PublicTechnology

Leeds paves the way to joined-up health and social care across the country

Rebecca.Hill July 11, 2016 in Uncategorised - 5 Minutes

Dylan Roberts, Leeds City Council’s digital chief, tells Gill Hitchcock that other public services could benefit from the local authority’s open source integrated care record programme, Ripple.

Leeds council aims to set the standard for integrated health and care systems – Photo credit: Wikimedia Commons

The team behind Leeds City Council’s programme to deliver the integrated health and social care services demanded in NHS England’s Five Year Forward View is working to ensure it can be used anywhere in the country, according to its chief digital officer Dylan Roberts.

“The idea of the Ripple programme is to take what has been done through the Leeds care record and ultimately shape an approach by which that is simplified and standardised, so it can be shared and acquired in other areas,” says Roberts.

Related content

Local Government Association names digital-transformation funding winners
Health and social care integration about leadership as well as tech, says local government and NHS bodies

The programme, which started around a year ago, is based on Leeds’ existing open source integrated care records system.

“That integrated system is used across all the care organisations in Leeds,” says Roberts. “So it is used within all the wards of our teaching hospital, GP surgeries, community and mental health organisations, and in adult social care.”

As part of the NHS’s push for integration, the Ripple project team – which also includes the Local Government Association, the Health and Social Care Information Centre and NHS England – has received £1.35 million in pump-priming funding for two years from the NHS Integrated Digital Care Technology Record fund.

The local authority has three in-house staff working on Ripple, with further capacity and skills brought in as required. Most of the development work has been carried out by external providers, Roberts says.

“One of the things we are keen to do is to build a community of development companies that can then support not just Leeds, but other health and social care providers too,” he says.

He adds that the project’s partners– Answer Consulting, XML Solutions and Lockheed Martin –can develop the capabilities and support people in doing this.

“From our point of view, we are developing it and pioneering it in Leeds, but in such a way that it can simplified, standardised and shared in other areas,” he says.

Six guiding principles

Ripple – named for its potential to spread across the country – works on six open principles.

The first of these is open requirements: a standard set of common needs based on feedback from health and social care organisations about the key information they and their partner organisations require.

Second is open governance, which aims to set standards for good practice in information governance, particularly when it comes to information sharing.

“One of the massive challenges that people face in relation to integrated care records is the information governance,” says Roberts. “So we have developed ratified, open governance documents.”

A European standard developed by the Royal College of Surgeons, OpenEHR (electronic health record), is the basis for the third principle of open architecture.

“This means that whoever is developing anything around care records – and we have people who are developing apps and services for citizens, sometimes unique to individuals – is working to the common OpenEHR standard,” says Roberts. “The result is that services interoperate with each other more easily and, more importantly, they can interoperate with a professional care record system.”

The fourth principle of open integration has seen the development of open application programme interfaces to support system interoperability.

“For example, if you are implementing Ripple in south Tyneside, the hospital might have a certain system, the community health organisation another, and so on,” says Roberts.

“The important thing is that, with open APIs, you can add them to your back-end systems when you are creating a care record.”

He says that the group has worked with Endeavour Health Charitable Trust to try and encourage a set of proprietary vendors to work with open APIs.

The fifth principle is that of open viewer – a care record user interface framework that has been co-designed with clinicians to common standards. This, says Roberts, will provide health and care professionals with a view of care records, regardless of back-end systems.

He says that the final principle, of open citizen, is the least developed. But, given the NHS’s commitment to give citizens access to their medical and social records within five years, it is likely to be crucial. Its aim is to create a standard specification for an open source personal health record.

Joined-up commitment

As the team wants to expand Ripple’s reach, Roberts says there is a need for people to be better educated about the benefits of open standards and a platform-based approach. Then, says Roberts, you need a cultural shift needed to allow user adoption and business change.

But one of the biggest challenges is, he says, “boundaries of control” and broad support for the programme.

“In Leeds, we are blessed with a strong partnership across the city,” he says. “I work hand-in-glove with information governance chiefs in the clinical commissioning group, the hospital, and the community and mental health trusts. We are really committed to a joined-up approach across Leeds.

“For this sort of thing to work, you have to have that joined-up commitment.”

Ripple is being gradually being introduced across Leeds, and in May it was introduced in South Tyneside’s council, as well as the region’s GP surgeries and hospital.

And Roberts says that health and care systems in Liverpool, Warwickshire, Newham, Havering and West Yorkshire are interested in the initiative.

“To be honest, I think the biggest issue we’ve got at the moment is having the capacity to be able to deal with all that.”

