Monday 22 December 2014

Provider focus: Delivering NHS Health Checks via GP practice



Having recently revamped their health check service, Bewick Crescent Surgery in County Durham conducted almost six times as many health checks as they had done prior to implementing their new approach; they’re now amongst the top performing practices in the local authority for the delivery of NHS Health Checks. We caught up with Tracy Fleming – the surgery’s NHS Health Check Lead – to find out what the team had done to turn their service around…

Q: What was it about Bewick Crescent’s previous approach to delivering NHS Health Checks that wasn’t working well? 

A: Our doctors were telling people that they needed an NHS Health Check, but we found that people often weren’t turning up to their appointments despite having been booked in. This meant that we were often allotting time that ended up being wasted when patients didn’t attend. We also found however that when patients were in a less formal situation – with the healthcare assistants for example – they would often have the confidence to say ‘well actually I don’t want one’. We saw that taking advantage of this would allow us to be far more efficient with our time and resources.

Q: How did you take advantage of this and alter the service?

A: I’ve taken it upon myself to start asking people as they come in. For example, a patient might feel unwell and come into the surgery for a blood test; if they’re eligible I’ll ask them if they’re interested in having a health check and, if so, book them in there and then. I’ve found you tend to get a much better response when the person is in front of you. For us, it works better than sending out letters that you might not get a reply to

Q: So does Bewick Crescent Surgery not send out invite letters? 

A: We do send invite letters, yes. With those people that we can’t get on the telephone to make an appointment, we send a letter informing them of the service and asking them to ring us if they’d like to book in for a health check. Instead of saying ‘come in at this time on this day’ – which we’ve found doesn’t really work – those that are interested get in touch and those that aren’t don’t ring back. This just allows us to be more efficient and not waste our time with unattended appointments. 

Q: It sounds like efficiencies are at the heart of a lot of the changes? 

A: Yes, that’s true; the fact that I’ve taken a leadership role in delivering the service has made that easier. Patient-centeredness is also really important. We’ve made sure that patients come first and any changes work for them. For example we’ve introduced a Tuesday evening clinic that runs between 5pm and 7.30pm. 

Q: What was the rationale for putting on this out-of-hours service? 

A: We put on the evening clinic to accommodate for those people that wanted to have a health check but who weren’t able to get the time off work during the day. It means that we’re engaging a large number of people that we wouldn’t otherwise get to see. It’s been really well received by patients, as has the quality of the health checks that we’re delivering.

Q: What is it about your health checks that patients appreciate? 

A: Health Options software is a lot nicer and more patient-friendly than the software we used before. I tilt the screen so that I’m not talking at the patients, but instead we go through the process together. They can see what I’m doing – I don’t hide anything – and I use the on-screen info to help explain things to them. In that sense, the computer becomes more of a shared focal point; patients therefore don’t feel as though they’re being spoken at, they’re actively involved in their health check. 

Q: And what do people leave with after their health check? 

A: Everyone gets a colourful personal report in a folder; this is another thing that’s really well received. The reports are full of good information on blood pressure, cholesterol, weight management etc, as well as containing the patient’s results. Often people don’t grasp everything that’s said to them when they come into a doctor’s surgery but with this, they’re able to go home and digest the information at their leisure. The report also contains a graphic that clearly explains the individual’s heart age, cardiovascular risk and the potential effects of lifestyle change. This tends to have a much more powerful impact that just saying ‘stop smoking’ or ‘eat healthily’.

Q: Do you see the health checks having an impact then? 

A: Yes, we’ve had a number of patients take up our smoking cessation service after having had their health check. People are also very interested to learn about the different types of cholesterol – HDL (good) and LDL (bad) – and what they can do about their levels. I’ve found people leaving saying ‘I didn’t realise eating more fruit and veg and stopping smoking could make the difference’. There have also been individuals like a man we had in recently who was quite fit – on his bike all the time – but the health check revealed he had dangerously high cholesterol levels. When he looked into his family history, he saw that high cholesterol was a hereditary trait that he hadn’t known about. This was something he was then able to address.

