Here - Sheffield MND Research Advisory Group
Transcription
Here - Sheffield MND Research Advisory Group
The magazine of the Motor Neurone Disease Association Winter 2014 Mud, sweat and beers! Fundraisers get tough with MND Goinggoinggone… on holiday Thanks to the support of Sky News presenter Charlotte Hawkins and Ultratravel we are inviting you, our readers, to bid for the following lots… Two nights in Edinburgh Two-night stay for two people including breakfast at Nira Caledonia hotel in Edinburgh. Minimum bid - £300 The prize is valid for travel until 31 October 2014 Bid for a luxury holiday and raise money for the Association Four nights in Dubai Two nights for two people including breakfast at The Address Downtown Dubai plus two nights for two people including breakfast at The Palace Downtown Dubai. Minimum bid - £600 The prize is valid for travel until 31 October 2014 Two nights in Budapest Three nights in New York with return flights with return flights Stay in the Four Seasons Gresham Palace, Budapest, with return flights on British Airways. Two nights for two people in a Park Suite, including breakfast and an Art Tour. Three-night stay for two in a Parkview Suite at the new Viceroy New York, including breakfast in Kingside Restaurant with return flights on British Airways. Minimum bid - £800 The prize is valid for travel until 31 October 2014 Minimum bid - £1,500 The prize is valid for travel until 31 October 2014 Send your bid, stating clearly which lot you are bidding for, how much you are bidding, with your name, address, email address and telephone number, to [email protected] The winning bid for each lot will be the highest received by the MND Association by 14 February 2014 This auction is open to residents of the UK, Channel Islands and Isle of Man aged 18 years or over, except employees of the Motor Neurone Disease Association, Ultratravel and Telegraph Media Group Limited, their families, agents or anyone else professionally associated with the auction. The highest bidder for each lot will be contacted and asked to send payment within two weeks. On receipt of the cheque, each winner will be sent the prize vouchers by registered post. Rooms and flights are subject to availability and, unless otherwise stated, all flights are economy class. Each holiday is for two, and is subject to separate terms and condition available by emailing [email protected] 6 Co-ordinated care Making a positive difference. 8 International Symposium Event attracts researchers and clinicians from across the world. 18 ‘Bake it!’ And help make MND history. 19 Review of 2013 The difference we made together. 24 Education Influencing standards and quality of care. 26 Time to make a change Finding work through volunteering. Cover image: Inspired by his brother Mark, who has MND, Carl Bradshaw and his team got stuck into the Tough Mudder challenge. See page 30. Thumb Print is the quarterly magazine of the Motor Neurone Disease (MND) Association, PO Box 246, Northampton, NN1 2PR. Reg. charity number 294354. Editorial and advertising enquiries: Paula McGrath, Editor, 01604 250505, [email protected] welcome… It hardly seems possible that one year has passed since I joined the Association as Chief Executive. During the last 12 months, with your significant contribution, we have made important progress for people living with MND, their families and carers. We continue to fund and promote research to bring us closer to a cure, support those living with MND, their families and carers, and campaign and raise awareness to ensure their needs are recognised and addressed by society. You can read some key highlights on the centre pages. In December, I attended my first International Symposium on ALS/ MND. Some 950 people registered for three days of intense learning with researchers and clinicians from across the globe. I am immensely proud the Association is the organiser of this prestigious event. See page eight to learn more. We recently broadcast our first awareness-raising television advert, a landmark for the Association. This fantastic opportunity was only possible thanks to the invaluable support of TV presenter Nick Knowles and Eric Rivers, who is living with MND. Read more about this story on page 33. Some 35 years since we were founded by a small group of volunteers, our growing community of members and supporters continue to share the same goal – to support people with MND and everyone who cares for them, now and in the future. Our recently-published strategy will now guide us through the next important stage of our journey, setting out our commitments and plans until the end of 2016. Whether you are among the many who have dedicated decades of your life to this vital cause, or you have recently joined the MND Association family, your support is greatly appreciated. Over the last 12 months I have learned that there is something about MND that sucks you in and steals your heart. Once you join this fight it’s hard to leave it. This level of commitment from all those involved in our work – supporters, volunteers, fundraisers, staff, campaigners and researchers – fills me with the confidence that one day, together, we will defeat MND. Thumb Print is available as a pdf at With best wishes for 2014. The views expressed in Thumb Print are not necessarily those of the Association. The advertisement of third party products or services does not in any way imply that those products or services will be provided, funded or available via the Association. Sally Light Chief Executive www.mndassociation.org/ membership thumb print Winter 2014 03 research dna bank open for business Our UK MND DNA Bank has now opened its doors to the worldwide research community to aid more crucial discoveries about MND… Thanks to the support of more than 3,000 people affected by MND. MND is thought to be caused by a combination of subtle genetics, lifestyle and environmental factors. A small but growing number of these genetic factors are known, but to help this vital area of research we began the UK MND DNA Bank in 2003. The gathering of samples has been co-ordinated by three MND Care Centres based at the institutes of the Principal Investigators: Professors Pam Shaw at Sheffield, Ammar Al-Chalabi and Chris Shaw at King’s College London and Karen Morrison in Birmingham They invited people living with MND to participate in research by giving a blood sample. By the end of 2011, more than 3,000 samples had been banked. In addition to people with MND and their family members, partners and spouses also donated samples to work as a control in research studies. Together with the accompanying, anonymised information on the participants, these have been used to create an important resource of DNA samples and lymphoblastoid cell lines (white blood cells), for MND researchers to use. “It’s a fantastic and high quality international research resource and exists thanks to people with MND.” In October 2013, the UK MND DNA Bank opened for business to the worldwide 04 thumb print Winter 2014 MND research community. Dr Belinda Cupid, our Head of Research, said: “It’s a fantastic and high quality international research resource and exists thanks to people with Dr Belinda Cupid MND, their families and the team of neurologists and nurses around the country who helped collect the samples. “We’d also like to thank BioBanking Solutions, Public Health England, the Wellcome Trust and DeNDRoN for their involvement in the project.” Samples are stored at BioBanking Solutions within the Centre for Integrated Genomic Medical Research (CIGMR) at the University of Manchester; and at Public Health England. Prof Stuart Pickering-Brown, from The University of Manchester’s Institute of Brain, Behaviour and Mental Health, said the UK MND DNA bank would be useful for scientists across the country. Prof Pickering-Brown’s research focuses on a common form of dementia, known as frontotemporal dementia. Two years ago he was part of an international consortium of researchers who discovered a rogue gene which can cause both frontotemporal dementia and MND. He said: “DNA collections like this are absolutely vital to allow scientists like me research to continue to make breakthroughs and developments in the study of MND and frontotemporal dementia which can help inform patient care. Accessing the samples Researchers can apply to the Association for access to DNA Bank samples. Our Biomedical Research Advisory Panel (BRAP) guides us in the decision making on applications to use these samples. Samples are sent out to a researcher, if their proposed study meets the following access criteria: • Relevant to MND • New to science • Scientifically justified • Fully funded • Ethically approved. Donating DNA samples DNA Bank at King’s College, London “This will be the biggest collection of DNA samples gifted by donors with MND in the country. The University of Manchester has no doubt been chosen because within The Centre for Integrated Genomic Medicine we have the biobanking infrastructure, such as robotic platforms in place to effectively manage the samples. “DNA banks allow scientists to explore the mechanisms at play within a patient’s DNA and how a particular gene can lead to some people getting MND and others getting dementia. What discovering the gene has not told us is how this comes about, and this is what my research is now exploring.” “I believe that the genetics of MND are key to understanding both the cause of the disease and how to treat it.” Dr Johnathan Cooper-Knock from the Sheffield Institute for Translational Neuroscience (SITraN) is using samples from the bank to study how recently discovered mistakes (known as mutations) in a gene called C9ORF72 can cause the disease. He explained: “I believe that the genetics of MND are key to understanding both the cause of the disease and how to treat it. The discovery of mutations in C9ORF72 are a great opportunity to get a hold on the mechanisms of the disease, which has so far been elusive. “As a result of my research I hope to have identified a number of therapeutic targets for development into new treatments by myself and others.” and advise researchers how they can Colin Fenwick and his wife Alison both more effectively communicate with gave blood samples for the DNA Bank patients. in 2011. Colin said: “Being members of the Colin, 49, from Macclesfield said: “I SMND RAG has given both of us an had a formal diagnosis of MND at the insight into how important it is for end of 2010 and am lucky in that I have patients to get actively involved in fairly slow progression. I have not lost research. We’d encourage anyone my voice although my arms and legs reading this to join a group like the are weak. SMND RAG or if “My wife and there’s nothing I both have in your local area a scientific then talk with your background (in MND Care Centre molecular genetics or the Association and geochemistry about how you can respectively) so get involved.” take an interest in Jennie Pierce research and are from Congleton, also always keen in Cheshire gave to get involved in a blood sample any project that will in 2011 together help research of with her husband MND. Pete, who is living “It is exciting that with MND. She we have helped said: “We both felt contribute to such very strongly that a major resource for it was something researchers and that Colin and Alison Fenwick with, son Jamie we wanted to take it is now accessible part in. We always knew it would not from anywhere in the world.” benefit Pete but you have to look to In addition, both Colin and Alison are the future. active members of the Sheffield Motor “With grandchildren, it is important Neuron Disease Research Advisory to us to do everything we can to try Group (SMND RAG). and support finding out more about This group meets once every three MND in any way we can. Pete doesn’t months to discuss research into MND have the inherited form of MND but that’s being carried out in Sheffield there is still so much more to be known both at the hospital and at SITRaN. about the disease that makes this DNA The group discuss how patients can Bank vital.” be better informed about research Find out more To learn more about our MND DNA Bank visit: www.mndassociation.org/dnabank or contact our Research Development team on 01604 611880 or [email protected] thumb print Winter 2014 05 care care co-ordinated – making a positive difference Dr Cathy Ellis speaks to Stanley Ansell who is living with MND and his sons Tony (left) and David The complex nature of MND means those living with the disease often receive care and support from a wide range of health and social care professionals. In addition to a neurologist, this may include an occupational therapist, physiotherapist, specialist neurology nurse, speech and language therapist and dietitian, among others. Our recent Improving MND Care survey showed there has been an increase in the number of people who have a named person co-ordinating their care since 2009. We know co-ordinated care makes a positive difference to people and we have influenced and funded a number of co-ordinator posts. MND Care Centres Neurology clinics at hospitals across the country bring together a number of specialists to provide co-ordinated care for those living with a neurological condition. Recognising the benefits of this way of working, since 1990 the Association has developed a number of MND Care Centres and Networks in partnership with NHS trusts across England Wales and Northern Ireland. In 2012 we opened our 19th care centre in Bristol. Care centres gather together 06 thumb print Winter 2014 professionals to focus purely on MND and build and share expertise and knowledge about the disease. An MND Care Centre or Network is not a purpose-built building, but a place where people come together to make things happen, creating a ‘one stop shop’ and improving the standards of care for people living with MND and their carers. MND Care Centres usually have one or more dedicated MND clinics and provide a single point of contact specifically for people with MND, called a care centre co-ordinator (CCC) “ One of the Association’s priorities over the next three years is for more people to be able to access care through a specialist MND Care Centre or similar multidisciplinary approach.” Centres provide expertise in the management of MND, access to a multidisciplinary team, and strong links with local community services and the MND Association. They also share good practice with other colleagues in the community to educate and spread expertise across the region. Karen Pearce, our Director of Care (South), said: “Our MND Care Centres and Networks do not replace an MND Care Centres and Networks individual’s existing care team, but work in partnership with them to promote and develop effective service delivery. “One of the Association’s priorities over the next three years is for more people to be able to access care through a specialist MND Care Centre or similar multidisciplinary approach.” Not everyone attends an MND Care Centre or Network, as many hospitals also provide an effective service for people with MND, and these may be closer to home. However, the work of MND Care Centres informs standards of care for all those living with MND. care Post Doc student Agnes Nishimura Clinical staff in the King’s Care Centre clinic Sally Light speaking with Jason Smith who has MND “My MND co-ordinator is very thorough in keeping myself and other medical practioners involved in my care, informed of any new developments or findings, and answers any questions I may have.” Person living with MND The essence of good care Sally Light, our Chief Executive, recently visited The King’s MND Care and Research Centre in London to see first-hand the difference it makes. She said: “I was struck by the range of staff available to meet with