Related Posts

Scotland’s top tech adviser grilled by MSPs over ‘colossal’ salary
January 13, 2023
Critics call for insider-trading probe into Braverman emails
November 4, 2022
Public sector websites mark the death of the Queen
September 9, 2022

Rebecca.Hill

Learn More →

180 thoughts on “Leeds paves the way to joined-up health and social care across the country”

  1. Austinlbf December 3, 2024 at 10:00 am

    The above 5 sorts of courting will enable you to to find the companion of your own selection. Mary J. Netters reveals more exciting online dating tips amongst many different useful articles in the web Dating Planet Sitemap. You can too get online dating tips via the net dating assistant websites. People who want to marry or courting with the individual, who belongs to the different country, can simply meet with them by way of this online relationship course of. There are many courting websites available on the internet that permits the women and men to talk, discover and meet with the individuals. Main purpose of these Dating Videos is to improve the end in matchmaking and improve the contact whether it may be by way of phone, chat and video in order that it turn out to be straightforward to seek out the true love, understanding and romantic associate. By following the following tips, you can improve your possibilities of discovering a meaningful connection online. It can occur naturally if you’re going to high school or working at an organization here, because you’ll get loads of possibilities with out even trying. If you’ve got ever seen a cutie within the supermarket and wasted those few treasured moments in her firm craning your neck at her ring finger, you are aware of this problem.

    You may browse dozens, sometimes hundreds of profiles from the comfort of your personal house, shoot off just a few emails, and meet the subsequent evening for drinks. A few days ago, Singletude offered some tips about creating a social networking profile. You possibly can simply access this relationship site by creating your individual profile on it. Give a photograph of you which ones is obvious and not digests is a standout amongst the most important fish within the ocean relationship suggestions. Sometimes it turn out to be so contact to resolve whether the lady is actual and fits with you after saw her image on-line, because you can’t judge the person’s conduct on behalf of the picture. 2. The Internet makes accessible a big pool of dating candidates, a lot of whom you may not meet within the “real world.” What a good distance we’ve come from the days of fortunately settling for the neighboring farmer’s bucktoothed, dimwitted daughter as a result of she might not less than bake a imply cherry pie! Nevertheless it doesn’t mean it’s best to observe all of them. In our quick-paced world, it may be onerous to eke out time to cease at Starbucks for breakfast, much much less hang on the market all latamdate morning ready for the proper match to stroll by way of the door.

    You may easily discover the proper match for you thru the online dating course of. Just enter the search standards which can be essential to you, and the site will return web page after web page of profiles that match your preferences. Most of people nowadays shouldn’t have time to look partner for their very own, they make personal profile on the courting site and update it day by day. With so much going on throughout our busy workdays, it is straightforward to neglect to dress extra scorching or do a final minute spruce-up before heading from the office out to the courting circuit. With extra singles at your fingertips, you are that much more likely to search out another person who loves Barry Manilow and mullets as a lot as you do (supplied such an individual exists at all). Try to know the person you might be relationship and don’t hesitate to spend cash. The physique language of the individual will tell you ways the individual is in actual. Again, be cautious of people who avoid wanting to meet you in actual life-and by no means send somebody cash on-line. It is vitally straightforward to satisfy and dating with individuals through internet.

    4. Online relationship providers allow for increased selectivity. Online relationship providers permit you to bypass the bar trolling and love-me-love-me-not flirting and lower proper to the chase. Nowadays, online relationship providers have made distance virtually moot, facilitating introductions between potential partners who live lots of, even hundreds of miles apart. Nowadays, the internet courting is turning into easy and fast approach to fulfill new individuals. 1. Dating on-line is a timesaver. There are various kinds of dating websites accessible. This is not to say that online dating is uncool, unsafe, unsuccessful, or another adjective prefixed by “-un.” There was a time when it carried a stigma, but that point is quickly fading into a quaint memory of the data Superhighway’s pioneer days, the period of dial-up, chat rooms, and Prodigy. Today the most common is dating is through videos. To overcome this situation Dating Videos are developed. With the assistance of those videos it turns into simple to analyze the person’s movements and habits. Given how properly govt coaching works, chances are you’ll wonder if a dating coach can show you how to finish your battle with being single and discover the relationship you need faster.