Q: What sorts of things are you doing to promote the service? 

A: We have a big Check4Life banner and notice board in the waiting room with leaflets that patients can take away. These tend to catch peoples’ eye. The notice board clearly says who’s eligible so people can make appointments while they’re waiting if they’re interested. We also include stuff for kids – things like the Change4Life activity wheel – as we’ve found that if the kids start getting into it, it can help mum and dad to keep moving. Word of mouth within families is also a really powerful way to promote the service. We have a lot of people saying ‘‘This is brilliant, I need to my husband to have one’. A lot of wives actually book their husbands in whilst they’re here and make them come down! 

Top tips from Bewick Crescent 


1. Have a member of staff take the lead on the service 
2. If people in the surgery are interested and eligible in having a check, book them in there and then 
3. Use patient-friendly software and share the screen with the patient 
4. Adapt to patients’ needs and put on evening clinics if necessary
5. Advertise the service and look to involve kids in any lifestyle change programmes 

Thanks Tracy. Wishing you all a happy and healthy Christmas and New Year!

103 comments :

  1. Much appreciated, I trust so. She moved out when she left. I was a wreck for a hot second, yet I began to pull it together and relearn how to be cheerful. At that point she moved back in Write My Assignment For Me. I couldn't stop her, since her name is on the rent. I was more joyful living alone. I'm thankful my children live with me full-time once more, however having their moms always miserable can't be solid for them.

    ReplyDelete
  2. I loved this article! Keep on writing! If you want Free Tarot Predictions, please use this fantastic app called Tarot Life!

    ReplyDelete
  3. Perfect page which helped in knowing how tarot cards can help in Love. Now more about the same 10 Best Tarot Cards for Love Tarot Reading

    ReplyDelete
  4. Thanks so much for sharing this awesome info! I am looking forward to see more postsby you! Grass fed ghee

    ReplyDelete
  5. Health is wealth and if you want to spend a happy life, you should take care of your health a lot. So, you should take exercise on daily basis and eat proper food and through this, you will enjoy a good life. Coursework writing services.

    ReplyDelete
  6. Hey this is anthony anson i really like your post such a great information I’ve taken it upon myself to begin asking people as they come in. For instance, a patient would possibly sense sick and are available into the surgical treatment for a blood take a look at if they’re eligible I’ll ask them if they’re interested by having a fitness take a look at and, in that case, ebook them in there and then. I’ve found you have a tendency to get a miles higher reaction when the character is in front of you.college essay writing service

    ReplyDelete
  7. write my assignment on medical related any subject by expert writers.

    ReplyDelete
  8. Awesome blog. I enjoyed reading your articles. This is truly a great read for me. I have bookmarked it and I am looking forward to reading new articles. Keep up the good work! Florarie Cluj

    ReplyDelete
  9. You have done a great job. I will definitely dig it and personally recommend to my friends. I am confident they will be benefited from this site.side effects of viagra

    ReplyDelete
  10. Thank you for another great article. Where else could anyone get that kind of information in such a perfect way of writing? I have a presentation next week, and I am on the look for such information. sa gaming

    ReplyDelete
  11. It is important to check your health as often as you can, but you need to find qualified doctor to do it. You can find him by looking at the resumes. topresumewritingservices.com is monster resume service that i have checked by myself!

    ReplyDelete
  12. No doubt Law Assignment help from a professional can reduce your stress by half. Still, if you want to improve your overall productivity, you must learn to overcome anxiety and lead a peaceful life.

