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Equality and Health Inequalities Strategy
- Noreen Cannon
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1 Equality and Health Inequalities Strategy 1
2 Schematic of the Equality and Health Inequality Strategy Improving Lives: People and Patients Listening and Learning Gaining Knowledge Making the System Work Leadership and Workforce 2
3 Scope of the Strategy NHS England has legal and ethical obligations to reduce health inequalities and advance equality, with due regard to the elimination of discrimination, the promotion of equality of opportunity and the fostering of good relations between those who have a protected characteristic and those who do not share it, in accordance with the public sector Equality Duty of the Equality Act Enshrined in NHS England s strategic approach to tackling health inequalities is proportionate universalism; actions must be universal, but with a scale and intensity that is proportionate to the level of disadvantage. NHS England has legal obligations to reduce inequalities between patients with respect to their ability to access health services and with respect to the outcomes achieved for them by the provision of Health Services, as created by the Health and Social Care Act This Act also placed duties on NHS England to secure that health services are provided in an integrated way and that health services are integrated with health-related and social care services where this would reduce the inequalities in access and outcomes. NHS England s Equality and Health Inequalities strategy will make explicit the accountability arrangements for legal compliance for Health Inequalities duties and the Equality Act compliance and will galvanise action across the system to tackle health inequalities and promote equality of opportunity for all. Vision of the Strategy The vision for the strategy is an NHS that truly delivers the NHS Constitution. Listening to and learning from the public, patients, carers and commmunities, to deliver co-produced services which are person centred, compassionate and flexible. The NHS services shall achieve the same high levels of access, customer satisfaction and outcomes for everyone, including for those currently receiving poor outcomes. NHS services shall be resourced, planned and commissioned, based on robust evidence, to address both barriers to healthcare and health inequalities. NHS staff will be engaged and supported by fair employment and good work, that attracts, retains and develops the best talent from across society. Aims of the Strategy The aims of the strategy are: 1. To support NHS England and the wider NHS in embedding equality of opportunity, including Equality Act 2010 compliance for NHS England and in the wider NHS 2. To support NHS England and the wider NHS in addressing health inequalities, including in complying with its relevant legal duties 3. To support NHS England and the wider system in creating an NHS that has eliminated the wide disparities in health outcomes, that is fair, inclusive and based upon the values of the NHS Constitution - an NHS where everyone counts. 3
4 Principles In delivering this strategy, we will work to the following principles; 1. We will live the values of the NHS Constitution 2. We will work with NHS England colleagues across the Directorates to co-produce planning to mainstream the strategy into core business where possible 3. We will work in partnership both within and beyond the healthcare system, in accordance with NHS England s partnership agreements to ensure alignment and best use of resource in delivering this strategy. Governance The Equality and Health Inequalities team of NHS England will drive forward the strategic priorities and deliverables enshrined in this strategy. Progress against the delivery of the Strategy will be reported on a monthly basis within the Policy Directorate, annually to the Board and risk reported quarterly via the Board Assurance Framework (BAF). Delivery Mechanisms The delivery mechanisms for the strategy include: NHS Equality and Diversity Council and the NHS Values Summits Chaired by the Chief Executive of NHS England, the NHS Equality and Diversity Council s membership includes system leaders from NHS England, the Department of Health, Public Health England, Health Education England, the National Leadership Academy, commissioning and provider NHS organisations, the Local Government Association, regulating bodies, academia, and representatives from a range of partner organisations including the voluntary sector, patient groups and trade unions who are all committed to promoting equality of opportunity for all and tackling health inequalities. The NHS Values Summits help to facilitate and support a culture of shared learning across organisations in tackling health inequalities and promoting a health and care system that is fair, inclusive and based upon the values of the NHS Constitution. Equality Delivery System for the NHS The Equality Delivery System (EDS) is a toolkit that can help NHS organisations to commission and design services and create workplaces that are fair and diverse, improving the services they provide for their local communities, understanding and tackling health inequalities in their localities and providing better working environments for those who work in the NHS. 4