  2. medartix.com January 16, 2025 at 12:33 pm

    Appreciate you sharing, great blog post. Will read on…

  3. Jorgedak January 22, 2025 at 7:24 am

    purple pharmacy mexico price list: best online pharmacies in mexico – medication from mexico pharmacy

  4. Rodneyicems January 23, 2025 at 9:32 am

    mexican drugstore online https://mexicaneasypharm.shop/# Mexican Easy Pharm
    mexican online pharmacies prescription drugs

  5. Rodneyicems January 23, 2025 at 3:14 pm

    buying from online mexican pharmacy https://mexicaneasypharm.com/# Mexican Easy Pharm
    medication from mexico pharmacy

  6. Albertruith January 24, 2025 at 10:35 am

    http://semapharm24.com/# rybelsus semaglutide tablets
    price of prednisone tablets

  7. Albertruith January 24, 2025 at 3:20 pm

    https://kamapharm.shop/# buy Kamagra
    25 mg prednisone

  8. Albertruith January 24, 2025 at 8:22 pm

    http://predpharm.com/# Pred Pharm
    prednisone tablets india

  9. Albertruith January 25, 2025 at 1:31 am

    http://predpharm.com/# prednisone medicine
    prednisone oral

  10. Albertruith January 25, 2025 at 8:31 am

    https://kamapharm.com/# Kama Pharm
    prednisone generic cost

  11. Albertruith January 25, 2025 at 4:31 pm

    http://predpharm.com/# prednisone 2.5 mg daily
    1250 mg prednisone

  12. Albertruith January 26, 2025 at 12:40 am

    http://kamapharm.com/# Kama Pharm
    prednisone 20 mg pill

  13. Albertruith January 26, 2025 at 8:19 am

    https://semapharm24.com/# SemaPharm24
    prednisone 50 mg prices

  14. Albertruith January 26, 2025 at 3:42 pm

    http://cytpharm.com/# CytPharm
    buy cheap prednisone

  15. Albertruith January 27, 2025 at 6:00 am

    https://semapharm24.shop/# SemaPharm24
    prednisone 20mg online without prescription

  16. Albertruith January 27, 2025 at 1:20 pm

    https://cytpharm.com/# Cyt Pharm
    prednisone canada pharmacy

  17. Albertruith January 27, 2025 at 7:04 pm

    https://kamapharm.shop/# Kama Pharm
    mail order prednisone

  18. Albertruith January 28, 2025 at 12:25 am

    https://cytpharm.shop/# Cyt Pharm
    buy 40 mg prednisone

  19. MichaelVon January 28, 2025 at 9:31 am

    https://farmatadalitaly.com/# farmacie online autorizzate elenco
    farmacie online sicure

  20. MichaelVon January 28, 2025 at 2:21 pm

    http://farmaprodotti.com/# farmacia online
    farmacia online senza ricetta

  21. MichaelVon January 28, 2025 at 7:13 pm

    https://farmabrufen.shop/# FarmaBrufen
    Farmacie online sicure

  22. MichaelVon January 29, 2025 at 4:36 am

    https://farmasilditaly.com/# viagra naturale in farmacia senza ricetta
    п»їFarmacia online migliore

  23. Briangorce January 31, 2025 at 3:48 am

    top farmacia online http://farmaprodotti.com/# farmacie online autorizzate elenco
    acquisto farmaci con ricetta

  24. Patrickbeisa January 31, 2025 at 6:27 am

    Las apuestas mГ­nimas son accesibles para todos.: win chile – winchile casino

  25. Daviddof January 31, 2025 at 6:41 am

    https://jugabet.xyz/# Los bonos de bienvenida son generosos.
    Slot tournaments create friendly competitions among players.

  26. LannyRinly January 31, 2025 at 9:20 am

    The casino scene is constantly evolving.: taya365.art – taya365.art

  27. Daviddof January 31, 2025 at 10:49 am

    https://winchile.pro/# Los casinos reciben turistas de todo el mundo.
    The Philippines has a vibrant nightlife scene.

  28. Patrickbeisa January 31, 2025 at 11:17 am

    Casino visits are a popular tourist attraction.: phmacao casino – phmacao com login

  29. LannyRinly January 31, 2025 at 2:16 pm

    Promotions are advertised through social media channels.: phtaya – phtaya

  30. Daviddof January 31, 2025 at 2:53 pm

    http://winchile.pro/# Muchos casinos tienen salas de bingo.
    The gaming floors are always bustling with excitement.

  31. Patrickbeisa January 31, 2025 at 4:14 pm

    п»їLos casinos en Chile son muy populares.: win chile – win chile

  32. Daviddof January 31, 2025 at 6:44 pm

    https://jugabet.xyz/# Hay casinos en Santiago y ViГ±a del Mar.
    Players must be at least 21 years old.

  33. LannyRinly January 31, 2025 at 7:08 pm

    Cashless gaming options are becoming popular.: phmacao.life – phmacao.life

  34. Patrickbeisa January 31, 2025 at 9:08 pm

    Live dealer games enhance the casino experience.: phmacao.life – phmacao.life

  35. Daviddof January 31, 2025 at 10:29 pm

    https://phmacao.life/# Poker rooms host exciting tournaments regularly.
    п»їCasinos in the Philippines are highly popular.