    ReplyDelete
  13. Great to be here in your article or post, whatever, I figure I ought to likewise buckle down for my own site like I see some great and refreshed working in your site.
    phallosan forte discount

    ReplyDelete
  14. Extremely pleasant and fascinating post. I was searching for this sort of data and appreciated perusing this one. Continue posting. Much obliged for sharing.
    Phallosan Forte Test Coupons and Promo Code

    ReplyDelete
  15. Initial You got a awesome blog. I determination be involved in plus uniform minutes. I view you got truly very functional matters. I determination be always checking your blog blesss.
    Phallosan Forte Test Coupons and Promo Code

    ReplyDelete
  16. I don t have the time at the moment to fully read your site but I have bookmarked it and also add your RSS feeds. I will be back in a day or two. thanks for a great site.
    phallosan forte coupon code

    ReplyDelete
  17. Sometimes you need to find the best Coupons Codes website, Get all latest coupon codes for the top brands. We have the largest database of all discount codes online. Get your promo deal now!!!! rewards code yesstyle

    ReplyDelete
  18. thiết bị phiên dịch mới nhất hiện nay, dịch cực nhanh chưa tới 0,2 giây.
    máy phiên dịch 2 chiều

    ReplyDelete
  19. The health professional often healthcare Provider– will ask you some Information about your lifestyle and family history, measure your height and weight.

    ReplyDelete
  20. You have a real ability for writing unique content.I like how you think and the way you represent your views in this article.I agree with your way of thinking.Thank you for sharing. painkillers for sale online

    ReplyDelete
  21. What a fantabulous post this has been. Never seen this kind of useful post. I am grateful to you and expect more number of posts like these. Thank you very much.
    Buy exotic reptiles online

    ReplyDelete
  22. Academic writing is a formidable task for many. Whether it is an essay or a Dissertation writing help, every type of academic assignment requires focused hard work, dedicated research, and substantial time management. Many pupils, however, struggle to carry out their tasks properly and need professional assignment or
    essay helpers to get their work done.

    https://www.dewiring.com/read-blog/51436

    ReplyDelete
  23. Thanks for sharing this articles this is really helpful for me. Check this discounted coupon now aacomas coupon code

    ReplyDelete
  24. Clara Smith is a marketing professional for an esteemed corporate firm in The USA. Bateman has earned his MBA degree in Marketing from Seton Hall University. She holds immense knowledge in various areas of marketing. She’s also an essay helper at Allessaywriter.com and provides
    assignment help london to students.

    ReplyDelete
  25. I like to communicate with interesting people. I'm studying to be a doctor. I'm glad to be able to tell you who can help me. I use https://elitewritings.com/buy-a-letter-of-recommendation.html letter of recommendation writing service It's great. This is an important help that I am happy to receive.

    ReplyDelete
  26. This is a health related content. The information very essential for everybody, unique content. Libid Xtreme Caps Bula

    ReplyDelete
  27. I was looking at the store for those Lindt eggs the other day and they were sold out! I was so bummed as that is my favorite kind of chocolate and the Easter bunny hadn't brought me anything this year. digital marketing Jacksonville FL. Our Easter found my husband and oldest son working on the foundation of my mother in law's new house while I baked up a box mix of brownies and a ham dinner... I don't know what my younger two boys did!

    ReplyDelete
  28. Positive site, where did u come up with the information on this posting. cost of hurricane windows

    ReplyDelete
  29. Balanced nutrition means that you are getting what you need at the time you need it and your body can absorb it properly. Si your body needs sugars, fats, etc. The issue is that processed foods are not nutritionally balanced and by their nature difficult to personalize. culvers for diabetic

    ReplyDelete
  30. 카지노사이트 That is a very good tip particularly to those fresh to the blogosphere.
    Short but very accurate information…

    ReplyDelete
  31. Remarkable! Its really amazing post, I have got much clear idea on the topic of from this post. 스포츠토토

    ReplyDelete
  32. I want to learn even more issues about it! its very nice article 토토사이트

    ReplyDelete
  33. I want to always read your blogs. I love them Are you also searching for Accounting Homework Help? we are the best solution for you. Contact us today and get the best. +1-(951)-468-9855 info@cheapassignmentwriters.com

    ReplyDelete
  34. Excellent. Good blog. Keep sharing. I love them Are you also searching for order assignment online? we are the best solution for you. We are best known for delivering book review writing services to students without having to break the bank

    ReplyDelete
  35. Your blogs are great.Are you also searching for NURSING PICO ESSAY WRITERS UK? we are the best solution for you. We are best known for delivering nursing writing services to students without having to break the bank.