anyone who needed to see them. I saw people meet a palliative care doctor, speech and language specialist, physiotherapist, dietitian and the specialist MND nurse. They also have access to a respiratory function service so if people are having breathing difficulties they can be assessed, and advice or treatment given. “Access to this multi-disciplinary team of professionals is the essence of what good care looks like for people living with MND and their families. That is why we continue to promote and fund the multi-disciplinary model whether at an MND Care Centre, Network or as part of a regional neurology service. “It was extremely heartening to see the kindness with which people were treated – the unhurried discussions, the sensitivity with which difficult subjects were introduced, the genuine care and concern. “I also witnessed some of the amazing work that is going on to help us to better understand MND, and one day find a cure. I spent time with Prof Ammar Al-Chalabi and Prof Chris Shaw, hearing more about their research and touring a laboratory. They have teams of scientists working on a number of threads of research. “Both are experts in genetic research and their work is part-funded by the Association. They were very clear about the important contribution this funding had made both to their research work and in support of the MND Care Centre.” Care Centre Co-ordinator is my lifeline Brian Taylor, aged 72, from Staffordshire, was diagnosed with MND four years ago. His local neurologist referred him to the Birmingham MND Care and Research Centre at the Queen Elizabeth Hospital. Brian explained: “I always find the staff very reassuring. They always want to know if you have all the aids you could possibly need. They advise on what you didn’t already know about. You learn about aids by going there and they always help as much as possible to get them.” Brian added: “It is reassuring to have the Care Centre Co-ordinator at the end of the ‘phone. She has helped with my concerns, especially in the early days. “She said my symptoms are not out of What can a MND Care Centre offer people with MND? •Regular review by a neurologist with expertise in MND •A team that works together to provide an assessment of each individual • Advice, information and support •A proactive service which anticipates future needs •An opportunity to see more than one therapist at clinic •An opportunity to be involved in new research projects at clinics (where available) Any new referrals to a Care Centre or Network must be made by a GP, neurologist, or other consultant. What support can they provide for carers? • Advice, information and support tailored to a carer’s needs • Advice about the Carers Assessment. Find out more Brian Taylor and his wife Margaret the ordinary, which has eased my mind. We don’t have a specialist nurse for MND in my local area so the co-ordinator is a lifeline.” If you are in any doubt about where you can receive care and support, your Regional Care Development Adviser (RCDA) will be able to support you. Alternatively contact our MND Connect Helpline Email: [email protected] Telephone: 08457 626262 thumb print Winter 2014 07 research symposium Rising stars present at More than 950 delegates registered for our 24th International Symposium on ALS/MND. The meeting in Milan brought together people from 34 countries to hear the latest research and care news. December’s event was the biggest symposium yet, with over 100 presentations from both science and clinical research specialists in two lecture halls over three days. Our Director of Research Development, Dr Brian Dickie, said: “The coming together of research and care professionals from around the world is crucial for sharing knowledge, skills and expertise. It is by working together that we can, as a global body, work towards improving the lives of those with MND and ultimately towards our vision of a world free from MND.” Presenters ranged from respected experts in the field to up-and-coming young MND researchers. Brian added: “I was particularly impressed by the number of new faces coming in to the field – established scientists from other disciplines as well as new young investigators. They are bringing lots of new energy and new ideas. It is reassuring to know the future of MND research is in safe hands.” Delegates attend a poster session Our Chief Executive Sally Light, who was attending her first symposium, said everyone there had a passion to work towards a cure. “ Once you join this fight it’s hard to leave it and many at the symposium have already spent decades of their lives dedicated to this cause.” Poster sessions Networking in Milan 08 thumb print Winter 2014 Aside from the formal presentations, a large proportion of the research presented at the symposium is in the form of a poster. This could show latest results or new ways of researching an existing problem. It is quite often a PhD student’s introduction into presenting their work face-to-face with peers. Poster sessions were held on two evenings with informal networking around nearly 400 examples. Poster summaries, called abstracts, are provided ahead of the symposium so delegates can identify those that interest them most. “There is something about MND and the people who live with it that sucks you in and steals your heart,” she explained. “Once you join this fight it’s hard to leave it and many at the symposium have already spent decades of their lives dedicated to this cause. That level of established commitment, along with some of the brightest young researchers from around the world, can only be a good sign for the future.” The Association’s UK MND DNA Bank was presented as a poster, showcasing the high quality resource to the international MND research community. Twenty posters were shortlisted and judged by the Symposium Programme Committee in both scientific and clinical categories. The clinical poster prize was awarded to Dr Mieko Ogino, from Kitasato University in Japan. The scientific poster prize was jointly awarded to Dr Dirk Baumer (Oxford University, UK) and Laura MacNair (Toronto University, Canada). research Why we attend the symposium... “The latest motor neurone disease research from across the world is in one location and you can catch up with friends and colleagues, discussing ongoing and future collaborations and stimulating research ideas which form the next funding applications.” Dr Janine Kirby is based at the Sheffield Institute for Translational Neuroscience (SITraN) at the University of Sheffield. “Being a scientist, the stereotypical answer to why I attend would be that the best science was presented by the best scientists in the different sessions. However, the informal meetings and discussions were even more important.” Dr Ludo Van Den Bosch works at the University of Leuven developing models of MND. He, like Janine (left), is also a BRAP volunteer and is also a member of the Symposium Programme Committee. “It is ten years since the symposium was last in Milan and there are now several major genetic pathways to explore, not just one, and multiple models to test new treatments. We are slowing down the ‘MND supertanker’, and can start to see how we might turn it around.” Dr Martin Turner, based at the University of Oxford, is a MND Association/Medical Research Council (MRC) Lady Edith Wolfson Clinical Fellow. Sharing research on twitter – conversations @mndresearch We reached 324,953 Twitter users during the symposium from 1,491 tweets with #alssymp used nearly two million times! “It was great to feel a part of such a massive research community. The symposium provided me with a fantastic opportunity to present my work and bolstered my enthusiasm for research too.” Alex McGeachan is a third year medical student (University of Sheffield). He was busy taking examinations the day before he flew out to present in one of the clinical sessions. “Patients are at the core of all aspects of the conference, whilst recognising the importance of integrating basic science and clinical research. I like the way the symposium attracts the whole multi-disciplinary team involved in the care and research of MND.” Dr Ceryl Harwood, like Martin (centre), is an MND Association/MRC Lady Edith Wolfson Clinical Fellow. The science behind the symposium The Association’s Sam Price tweets with Dr Marcus Rattray @MarcusRattray It’s been a great conference. Some new ideas to take back to Bradford #alssymp @KatherineM_RD Feeling inspired following the 24th International Symposium for ALS/MND #alssymp @ALSHF From the Alliance meeting to the APF to the Symposium what a great week for shared information!! @ALSMNDAlliance @mndassoc #alssymp @BernardusMuller A big THANK YOU to the organizing committee of a successful #alssymp @mndconference @mndassoc @DrBrianDickie @sallylight17 and all the others. We reported ‘live’ from the symposium, tweeting from both clinical and science presentation sessions as well as the two evening poster sessions. Association-funded researcher, Dr Richard Mead You can catch up on some of the news through our MND research blog, where we translate some of the symposium science and make it accessible to those without a white coat. Topics range from the latest genetic research to neuroimaging and more details of the winners of the poster prizes. Visit www.mndresearch.wordpress.com or contact the Research Development team on 01604 611880 or [email protected] to request printed copies of the reports. thumb print Winter 2014 09 awareness Football v MND – we’re striking back “It was great to have Everton get on board and to have a mention in the derby game which I was at, being a lifelong Liverpool fan.” Other non-league sides on our team sheet include Bromley, Cambridge Utd, Aldershot Town, Harrogate and Colwyn Bay. A full list is available at www.mndassociation.org/football Mark said: “It was great to get Everton on board and to have a mention in the 10 thumb print Winter 2014 derby game which I was at, being a lifelong Liverpool fan. But more than anything I have been blown away by the support from what I now call my big football family up and down the country.” The campaign has generated media interest too, with Mark interviewed on BBC Radio Merseyside. BBC Radio Devon ran an extended feature with Mark on the eve of the Exeter City game against Bury. His running exploits were part of a Five Live radio documentary and he has appeared on Manchester United TV (MU TV). One family v MND Chris with wife Vanessa at the Hampshire ground of AFC Totton. Chris Maple recently lost his fatherin-law Mike Gulliver to MND. He said: “MND is very new to us as a family, but seeing its impact and how quickly it takes hold has made us all want to do as much as can to support the Association. “It was a proud feeling for my family and I, turning up wearing our MND T-shirts. The Chairman of AFC Totton welcomed us warmly and was genuinely happy to be supporting the campaign. I just emailed [email protected] and then used the poster to approach my local club.” Watford player Nyron Nosworthy Exeter City mascot Grecian the Lion Join our Football v MND team Help Mark reach his target of 300 match day programmes by the end of this football season. It’s easy to get involved and you don’t even need to be a football fan. Check our Football v MND website to see if your “I lived for football club is already but now I’m dying” on our roll of honour. If not, email football@ mndassociation. org for a copy of Our awareness poster Mark’s awareness poster and templates to help you contact your club. Visit www.mndassociation.org/ football to find out more. Please spread the word through your branch or group, Facebook page Mark Maddox Altrincham FC 1996 – 2006 Motor neurone disease is fatal and rapidly progressive. Around half of those diagnosed die within 14 months. Watch Mark’s story mndassociation.org/football @mndassoc Take our Crossbar Challenge Find us at #vMND /mndassociation To make a £5 donation text MND Football to 70004. Texts costs £5 plus your standard network rate. The MND Association will receive 100% of donation. Please obtain bill payer’s permission. or newsletter. Registered charity no. 294354 We have received a fantastic response so far to our awareness campaign Football v MND. Thanks to you, our awareness-raising poster has already appeared in more than 100 match day programmes – reaching an estimated 450,000 football fans up and down the country. Our supporters and branch and group members have approached clubs at all levels with a simple request - to run our awareness poster featuring former semi-professional Mark Maddox in their programme. Mark appeared over 300 times for Altrincham FC before he was diagnosed with MND in 2010. Having run the London Marathon and skydived for the Association, he is now on a mission to raise awareness of MND even further and is fronting our campaign. Everton were the first Premier League team to support Football v MND, soon followed by Stoke City, but it is not just professional teams getting involved. Merseyside club Cammell Laird FC in the Evo-Stik League are even featuring the Association’s logo on their shirts for the rest of the season. your stories How MND has affected your lives A life full of love and lavender Pauline Lomax looks back on the life of Ellen Finnegan, 57, of Manchester who died from MND in September My friend Ellen Finnegan loved life, laughter and lavender. She treasured her family and enjoyed being a nurse. Ellen had been having some health issues before they were recognised as symptoms of MND. When Ellen received the diagnosis, she knew full well what to expect. However, she was more concerned about how her siblings would react. Ellen’s sister Bernie is a palliative care nurse in south Wales, but that didn’t make it any easier to bear. At first, Ellen didn’t think she could face the MND journey ahead of her, but, at each stage of the condition, Ellen battled on, trying to eke out all the joy that she could from life. Ellen loved colour, the arts, creativity and poetry. She loved painting and produced One of Ellen’s paintings some splendid work in spite of her lack of mobility. She continued with her painting until she could no longer use her right hand. This was a remarkable achievement, as at the age 57, she hadn’t painted since she was 16. For her friends and family, these paintings are even more precious, as they reflect Ellen’s determination to carry on living life as fully as she could. Ellen loved lilac, the colour of lavender, and in several of her paintings she reflected the Monet impressionistic style with several versions of The Lilies with varying shades of lilac. Bernie said: “Ellen was surprised anyone thought her paintings were any good! I thought they were masterpieces bearing in mind how difficult it was to paint. You had real spirit Ellen and you didn’t know it!” Ellen was surrounded by her loving siblings, nieces and nephews who loved her as much as she loved them. One of Ellen’s nieces Hayley, was to be married and Ellen was keen to attend the wedding, over a hundred miles from Manchester, where she lived. Ellen needed support for breathing, but undaunted and with the unstinting support of two nurses from the hospital, plans were put in place. One of the nurses, Marie Kirwan asked if Ellen needed to go to the wedding? The answer was affirmative. It turned out that Ellen had nursed Marie’s auntie during the last few months of her battle with cancer. In Marie’s family, Ellen’s name was synonymous with compassion and care. For Marie, this was pay-back time. Marie volunteered her assistance along with Eleanor Moran, and the two nurses travelled with Ellen in a hired ambulance to the wedding at 1pm. At 1.25pm, the bride had still not arrived and nor had Ellen. The registrar came out Ellen Finnegan, centre to advise that if the bride