  36. LannyRinly January 31, 2025 at 11:47 pm

    Las mГЎquinas tienen diferentes niveles de apuesta.: win chile – winchile

  37. Patrickbeisa February 1, 2025 at 1:43 am

    The casino atmosphere is thrilling and energetic.: taya365.art – taya365 login

  38. Daviddof February 1, 2025 at 2:00 am

    http://jugabet.xyz/# La Г©tica del juego es esencial.
    Slot tournaments create friendly competitions among players.

  39. LannyRinly February 1, 2025 at 4:22 am

    Entertainment shows are common in casinos.: taya365 com login – taya365.art

  40. Daviddof February 1, 2025 at 5:27 am

    https://jugabet.xyz/# La iluminaciГіn crea un ambiente vibrante.
    Live music events often accompany gaming nights.

  41. Patrickbeisa February 1, 2025 at 6:26 am

    The casino experience is memorable and unique.: phmacao com login – phmacao com login

  42. Daviddof February 1, 2025 at 8:57 am

    https://phmacao.life/# The ambiance is designed to excite players.
    Many casinos offer luxurious amenities and services.

  43. LannyRinly February 1, 2025 at 8:59 am

    Resorts provide both gaming and relaxation options.: phmacao.life – phmacao com login

  44. Patrickbeisa February 1, 2025 at 11:10 am

    The casino experience is memorable and unique.: phtaya casino – phtaya

  45. Daviddof February 1, 2025 at 12:41 pm

    https://winchile.pro/# Las redes sociales promocionan eventos de casinos.
    Slot tournaments create friendly competitions among players.

  46. LannyRinly February 1, 2025 at 1:43 pm

    Los croupiers son amables y profesionales.: winchile.pro – winchile casino

  47. Patrickbeisa February 1, 2025 at 3:53 pm

    Visitors come from around the world to play.: phmacao.life – phmacao.life

  48. Daviddof February 1, 2025 at 4:32 pm

    https://taya365.art/# Poker rooms host exciting tournaments regularly.
    Casinos often host special holiday promotions.

  49. LannyRinly February 1, 2025 at 6:27 pm

    Players enjoy a variety of table games.: taya777 register login – taya777 register login

  50. Daviddof February 1, 2025 at 8:16 pm

    https://taya777.icu/# Resorts provide both gaming and relaxation options.
    Many casinos host charity events and fundraisers.

  51. Patrickbeisa February 1, 2025 at 8:43 pm

    Many casinos provide shuttle services for guests.: taya365.art – taya365.art

  52. LannyRinly February 1, 2025 at 11:13 pm

    Live dealer games enhance the casino experience.: phtaya login – phtaya.tech

  53. Daviddof February 2, 2025 at 12:07 am

    http://phtaya.tech/# The thrill of winning keeps players engaged.
    Some casinos have luxurious spa facilities.

  54. Patrickbeisa February 2, 2025 at 1:38 am

    The Philippines offers a rich gaming culture.: phmacao club – phmacao club

  55. Daviddof February 2, 2025 at 4:08 am

    https://jugabet.xyz/# Las mГЎquinas tragamonedas tienen temГЎticas diversas.
    The poker community is very active here.

  56. LannyRinly February 2, 2025 at 4:15 am

    The casino scene is constantly evolving.: taya777 register login – taya777 register login

  57. Patrickbeisa February 2, 2025 at 7:11 am

    The casino experience is memorable and unique.: phmacao – phmacao

  58. Daviddof February 2, 2025 at 8:20 am

    https://winchile.pro/# Los juegos en vivo ofrecen emociГіn adicional.
    Resorts provide both gaming and relaxation options.

  59. LannyRinly February 2, 2025 at 9:22 am

    Online gaming is also growing in popularity.: phmacao – phmacao.life

  60. Daviddof February 2, 2025 at 12:29 pm

    https://taya365.art/# Casinos often host special holiday promotions.
    Game rules can vary between casinos.

  61. Patrickbeisa February 2, 2025 at 12:30 pm

    Players must be at least 21 years old.: taya777 app – taya777

  62. LannyRinly February 2, 2025 at 2:20 pm

    Los casinos celebran festivales de juego anualmente.: winchile – win chile

  63. Daviddof February 2, 2025 at 4:46 pm

    https://jugabet.xyz/# Las aplicaciones mГіviles permiten jugar en cualquier lugar.
    The poker community is very active here.