    ReplyDelete
  36. I am also working on taking the health care system of my village to the next level. People here are poor, and I want them to have good medical services in their life. So I am becoming a doctor only to help the poor of my village. I have to Pay For Grades In My Online Class to get my license quickly due to achieving a good grade in academics.

    ReplyDelete
  37. What is employee health status? Inside this article, you will learn about how health status is defined. Hypnotherapy Adelaide

    ReplyDelete
  38. Only 62% of pharmacists hold traditional community (retail) pharmacy positions (BLS). Other exciting pharmacy careers include positions in a clinical setting (administering drugs as a part of a medical team), a research lab, a government agency (e.g. poison control). Buy Dmt Crystals Online

    ReplyDelete
  39. Its such as you learn my mind! You seem to know a lot about this, like you wrote the ebook in it or something. I think that you simply can do with some to power the message home a bit, but other than that, this is wonderful blog. An excellent read. I’ll definitely be back.digital marketing

    ReplyDelete
  40. Knowing the best foods to feed our children is a challenge as we try to navigate the pervasive misinformation we are fed from every direction. If we are to stem the tide of increasing sickness in our society and viagra price in pakistan rawalpindi our kids then we need to understand some important nutrition fundamentals and key health issues so we can support our children in achieving great health that will last a lifetime. This article reveals the myths and truths about the best first foods for baby.

    ReplyDelete
  41. Nice response in return of this question with real arguments and explaining the whole thing about that. 온라인카지노

    ReplyDelete
  42. This is highly informatics, crisp and clear. I think that everything has been described in systematic manner. 바둑이사이트넷

    ReplyDelete
  43. Literally, cryotherapy refers to a type of cold therapy. In this technique, you are exposed to very cold temperatures for a couple of minutes. https://cryohaus.com/

    ReplyDelete
  44. The current international markets are underequipped to address new cases of cancer. In low- and middle-income countries, only 10% of the population has access to radiotherapy. massage orlando

    ReplyDelete
  45. Although, the allopathic medicines have saved a billion lives but they are unable to do it in a healthy way, whereas, the alternative largocream practitioners use natural therapy to maintain and restore your health. Various alternative techniques such as chiropractic, homeopathy, Ayurvedic, naturopathy, acupuncture and many more are in constant demand and rise because people have started taking interest in the benefits of alternative medicines.

    ReplyDelete
  46. Homeopathic https://www.largocream.com.pk/product/delay-spray-largo has been used around the world. Although some excellent results have been achieved, this alternative health solution is still a source of controversy in the modern medical field. Most naturopathic doctors, herbalists, holistic healthcare providers and alternative health practitioners believe homeopathy has a place in traditional Western and natural medicine.

    ReplyDelete
  47. One term that many people will hear when going for treatment these days is complementary largo cream price
    , which is sometimes referred to as complementary and alternative medicine. This term represents an effort reconcile two schools of medical thought that have been in conflict for a long time.

    ReplyDelete
  48. Tig welding is one of the most common (and most difficult) forms of the trade and a good tig welder is imperative for laying clean beads and amalgamating materials. With a tig welder, very thin metals can be combined, it can be used for industries like automotive and aerospace work, and tig welders weld aluminum, copper, bronze, steel, nickel alloys, and other metals https://weldlover.com/best-cheap-tig-welders/.

    ReplyDelete
  49. Are you interested in finding an energy healer in your area? Well, you’re in luck; because an energy healer can work virtually anywhere. From rehabs to salons, you can find specialists in a variety of spaces dr sebi food list.