5 Health Inequalities subgroup of the Commissioning Assembly Jointly chaired by Dr Matt Kearney and Dr Sam Everington; the group will drive the work with Clinical Commissioning Groups on health inequalities and will have a wide-reaching influence in its role as an expert reference group for the other sub groups of the Commissioning Assembly and beyond. Development and Consultation The draft strategy has been developed through wide ranging external consultation over the past eighteen months with partners and networks of practitioners working upon equality, diversity and health inequalities on the NHS England website, at Values Summits and webinars. Internal consultation is now being undertaken and it is expected that co-produced deliverables will flow from this strategy with both internal colleagues and external partners and will be subject to regular review and update. Section II The Outcomes and The Enablers The strategy s objectives focus on two areas: patients (Improving Lives) and staff (Leadership and Workforce) in both equality of opportunity and health inequality. Supporting the delivery of these objectives are the aims of three process-focused enablers: Listening and Learning, Gaining Knowledge and Making the System Work. The Outcomes Outcome 1: Improving Lives Objectives: i) Positive impact on population level health inequalities, including by improving access, experience, quality and outcomes of healthcare ii) Improvement in the commissioning and service delivery of healthcare for those where outcomes are currently particularly poor, with the ambition to increase both quality of life and life expectancy iii) Harness the power of NHS employment, procurement and sustainability policies used to address the wider social determinants of health. 5
6 Outcome 2: Workforce and Leadership Objectives: i) The NHS as whole, and NHS England specifically, aspires to identify, attract and recruit the best talent, from a diverse range of backgrounds, particularly at senior levels where representation is poor ii) The capability and capacity of the clinical and non-clinical workforce within the NHS is developed, including at Board level, to promote equality of opportunity for all and to address health inequalities iii) NHS employment pathways are accessible, transparent and inclusive, supporting the workforce to thrive and realise its full potential iv) The NHS workforce is responsive to individual- and community-level health needs and effectively commissions and delivers equitable services v) The NHS as a whole, and NHS England as an individual organisation, uses its power as the employer of over 1.2 million people to addresses health inequalities by providing high quality, good work for all and by being an exemplar employer for all protected and socio-economically disadvantaged groups. The Enablers Enabler 1: Listening and Learning Aim: Putting the multiple perspectives of people and communities at the heart of the NHS Enabler 2: Gaining Knowledge Aim: Better information, more widely shared and more intelligently used Enabler 3: Making the System Work Aim: Promoting equality of opportunity and tackling health inequalities mainstreamed in NHS planning and commissioning Conclusion: Overview of Key Deliverables NHS England and the wider NHS will deliver this strategy in its role as system leader, in its capacity as organisation and employer, and through its influence on commissioning. To advance equality, NHS England will refresh and roll out the Equality Delivery System (EDS2) across the NHS and will develop and implement the Equality, Diversity and Inclusion in the Workplace Strategy. To tackle Health Inequalities, NHS England will establish and support a Commissioning Assembly Working Group on Health Inequalities. The group will work with CCGs to influence and support innovative and robust commissioning to reduce health inequalities. This will include online publication of a Commissioning to Reduce Health Innequalities Toolkit. NHS England will establish a robust assessment process for CCG performance on health 6
7 inequalities and will implement a strategic approach to the collection, monitoring and dissemination of health inequality data to support commissioning decisions. Appendices Deliverables The following are proposed deliverables which NHS England will look to take forward in implementing the Strategy for Equality and Health Inequalities. Outcome 1: Improving Lives 1. Working with NHS England colleagues to incentivise and support the adoption of at scale interventions known to address health inequalities 2. Using joint levers of equality and health inequalities to ensure equity of access and outcomes for all, in particular by developing the capability of national and local commissioners 3. Increased understanding of the health and social needs of inclusion health groups, children and young people and older people 4. Increased awareness and adoption of commissioning and care models that are evidenced to address the needs of inclusion health groups 5. Providing internal consultancy to NHS England Domain teams, to support mainstreaming of approaches within each Domain to reduce health inequalities 6. Providing internal consultancy to ensure that the promotion of equality and reducing health inequalities approaches are reflected in NHS England s core products 7. Providing internal consultancy to embed a Health Capability approach within NHS England s core projects and to support Equality Act compliance 8. Supporting NHS England as a corporately responsible employer to best utilise procurement, commissioning and sustainable development levers to promote equality and tackle health inequalities Outcome 2: Leadership and Workforce 1. Supporting the development of scenario- based Board assessment and recruitment models and best practice guidance to enable inclusive leadership 2. Build capacity to embed rigorous assessment of NHS Values at all levels of the recruitment process, including Board level 3. Supporting an increase in the capability of NHS organisations to undertake evidencebased action on Good Employment 4. Producing the Workforce Census - key statistics and insight that provides data and information about the diversity of the workforce at all levels 5. Providing analysis of Staff Experience - assessment of what factors impact the experience of staff from protected and disadvantaged socio-economic groups, and how diversity at Board level affects organisational performance 6. Helping the NHS become an exemplar employer, with a focus upon addressing staff health and lifestyle issues and working with HR professionals and workforce leaders to support the workforce to remain healthy 7. Supporting the development of medical, nursing and allied health professionals curricula development so that the promotion of equality and tackling of health inequalities is embedded 8. Encouraging people to choose a career in the NHS by offering a range of potential entrance pathways, such as apprenticeships and graduate training programmes in healthcare related careers. Enabler 1: Listening and Learning 7