  64. Patrickbeisa February 2, 2025 at 5:45 pm

    Many casinos provide shuttle services for guests.: taya365 login – taya365

  65. LannyRinly February 2, 2025 at 7:11 pm

    A variety of gaming options cater to everyone.: phtaya – phtaya.tech

  66. Daviddof February 2, 2025 at 8:55 pm

    http://phmacao.life/# Game rules can vary between casinos.
    Casinos often host special holiday promotions.

  67. Patrickbeisa February 2, 2025 at 11:12 pm

    Some casinos feature themed gaming areas.: phmacao – phmacao casino

  68. Daviddof February 3, 2025 at 1:07 am

    http://phmacao.life/# The Philippines has a vibrant nightlife scene.
    Gaming regulations are overseen by PAGCOR.

  69. Patrickbeisa February 3, 2025 at 4:41 am

    The thrill of winning keeps players engaged.: taya777 register login – taya777 login

  70. Daviddof February 3, 2025 at 5:17 am

    https://phmacao.life/# The Philippines offers a rich gaming culture.
    The Philippines has several world-class integrated resorts.

  71. LannyRinly February 3, 2025 at 5:23 am

    High rollers receive exclusive treatment and bonuses.: taya365 com login – taya365 login

  72. Daviddof February 3, 2025 at 9:29 am

    http://phmacao.life/# The thrill of winning keeps players engaged.
    Some casinos feature themed gaming areas.

  73. Patrickbeisa February 3, 2025 at 10:13 am

    La iluminaciГіn crea un ambiente vibrante.: win chile – winchile.pro

  74. LannyRinly February 3, 2025 at 10:40 am

    Cashless gaming options are becoming popular.: phtaya – phtaya

  75. Daviddof February 3, 2025 at 1:36 pm

    http://winchile.pro/# Hay casinos en Santiago y ViГ±a del Mar.
    The gaming floors are always bustling with excitement.

  76. Patrickbeisa February 3, 2025 at 3:44 pm

    Muchos casinos ofrecen restaurantes y bares.: jugabet chile – jugabet casino

  77. LannyRinly February 3, 2025 at 3:47 pm

    Slot tournaments create friendly competitions among players.: phtaya casino – phtaya

  78. Daviddof February 3, 2025 at 5:42 pm

    http://taya777.icu/# The Philippines has a vibrant nightlife scene.
    Some casinos feature themed gaming areas.

  79. LannyRinly February 3, 2025 at 8:47 pm

    The Philippines has several world-class integrated resorts.: phtaya casino – phtaya login

  80. Patrickbeisa February 3, 2025 at 9:07 pm

    Gaming regulations are overseen by PAGCOR.: taya777 login – taya777 register login

  81. LannyRinly February 4, 2025 at 1:49 am

    Many casinos have beautiful ocean views.: phtaya.tech – phtaya casino

  82. Daviddof February 4, 2025 at 2:03 am

    https://taya365.art/# Entertainment shows are common in casinos.
    Casino promotions draw in new players frequently.

  83. Patrickbeisa February 4, 2025 at 2:26 am

    The ambiance is designed to excite players.: phtaya casino – phtaya casino

  84. Daviddof February 4, 2025 at 6:13 am

    https://taya365.art/# Gambling regulations are strictly enforced in casinos.
    Casinos often host special holiday promotions.

  85. LannyRinly February 4, 2025 at 6:41 am

    The casino scene is constantly evolving.: taya777 – taya777 register login

  86. Patrickbeisa February 4, 2025 at 7:20 am

    Las experiencias son Гєnicas en cada visita.: winchile.pro – winchile.pro

  87. Daviddof February 4, 2025 at 10:19 am

    https://phtaya.tech/# The casino atmosphere is thrilling and energetic.
    High rollers receive exclusive treatment and bonuses.

  88. Davidjaf February 4, 2025 at 12:41 pm

    pharmacy coupons: online pharmacy delivery usa – online pharmacy without prescription

  89. MichaelSep February 4, 2025 at 12:54 pm

    legal online pharmacy coupon code http://xxlmexicanpharm.com/# xxl mexican pharm

  90. WillieBut February 4, 2025 at 3:49 pm

    xxl mexican pharm: xxl mexican pharm – purple pharmacy mexico price list

  91. MichaelSep February 4, 2025 at 4:55 pm

    canadian pharmacy without prescription https://discountdrugmart.pro/# discount drug pharmacy

  92. Davidjaf February 4, 2025 at 5:47 pm

    Best online pharmacy: Cheapest online pharmacy – family pharmacy

  93. WillieBut February 4, 2025 at 8:38 pm

    MegaIndiaPharm: Mega India Pharm – MegaIndiaPharm

  94. MichaelSep February 4, 2025 at 8:52 pm

    cheapest pharmacy prescription drugs https://xxlmexicanpharm.shop/# best online pharmacies in mexico