    ReplyDelete
  50. Website Development Packages Starting at £150.00. Get’s You Started. Our custom Small Business Website Design Starter Package is the ideal website development solution for people or independent ventures hoping to build up a solid, proficient web-based presence. For more information you can visit https://www.boossto.co.uk/

    ReplyDelete
  51. Result yang keluar mengikuti hasil dari pusat sehingga tidak ada manipulasi/kecurangan yang biasa dilakukan oleh agen-agen togel lainnya. Dengan perputaran yang besar, winlotre telah terjamin segala macam kemenangan/hadiah yg diperoleh member dan akan dibayar lunas. Oleh karena itu winlotre selalu berupaya untuk meningkatkan pelayanan serta kerjasama yang baik demi menciptakan relasi/hubungan yang Win-Win. Winlotre juga telah menyandang beberapa penghargaan sebagai bandar togel terbaik yang dinobatkan langsung oleh World Lottery Association. Dengan begitu winlotre memiliki visi,misi dan prinsip yang bertujuan untuk menyuguhkan/menyediakan permainan judi yang seru dan nyaman tanpa rasa khawatir kepada seluruh member yang telah bergabung. poker pasti bayar dan terpercaya

    ReplyDelete
  52. Our aim is to make use of artificial turf as a way to provide joy to families as well as provide the financial stability of the team members as well as to further improve the industry of synthetic turf, as well as to create a difference to our community and the world Garden Vila.

    ReplyDelete
  53. Hi! this is often nice article you shared with great information. Thanks for giving such an exquisite informative information. 슬롯머신777사이트

    ReplyDelete
  54. It is a modern tool for checking our body parts' health and conditions that are an essential part of living. Modern science is introducing new tools which we have never seen before it. Thanks Cheap essay writing service

    ReplyDelete
  55. Your article is very interesting. I think this article has a lot of information needed, looking forward to your new posts. Get permission to share. 바카라사이트

    ReplyDelete
  56. While collagen is not a cure-all that will completely turn back the hands of time, i omega 3

    ReplyDelete
  57. Thanks for sharing this amazing information with us. I really appreciate your time. I want to share discounts, vouchers, coupons for different brands. You Can now avail
    Verified Coupons From Here hellofresh healthcare discount

    ReplyDelete
  58. Enjoy non-stop slots game play. Uniquely blended with sound and stories betflix

    ReplyDelete
  59. I think this article has a lot of information needed, looking forward to your new posts Country club

    ReplyDelete
  60. information is much useful , thank you for the post, very useful!

    ReplyDelete
  61. Every traveler should need this information. Often we suffer in diseases so this is the best guidance blog for all. Very nice post, thanks for more information. The information that you discuss in the article is really helpful for me.

    ReplyDelete
  62. If you have a musculoskeletal injury or movement dysfunction, your healthcare provider may refer you to physical therapy to help decrease pain and improve mobility. Your symptoms may be mild, or you may have symptoms that severely limit your functional mobility.Find out more about how these Physical therapy treatment are used in the field.

    ReplyDelete
  63. Offset smokers work by cooking your meat the moment you've stoked the fire. The heat from the fire is then transferred to the cooking chamber, where your meat lies in wait.Best thermometer for smoker You control the amount of smoke by tinkering with the chimney and by adjusting the air intake vents.

    ReplyDelete
  64. "You are so intriguing! I figure I haven't really scrutinized anything equivalent already.
    It's uncommon to find someone who has a certified idea on this point.
    Genuinely, thank you for starting this.용인출장샵추천
    가평출장샵추천
    이천출장샵추천
    일산출장샵추천
    파주출장샵추천
    평택출장샵추천
    화성출장샵추천

    ReplyDelete
  65. A team's ability to create scoring chances is another factor that can influence the outcome of a game. Many people do not pay attention to this element when placing their bets, but when a goal is scored the odds of that goal going in are usually quite favorable for the betting punter. A team that scores goals often will have more chances of scoring more points than one that does not score many บาคาร่า. This is a factor that all teams look at, but it is not always favorable to bet on a team that scores more points than the other.

    ReplyDelete
  66. I think this article has a lot of information needed, looking forward to your new posts Best Boxing gloves for Wrist Support

    ReplyDelete
  67. I have learned huge knowledge from here. I am waiting for your updates
    Regards: Buy online esprersso cabinets

    ReplyDelete
  68. I just love this article although I just find this restaurant that has the best seafood cajun

    ReplyDelete
  69. This comment has been removed by the author.