8 1. Research on What Matters to Patients - evidence based understanding of how different people judge the performance of their local NHS Organisation 2. NHS Values Summits - creating a space for local patients, the public and active citizens to connect and co-create with system leaders and frontline staff. Offering a fresh way to talk about, listen to and understand how people s differences can affect their personal experiences, quality of care and health outcomes 3. Use of a variety of media to champion the need to hear the multiple perspectives of diverse people, patients and communities, including supporting development of NHS England s capability and producing guidance and resources 4. Championing close working relationships and co-production with all key stakeholders within and beyond the NHS 5. Ensuring Patient and Public Voice Strategy is reflective of the diversity of the population and can address equality and health inequalities challenges Enabler 2: Gaining Knowledge 1. A public-facing equality and health inequalities knowledge hub, that supports organisations in understanding and responding to the needs of the populations they serve 2. Data standards and guidance on collecting and using equality data within workforce and services 3. Guidance and tools for commissioners in understanding the health inequalities of the populations they serve 4. Health capability operationalized within risk stratification tools 5. Robust research proposals developed with leading health research bodies and clinical senates, to ensure equality and health inequalities are included as part of mainstream research and within specific projects 6. A suite of NHS health inequalities information, developed in partnership with DH and PHE, to align resources for minimal duplication and maximum impact 7. Domain outcome measures disaggregated where possible for equality and health inequalities 8. Developing methodologies to ensure NHS England can embed equality and health inequalities in all its analytical products 9. Mapping specific health inequalities by protected characteristics and disadvantaged groups 10. Develop robust information on the effectiveness and cost effectiveness of interventions to reduce health inequalities, including individual level interventions 11. Work with Public Health England to further develop prevalence modelling by disease to operationalize within the system 12. Development of patient experience understanding across equality and health inequalities groups 13. Inclusion health intelligence and information development Enabler 3: Making the System Work 1. Building on the national evaluation outcomes to refresh and deliver EDS 2. Support NHS commissioning and provider organisations to meet health inequalities and equality legal obligations, including implementation of the EDS 3. Support the adoption of health capability principles in NHS resource allocation 4. Use the GP contract to reward doctors who improve the health of the neediest people in their practice and to encourage uptake of good practice preventative treatments for those in most need 8
9 5. Align the incentive packages (primary and secondary) to support a reduction in health inequalities and promote equality of opportunity for patients and staff 6. Team [matrix] working to deliver equitable outcomes, embedding a whole population served approach into contracts and ensuring support for commissioners 7. Working with colleagues to support capability development, guidance and resources for CCGs/CSUs to reduce health inequalities; including providing consultancy and support for peer to peer mentoring within clusters of CCGs 8. Working with colleagues to develop and implement robust CCG assessment regarding health inequalities that supports continuous improvement 9. Working with national and area team colleagues (and partner organisations) to develop guidance and tools that support the development of equality and health inequality capability for Health and Wellbeing Boards 10. Produce guidance and resources to provide internal consultancy for direct and specialised commissioners, supporting a continuous improvement approach 11. Working with primary care planning colleagues, reconfigure primary care to reflect health capability (working with RCGP, the BMA and NHS Employers) 12. Information to support Health Watch in understanding its responsibilities in regard to equality and health inequalities 13. Review of all NHS England products, including those published pre-april 2013 for Equality Act compliance and regard for reducing health inequalities 14. Develop awareness and capability for all NHS England staff of the Equality Act (2010) and Health and Social Care Act (2012) health inequalities and integration duties 15. Governance for this strategy to be firmly established and embedded and accountabilities outlined for NHS England staff 16. Working with health visitors to define a role that supports the best possible start in life for all 9
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Without being abandoned in the darkest room
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Without trial and experiments
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Without birth and death
Life would be stagnant
Without love and compassion
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Ocean would be non-existent.