was not there presently, she would have to continue to her next wedding engagement. Hey presto, at 1.40pm, Hayley, the beautiful bride arrived in the classic car that Auntie Ellen owned. The first question was: “Is Auntie Ellen here?” Hayley was about to enter the church, when the ambulance arrived. The wedding party proceeded up the aisle with Hayley on her father PJ’s arm, bridesmaid Claudia, followed by Ellen wheeled by her brother, John. The ambulance had been lost on the windy Lake District roads and had followed the classic car to the church. All the family had a fantastic day. One of the things that strikes me about Ellen’s MND journey was the obvious love and understanding of not just her physical needs, but also her emotional needs and wishes. When I think of Ellen now, I think of love and lavender! Overcoming the obstacles of MND Terry Cameron, a retired schoolmaster from Ebbw Vale, South Wales, was diagnosed with MND in 2012. Sadly, Terry died late last year, but during the course of his illness he came up with numerous ways of coping with the obstacles that MND presented. Initially, MND predominately affected Terry’s left arm and hand and he attended physiotherapy sessions once or twice a month. As Terry’s condition progressed, he came up with ways of making day-to-day tasks a little bit easier. At the time, he said: “Knowing how pleased I feel on discovering some little tactic that helps my condition, I cannot but wonder if Stone Age or Iron Age man did not feel elation at the discovery of fire, stone and flint tools and weapons. I really hope that he did.” Terry’s tips include: • Pull holes to buttons, rather than buttons to holes • Pass string through zip holes to give you leverage on the zip • Use a rubber pad to help with opening jars •U se sharp scissors to cut meat and sausages •U se a bulldog clip to hold cheque book stubs while writing a cheque •U se a rubber cushion to improve the height position and comfort of dining chairs •K now your limitations in stamina and movement. In addition, he suggested using equipment such as a long-handled shoe horn, footwear with velcro fastenings and a camera which can be used with one hand. thumb print Winter 2014 11 your stories How MND has affected your lives Still planning ahead Martyn Brummell, from Weston-super-Mare, explains how planning ahead and an active life help him stay positive. Martyn Brummell I was diagnosed with MND in February 2010. To say my diagnosis was a shock is an understatement. I was always a very fit person and at the time of being told, I had already run four half-marathons since the age of 60. I am now 70 . My wife Carole and myself do like our holidays. The photo shows me in Switzerland near the Matterhorn. Being a very positive person I had two options: to sit back and do nothing, or carry on and lead an active life. I chose the latter. It is now nearly four years since I was diagnosed and my voice has deteriorated and my left arm is a little weak. I am still able to do 10 miles twice a week on the treadmill, to keep my arms and legs moving. The NHS, through my speech therapist, has provided me with an iPad with speech prediction, and I do find this to be a great help. I would recommend an iPad to others with anyone with speech problems. My wife Carole has been very supportive, as have my many friends at the at the Bristol, Bath, Weston and Winsley Group that we attend, thinking of Ray Hulbert, Gil Osman, Dianne and Gareth. They do lots of hard work to raise money, organise our monthly meetings and to raise awareness of MND, which is so important. My wife and myself are still planning ahead and we are have already booked our next holiday hopefully to Scotland and to cruise the Baltics. It so important to stay positive. I hope my story will encourage others who are in the same position as myself. Water way to show support Miles Worth, 47, from Salford took part in five Open Water Swim events to raise money for the Association after being touched by a friend’s story. Swimmer Miles set himself a personal challenge for 2013, to take part in multiple Open Water Swim events all over the country to raise money for the Association. He took part in five events, swimming more than 16km in races and hundreds more in training. The season started in very cold conditions at Salford Quays in April with water temperatures of only eight degrees Celsius. Fortunately, the weather improved greatly and Miles managed to get some sun while swimming at Eton Dorney, Ullswater and Derwentwater in the Lake District and in Combs Reservoir, Derbyshire. He ended his fantastic challenge when he took the plunge in The Monster Swim, Loch Ness in stunning surroundings. Miles said: “It proved to be quite an occasion. As predicted, the weather became a huge issue for organisers and swimmers alike. “The wind picked up so much that the swell and roughness of the water got so 12 thumb print Winter 2014 bad that the race had to be abandoned about halfway through. It was scary and exhilarating at the same time and many of us wanted to continue the swim, but the organisers would not allow it. Miles Worth “I was a bit disappointed that my fifth challenge of the year ended up being an anti-climax but the thrill of taking part in such an iconic event was fantastic. “I had set myself a target to fundraise for MND and I’m pleased that I’ve managed to achieve what I set out to do. It’s been really tough at times but I’m glad I did it and have already started to look towards next summer for a series of 3.8 and 5K events in various parts of the UK. “It may be a little early to start planning but it would be a real goal to attempt a 10K swim in my 50th year which gives me two summers to prepare, I’m 47 now so some might say I’m planning a midlife crisis!” Miles resolved to raise money for the Association after being inspired by his friend, Sam Ward who swam for charity in 2011. Sadly, in late 2012, Sam’s mum, Pauline Ward, affectionately known as Toll, was diagnosed with MND. He said: “The decision to raise money for such a deserving cause was an easy one, especially after I heard that one of my friend’s families was being directly affected by such a cruel and heartbreaking condition.” your stories How MND has affected your lives Asking for help can be hard Here, 52-year-old Ann Franklin from Norfolk, describes how difficult it can be to lose your independence and become more dependent on others. I retired as a psychologist and counsellor through ill health six months after my diagnosis with a rare form of MND called Primary Lateral Sclerosis (PLS). What’s on my mind at the moment, and has been for a while, is the acceptance of help from others. I was very independent, as I am sure a lot of you were, or are, but I am becoming more dependent on others around me. This is not only hard for me, but hard for those of my family and friends who knew me before I was diagnosed. Being a psychologist/counsellor and empowering people one way or another all my working life, I found it hard to ask for help from people. It didn’t enter my head that I couldn’t do something. It took three years for me to be diagnosed, two years before being referred to a neurologist, as my GP at the time was concentrating on the possibility that the problem with my walking may have been due to a back problem. It was never considered that I had a neurological issue. It took another GP in the same practice to refer me, once she had seen me walk. Then there was a year of tests, which I am sure many of you will have endured before diagnosis. I was given the diagnosis by letter, a copy of a letter sent to my GP from the neurologist. I was handed the letter by a receptionist while I was alone. Having lived with MND for nearly seven and a half years, I am finding I need more help to do things. It is so frustrating not being able to put my jewellery on by myself; putting my socks on is a challenge and cooking is becoming more and more difficult. I use a four-wheeled walker and cannot walk far now. I used to love long walks. I drop things, the most spectacular being a jar of beetroot which went everywhere! I was on my own, my 12-yearold son had gone to the park and my husband was at work and I was convinced I could clear up. It took me a long time and I only left a small amount on the floor, but I had tired myself out so much that five minutes later I fell over and cracked Ann Franklin my head and arm on the door frame into the larder. I had to press my alarm and the paramedic came; all from trying to be independent! I want to still be independent, but my husband and friends hover round me in case I fall, which I have done a number of times. It’s annoying, but they really can’t win. When I want help they don’t offer it to me and when they do fuss around me, I get frustrated because I say, ‘I can do that by myself’. Mostly though, I don’t realise I need help until it’s too late, it’s all so frustrating! Golfer swings into fundraising action When Kevin Rhodes was made Captain of Druids Heath Golf Club in the West Midlands, he did not hesitate in nominating the MND Association as his chosen charity. Kevin with his brother, Peter and son Matthew Kevin knew three people living with MND, and saw the devastating impact it had on their lives and those of their families. He said: “Two of them were active golfers, who suddenly had their ability to play cruelly taken away just at a time in their lives when they had more free time to enjoy the game. I couldn’t just watch this disease destroy people’s lives without trying to do something about it.’’ With the overwhelming support of his fellow golf club members and their friends, his Captain’s year raised £10,000 for the Association. Kevin said: ‘’ I was amazed how people rallied round not only to give their money, but also their time and support for the cause.’’ That experience made him think if he could raise awareness of MND in his own golf club then he could do the same in some of the other 2,000 plus clubs in England and Wales, and raise muchneeded funds for the Association. He came up with the idea of Thumb Golf Club. This internet-based club offers free membership to anyone with an interest in golf. The website offers a number of benefits to its members, depending upon their reason for joining. The club provides up-to-date golf news and stories, allows members to play an internet-based golf game, and a chance to bid for a game of golf at selected courses around the UK. It even has a 19th hole where members can buy virtual drinks at the bar, with the money going to the Association. Kevin said: “I believe that the internet golf game is a great attraction and is great fun for golfers and non-golfers alike, and is very realistic”. Kevin can be contacted through Thumb Golf Club at www.thumbgolfclub.org thumb print Winter 2014 13 your stories How MND has affected your lives Matt’s the way to do it! Family and friends of a man from the West Midlands raised £7,500 for the Association after taking part in the Birmingham Half Marathon in October. The two Matthews Matthew Garde and his friend Matthew Cutler dressed up as the 118 118 duo to raise money to support our work on behalf of his father Martin, 57, who was diagnosed with MND two years ago. Mr Garde’s niece, Melanie also joined in, as did his brother, John and his former colleague and friend of the family, Karl Jones. Matthew, who completed the course in two hours and raised more than £1,000, said: “It was a great chance to do something that was rewarding. The atmosphere was just great.” Mr Garde’s wife, Diane, 55, said: “Karl worked alongside Martin for many years and was very upset when Martin had to give up work because of MND. “People who work with Karl at Howard Lee & Son in Cradley Heath have made donations and we are so proud of all of them for what they have achieved.” Karl, who took part in the event with his colleague, Tania Cowley, said: “When I heard the news of Martin’s diagnosis, I felt totally helpless. “I decided that I needed to lose some weight, so I signed up for the half marathon and hoped that I would be able to raise some money at the same time. “I was absolutely amazed at the support we had. We raised £5,935. “It has been truly heart-warming just how willing people are prepared to aid a good cause, let’s hope our contribution makes life a little more comfortable to those less fortunate than ourselves, and aids further research into one day finding a cure.” Making a difference, 4,500 miles from home Lucia Woodward became an Association Visitor after losing her husband John to MND in 2005. While supporting people living with MND and their families near her Surrey home, Lucia is also committed to raising awareness and improving standards of care 4,500 miles away... in Nepal. She recently returned to South Asia to mark a special landmark for the MND Support Society (Nepal), which she founded with the support of a local doctor and two neurologists. Lucia writes: The MND Support Society (Nepal) celebrated its first anniversary on 1 December by organising a training programme on MND for the doctors, nursing and therapy staff of the College of Medical Science at Bharatpur and GPs from the Chitwan region. The training session looked at the variety of MND symptoms and was followed by a screening of the Association’s awareness film I Am Breathing, before a question and answer session. The aims of the Society were also set out, underlining the importance of providing practical and emotional support to people affected by MND from 14 thumb print Winter 2014 the moment they are diagnosed, during their everyday life in the community and the final stages of the disease. Presentations included end-of-life care links between cancer patients and MND patients. The whole programme was designed to consolidate MND knowledge among GPs and staff of the Neurology Department, and to spread wider awareness thanks to the invited media also present. It is encouraging to see just how far the Support Society has come in only 12 months. Thanks to the commitment and sheer energy of the Committee’s founding members, supported by neurologist Dr Lekhjung Thapa, we are establishing a database with a part-time secretary being recruited. And the Committee is already faced with the dilemma of deciding which patients they can help with the current level of resources. The progress and future plans for the Support Society must be seen in context; Nepal is a very poor country. A large proportion of housing has no electricity, and equipment we take for granted, such as hoists, is only available in one or two wards of the main hospital. Transport and communications are restricted and profound religious beliefs and cultural differences influence the most basic decisions of everyday life. Nevertheless the changes already achieved have been amazing and the dedication of everyone involved bodes well for the future. Lalmaya Ramjan, who has MND with a visitor from the MND Support Society (Nepal) your stories How MND has affected your lives Ian spreads the word about our Charter Since being diagnosed with MND, Ian Pratt, from Barnsley, has work tirelessly to raise awareness of our MND Charter. This important document sets out the Association’s vision of how those with MND should be given the right care, in the right place, at the right time. The 43-year-old said: “When I was first diagnosed in September 2012, I had never heard of MND. Whilst difficult to face, I understand that I may not live long enough to see my three-year-old daughter Georgiana grow up, nor will I be able to nurture, protect and comfort her as this disease progresses. Caption Sir Andrew Cash signing our Charter Ian Pratt with his mother “My wife Catherine is not only my wife, she is my carer and supporter. Catherine helps me with day to day functions like dressing and showering as I am less