t t t t r r a i 0 0

r c

T t

a c e d d t s s s s s s v e e e e e : :

t t t t o o o t o t i r e e e e

c a r : : : : e : : : : : : i u

) ) i e : : : : :

n k k

o

s s : : : n

F n m y c

v 2 1 t

n o

: : d

c

g n

i m

i a k

t f o o

0 8 a a /

b T C

s

' e v f e i e s

r f f w a

9 n m A p r w i e r 7 i

r m f o l & R H F p a

v 5 t i i s o u h w w w w w @ w l 0 0 0 0 0 0 E D 0 F i a 0 / @ w 0 a 0 e i e 3 L 2 1 1 1 7 0 c 0 i i 3 t t p y n n n a s o i

t a o O i y h r a d i

d l n . h n

e 1 2 2 1 3 1 1 2 8 2 8 9 5 1 8 8 3 l A t o h w w w w w w w n o h 5 8 l i e S L m f f f i i n m O B a r n m m y c

i z e l q r 2 0 0 2 0 4 8 0 7 0 0

0 0 e o o o l e n s d a o c n e t p p C S L Y i d c y 2 2 w w w w w w w r t a e e a s c u r

r

a @ @ @

7 0 7 9

0

0 0 0 b o

i v l a o a n a o i o a t l C o i F 3 7 7 8 a @ b l C

T n t

p

n t ...... i

i f

o

r v n @ e 0 3 5

l i l m

a @ D e d e t p r d c o t n r n 8 3 r n i n F

M r 2 7 1 3 2 4 1 8 3 o @ o e s C r h T d r @ i y

h M o i

a i f k e i g v e

f e p c f d c B L d

a i a n e r e o

u e m t 8 7 8 1 2 8 5 4 6 2 5 7 p i a o 1 7 o y t f u s y e

n a g c i s e w

d t n a h a A r c a y o

t S o R a r @ s y S s p p t t 6 6 7 1 5 2 1 1 4 1 4 3 r p l h g c p n a b s u r e n s

h s 2

p d u n s n o y

h g n A c t p @ e o n t l d g 3 o t d e m B v H

2 2 8

o . i u r e a r a t e i r u k i t s n s k

T o a 1 9 0 8 1 7 4 n 7 1 e . m l t e a p

p n 1 o t

t a c c e – i o o u d n l

R e

m u R b 7 h R e t e a i p v p a i , a c a S r i u 2 0 7 1 0 6 2 8 2 5 5 0 a H s a i e p m

r d k e

. e c n d r r

d @ o p p f g r n o e o n i L o f e l a p f n u r n F n d a e 5 0 7 2 0 7 7 5 1 1 9 0 g p e e a

i i k o t

f i t . a o p s . a p o r p a s c a d p r t h m p o n o l a o e n , u d r a s . r a r e 0 0 6 2 7 8 2 7 1 8

0 m d e r

. ' o g d f a u n o ( t t d d s u e e o p s L s p . t r p t r u l

i b k

. r a n s o

o . w H l i . o , k ( r g t r , d

e a , p o ( o r o s r a s u r p o

e n o p n l

h G c o a i t n . i h A r s L g y . B r . t o t o r c t r n i . s r k a t

n a e u r h o g n t b t i o g f . o t e o r t o

A l

. t n

a

a r n g o r . d o a l t h 0 t a u s

e G . w k a r

. n r o d n n l .

g p n i d u o # ( u

g r a a o u l l g s o p ( n

i k 8 e E h . m h f h

a . g i P d k r r

s g k v o . n u h h s r o n l l s h n C 0 m u o s e . r o o i g e

r e C t u e e k o l o u

e n d , 2 . o 0 k n ( a g e a W

n e u a r u a a r k l I n v

e e , D V c l r

i e y p p f f

k s n 9 r n t t u S

C p ) u 1 o i

, f

o t e

s a

) 7 ) . 1 R W a a o t

h n K o H n n w i d l

h J n n 7 r G t e d r l e u o

i 6 N y t r e y i g . d 1 i 2 s s

n c o e o

y n

r

s o . e

h a p D 3 4 h u t r l p u o a e a t u t g

i n a s k T

9 P

B r e I s e w u . n l r e B e P u 4 c R e

s g d e e

p 4 B i k S 1 f e

i )

r c i a T r

k 2 c o 1 s t o 7 e

B r n i ) B n

t i m N 2 d c Y e d J

i m s t A p ) i s o t n o s n

20.02.15