Superb *nature Poetry Clever verses on Existence Focused thought on Reason
Have something to say about the poem?

subset: commoncrawl


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Bonifacio Global City
Bonifacio Global City
CONDOMINIUM FOR SALE: Icon Residences, Bonifacio Global City, Taguig
Floor Area: 61 sqm Price: Php 11.5M Bedroom: 1BR Bathroom: 1TB Furnishing: Fully furnished Parking: 1 slot Details : living/dining area, kitchen, utility area, facing golf course
Bonifacio Global City
CONDOMINIUM FOR SALE: Penhurst Place, Bonifacio Global City, Taguig
Floor Area: 100 sqm Price: Php 28M + VAT or best offer Bedroom: 3BR (converted to spacious 2BR) Bathroom: 3TB Furnishing: Semi furnished Parking: 1 slot Details : living room, dining room, kitchen, newly refurbished, nicely int...
Condo for Sale
Avida CityFlex Studio in Bonifacio Global City
Avida CityFlex Studio in Bonifacio Global City Tower 1 5th floor Facing BGC Bare Inclusive of 1 Parking Space Price is 7.5M Only 36SQM For more information contact us at: 09958144046
Bonifacio Global City
CONDOMINIUM FOR SALE: Mckinley Garden Villas, Mckinley Hill BGC, Taguig
Location : Mckinley Garden Villas, Mckinley Hill, Bonifacio Global City, Taguig City Floor Area: 128 square meters Price: Php 16,000,000.00 Details: Fully upgraded and reconfigured unit, low density building, three bedroom unit...
Bonifacio Global City
CONDOMINIUM FOR LEASE: Shangri-La BGC Horizon Homes
Details: Floor Area: 319 sqm Property Type: Condo Price: P 382K includes association dues Bedroom: 3 BR Details: Needs 1 year advance and 2 months of deposit Semi-furnished Living room, dining room, kitchen Prime location Ready...
Bonifacio Global City
Avida Cityflex Studio For Lease
36 sqm located at Avida Cityflex, Bonifacio Global City Taguig. Just at he back of St. Luke's Hospital, S&R Membership Shopping, Mc Home Depot and beside the luxurious Grand Hyatt Hotel. Php 28,000/month fully furnish...
Bonifacio Global City
CONDOMINIUM FOR LEASE: Pacific Plaza Towers, BGC
Great view Well Maintained Furnished Unit Living/Dining room Poweder room Kitchen Service Area 2 parking slots Bedroom: 3 bedrooms with maid's quarter Bathroom: 3 bathrooms Floor Area: 299 sqm For Lease: P235,000 plus due...