able to do these basic things without assistance. your stories: We love hearing from you. Please send your stories to [email protected] or Editor, MND Association, PO Box 246, Northampton, NN1 2PR “Whilst incredible advances are being made, I have accepted that there won’t be a cure in my lifetime, so our Charter will make more and more people aware of MND and what it can do to you. This can only be a good thing, as it represents what good care looks like for all people living with MND and their carers. “I have been working hard to help raise awareness of this disease. Several local newspapers have covered my story of living with MND, including the Barnsley Chronicle, Yorkshire Post and the Sheffield Star.” As a result of Ian’s efforts to increase awareness, Sir Andrew Cash the Chief Executive of Sheffield Teaching Hospitals NHS Trust, joined health colleagues from across the region to sign up in support of people with MND. Sir Andrew said: “Motor neurone disease is a truly awful disease, so I’m honoured to be pledging our support to this important Charter.” Ian said: “This is fantastic, and a huge step forward in ensuring the local hospitals understand and implement the priorities of good care as set out in the Charter for all people with MND.” Have you been using the Charter to raise awareness and influence local decision makers? Please share your story with us. Or would you like to find out how you can get involved in promoting our Charter in your local area? Please email campaigns@ mndassociation.org or phone the Campaigns team on 01277 655926 and request a local action pack. thumb print Winter 2014 15 your stories How MND has affected your lives Remembering Doll Cuddle Seat In this moving piece, Alex Richards, 90, from Kent remembers his wife Doll, who he lost to MND. Thanks to years of perseverance, the idea of a Cuddle Seat – a dual occupancy riser-recliner chair – has come to fruition. Joyce Onslow from Mid Kent Branch explains. In early 2010, Doll started to have some falls and she would lose the power of her legs. She had tests and the consultant said it could have been caused by a mild stroke and put her on medication. Her condition worsened and social services supplied certain equipment including a walking frame and I purchased a wheelchair. They seemed reluctant to discuss carers and I looked after Doll myself. We saw the consultant again. He was not satisfied and thought it could be muscle degeneration and sent Doll to King’s College in London for further tests in January 2011. She was diagnosed with MND. The consultant at Darent Valley Hospital told us it was terminal, but could not tell us how long Doll had and told me to look after her. We came home in a bit of a dream and I will always remember, for the rest of my life, Doll’s words. She said: “We have had a good marriage love, but they are the cards we have been dealt and we have to accept them.” Doll was very strong and she gave me the strength to accept it. With the help of Age Concern, we managed to get Attendance Allowance and started to get visits from an MND Association Visitor, Maureen Tingley, who was also a member of our flower club. We also had visits from the dietician. By now, Doll was wholely dependent on the wheelchair, even indoors and, up until the beginning of May, I was still looking after Doll on my own. Then she had another awkward fall and Doll ended up in hospital. It turned out to be a blessing in disguise as representatives from the Ellenor Lions Hospice got involved. Doll had always said she wanted to be at home and they got things moving. Doll came home and Ellenor Lions Hospice, carers and her doctor all came and arranged for a hospital bed to be put in the lounge and carers to call round three times a day. 16 thumb print Winter 2014 Alex Richards with his wife Doll I fitted a cord to the chimes in the hall so Doll only had to pull on it and I could get up and see what she wanted, if only to hold her hand or stand and comb her hair. I regret there were times when I seemed to get things wrong, but these were few and far between. Her voice went and she had a writing pad to write down what she wanted to say. We had a sitter from the Ellenor Lions once a week which gave me the chance to get out, though I was never happy being away from Doll for too long. We decided between ourselves to take it one day at a time and at about that time a quote appeared in the newspaper which said: “Do not let tomorrow’s sorrow spoil the joy of today.” During her illness, Doll’s sense of humour never faltered. When an engineer came to check the hoist, as he left he called out: “See you six month’s time!” When I went back into the lounge, Doll had written: “Wanna bet?” Doll went very peacefully on November 20, 2011. Her funeral was held on December 12, a day before what would have been our 70th wedding anniversary. I realised I had to get on with my life. I started to get back to bowls and I am playing a few games. I also rejoined the National Trust and am making a lot of visits to their properties. With the big 9-0 coming up, I hope to carry on with my life as Doll would have wanted. The idea first came from Sarah Lavender, Senior Occupational Therapist at the Wisdom Hospice in Kent, who recognised that patients become isolated when their partner, grandchildren, or even pets are unable to sit next to them to provide physical contact and affection. Karl Grossfield of the Tana Trust was willing to support such a development financially and encourage its introduction to the market. Mr Grossfield approached the Furniture Research Association and also funded design students in Canada to work on the project. Three chairs have now been made. One is on loan in Mid Kent and the second at the request of the Tana Trust, has gone to a soldiers’ care and rehabilitation centre home in Blackpool to support the charity Help for Heroes. The manager comments on the comfort and quality of the chair and the ease of transferring with a hoist or from a wheelchair. Without the generous financial support and encouragement given by the Tana Trust we would have been unable to get beyond the ‘good idea’ stage. We were very excited that Sarah travelled to the Allied Professionals Forum at the Association’s International Symposium to present a talk on the development of the chair. A DVD, which shows the seat in use, is available on loan if you would like to know more about it. Email joyceonslow@ btinternet.com Regional Care Development Adviser, Sara Murray, said: “It’s great that this has come to fruition from an idea in 2007. “It shows what can be done with a little perseverance! The chair isn’t suitable for everyone and we recognise that not everyone would want this large piece of furniture in their home, but there may be a real opportunity for care homes, hospices and other organisations to purchase the chair.” news Association supporter and mountaineer Sir Chris Bonington talks to our Royal Patron, HRH The Princess Royal Princess joins leading scientists at our Research Dinner Our annual Research Dinner is always an important night in the Association’s calendar and this year’s event was extra special as it was attended by our Royal Patron, HRH The Princess Royal. Held in November at The Royal Society in London, our event was the third in 2013 Her Royal Highness had agreed to attend. She was met on arrival by our President, Prof Colin Blakemore, and our Chairman, Mark Todd. Over 50 guests attended, all of whom had generously funded research coordinated by the Association or supported our work in other ways. Many had a personal connection to MND. The evening gave us the opportunity to thank them for their support, update them on research over the past year and encourage their future involvement. During the evening, Her Royal Highness spoke about how she hoped guests found encouragement from such events, and thanked them for their support. She explained that their involvement had made a real difference and highlighted that continual strides forward in research needed patience and funding to make progress. Two question and answer sessions enabled guests to find out the latest scientific breakthroughs in MND research from leading scientists. One of the highlights of the evening was a presentation by Prof Siddharthan Chandran, the MacDonald Professor of Neurology at the University of Edinburgh, who spoke about the latest scientific research he has undertaken thanks to grants from the Association. Pictured right from top: Our President Prof Colin Blakemore welcomes guests; HRH meets England cricket Performance Analyst and The Broad Appeal fundraiser Gemma Broad; Activity challenge fundraiser Steven Smith, who has raised almost £100,000 for the Association introduces his son Elliot to our Royal Patron; Prof Siddharthan Chandran (far right) speaks with guests; Prof Kevin Talbot from the University of Oxford with supporters Julie-Ann and Gary Goldsmith. thumb print Winter 2014 17 fundraising Our delicious fundraising campaign ‘bake it!’ created quite a stir in 2013 – and the good news is it’s back. Individual supporters and our branches and groups across the country organised cake stalls, coffee mornings, afternoon tea parties and good old-fashioned bake sales to raise funds during our MND Awareness Month in June and beyond. Jean Taylor proved she is a dab hand at putting the fun into a Fun Day. Her friends and the local community in Headcorn, Kent were treated to good food and entertainment with games such as ‘guess the weight of the cake’ and a raffle, while a kids’ corner meant cream teas could be enjoyed undisturbed! The day was held in tribute to her late husband John, who played a big part in the village, organising the Christmas lights until he died in 2009. Five other villagers who have experienced MND first hand supported the event, which raised a fantastic £820. When asked the secrets of her success, Jean said she could not advocate enlisting the help of family and friends enough. special occasion to raise funds on behalf of her lovely sister-in-law, Judith, who sadly could not be with her to celebrate because of MND. Bake it! is an event for everyone to enjoy so invite your family, friends and colleagues to join in the fun. With more fundraising tips, support materials and an online toolkit to help boost your bake sales, we look forward to welcoming you on board. Our fundraising packs will be available soon, in the meantime keep a look out on for further information at www.mndassociation.org/bakeit Jean Taylor She added: “The other big reason for our success had to be the weather – it was such a glorious day everyone wanted to stay and enjoy the sunshine. If only I could book this in advance every year!” Margaret Scott also held a baking stall at a table top sale at Thursby Parish Hall, raising £67.50. Margaret celebrated her 60th birthday last year and also used this Margaret Scott Get involved: Contact our Fundraising team, on 01604 611860, fundraising@ mndassociation.org Sky’s the limit for Adrian’s colleagues Adrian. Some 35 people signed up for the challenge, raising £16,000 for the Association. “ The fact that we had raised such a phenomenal amount of money and we could support our friend and his family through a hard time was incredible.” Dimension Data Plc’s skydivers What do you do on a cold rainy Wednesday afternoon at work when a close friend and colleague has been diagnosed with MND? This was the question Natasha Woodhouse from Dimension Data Plc, in 18 thumb print Winter 2014 Fleet, Hampshire, asked herself back in March, keen to support Adrian O’Shea. Natasha decided the answer was to jump out of a plane, and set about getting as many colleagues as possible to take part. She was amazed at the support for Natasha said: “It had to be the single most exhilarating thing that many of us had ever done. The fact that we had raised such a phenomenal amount of money and we could support our friend and his family through a hard time was incredible. “Adrian turned up with his family to support and thank every single member of the Dimension Data Sky Dive team. We are now looking forward to our next extreme sports challenge for the Association. I just need to find something a little more dangerous!” our impact and our future The difference we made together in 2012/13 By working together we have achieved an enormous amount for people with MND, their families, and everyone who cares for them. I congratulate and thank all those who support our work including our members, volunteers, supporters, and above all, people with MND. The Association is an amazing place to glean knowledge about MND. It pulled me out of the depths. I don’t know what I would have done without that support. Davina Rivers, wife of Eric who has MND Sally Light, Chief Executive Raising money is so important but raising awareness is just as valuable. I have raised thousands of pounds and have told thousands of people about MND too. People with MND have a devastating condition. It affects them in every way possible, in every aspect of their lives, and their family’s lives. By finding the causes we will be closer to finding the cure. Mark Maddox, living with MND Prof Ammar Al-Chalabi, King’s College London MND has taught me to live in the moment, surrounded by the people who love me. The Association funds vital work to help families like mine make the most of the precious time we have left together. MND is a horrible disease for everyone involved, so it is important to raise lots of money to help the Association make the biggest difference to people’s lives. Charlotte Jackson, Association fundraiser Maria Watton, living with MND thumb print Winter 2014 19 our impact and our future Thank you Our achievements in 2012/13 were thanks to the combined efforts of our members, volunteers, supporters, patrons and staff, who together make the Association as strong as it is today. We have demonstrated how, by working together, we can make the biggest difference possible to those affected by MND in England, Wales and Northern Ireland. Improving care and support We help people access a multi-disciplinary clinical team through our specialist care centres, the work of Regional Care Development Advisers and our Association Visitors. We loan equipment and provide financial assistance. Our MND Connect helpline is complemented by our online forum. 800 DNA SAMPLES USED IN RESEARCH £7.6m RESEARCH FUNDING PORTFOLIO 20 thumb print Winter 2014 89 55,000 1.,288 1.,022 BRANCHES AND GROUPS PROVIDED LOCAL SUPPORT PIECES OF CARE INFORMATION ISSUED PEOPLE RECEIVED ONE-TO-ONE SUPPORT PIECES OF EQUIPMENT PROVIDED THREE Funding and promoting research 62 We have over 30 years experience identifying and funding the most promising MND research. We have invested more than £18 million over the past decade, both in the UK and across the world. As we work towards a cure, recent findings have helped us identify several causes of MND, improve diagnosis and accelerate new treatments and approaches. CLINICAL FELLOWSHIPS CO-FUNDED HIGH-QUALITY RESEARCH PROJECTS FUNDED our impact and our future Campaigning and raising awareness 265,000 CAMPAIGN NETWORK GREW TO MONTHLY REACH ON FACEBOOK 1.80 Raising the profile of MND is vital in ensuring our voice is heard at all levels as we support, campaign and lobby on behalf of people affected by MND. VOLUNTEERS 13,000 . SIGNATURES SUPPORT OUR CHARTER Fundraising highlights In 2012/13 2,256 supporters organised fundraising events that raised more than £1.3 million. Money raised by our central fundraising team accounted for £6.7 million and our branches and groups raised £2.3 million. 