  95. Davidjaf February 4, 2025 at 10:38 pm

    Cheapest online pharmacy: family pharmacy – family pharmacy

  96. MichaelSep February 5, 2025 at 12:40 am

    canada pharmacy not requiring prescription https://megaindiapharm.com/# Online medicine order

  97. WillieBut February 5, 2025 at 1:28 am

    canada pharmacy online: canadian pharmacy price checker – easy canadian pharm

  98. Davidjaf February 5, 2025 at 4:03 am

    xxl mexican pharm: buying from online mexican pharmacy – mexican online pharmacies prescription drugs

  99. WillieBut February 5, 2025 at 7:14 am

    mexican mail order pharmacies: xxl mexican pharm – mexico drug stores pharmacies

  100. CharlesThofs February 5, 2025 at 8:31 am

    online pharmacy discount code https://xxlmexicanpharm.com/# xxl mexican pharm

  101. Davidjaf February 5, 2025 at 10:15 am

    easy canadian pharm: canadian online drugstore – canada drug pharmacy

  102. MichaelSep February 5, 2025 at 4:02 pm

    canadian pharmacy world coupons https://discountdrugmart.pro/# drug mart

  103. Davidjaf February 5, 2025 at 4:33 pm

    cheapest pharmacy canada: easy canadian pharm – canadian pharmacy uk delivery

  104. WillieBut February 5, 2025 at 6:54 pm

    world pharmacy india: mail order pharmacy india – world pharmacy india

  105. MichaelSep February 5, 2025 at 8:08 pm

    best no prescription pharmacy https://xxlmexicanpharm.shop/# mexican border pharmacies shipping to usa

  106. Davidjaf February 5, 2025 at 10:47 pm

    Online medicine home delivery: MegaIndiaPharm – Mega India Pharm

  107. WillieBut February 6, 2025 at 12:44 am

    prescription drugs online: Best online pharmacy – online pharmacy delivery usa

  108. Davidjaf February 6, 2025 at 5:01 am

    xxl mexican pharm: xxl mexican pharm – xxl mexican pharm

  109. WillieBut February 6, 2025 at 6:34 am

    canadapharmacyonline com: easy canadian pharm – easy canadian pharm

  110. CharlesThofs February 6, 2025 at 8:16 am

    best no prescription pharmacy http://easycanadianpharm.com/# easy canadian pharm

  111. Davidjaf February 6, 2025 at 11:21 am

    drugmart: cheapest pharmacy prescription drugs – drugmart

  112. MichaelSep February 6, 2025 at 12:47 pm

    canadian online pharmacy no prescription https://megaindiapharm.shop/# pharmacy website india

  113. CharlesThofs February 6, 2025 at 2:24 pm

    cheapest pharmacy for prescription drugs https://xxlmexicanpharm.shop/# xxl mexican pharm

  114. MichaelSep February 6, 2025 at 5:10 pm

    cheapest pharmacy prescription drugs https://easycanadianpharm.com/# easy canadian pharm

  115. Davidjaf February 6, 2025 at 5:54 pm

    best canadian pharmacy no prescription: drug mart – drug mart

  116. WillieBut February 6, 2025 at 6:39 pm

    Best online pharmacy: Online pharmacy USA – Best online pharmacy

  117. PorterveW February 6, 2025 at 9:43 pm

    xxl mexican pharm mexican mail order pharmacies mexico pharmacies prescription drugs

  118. Davidjaf February 7, 2025 at 12:12 am

    drug mart: discount drug mart pharmacy – drug mart

  119. WillieBut February 7, 2025 at 12:29 am

    Mega India Pharm: MegaIndiaPharm – Mega India Pharm

  120. CharlesThofs February 7, 2025 at 2:18 am

    mail order pharmacy no prescription http://xxlmexicanpharm.com/# mexican drugstore online

  121. Davidjaf February 7, 2025 at 6:03 am

    xxl mexican pharm: xxl mexican pharm – п»їbest mexican online pharmacies

  122. Davidjaf February 7, 2025 at 12:05 pm

    easy canadian pharm: easy canadian pharm – easy canadian pharm

  123. CharlesThofs February 7, 2025 at 1:37 pm

    cheapest pharmacy to fill prescriptions without insurance https://easycanadianpharm.com/# easy canadian pharm

  124. MichaelSep February 7, 2025 at 2:57 pm

    no prescription required pharmacy https://easycanadianpharm.com/# easy canadian pharm