    ReplyDelete
  70. This comment has been removed by the author.

    ReplyDelete
  71. This comment has been removed by the author.

    ReplyDelete
  72. I have learned huge knowledge from here. I am waiting for your updates
    Regards:
    nose job in turkey

    ReplyDelete
  73. Great article. I immensely love this website. Keep it up! I love to explore things as you gonna. Regards -
    short curly u part wig

    ReplyDelete
  74. This comment has been removed by the author.

    ReplyDelete
  75. Nice Post
    Need to hire an exam helper in Malaysia? Turn to MyAssignmenthelp.my for reliable and efficient support. Our team of professionals specializes in providing exam help for students of all levels. Choose us for the best exam help online in Malaysia.

    ReplyDelete

  76. Offering a wide selection of modern and clean vehicles for all your travel needs. With a luxury fleet from saloon to executive cars, estates, people carriers and minibus taxi (6 to 16 seater) we have got you covered. Thanks for posting the best information and the blog is very good. Regards:
    taxi tour manchester

    ReplyDelete
  77. Looking for the best app design companiesLook no further! We at CMOLDS provide top-notch solutions tailored to your needs.

    ReplyDelete
  78. This comment has been removed by the author.

    ReplyDelete
  79. Wow! Great! Assigment Help London helped me in securing high marks in my assignments. The writing expert was very helpful and assisted me with all my queries which is highly recommended. For more information you can Visit your website helpinassignment. Need Help? Call Us+44 742-759-7101+61 73-1300-073+353 2772-315.

    ReplyDelete
  80. Vuelos baratos ofertas ofrece excelentes ofertas y descuento si está preparando por los Vuelos Baratos Desde Ponce a Barranquilla por aplicando algunos de los trucos. Barranquilla es conocida por tener centro comercial y puerto. La ciudad ofrece una asombrosa vida nocturna en varios bares que es muy cautivador para los turistas. Para más información puedes visitar nuestra web vuelosbaratosofertas. Contacta con nosotras Calle Poniente 44, Delegacion Ciudad De Mexico Mx 02870 Llamar: +1 9392057884 Correo electrónico: info@vuelosbaratosofertas.es

    ReplyDelete
  81. Hace poco tuve la oportunidad de disfrutar de un vuelo a La Habana, Cuba, ¡y fue una experiencia inolvidable! Desde el momento en que subí a bordo, el vuelo en sí fue tranquilo y el servicio a bordo fue de primera categoría. Si también quieres disfrutar llama al southwest cuba teléfono o visita vuelosdesdelahabana. Call now: +1 8586349485
    Email:info@vuelosdondelahabana.es , Address: AVDA CONSTITUCION CORNER MELLA LEVEL 2 N 101 SAN CRISTOBAL DO 9100.

    ReplyDelete
  82. 🌟 ¿Buscas la mejor manera de reservar vuelos de Southwest a La Habana en Cuba? ( +1 8586349485) 📞✈️


    ¿Está buscando la mejor manera de reservar vuelos de Southwest vuelos habana? ¡Lee este artículo informativo que encontré! ✈️ 🇨🇺 ¿Estás planeando un viaje a La Habana, Cuba, y quieres reservar fácilmente tus vuelos con Southwest Airlines? ¡No más búsquedas! Este artículo ofrece información útil sobre cómo comunicarse con Southwest Airlines en La Habana, Cuba, y realizar su pedido de boletos. 📞 ( +1 8586349485) Conozca el número de teléfono de Suroeste de Cuba y otros consejos esenciales para reservar vuelos desde Suroeste de Cuba.🌴 No pierda la oportunidad de descubrir las hermosas vistas y la cultura de La Habana. Para más detalles visite vuelosdesdelahabana.Llama ahora: +1 8586349485 , Email:info@vuelosdondelahabana.es , Address:AVDA CONSTITUCION CORNER MELLA LEVEL 2 N 101 SAN CRISTOBAL DO 9100. Southwest Airlines! 🌞Airlines! 🌞 #CubaTravel #SouthwestAirlines #La HabanaAventuras.