78p in every £1 we spend directly helps people affected by MND Overall Income achieved was £13.3m an increase of over £500,000 (4%) on 2011/12 We empower people to campaign effectively, both nationally and locally while stepping up our influencing work at Westminster and in Wales and Northern Ireland. AWARENESS CAMPAIGN REACHED 25m 249 Our Christmas appeal raised trusts provided grants worth £840,000 £160,000 A recordbreaking total The Midlands Co-operative raised a further Our runners in the London Marathon and GREAT NORTH RUN raised over £65,000 £375,000 Financial overview We spent £7.2m Through a combination of income growth and tighter control of our costs, we not only balanced the books but also generated a surplus of £365,000 in 2012/13. improving care and support 78p in every £1 we spend directly helps people affected by MND now and in the future. WE SPENT £2.9m Overall income was £13.3 million. ON FUNDING AND PROMOTING RESEARCH thumb print Winter 2014 21 our impact and our future Our shared commitments and plans for the next three years The challenge now is to build on our achievements and continue to deliver our mission for people with MND and everyone who cares for them. Priorities include to: Provide more effective equipment loan and financial support services that meet the needs of people with MND, including reviewing supplier contracts to ensure value for money. Provide leadership in setting up and funding new international research programmes that bring together the best minds and the latest technology. Expand our wheelchair service to two more sites, and put in place ways to continue the service after grant funding runs out in 2015. Invest in research that fills knowledge gaps in clinical management of MND, adding to the evidence base and driving improvements in care. Campaign for people with MND to have free social care towards the end of life. Pursue new research opportunities and collaborations that best support progress towards a world free from MND, while continuing to respond to the growing number of new and established researchers applying to us for funding. Support people during the rollout of personal health budgets in England, including help to access Continuing Healthcare (CHC) funding. Ensure more people can access great care, through a specialist MND Care Centre or similar multi-disciplinary approach. Develop a population-based MND register to help measure the impact of co-ordinated care provided through our MND Care Centre network. Build online and social media presence to raise the profile of MND and our work, while supporting our volunteers to engage with local news outlets. Transfer learnings between the diverse approaches to MND health and social care in England, Wales and Northern Ireland, helping people get the best care available, wherever they live. Secure the first official National Institute for Health and Care Excellence (NICE) MND guideline and quality standard relating to MND, and ensure these reflect people’s needs. Use the next General Election campaign to make candidates nationwide aware of the challenges of MND and actions they can take to address these, using our MND Charter. With our Association family beside us, we will deliver our mission for people with MND and everyone who cares for them. One day, together, we will defeat MND. 22 thumb print Winter 2014 fundraising millions of steps for £1million In the last decade, an incredible £1 million has been raised by over 17,000 pairs of feet supporting our event – Walk to d’feet MND. This fun-for-all fundraiser has seen you take part in: treks up mountains, technicolour wig walks, coast-to-coast scrambles and animals hops. We have also had a celebrity appearance from EastEnders, Cliff Parisi, who added a certain ‘minty’ freshness and the shortest walk by Ashley Morgan, who has MND and at the time was only able to walk with assistance. In the 10 years since it started, the popularity of Walk to d’feet MND has grown from 26 events in 2003 to 89 in 2013, stretching from Cumbria to Cornwall. We have been delighted to see the interest grow every year and thrilled supporters keep coming back. Sarah Lee from Gorleston and Mike Findley from Redcar have both organised an annual walk since 2006, that’s 16 events between them so far! We couldn’t have achieved this success without the support of our branches and groups. A particular thank you going to: Cambridgeshire, North Wiltshire, Kings Lynn, Derbyshire, West London and Middlesex, South Essex, South Bucks, Northants, Tyne and Wear, East Dorset and New Forest, Reading and West Berks and East London, who have seen fantastic fundraising results from regularly organising this event over the years. Congratulations and a huge thank you to all our wonderful walkers! We know that walks and treks make up 12% of all our fundraising activities and as a new year starts, we are venturing into what we hope will be the next decade for Walk to d’feet MND, encouraging many more people to get involved. A walk can be any distance, from a saunter in the park, a stroll along the bridleways with your pet, a glow-in-thedark night walk or a mystery ramble around a maze; there are no limits! Why not organise a Walk to d’feet MND in 2014? It’s a sociable and fun way to raise awareness and vital funds to support our work. Our Fundraising team is on hand to help make your walk a success. Please contact fundraising@mndassociation. org or call 01604 611860. *WALK TO D’FEET is a Trademark of The ALS Association and is used with permission. All rights reserved thumb print Winter 2014 23 care education, education, education, The education of health and social care professionals is an important area of our work, and this is one of our priorities for development over the next three years. We strive to be a trusted educator for those who provide and make decisions about MND care. We are working to increase the number of professional bodies and royal colleges that include MND in their teaching and training of health and social care professionals. Education is an essential activity for the Association. Through our programme of education, we directly influence standards and quality of care for people with MND. We do this by: •Supporting professionals to navigate the complexities associated with MND •Providing on-going professional development •Training anyone associated with providing care or support to a person living with or affected by MND. Our education activities are mainly delivered by our network of 26 Regional Care Development Advisers (RCDAs). RCDAs are based in the heart of local communities and develop effective relationships with health and social care professionals, our volunteer Association Visitors (AVs), our MND Care Centres and Networks and those affected by MND. This means they are aware of the local issues and needs which can be addressed and influenced through education. During the last 12 months our RCDAs organised around 200 education events. These ranged from MND Care Centre events and regional study days for hundreds of people, to intimate groups for social workers and specialist teams and nursing home staff. RCDAs also supervise our AVs and their ongoing development though local support meetings and regional AV development days. 24 thumb print Winter 2014 Large scale events RCDAs Colin Pearson, Sue Smith and Jane Evans, organised an education event in York, attended by 100 health and social care professionals from across North, East, South and West Yorkshire, Humberside, Cleveland and the North East. The study day focused on end of life issues. It included speakers from Hull and Harrogate Hospices showcasing a specialist worker role as a means of ensuring quality and continuity of care. Carers from York Carers Forum gave a heartrending presentation about issues which challenged professionals to consider carers’ needs, whilst North Yorkshire’s Mental Capacity Officer explained how mental capacity can often be confused and questioned by professionals when a person lacks the ability to communicate. “ It was extremely heartening to see the passion of the professionals to make a difference for those affected by MND.” “The feedback from the event has been extremely positive,” said RCDA Colin Pearson. “We never expected during the planning stages to have so many health and social care professionals attend and from so many disciplines. “We hope to make this an annual event as it allows us to reach a large number of professionals in a cost effective way and directly impacts upon the quality of care within our region. “It was extremely heartening to see the passion of the professionals making a difference for those affected by MND and the event allowed education but also A wide range of health and social care professionals may be involved in the care and support of someone living with MND more importantly an element of peer support and learning from each other. Many professionals are isolated due to the relatively small number of people with MND in local team areas.” Specialist education events Hilary Fairfield, like many other RCDAs, organises and facilitates regular local and specialist education events, often known as MND Special Interest Groups (SIGs) for professionals in her patch. For example, in Gloucester, 15 professionals met and focused upon ‘Continuing Healthcare in MND.’ The day significantly impacted upon the quality Standards of Care in the area as the professionals understood the complexities and processes around Continuing Healthcare (CHC), particularly when to refer patients with MND into the system. RCDA Sal Hastings runs medical student training with a colleague from the Multiple Sclerosis Society in the North West of England. She said: “We frequently hear from those people living with MND that many professionals often haven’t even heard about MND, never mind know the finer details and how symptoms might be managed on a daily basis. care Red Flags for GPs More people with MND will have earlier access to care and support, thanks to our work to reduce the time it takes to diagnose MND. We are helping GPs spot ‘Red Flag’ symptoms that may indicate MND and make earlier referral to specialists. Early diagnosis of MND is important for many reasons, including: •Removal of uncertainty for the person experiencing symptoms •Allowing for care and support to start as early as possible •Enabling the person with MND and their carer to plan for the future •Increasing the window of opportunity to research into, and better understand, the condition. “Therefore the training of future generations of professionals is vital to raise awareness of the disease, but also to improve both the quality and standards of care.” The role of the RCDA Sal invites a person living with MND to speak to the medical something back and contributing to the students and this is enormously beneficial future care of others with MND.” and valued by the student, many of whom If you would be interested in speaking have never met someone with MND. at educational events, please contact your She explained: “The feedback from RCDA. Find their details at those speaking is extremely positive www.mndassociation.org/rcda or contact and people are keen to get involved in MND Connect on 08457 626262. educational events. It’s one way of giving MND Charter Our MND Charter calls for all people with MND to receive the right care, in the right place, at the right time. We are urging people to sign the Charter to ensure everyone is working together towards this vision. More than 14,000 people have shown their support and signed, including many representatives from organisations involved in providing care and support for people living with MND, and those who make decisions about the provision of services. These include the Royal College of General Practitioners, the Royal College of Nursing, British Association of Occupational Therapists, Royal College of Speech and Language Therapists a number of hospices, hospitals and GP surgeries. Find out more at www.mndassociation.org/mndcharter We have been working with the Royal College of General Practitioners (RCGP) on an early diagnosis Red Flags guide. This simple, memorable tool is aimed at GPs as they will usually be at the beginning of the diagnosis process. We are also raising awareness of the tool with Painless, progressive weakness – Could this be Motor Neurone Disease? other health professionals. Red Flags aim to increase GP awareness of MND, reducing inaccurate referrals and decreasing the time to diagnosis. It has been developed by a group including our MND Care Centre Directors, specialists and GPs. The tool is a simple A4 page and has further sections on the reverse for those who want more detail and explanation. It describes the symptoms of MND and asks doctors and healthcare professionals to consider these with patients. A copy of our Red Flags document is available at www.mndassociation. org/redflags 1. Does the patient have one or more of these symptoms? Bulbar features • Dysarthria • Slurredorquietspeechoftenwhentired • Swallowingdifficulties • Liquidsand/orsolids • Excessivesaliva • Chokingsensationespeciallywhenlyingflat • Tonguefasciculations Respiratory features • Hardtoexplainrespiratorysymptoms • Shortnessofbreathonexertion • Excessivedaytimesleepiness • Fatigue • Earlymorningheadache • Orthopnoea Limb features • Focalweakness • Falls/trips–fromfootdrop • Lossofdexterity • Musclewasting • Muscletwitching/fasciculations • Cramps • Nosensoryfeatures Cognitive features (rare) • Behaviouralchange • Emotionallability (not related to dementia) • Fronto-temporaldementia 2. Is there progression? Supporting factors • Asymmetricalfeatures • Age–MNDcanpresentatanyage • PositivefamilyhistoryofMNDorother neurodegenerativedisease Factors NOT supportive of MND diagnosis • Bladder/bowelinvolvement • Prominentsensorysymptoms • Doublevision/Ptosis • Improvingsymptoms If yes to 1 and 2 query MND and refer to Neurology If you think it might be MND please state explicitly in the referral letter. Common causes of delay are initial referral to ENT or Orthopaedic services. Additional resources: MND Association downloads and publications at www.mndassociation.org http://www.mndassociation.org/Resources/MNDA/Migrated Resources/Documents/G/GP MANAGEMENT OF MND_1778.pdf http://www.mndassociation.org/OneStopCMS/Sites/MNDAssociation/e-learning/ Motor Neurone Disease: a problem solving approach (PX016) comprehensive MND Association GP booklet endorsed by the RCGP thumb print Winter 2014 25 volunteering Our volunteers make a real difference to those coping with MND. But did you know that volunteering might also help you find the perfect job? change time to make a At the start of a new year, thoughts often turn to new beginnings and maybe finding a new job. But at a time when finding employment can be tough, there is one way you can make your CV stand out from the crowd, while you make a valuable contribution to your community… volunteering. Whatever role they support us in, our volunteers make a real difference to the lives of people affected by MND. It is personally rewarding and has even helped individuals to find work both in, and outside, the organisation. 