Bonifacio Global City
OFFICE SPACE FOR LEASE: The Finance Center, Bonifacio Global City
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Two Serendra – Meranti FOR SALE
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Ford (2013)
Sale price: US $55,999.00
2013 Ford Super Duty F-550 DRW Jerr-Dan FLATBED 2013 Ford F550 6,7 Turbo Diesel Jerr Dan Roll back L@@K Only 37.000 Miles prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next prev next Vital Information Year
Mileage 2013
Super Duty F-550 DRW Jerr-Dan FLATBED
37,807 Exterior
Stock #
VIN Tuxedo Black Metallic
1FDUF5GT1DEB49065 Engine 6.7L OHV 32-Valve V8 Power Stroke Diesel Engine View All Photos Description 2013 Ford Super Duty F-550 DRW Jerr-Dan FLATBED 2013 FORD F-550 Super Duty
Aluminum Bed w/ Removable Side Rails
Dual Tool Boxes w/ Stainless Steel Doors
Upgraded Payload Plus Package
6 SPEED Automatic Transmission
Shift-Matic Gear Selector w/ Tow Mode
19,500 GVWR Package
4.88 Ratio Limited Slip Axle
50 Gallon Fuel Tank
Owner"s Person Truck ~ Not Used Commercially
Excellent Condition & Meticulously Maintained
We Offer SELECT VEHICLES That are THOROUGHLY INSPECTED and SERVICED by MODEL-SPECIFIC Technicians.
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JOE and SUNDAY VERRILLO OWNERS: We're very Excited that 2019 Marks our 40th Year in Business, it's the Perfect Opportunity to Pay Homage to our Family Name This Summer we are Proud to Introduce Our NEW Brand Name VERRILLO MOTOR CAR!
Since he was a Teenager Joe's Passion has been Corvettes and Muscle Cars. In 1979 he turned that passion into a business Beginning as Classic Auto Sales on Hoosick St in Troy becoming Prestige Motor Car Co in 1984 when Joe and Sunday moved to Clifton Park.
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We Hope that You Enjoy Your Visit to Verrillo Motor Car / Prestige Motor Car Co. Contact Us Dealer Contact
Prestige Motor Car Co.
Ask Dealer A Question
If you have a question, please call or complete the form below for a quick response. Name
Standard Equipment ENTERTAINMENT
AM/FM stereo -inc: digital clock, (2) speakers
Roof clearance lights
Variable intermittent windshield wipers
Manual telescoping trailer tow mirrors w/manual glass & 2-way fold
Underhood service light
225/70R19.5G BSW tires -inc: (2) front all-season & (4) rear all-season tires
Fixed rear window
Black door handles
Solar tinted glass
Front license plate bracket
19.5" argent painted steel wheels
Front fender vents
Black painted steel front bumper w/grained MIC top cover
Black painted grille
3-blink lane change signal
Dual beam jewel headlights
I/P mounted dual cup holders
Dash-top tray
Color-coordinated scuff plates
Inside hood release
Oil minder system
Black vinyl steering wheel
Instrumentation -inc: multifunction switch message center w/ice blue lighting
Tilt & telescoping steering wheel/column
Dual front grab handles
Color-coordinated door trim panel -inc: armrest, grab handle, reflector
Dual map lights
Secondary glove box
Dual color-coordinated coat hooks
Color-coordinated cloth headliner
HD vinyl 40/20/40 split bench seat -inc: center armrest, cup holder, storage
Manual air conditioning
11.5" day/night rearview mirror
Color-coordinated vinyl sun visors -inc: LH pocket, RH insert
Color-coordinated instrument panel -inc: glove box, (4) air registers w/positive shutoff, pwr point & upfitter switches
Manual driver lumbar support
Door activated dome lamp w/delay, I/P switch operation
Front passenger roof ride handles
Auxiliary pwr point
Black vinyl full floor covering
4.88 axle ratio (REQ: 99Y Engine)
Rear wheel drive
Stationary elevated idle control (SEIC)
(40) gallon aft-axle fuel tank
6.8L SOHC EFI Triton 30-valve V10 engine
Dual rear wheels
HD gas shock absorbers
7-wire trailer tow harness w/relays, blunt cut & labeled
TorqShift 5-speed automatic transmission w/OD -inc: tow/haul mode (REQ: 99Y Engine)
Pwr steering w/steering damper
Rear auxiliary springs
Front/rear stabilizer bars
Pwr 4-wheel disc brakes w/hydro boost
175-amp HD alternator
78 amp/hr 750 CCA battery
(2) front tow hooks
Mono-beam front axle w/coil spring suspension
189" wheelbase
Dual-note electric horn
Color-coordinated 3-point safety belts w/front outboard height adjustment
Anti-lock braking system (ABS)
Driver/front passenger frontal, side & curtain airbags
Passenger side airbag deactivation switch
Child tethers on all passenger seats
SOS post crash alert system
Engine only traction control
Below are a few of the other vehicles currently available from Prestige Motor Car Co. Prestige Motor Car Company Clifton Park, NY 518-373-1403 SHOWROOM HOURS
Monday - Friday 9 AM - 6:00 PM
Saturday 10 AM - 3 PM
Sunday Closed
Contact Us At
Email email@example.com
Email email@example.com
Here is Our Story. .. .. .. ...