  125. WillieBut February 7, 2025 at 5:11 pm

    easy canadian pharm: pharmacy com canada – canadian pharmacy ratings

  126. Davidjaf February 7, 2025 at 6:14 pm

    mexican drugstore online: xxl mexican pharm – xxl mexican pharm

  127. MichaelSep February 7, 2025 at 7:21 pm

    promo code for canadian pharmacy meds https://xxlmexicanpharm.shop/# xxl mexican pharm

  128. Davidjaf February 8, 2025 at 12:23 am

    Online pharmacy USA: Cheapest online pharmacy – canadian pharmacy discount code

  129. MichaelSep February 8, 2025 at 4:15 am

    pharmacy coupons https://xxlmexicanpharm.shop/# reputable mexican pharmacies online

  130. WillieBut February 8, 2025 at 4:39 am

    canadian pharmacy scam: easy canadian pharm – canadapharmacyonline legit

  131. PorterveW February 8, 2025 at 6:00 am

    Mega India Pharm Mega India Pharm MegaIndiaPharm

  132. Davidjaf February 8, 2025 at 6:28 am

    discount drugs: drug mart – discount drug mart pharmacy

  133. CharlesThofs February 8, 2025 at 7:04 am

    canada drugs coupon code https://megaindiapharm.shop/# MegaIndiaPharm

  134. Davidjaf February 8, 2025 at 12:31 pm

    xxl mexican pharm: xxl mexican pharm – mexico pharmacies prescription drugs

  135. CharlesThofs February 8, 2025 at 12:49 pm

    online canadian pharmacy coupon https://xxlmexicanpharm.com/# xxl mexican pharm

  136. MichaelSep February 8, 2025 at 12:58 pm

    no prescription pharmacy paypal https://discountdrugmart.pro/# discount drug mart pharmacy

  137. Davidjaf February 8, 2025 at 5:40 pm

    canadian pharmacies compare: canadian pharmacy 365 – canadian pharmacy

  138. MichaelSep February 8, 2025 at 9:17 pm

    rxpharmacycoupons https://discountdrugmart.pro/# discount drugs

  139. Davidjaf February 8, 2025 at 10:29 pm

    Cheapest online pharmacy: Cheapest online pharmacy – Best online pharmacy

  140. MichaelSep February 9, 2025 at 1:28 am

    cheapest pharmacy to fill prescriptions with insurance https://megaindiapharm.shop/# Mega India Pharm

  141. Davidjaf February 9, 2025 at 3:14 am

    easy canadian pharm: easy canadian pharm – trustworthy canadian pharmacy

  142. Davidjaf February 9, 2025 at 8:12 am

    easy canadian pharm: canadian pharmacy meds – canadian pharmacies comparison

  143. WillieAgirm February 9, 2025 at 10:14 am

    Slot klasik tetap menjadi favorit banyak orang https://garuda888.top/# Banyak pemain menikmati jackpot harian di slot

  144. Davidsputt February 9, 2025 at 11:16 am

    https://bonaslot.site/# Banyak pemain berusaha untuk mendapatkan jackpot

  145. JamesErype February 9, 2025 at 12:55 pm

    Mesin slot digital semakin banyak diminati https://slotdemo.auction/# Slot menjadi bagian penting dari industri kasino

  146. ThomasOrisk February 9, 2025 at 1:50 pm

    Slot menjadi bagian penting dari industri kasino: slot demo gratis – slotdemo

  147. WillieAgirm February 9, 2025 at 2:22 pm

    Kasino menawarkan pengalaman bermain yang seru https://slotdemo.auction/# Kasino sering memberikan hadiah untuk pemain setia

  148. Davidsputt February 9, 2025 at 4:05 pm

    http://garuda888.top/# Slot dengan fitur interaktif semakin banyak tersedia

  149. ThomasOrisk February 9, 2025 at 6:36 pm

    Bermain slot bisa menjadi pengalaman sosial: bonaslot – bonaslot.site

  150. WillieAgirm February 9, 2025 at 7:02 pm

    Slot memberikan kesempatan untuk menang besar http://preman69.tech/# Pemain harus memahami aturan masing-masing mesin

  151. Davidsputt February 9, 2025 at 8:20 pm

    https://bonaslot.site/# Kasino selalu memperbarui mesin slotnya

  152. ThomasOrisk February 9, 2025 at 10:51 pm

    Mesin slot sering diperbarui dengan game baru: garuda888.top – garuda888.top

  153. WillieAgirm February 9, 2025 at 11:12 pm

    Pemain sering mencoba berbagai jenis slot https://bonaslot.site/# Slot menawarkan berbagai jenis permainan bonus