26 thumb print Winter 2014 Rachel Brown is now an MND Connect Adviser Stand out from the crowd Becky Thornton, Volunteering Development and Projects Manager at Northampton Volunteering Centre said: “Volunteering helps people to gain new skills and knowledge, to get back into the routine of working and gain up-to-date references. It can also show that people have been doing something constructive during a period of unemployment. “A lot of jobs and further education courses now ask for practical experience, and volunteering can be a really good way of getting this. “It can also be useful if people are looking to change direction in their career, and want to get a taste of what a different kind of work can be like. Due to the nature of the job market at the moment, employers are getting many applicants for each vacant role, so volunteering is an added extra on someone’s CV or application can help them stand out and look more employable.” volunteering “I gained a lot from my experience including an understanding of MND and an appreciation of how the disease affects those with it, their families and friends.” “As I had been unemployed, I really enjoyed the sense of getting back to work. I enjoyed the work that I was doing and I was lucky to work within a very friendly and welcoming team.” Bill Harper-Wright Rachel Brown “I had access to great training and information through working with the Regional Care Development Adviser and attending courses run by the Association.” Louise Rickenbach Bill Harper-Wright Rachel Brown Louise Rickenbach Bill, from Northampton, volunteered within the Volunteering Team at the Association’s national office in Northampton, when he was unemployed. Before moving on to a paid role outside the organisation, Bill processed volunteer applications and supported staff with their day-to-day work. He said: “I was motivated to volunteer to build self worth and respect through contributing to a team that was helping others. After a year of volunteering, I found a job outside the organisation. “I gained a lot from my experience, including an understanding of MND and an appreciation of how the disease affects those with it, their families and friends.” To what extent has volunteering at the Association helped Bill find work? “I believe that volunteering has had a great effect. As a future employer sees you have remained motivated to make a meaningful use of your time and to contribute to a meaningful objective,” he said. “The Association is a brilliant cause to volunteer for; the team is very friendly, focused on supporting those who support people with MND and ensure you are equipped to do the role that is assigned to you. Above all they do not take volunteers for granted and greatly value the contribution you make.” When Rachel Brown found herself out of work, her Job Centre Plus advisor recommended volunteering as a way to boost her CV and experience. She explained: “My advisor then told me that he had lost his Dad to MND. His story really touched me and so I applied to volunteer at the Association.” Rachel eventually went on to secure a role as an MND Connect adviser. She said: “As a volunteer, I was an administration assistant at national office. “As I had been unemployed, I really enjoyed the sense of getting back to work. I was lucky to work within a very friendly and welcoming team who were very supportive of both my volunteering work and my search for permanent employment.” “Professionally, I gained new references and work experience which enabled me to apply for jobs. I became more confident in my own abilities and this then helped me to find a permanent job.” So what would Rachel say to people who may now be thinking of volunteering at the MND Association? “Definitely do it. It’s a great cause and a fantastic experience. I wouldn’t change a single thing about my experience as a volunteer.” Louise, from Hampshire, first had contact with the Association while working as a community physiotherapist. While working part-time, she found she had free time and decided to volunteer as an Association Visitor (AV), offering confidential emotional support, and information to enable people with MND and their families to make informed choices. She said: “I had access to great training and information through working with the Regional Care Development Adviser (RCDA) and attending courses run by the Association. I greatly increased my knowledge base about the disease as well as recent technology and research advances. “I learned that there are many types of volunteers, all doing important, but different roles”. Louise said working as an AV helped her understand the type of work she enjoys. “Volunteering has been amazing,” she said. “I was successful in becoming the new RCDA for the south central area. Having been an AV has given me a great head start in my knowledge of the Association and local links in the area. I also have a great awareness about how the visitors can work in different ways.” get involved Have you been inspired by these stories? We have a variety of volunteer vacancies available across the country. To find out about volunteering opportunities in your area please contact us: Telephone: 08457 626262 Email: [email protected] thumb print Winter 2014 27 care Candid information about endoflife Thanks to all those people with MND who have shared their views on end of life issues through our recent surveys and studies. These important findings are now helping us provide information, shape future research and campaign on this important, and sensitive area. We know people often find it difficult to discuss the end of life with those close to them, and with health and social care professionals. However, these conversations can also worry professionals. It is not an easy subject, but the ‘unknown’ often causes most fear. People with MND who do wish to discuss end of life planning, are seeking full, clear and honest answers. End of life decisions involve a wide range of subjects from treatments to personal finances and planning for your family’s needs. As a result of your feedback, we have developed a new publication called, End of Life – a guide for people with motor neurone disease. A range of issues is covered in a candid and comprehensive way, including how the disease will progress, the treatment and withdrawal options available, how to talk about these and how to help ensure your decisions are respected. Dr Colin Campbell, recently retired Palliative Medicine Consultant, from Saint Catherine’s Hospice, Scarborough said: “This is an important and potentially landmark piece of writing. I have faith that the Association is doing the right thing in making this material available.” One of our panel of 15 expert reviewers for the guide, Dr Campbell continued: “It is brave and probably breaking new ground to be so refreshingly candid with patients when describing what may happen.” With MND it is particularly important to have discussions about end of life as early as someone feels ready to do so. Speech and communication can be affected, 28 thumb print Winter 2014 which may make discussion increasingly difficult. Some people also experience changes to the way they think and reason, which may impact on the ability to make decisions. Yet, having made their decisions, many people tell us they feel relieved. They can then put them to one side and get on with living. Comments from our reviewers have included: “This is a very difficult topic for those of us with MND. But it is a topic which should not be avoided. I commend the organisation for its courage in doing so.” “Thank you for having the courage to tackle this. I found the references to end of life options an essential part of the guide and, believe it or not, very refreshing.” “I found this extremely helpful. Especially as a springboard for further discussion with professionals.” Dr David Oliver, Consultant in Palliative Medicine, Wisdom Hospice, Rochester and Honorary Reader, Centre for Professional Practice, University of Kent, acted as a mentor throughout the development of the guide. He said: “This publication will encourage end of life discussions between people with MND and their family, and with health and social care professionals. They may be difficult conversations, but they are so important, as they allow the person with MND and their family to ensure that their own wishes are known and that appropriate care and support can be provided.” “ Thank you for having the courage to tackle this. I found the references to end of life options an essential part of the guide and, believe it or not, very refreshing.” Our End of Life guide will be available soon. You can order a copy by contacting our MND Connect helpline, 08457 626262, [email protected] care Help shape the future of palliative and end of life care research We are supporting a new survey, to enable people who are likely to be in the last years of life, current and bereaved carers, their families, and frontline social and healthcare professionals or clinicians to have their say in setting future research priorities for palliative and end of life care. Despite ongoing research, there are still many aspects of palliative and end of life care research that remain unanswered or unknown. Dr Belinda Cupid, our Head of Research says: “We are asking for your help because we want to improve care, support and treatment for people in the last few years of their lives. We know that many people have important questions about care, support and treatment, and we want to find out what they are. It is an area that is currently underresearched and this ground-breaking project will be invaluable to help guide our future priorities.” Please think about your own experiences of care, support and treatment and fill in this simple survey. You can complete it online, over the phone or by asking for a paper version to be posted back to a freepost address. The survey will be open until 30 April 2014 and will enable people to highlight what research questions are important to them. Dr Christopher McDermott, Clinical Senior Lecturer and Honorary Consultant Neurologist at the Sheffield Institute for Translational Neuroscience said: “The Palliative and end of life care Priority Setting Partnership is a really positive development as it aims to establish priorities for future research funding. “It is vital that healthcare research addresses issues and reflects some of the priorities for people living with MND.” To take part in the survey and to find out more visit www.palliativecarePSP.org.uk or telephone 0207 091 4153. Westminster launch for palliative care report The All-Party Parliamentary Group on MND has launched a report into palliative care services in England. The report, A Matter of Life and Death: a picture of palliative care services for people with MND in England, followed an audit of Primary Care Trust (PCT) provision last year. The audit found that only 15% of PCTs knew how many people with MND were living in their area and that many didn’t prioritise palliative care. The report was launched at an event in Parliament and was welcomed by the National Clinical Director for Neurology, Dr David Bateman. Dr Bateman said it was his ambition to ensure everyone with MND could access high-quality care no matter where they live. Roch Maher was diagnosed with MND in 2009 and spoke candidly about his experience with local health and social care services including a hospice. Your views inform our work Improving MND Care survey Difficult conversations Last year’s survey invited people with MND to give their views on service, support and what is important to them when living with the disease. Some 951 people responded, making it the largest survey of its kind for people with MND in the UK. Optional questions about end of life concerns were answered by 589 people. The National Council for Palliative Care has written a series of Difficult Conversations booklets to help health and social care professionals and people with specific conditions talk about end of life, including Difficult Conversations – Making it easier to talk about the end of life with people affected by Motor Neurone Disease. This was informed by interviews with 60 people living with or affected by MND, and their carers. Health and social care professionals were also consulted. The booklet, commissioned by the Association, can be purchased at www.ncpc.org.uk/difficult_conversations Choices and control when you have a life shortening illness We commissioned this study through Picker Institute Europe. It held an independent investigation into the needs and wishes of people with MND in the areas of death, dying and end of life decision-making. Picker interviewed 34 people living with MND and produced the report in 2012. We recognised that we need to work harder to provide opportunities and support for people with MND to talk about end of life issues if they want to, including training for our own staff and volunteers. Want to talk? If you would like to speak with someone about end of life care and MND please contact our MND Connect helpline 08457 626262, email mndconnect@ mndassociation.org Do you have personal experiences you would like to share to support our campaigning activities? If so please contact [email protected] Chris James, Roch Maher and Dr David Bateman Chris James, our Director of External Affairs said: “We know that access to specialist palliative care is patchy at best and hopefully this report will lead to more universal provision so that everyone with MND can access the care they need, no matter where they live or whatever their circumstances.” We will be using the report to influence local decision makers including Clinical Commissioning Groups, Health and Well-Being Boards and councillors. You can download the report at www.mndcampaigns.org or order a copy on 01604 611684. thumb print Winter 2014 29 fundraising Fundraisers get stuck in Carl Bradshaw and his team took on the Tough Mudder challenge in October in honour of his brother Mark, who was diagnosed with MND in 2010. The team was thrilled to have doubled their original target by raising over £6,000. Carl said: “It was one of the best days of our lives, it’s a great thing to do and we’re so amazed by the generosity and support received - a massive thank you to everyone!” They joined 80 other brave ‘mudders’ who made a huge impact in 2013, together raising over £53,000 to help people affected by MND. Thank you. Our Community and Events Fundraiser, Esther Fifield, said: “There is a variety of tough challenges out there and we have seen them steadily rise in popularity. This could be due to the relatively low-costs involved in taking part and that those Janet , Elaine , Jonny, Ant, Angela and Carl. brave enough to take on such a challenge find they can often attract more in sponsorship. Or it could just be down to the fact that these events are such great fun to take part in!” To find out more, visit: www.mndassociation.org/extreme For a fundraising pack call Alanah Gelling, on 01604 611691 or email [email protected] Because fighting MND is personal We understand that for many of our supporters, when it comes to fighting MND, it’s personal Our Tribute Funds and Fightback Funds, provide a focus for individuals to contribute in their own way to the raising of muchneeded funds at a time to suit them. Every pound raised for our MND Association Tribute Funds is recorded as a tribute to the person after whom the Fund has been named. Similarly, anyone can pledge (promise) a legacy to a Tribute Fund with the value of the eventual gift included in the Fund’s total. Supporters are regularly updated on the Fund’s progress and there are a number of optional services. For example, a Tribute Fund can have its own website where friends and family can leave messages, memories, photos, video clips and music and donate securely online. A website may also be featured in our online tribute garden. Maria Varnava, Guardian of the Solomon Ferekkides Tribute Fund said: “Dad’s 30 thumb print Winter 2014 Tribute Fund provides a vital positive focus, bringing everyone together for a common cause.” For people living with MND, we have created our A tribute ‘no frills’ Fightback Funds. to someone The sole purpose is to raise special money for the Association to use wherever the need is most urgent. Unlike a Tribute Fund, a Fightback Fund is not required to bear a person’s name and can be called whatever their creator wishes. A monthly email to the Fund’s creator keeps him/ her up to date with the fundraising total. More information and an application form can be found in the Fightback Fund leaflet enclosed with this edition of Thumb Print. Both Tribute Funds and Fightback Funds