As a teenager in Troy, New York, Joe Verrillo began his life-long commitment to the True American Sportscar putting all his energies into learning about the Corvettes, how they were assembled, the mechanical workings, and more. His goal was to be an expert in all aspects of the this ultimate sportscar. He apprenticed at the local GM Dealership in the reconditioning and body shop working his way into the mechanical shop paying close attention to every detail constantly striving to widen his knowledge and improve his skills!
In 1975, Classic Auto Sales and Service opened for business with Joe Verrillo as CEO, Salesperson, Mechanic, and all around Corvette Specialist! Joe did very well as he had many mint-condition, used corvettes for sale.
In 1979, Joe met Sunday. She too shared the love of Corvettes! Bringing her commitment to customer service, management achievements, creativity for product presentation and marketing skills, in 1980 they merged to become Prestige Motor Car Company Sales and Service.
Together they began establishing a reputation for personalized customer service, offering low mileage, original, thoroughly serviced classic and late model Corvettes and Specialty vehicles.
For the last 28 years, they have maintained the same high standards and personal integrity that was the foundation of their relationship both professionally and personally. They are very proud of the reputation they have earned among Corvette enthusiasts. Much of their success can be attributed to word of mouth advertising and repeat business! They stand by their motto: "Where quality is our feature and your satisfaction is our future. Each vehicle offered for sale at Prestige Motor Car Co. has been personally inspected by Joe Verrillo and must endure an intense inspection and thorough service by our Corvette Specific Technicians.
Sunday Verrillo and Joe Verrillo continue their commitment to the True American Sportscar as founding members of the National Corvette Museum in Bowling Green, Kentucky and as members of the National Corvette Restorers Society: Joe Verrillo also judges at certification meets.
If we don"t have the specific vehicle you want in our inventory, complete our Wish List form and we will try to find it for you. If you have any questions, or if you are interested in selling or placing your vehicle on consignment with us, call 518-373-1403, email email@example.com or use our contact form.
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It's the Easter holidays – hooray! And exams are approaching – nooooooo! This poses a number of problems but I just want to mention one.
Wellbeing and stress management
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Some thoughts on empathy – cognitive empathy
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Welcome to a New Year! I hope you've enjoyed whatever you wanted to enjoy over the last couple of weeks and are now ready to


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If it wasn't her way of writing (minus the swear words), I don't think I would have fallen in love with BL. It's sorta decadence and sensuality rolled into one. Read an enjoy (RoChu Style)
Allie = Alfred
*Shrugs* Couldn't think of anyone else.
Yao sat down on the windowsill in Ivan's place with a disappointed sigh. "I was hoping for a little more constructive help, Ivan. I hardly want my wife to remember our first time as a painful 'getting it over with'. I'd like to make it romantic and pleasurable if possible."
Ivan looked at him in disbelief. "She's going to be fucking you, Yao. Trust me, it doesn't get any better than that. If she's not pleased by that reality, roses and poems won't make it more palatable."
Yao chuckled morosely. "Yes, 'palatable'. You're just full of cheery descriptions this evening, aren't you?"