  154. WillieAgirm February 10, 2025 at 3:04 am

    Kasino di Bali menarik banyak pengunjung https://slotdemo.auction/# Kasino selalu memperbarui mesin slotnya

  155. ThomasOrisk February 10, 2025 at 3:10 am

    Kasino di Indonesia menyediakan hiburan yang beragam: slot demo – slot demo rupiah

  156. Davidsputt February 10, 2025 at 4:52 am

    https://slotdemo.auction/# Slot dengan pembayaran tinggi selalu diminati

  157. WillieAgirm February 10, 2025 at 6:58 am

    Slot menawarkan kesenangan yang mudah diakses https://preman69.tech/# Mesin slot sering diperbarui dengan game baru

  158. ThomasOrisk February 10, 2025 at 8:01 am

    Mesin slot menawarkan berbagai tema menarik: slot demo – slot demo gratis

  159. Davidsputt February 10, 2025 at 9:52 am

    http://garuda888.top/# Jackpot progresif menarik banyak pemain

  160. WillieAgirm February 10, 2025 at 11:10 am

    Pemain sering mencoba berbagai jenis slot https://bonaslot.site/# Slot dengan tema budaya lokal menarik perhatian

  161. ThomasOrisk February 10, 2025 at 1:55 pm

    Banyak pemain menikmati jackpot harian di slot: garuda888 slot – garuda888.top

  162. JamesErype February 10, 2025 at 2:37 pm

    Kasino menyediakan layanan pelanggan yang baik http://slot88.company/# Banyak pemain berusaha untuk mendapatkan jackpot

  163. WillieAgirm February 10, 2025 at 3:40 pm

    Kasino menawarkan pengalaman bermain yang seru https://slotdemo.auction/# Mesin slot dapat dimainkan dalam berbagai bahasa

  164. ThomasOrisk February 10, 2025 at 7:35 pm

    Pemain bisa menikmati slot dari kenyamanan rumah: bonaslot – bonaslot

  165. WillieAgirm February 10, 2025 at 8:10 pm

    Keseruan bermain slot selalu menggoda para pemain https://preman69.tech/# Jackpot besar bisa mengubah hidup seseorang

  166. Davidsputt February 10, 2025 at 8:33 pm

    https://garuda888.top/# Kasino sering memberikan hadiah untuk pemain setia

  167. WillieAgirm February 11, 2025 at 12:18 am

    Slot dengan pembayaran tinggi selalu diminati http://slotdemo.auction/# Mesin slot dapat dimainkan dalam berbagai bahasa

  168. ThomasOrisk February 11, 2025 at 12:22 am

    Banyak pemain menikmati jackpot harian di slot: bonaslot.site – bonaslot

  169. Davidsputt February 11, 2025 at 1:11 am

    https://garuda888.top/# Slot dengan grafis 3D sangat mengesankan

  170. AaronLiz February 11, 2025 at 1:57 am

    BonaSlot BonaSlot Beberapa kasino memiliki area khusus untuk slot

  171. WillieAgirm February 11, 2025 at 4:23 am

    Slot modern memiliki grafik yang mengesankan http://slotdemo.auction/# Mesin slot baru selalu menarik minat

  172. ThomasOrisk February 11, 2025 at 5:08 am

    Keseruan bermain slot selalu menggoda para pemain: preman69 slot – preman69

  173. WillieAgirm February 11, 2025 at 8:26 am

    Kasino di Indonesia menyediakan hiburan yang beragam http://bonaslot.site/# Pemain sering mencoba berbagai jenis slot

  174. ThomasOrisk February 11, 2025 at 9:55 am

    Slot dengan bonus putaran gratis sangat populer: preman69.tech – preman69.tech

  175. Davidsputt February 11, 2025 at 10:20 am

    https://slot88.company/# Kasino memastikan keamanan para pemain dengan baik

  176. ThomasOrisk February 11, 2025 at 2:49 pm

    Slot dengan tema budaya lokal menarik perhatian: akun demo slot – slot demo rupiah

  177. Davidsputt February 11, 2025 at 3:02 pm

    http://preman69.tech/# Kasino di Jakarta memiliki berbagai pilihan permainan

  178. WillieAgirm February 11, 2025 at 4:39 pm

    Keseruan bermain slot selalu menggoda para pemain http://bonaslot.site/# Slot menjadi daya tarik utama di kasino

  179. ThomasOrisk February 11, 2025 at 7:40 pm

    Jackpot besar bisa mengubah hidup seseorang: slot88 – slot 88

  180. WillieAgirm February 11, 2025 at 8:53 pm

    Banyak pemain menikmati bermain slot secara online https://slotdemo.auction/# Mesin slot dapat dimainkan dalam berbagai bahasa

Leave a Reply