can accept gifts by: cash, cheque, credit and debit cards, direct debit and payroll giving. Donations can also be accepted from event sponsorship pages set up on sites like JustGiving or Virgin Money Giving. Stephen May, our Tribute Funds and Fightback Funds Manager, said: “Since 2004, the generosity of Tribute Fund supporters has made an enormous contribution (over £6.2 million) to our fight against MND. Our grateful thanks to them and to the supporters of our Fightback Funds, for all their fundraising efforts to date and we hope in the future, so that we will one day achieve our vision of a world free from MND.” more information www.mndassociation.org/tributefunds www.mndassociation.org/fightback See the Fightback Fund leaflet enclosed with this edition of Thumb Print or contact Stephen May Telephone: 01604 611865 Email: [email protected] Please note that money raised through Tribute Funds and Fightback Funds is for the ongoing use of the Association. They are not for the raising of funds for the sole use/support of an individual, nor are they a kind of savings account for the later purchase of a specific product or service. news Christmas appeal strikes a chord We have been hugely moved by the response our Lighting Up Lives Christmas appeal featuring Eric Rivers, and of course, Eric himself is delighted. He’s such an inspiring man, and his Christmas message clearly struck a chord with our supporters. We can’t yet stop MND but we can ensure that we are here to lend support, advice and practical help every step of the way. Your generosity will help us continue to provide vital support from custom wheelchairs and communication aids to home adaptations, so families like Eric’s can live normal lives for as long as possible. Ultimately, of course, we want to make this disease a thing of the past. Your gifts help us accomplish this by funding worldclass research into MND. The pace of discovery is accelerating and the secrets of the disease are slowly being revealed. On behalf of Eric Rivers, his family, and all of us at the MND Association – thank you. The amount raised as of 17 January was £136,000. There’s still time to donate, simply call 0845 3751850 quoting 13NV or visit www.mndassociation.org/Christmas Sir Chris signs Charter Sir Chris Bonington, one of Britain’s best known mountaineers and explorers, signed our MND Charter when he attended our annual Research Dinner in London, see page 17. Sir Chris’s wife Lady Wendy has MND. He said: “Wendy and I are very lucky to have a lot of support where we live in Cumbria, but it’s only fair that people with MND can access advice, information and assistance when they need it and regardless of where they live. I urge everyone to sign up to the MND Charter”. Young mascots’ ace day out Imagine being given the chance to meet some of the biggest names in tennis, at one of the biggest events in the sporting calendar. That is exactly what happened to 35 children from across the UK, who were nominated by our members to be mascots at the 2013 Barclays ATP World Tour. The mascots, all touched by MND, led out some of the world’s biggest tennis stars including Roger Federer, Novak Djokovic and Rafael Nadal, at the prestigious event held at London’s O2 Arena in November. We were invited to put names forward for the honour, following the death of Brad Drewett, a former player, executive chairman and president of the ATP World Tour who died from MND in May, aged 54. The event trophy was also renamed in his honour. Six-year-old Eilish Larkin of Newry, Northern Ireland, whose father Eoin has MND, was paired with, Roger Federer. Eilish’s mother, Claire said: “Eoin, was diagnosed with MND in August 2010 when Eilish was just three. She is the youngest of our three children and they are all very aware of Eoin’s needs and they all give him the very best of attention and care, as he needs a lot of help with everyday tasks. “Eilish had a fantastic time from the minute we left to the minute we came home. It was all go, but she took it all in her stride and I think part of this comes from coping so well with her Dad.” Eight-year-old Indie Wells from Southend-on-Sea, Essex was paired with the eventual champion of the event, Rafael Nadal. Indie lost her father Dave to MND in 2011. Her mother Lynee said: “Indie enjoyed her day very much. She said she was very proud to represent the MND Association. Her grandma was in the audience and her entire extended family were watching on TV, including her uncle who lives in Canada - we were all so proud. “We received so much help from the Association to help make Dave’s life easier. It gave a little girl who had lost so much a fantastic day that money cannot buy and a memory connected to her dad that she will never forget.” Awareness film scoops BAFTA Our 2013 Awareness Month film I Am Breathing has scooped a Scottish BAFTA for directors Emma Davie and Morag McKinnon. The film was shortlisted in three categories at the British Academy Scotland Awards in November. Meanwhile, the film received a great response at a special Westminster screening for parliamentarians co-hosted by Baroness Royall and Gavin Williamson MP, chair of our All-Party Parliamentary Group on MND. The powerful documentary tells the story of Neil Platt, who was just 34 when he was diagnosed with MND. Neil wanted to leave a message for his young son Oscar and also raise awareness of the disease. The film was shot in the final few months of Neil’s life in 2009 by the Scottish Documentary Institute and premiered at the Edinburgh International Film Festival this June. After the screening at the Palace of Westminster, Neil’s widow, Louise spoke to the invited guests about her personal experience of MND, the filming process and answered questions. More than 1,500 people emailed their MP encouraging them to attend the screening, the highest ever response to an Association-led MP e-action. We look forward to sharing news of our June 2014 MND Awareness Month campaign with you soon. thumb print Winter 2014 31 news All star cast support King Lear readings Lots of support for auction Work starts on NICE guideline Eminent stage and screen actor Joss Ackland performed two readings of William Shakespeare’s King Lear in support of the Association. Joined by an all-star cast, the 85 yearold took on the role at the St James Theatre, London and The Old Vic, London in September. Joss, an Association ambassador, lost his wife Rosemary to MND in 2002. Joss Ackland The idea for staging the special performance came from Lisa Paterson following the death of her script-writer and theatre director friend Ranald Graham. Our thanks to Joss and Lisa for delivering the two readings, which raised some £27,000 to support our work. Thanks to the support of the Sky News presenter Charlotte Hawkins, a silent luxury holiday auction has raised thousands of pounds for the Association. The 22 lots ranging from trip to India to a golfing holiday in Scotland were advertised in Ultratravel Magazine; a special Telegraph supplement published with the newspaper in September for readers in London and the South East. More than £37,000 was raised from the winning bids. Charlotte’s Dad was diagnosed with MND two years ago. She said: “The MND Association has been one of the organisations that have helped my Dad – offering advice and support, and lending much-needed equipment as his mobility deteriorates. “We’ve also relied on their website for advice and information.” Following several years of campaigning, supported by our members, work has now started on national guidance for MND. This will be the first ever official guidance for MND and is a tribute to the hard work of members and supporters. The National Institute for Health and Care Excellence (NICE) will be developing the guideline and is recruiting clinicians and people affected by MND to sit on the development group. As Thumb Print went to press we were due to hear if we had been successful in our application for a seat on the group. NICE has also been consulting on the scope for the guideline and we submitted comments on its draft proposals. Our main concern was that diagnosis and social care – help with getting up, washing and dressing – were omitted from the scope. The guideline is due to be published in February 2016. We will alert members to opportunities to comment during its development. from our chair It’s great to hear of the record numbers attending our 24th International Symposium. The research interest that this suggests gives us great encouragement. Thank you to our team for organising and managing this complex, vital event. Its establishment and development over the years as the premier event for networking MND research reflects great credit on the Association. Following the retirement of Victor Patterson from our Board of Trustees we have been seeking a neurologist to join us. I’m delighted that we have been able to recruit Adrian Wills as a Trustee. He leads our care centre in Nottingham, has long experience of supporting people living with MND and has valuable contacts in commissioning NHS services. With a new strategy agreed we must press ahead to make its ambitions realities. One of the critical 32 thumb print Winter 2014 See page two to find out how you can bid for a luxury holiday. elements will be the development of stronger links between our volunteers and our paid workforce across every part of our activity. Our chief executive has reorganised the responsibilities of directors to allow the establishment of a senior post focused on volunteering. We will also be reviewing all our operating arrangements to ensure that we empower branches and groups while retaining the key systems that allow us to work as a unitary charity. Our financial year is ending with the Association in a much stronger position than the Trustees had anticipated. We have recently received a number of extremely generous bequests. The Board will need to consider how we should manage this very welcome position. Some donations are tied to particular parts of our work and, of course, legacy income can be volatile so planning ongoing expenditure on the basis of large single donations is unwise. We are, nevertheless, able to consider further growth. Part of that growth must be put towards ensuring that we can sustain a higher level of income generation. We must target our spending on where the Association can add most value to the services people living with MND now rely on, and on balancing our research portfolio between the search for causes and eventual cures or prevention and the development of better care technologies and therapies. The Board of Trustees met in October and approved six studentships totalling around £548,000 over four years. Read more Board news at www. mndassociation.org/boardreport Mark Todd, Chair, Board of Trustees news First television advert reaches millions Partners enjoy tour Our first ever television advert to raise awareness of MND made its impact during December in homes across England, Wales and Northern Ireland. The advert, featuring TV presenter Nick Knowles and Eric Rivers who has MND, was broadcast on popular TV channels including ITV3, Gold and Good Food. It was also shown at cinemas thanks to the support of specialist advertising contractors, Pearl & Dean – and seen by one million cinemagoers. The advert included a text-to-donate request and as a direct result, more than 450 texts were received. Its creation is thanks to a very special friendship, which first began when the DIY SOS team, led by Nick Knowles, surprised the Rivers family in 2011 and gave their home a makeover. Nick said: “Eric is about the bravest and most honourable man I know. It’s an honour to work with him to bring this terrible condition to the attention of a greater audience.” Supporters of our Oxford Centre for MND Research and Care have witnessed first hand the difference their generosity makes. Our Oxford Partners, and other donors, were welcomed at the centre by our Chief Executive Sally Light, who thanked them for their generosity in helping to fund the centre’s work. The guests heard presentations on current research from Prof Kevin Talbot, Professor of Motor Neuron Biology and Co-Director of the Oxford Centre for MND Research and Care, and care activities from Rachael Marsden, Advanced Nurse Practitioner and Care Centre Co-ordinator. They emphasised the importance and benefits of delivering care and undertaking research in a co-ordinated way. The guests toured the laboratories and hospital facilities. Our 21 Oxford Partners have each given more than £1,000 to support the centre’s vital work. To learn more about our Oxford Partners, contact Ian Gardner, Head of Development, on 01949 831912. Nick Knowles and the production team with Eric Eric said: “We all wonder at times to ourselves - what can I do to make a difference in this world? Well sometimes it’s the simplest things we do that make the biggest impact.” The advert also made its mark on our social media channels. The news of its launch was shared with our friends and followers, and for the first time, we used social media advertising to reach tens of thousands of people who may previously had no knowledge of MND or the work of the Association. Unveiling new wheelchair designs We are working with manufacturers to develop wheelchairs better suited to the needs of people living with MND and other neurological conditions. We hosted two interactive workshops (in London and Coventry) where major manufacturers received feedback from people living with MND, occupational therapists, service managers, engineers and physiotherapists. The project, funded by a grant from the Department of Health, will extend our Oxford services. The new chairs will better adapt to the often rapidly changing needs of people with MND; incorporating Our interactive workshop in London communication and environmental aids and should be available from local wheelchair service providers. Project Manager Pauline Matheson said: “We have also been working to develop a specialist ‘neurochair’. “It was a great opportunity to get everyone together to discuss how small changes to existing designs could make a huge difference for people living with MND.” Jenny Rolfe MND Specialist Occupational Therapist, is on the project board. She said: “There are many barriers to people getting the right wheelchair for their needs at the moment. Our chair should be compact enough to fit around a home environment and be able to be driven outside too. “Powered wheelchairs need to maximise independence, voice and choice. While everyone is different, there is a common need for a chair that can evolve as the requirements of the person living with MND change.” Liam Dwyer was one of the people living with MND who attended. He said: “I have done more than 6,000 hours in my wheelchair in the past three years. It was great to be involved in the day.” Honour for MND researcher Congratulations to leading MND researcher Pam Shaw, professor of neurology at the University of Sheffield, who was recognised in the 2014 New Year’s Honours for services to neuroscience and made Dame Commander of the British Empire. Prof Dame Shaw is the director of the Sheffield Institute for Translational NeuroScience (SITraN), a purposebuilt centre for cutting-edge research projects Dr Brian Dickie, our Director Prof Dame Pam Shaw of Research Development said: “Pam has been at the forefront of international MND research for more than two decades. She has always combined research with a tremendous empathy for patients and their families. “Pam is one of the finest minds we have working on MND research and continues to play a pivitol role in our vision of a world free from MND. This national honour is a fitting and a well-deserved tribute.” thumb print Winter 2014 33 down your way thank you to all those who raise vital funds and awareness to support our work. Here is a small selection of recent events – share your pictures on our facebook page www.facebook.com/mndassociation ‘Orang’-ing about: Our MND orang-utan is waving the awareness flag as he accompanies Christina Pendleton, secretary of the Birmingham and Solihull Group, on her global expedition. They have seen the world’s oldest jungle in Malaysia, the world’s oldest temple in Thailand and the Sydney Opera House in Australia, among other fascinating sites. What a cultured little orang-utan! ‘Old Skool’ style: £3,000 was raised by a group of football enthusiasts at a five-aside footy game and ‘Old Skool’ party last summer, in honour of Hector James, who recently lost his battle with MND. Hector increased awareness, especially within the AfroCaribbean community, and raised funds for research and care. Balled over: A charity ball, held to raise money for the Northamptonshire Branch, proved to be a glittering success, raising over £1,900. The ball was organised by Rosie Lloyd, whose skills as a professional event organiser came into their own. Rosie said: “I took on the challenge of organising the ball in memory of my grandfather, who passed away on Christmas Day 2012 from MND. The support for the event was phenomenal, in particular from local businesses who kindly donated the venue, food, entertainment and raffles prizes.” 