    ReplyDelete
  83. The recent emphasis on delivering NHS Health Checks through GP practices is a promising step towards ensuring accessible healthcare for all. By placing the focus on providers, we can potentially streamline the process, making these crucial health checks more convenient and efficient for patients. This approach underscores the importance of proactive healthcare measures, empowering individuals to take charge of their well-being. Most students are drawn to these types of articles and information, but they are unable to prepare for their exams, If you have been struggling with your exams and want assistance, students can do my online class - online class help and get higher grades on their examinations by providing them with the best available resources, including quality academic services.

    ReplyDelete
  84. "Delivering NHS Health Checks through GP practices ensures a patient-centric approach, fostering a more personalized and accessible healthcare experience. With a provider focus on such crucial preventive measures, the initiative can potentially bolster early intervention and promote holistic wellbeing within the community." Most students are drawn to these types of articles and information, but they are unable to prepare for their exams, If you have been struggling with your exams and want assistance, students can do my class - do my online class and get higher grades on their examinations by providing them with the best available resources, including quality academic services.

    ReplyDelete
  85. This website is a beacon of health knowledge. The content is not only well-researched but also presented in a way that is accessible and genuinely beneficial.Weight loss personal concierge md

    ReplyDelete
  86. To get a better understanding of the goals and direction of this Entertainment Blog, people can look up the link https://untsamqua.webnode.page/l/innovative-strategies-for-business-blog/ below .

    ReplyDelete
  87. It is amazing and well written. Keep up the good work.......https://srd-sassa.org.za/

    ReplyDelete
  88. Thanks For sharing this Informative Post, Checkout this if looking for Superior Cleaning & Pest Services

    ReplyDelete
  89. This comment has been removed by the author.

    ReplyDelete
  90. ¿Cuánto cobra Spirit por una maleta ? +1 858-634-9485


    ¿Quiere viajar ligero con Spirit Airlines? ¿Se pregunta sobre el costo de una maleta de 40 libras? Los precios del equipaje de mano spirit precio o Spirit Maletas varían +1 858-634-9485 , pero normalmente oscilan entre $ 30 y $ 65 por maleta de mano. Sin embargo, las tarifas pueden cambiar según factores como cuándo compras tu boleto y si eres miembro de su $9 Fare Club. Siempre es mejor consultar sus políticas más recientes para conocer los precios más precisos.

    ReplyDelete
  91. ¿Cómo llamar a teléfono Avianca Colombia? El compromiso de Avianca Colombia con la excelencia se refleja en su servicio al cliente, haciendo que los viajes sean fluidos y sin estrés. Con su asistencia confiable y su sencillo proceso de reserva, planificar su próximo viaje será muy sencillo. Su servicio telefónico exclusivo garantiza que sus consultas se aborden con prontitud, ofreciendo tranquilidad a los viajeros. teléfono avianca colombia o avianca colombia teléfono establece el estándar para experiencias de viaje excepcionales.

    ReplyDelete
  92. Thank you for being ready to share information with us. buy HCG Diet scam

    ReplyDelete
  93. We appreciate your willingness to provide us with information. TestoPrime Steroids

    ReplyDelete
  94. Head Start Schools is the premier choice for preschool & daycare in Gurgaon. Our expert educators and enriched curriculum promote a love for learning and holistic development. We provide a safe, caring environment that supports each child's unique growth journey. Join Head Start Schools and give your child the best start in their educational journey.

    ReplyDelete
  95. Número de teléfono de Aeroméxico Airlines?
    ¿Estás buscandocancelar vuelo aerolineas argentinas o cancelar ticket aerolineas argentinas +1-888-6910-320? Es fundamental comprender su política de cancelación para evitar cargos o complicaciones. Comuníquese directamente con Aerolíneas Argentinas o visite su sitio web para obtener orientación sobre cómo proceder para cancelar su reserva sin problemas.

    ReplyDelete

-