34 thumb print Winter 2014 Race for mum: Debbie Dawson, her brother Murray Boxall and brother-in-law Andrew White, ran the Coniston 14-mile race in memory of their mum Gywenth, who died from MND in 2013. Debbie said: “The race was tough but we had a great time. We proudly wore our MND Association T-shirts with a picture of mum on the back, which prompted a spontaneous £10 donation from a spectator as we crossed the finish line who’d lost his father to MND.” down your way Flying high: Stephanie Painter, Air Squadron for the RAF at Bristol University, raised over £1,100 in memory of a fellow squadron’s mother, who passed away from MND, by doing weekly bake sales and a large ‘bake it!’ event. Stephanie said: “We had great support and were very honoured when the chief of air staff attended our family day and kindly contributed to the stall.” Family spirit: Debbie Brookes and family have been outdoing themselves by raising over £5,000 in honour of mum, Anne Leece, who had MND. They have completed many fundraising activities including a charity fun day, a Walk to d’feet, and bag packing service at a local supermarket. Debbie’s husband Ian also took on a tough 100-mile bike ride. Tee-up for MND: 56 golfers and their families from the Pachesham Park Golf Club raised over £2,300 at a Captain’s Charity Golf Day in August 2013. Lars Holte, the current Captain, who lost his wife Rita to MND, said: “We are also organising a number of smaller events during my year as Captain, so would hope to add to this total over the coming months.” Grand a-‘fare’: Jan Jackson found herself warm with delight when a craft and quilt fare she organised raised over £1,100. The fare was to raise money in honour of Jan’s friend, Chris Ibbeston, who has MND (pictured). Glitter ball: Alex Bunn’s first charity ball was a dazzling success raising over £8,000. It was held in honour of her grandmother who died from MND when Alex was just three years old. Alex said: “I have been overwhelmed by everyone’s support and the fantastic amount of money raised.” Howzat!: Gordon Molyneux’s cricket team played a charity match last autumn, in honour of his recently diagnosed brotherin-law, Dean Mucklow. The match raised almost £1,500. Gordon’s wife, Claire, has also been helping to raise funds, and awareness, by displaying MND noticeboards and collection tins at the dental practice where she works. thumb print Winter 2014 35 down your way Team exodus: After hours of hard work and graft to lose weight and inches, a team from the Exodus Training Academy put their new found agility and stamina to the test in a gruelling 12K Monster Run. The combined efforts of climbing, jumping, crawling and wading raised more than £3,100 in memory of academy founder Hubert ‘H’ Clarke’s father, who sadly passed away from MND in 2008. It’s a winner: For the last six years, members of the Lytham Cricket and Sports Club have raised money for the Blackpool Branch at their Annual Golf Day, in honour and memory of Keith Cartmell, who died from MND. This year’s event was well supported and raised over £2,000 bringing the six-year grand total to almost £20,000. Sarah Harding from the Blackpool Branch said: “We are extremely thankful to the club for the money they have raised for our work and their support over the years.” Mutual support: Marlene Herron and John Clough joined together to raise awareness of MND by walking the last 100miles of the Camino de Santiago trail. The walk was in memory of John’s wife, Pauline, who died from MND four years ago, and Marlene’s husband, Charles, who died from an aneurysm last year. Marlene said: “We were four bestfriends who enjoyed many long walks together. Losing Pauline and Charles has been a big loss to us both, but we have been there to support each other. Doing the walk was a wonderful experience and we are delighted with the money raised to help fight this terrible disease.” Together they have raised over £2,000. 36 thumb print Winter 2014 Baker’s delight: Almost a year to the day since Ian Squires died from MND, his son Nick organised a ‘bake off’ challenge at work. Nick said: “I love baking and my colleagues love eating cake. It just so happened the anniversary of losing my dad coincided with ‘National Baking Week’, so it seemed fitting to do a week long bakathon in his memory.” Nick raised £180. Ian is pictured with son Nick and daughter Louise. Loving memory: Lin Porter raised over £130 when she bravely took on a skydive in memory of her father, Geoffrey Watson, who sadly passed away from MND 14 years ago. down your way Rocking raise: Members of our Leicestershire and Rutland Branch donned their fancy dress and dancing shoes, as they rocked out at a fundraising ‘tribute to legends’ concert, raising over £1,800. Ruth Johnson, Vice Chair of the branch said: “We had a superb evening. The many guests rocked out all night, with impromptu dancing and standing ovations all around.” Smiling faces: Thanks to the efforts of Julie Heenan, over £1,100 was raised at a ‘Fun Evening’ in memory of Julie’s late brother-in-law, Neil, who passed away last April from MND. Ruth Heenan, Neil’s wife, said: “I’d like to thank Julie from the bottom of my heart, for her love, support and dedication in organising the evening. We had such a wonderful time, captured perfectly in the photo of my niece’s little girl, Caitlin, who shows a smile can still be worn in the face of MND.” Striking kit: Marton FC Royal’s U13s are raising awareness of MND by sporting our logo on their new kit. The team chose to support the Association in honour of player Dominic Harrison’s granddad, Peter Wilson, who has MND. Thanks to the Cleveland Branch for sponsoring the team, they have been able to help spread the word. Joanne Harrison, Dominic’s mum, said: “We knew nothing about MND when dad was diagnosed so we just want to raise awareness. We were so delighted when the branch said they would sponsor the team - it means a lot to us.” Going for gold: 15 walkers took part in a seven mile ‘Gold Leaf Walk’ in Sheffield, last October. Fran Hall and Megan Wordsworth set up the walk as a tribute to their mum and auntie, who both passed away from MND. The walk raised £300 for their local branch. Working together: The Birmingham Local support: The South London Branch raised £1,100 at a FACE quiz-night last October. The event was well attended with a special guest appearance from local politician Sadiq Khan MP. Mr Khan is pictured with group members Andy Pape and Sarah Tucker. and Solihull Fundraising Group has been hard at work taking part in fundraising and awareness raising activities, organised by the Dorridge Fun Run Committee. The year-long activities have included a Christmas Carol Service, charity auction, fun run and a fun day; collectively raising over £7,800. Sue Curry and Linda Hadley, the Joint Fundraising Secretaries for the group said: “The last 12 months have been awfully hard work, but it’s been worth the effort to see the amount of money raised.” thumb print Winter 2014 37 your voice diary dates Silverstone Half Marathon 2 March Brighton Marathon 6 April London Marathon 13 April London to Paris Cycle 23-27 April and 7-11 May Plymouth Half Marathon 27 April Super Hero 5k/10k 18 May Follow us @MNDAssoc Talking about the MND Association on Twitter @JenniSaysJump: Congrats to Professor Pamela Shaw on her New Year’s Honour. Her research on #MND is incredibly important. #sheffieldissuper @MNDA_Merseyside: Thanks to every single person who has been part of our special 30th anniversary year. We can announce we raised £40,000. #wow! @RachaelSmith89: So happy to see the advert for @mndassoc at @ ShowcaseCinemas. Finally some much needed awareness for #MND. @sshots: My daughter has just raised £100 for @mndassoc carol singing. She’s only 11 and decided to do it off her own back! @KieranBooker: Let’s hope 2014 is the year we find a cure for #MND. For @ mndassoc and in memory of people like my mama. Edinburgh Marathon 25 May London 2 Brighton 100k 24/25 May Nightrider Cycle Challenge 7/8 June UK 3 Peaks Challenge Various dates May – September 2014 Tough Mudder Various dates April – October 2014 Walk to d’feet MND All year round Spring Conferences: 29 March – Uckfield, East Sussex 6 April – Newport, Wales 10 May – Manchester 11 May – Durham 18 May – Kettering, Northants get involved: telephone: 01604 250505 website: www.mndassociation.org email: [email protected] We would love to hear from you If your letter is printed on these pages we will send you an MND Association coin keyring. Please provide your full address with your letter (this will not be printed). Write to: Your Voice, Thumb Print, PO Box 246, Northampton NN1 2PR or [email protected] 38 thumb print Winter 2014 No time to paws for busy bear Maria Watton’s little friend Amanda Charter Bear, or ‘aMaNDA’, raises awareness of MND by travelling around the world with our Charter in hand. Here she shares her adventures from 2013: What a year it has been! 2013 kicked off in London visiting Eric Rivers and his lovely family. It snowed deep and crisp which was wonderfully exciting for us all. Then in preparation for my biggest adventure of the year, I got sorted with my pet passport from vet John in Dorset then set off to Telford. Ben Lannie and I, with nerves running high, packed up and set off for Everest! Treking upwards with snow under foot and low oxygen levels we made it and I was still smiling from my vantage point in Ben’s orange backpack. On our return to the UK we were greeted with chocolate cake for a rebuild of energy and joyous Easter celebrations. Thank you Ben, for including little me in your amazing adventure. Holidays have been abundant this year. I have been to Wales, Israel, Ireland, Florida and Cuba twice! Andy Quick’s skydive at Old Sarum Airfield made him quiver like a jelly but also set up JumpFest 2014 MNDA that involves 30 plus jumpers, can’t wait as this time I will join them in diving too! ‘Lighthouse to Lighthouse’ run in Australia and ‘You and Me V MND’ cycle ride in South Africa have given me the chance to link hands globally against MND. I was also lucky enough to meet with HRH The Princess Royal at a reception in support of the Charter in May. My small paws are crossed for more to follow from this in 2014. The last event of the year was the Boxing Day swim in Llandudno, the dip was a good way to finish off the year promoting the Charter and creating new links. If you have an event, find me on Facebook and I may be able to join you! your voice Poet Byron pens tribute After losing his father Russell to MND in 2012, 21-year-old Byron Brown from Surrey decided to remember him by writing a poem. Byron’s mother, Shelley said: “Russell did so much with the boys such as football and skiing, he really was like Action Man and spent so much time doing activities.” Russell sadly died in September 2012 about us: and Shelley said that one night Byron had woken up thinking about his father and decided to write the poem. Russell Brown She said: “It seemed quite an unusual thing for a 21-year-old to do, but I thought it was wonderful.” The Motor Neurone Disease (MND) Association We improve care and support for people with MND, their families and carers, and fund and promote research that leads to new understanding and treatments. We also campaign and raise awareness so the needs of people with MND and everyone who cares for them are recognised and addressed by wider society. As a charity we rely on voluntary donations. Our vision is a world free from MND. A poem for my Dad Father, you were my idol, So strong, so kind and true. And I will try my very best, To be the same as you. A thoughtful, gentle, giving man, To all whom you held dear. Reflected by how many friends, Who now shed you a tear. We helped, we hoped and watched you fight, This wrong, and great unjust. And through this I admired, You’re faith in you and us. Battling through and through and through, just like you always did. To get back to your brilliant self, and hoped your curse you’d rid. Poem brings comfort Carol Walker, from Weston-super-Mare, wrote this poem after her mum died from MND. The poem has brought her great comfort. Light A breeze blew past the hillside, But lingered on the slope, Where laid some lowly flowers, Filled with the bearer’s hope Of a meeting in the future – Who knows the time or place, At which two hearts will mingle, And there will be the face Of a loved one, dear departed, Who went to God’s good grace. So shine on us kindly light And illuminate our way To where the heart is peaceful And where only angels play. You demonstrated strength, Like I have never seen. We only wished to see you fixed, It was our every dream. But now I know you rest in peace, Smiling down on us. And have no worries... no fear... no more, Your legacy shall not rust. Website For as you know we’re all strong too, And that we learnt from you. That’s one reason I now know, not to feel so blue. www.mndassociation.org Social media Online forum A safe place for people affected by MND to share experiences and support each other with the challenges of living with the disease. http://forum.mndassociation.org Since then on in, we have remembered, The way you lived and flourished. I hope you always feel our love, and once again are nourished. RIP Dad, you mean the world to us. Facebook www.facebook.com/ mndassociation Our 2014 Spring Conferences MND Connect Our MND Connect helpline offers advice, practical and emotional support and directing to other services and agencies. Uckfield, East Sussex – 29 March Newport, Wales – 6 April Open Monday to Friday 9am to 5pm and 7pm to 10.30pm. Manchester – 10 May Durham – 11 May Kettering, Northants – 18 May Learn more about MND, meet others affected by the disease and find out what’s new in MND care, research and campaigning. [email protected] Membership Find out more and register online at www.mndassociation.org/ springconference To receive a regular copy of Thumb Print, call 01604 611855 or email membership@ mndassociation.org Follow our Spring Conferences on Twitter – #mndsc14 thumb print Winter 2014 39 Affected by motor neurone disease? Access to help is closer than you think Telephone 08457 626262 Just diagnosed? Living with MND? Need on-going support? Need carer information? MND Connect is more than just a helpline H E L P · I N F O R M AT I O N · S U P P O R T 9am 08 thumb print Winter 2014 to 5pm and 7pm to 10.30pm Monday to Friday
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