"For Christ's sake, you are a fucking god, Yao! You fuck like it's the be-all and end-all. I've seen you fuck women, seen their reaction to it. They goddamn love you! Eat her cunt first, they seem to like that, and God knows you've a sinner's mouth. Then cram her full of that huge cock of yours and fuck her like there's never been anyone else and never will be. That always works for me." He had to turn away as he said the last, force his voice not to choke as he thought of Yao fucking anyone the way he fucked Ivan
Suddenly Yao was there at Ivan's back, pressed against him, his mouth on Ivan's neck, his hands on his hips. "Ivan," he whispered, "Ivan. There is someone else. There always will be. How will I fuck her when I can't stop thinking about you? How will I fuck her without you?"
Ivan shook his head. "I don't know, Yao." He lost the battle and his voice cracked. "But I intend to be rip-roaring drunk while you're doing it, so don't come looking for me tomorrow night to help. I won't help her take you from me."
Yao rested his forehead against Ivan's shoulder and his hands traveled from his hips to his stomach. Ivan's breath caught.
"Help me now then. Show me, show me how you like to be fucked." Yao's voice went deep again, suddenly becoming almost harsh as he reached up and slid Ivan's coat off his shoulders. "You came here to be fucked. Fine. I'll play the stallion for you, Ivan. And tomorrow night, make no mistake, I will play it for my wife." His hands came back around Ivan and he roughly pulled his shirt from his trousers. He spun Ivan around. Then he stepped close and grabbed Ivan's shirt in both hands and yanked hard, ripping it open.
"You come to me for reassurance, for me to prove my love with a fuck? If that's all you want from me, you'll have it." Yao wrapped his hand around the back of Ivan's head and pulled him into a rough kiss, bruising his lips and then forcing them apart so his tongue could spear into Ivan's mouth. Ivan moaned at the hot, wet assault. He grabbed on to the lapels of Yao's robe trying to hold on to his sanity but Yao's suddenly violent lust made his head spin. Just as he surrendered to the kiss, Yao broke away.
"That's not all I want from you," Ivan said, as harsh in his desire as Yao. He pulled the torn remnants of his shirt down his arms. "But it will do for a start."
Yao stalked away, tearing at the ties on his robe, ripping it off and letting it fall unheeded to the ground. He turned to face Ivan.
Ivan couldn't breathe. Yao was so goddamned beautiful. His body was sleek and muscular, his stomach flat, his thighs thick. Yao's cock was ridged with veins, red with the blood filling it, the full head plump and nearly purple. His sac rode beneath it, large and full, balancing the thick, weighty length above it. It made Ivan's mouth water and everything inside him clench in anticipation.
"I want you naked. Now." Yao's voice brooked no argument, and Ivan was not inclined to give any. When he was bare he stood there in the moonlight waiting. He saw Yao looking at him, felt his eyes devour him. "I want you as much tonight as I did the first time we were together. My desire for you has not abated. Why, Ivan, why? What is it about you that makes me love you so?" Yao sounded genuinely perplexed. "You can be such an ass, but I will make every excuse for you just for the chance to fuck you again, to hold you and kiss you and love you. You have bewitched me." Suddenly he lost his fierceness. He held out his hand and Ivan felt compelled to walk forward and take it, as if he were the one bewitched. "I will love you, Ivan, always." Yao pulled him toward the bed. "Remember that whatever I do, I do because I want what's best for you."
Ivan tugged on his hand and Yao stopped, looking over his shoulder at Ivan. "Shouldn't I be the one to decide what's best for me?"
Yao just smiled. "Not tonight." Yao had his nose buried in the thatch of hair at Ivan's crotch and he inhaled deeply. He opened his mouth against Ivan's inner thigh and sucked at the skin there, making Ivan cry out as he marked him. Christ, he loved the scent of Ivan. Just a whiff of it and Yao would be hard as iron in seconds. He'd thought and thought about it and decided part of its allure was that it was his, Yao's. No one else had the right to bury their face there and inhale the essence of Ivan. Ivan smelled of desire for Yao alone. Briefly Yao wondered if he would be jealous when Allie shared Ivan's scent. In spite of all Ivan's protestations he knew that if Allie agreed, one day soon the three would share a bed. Ivan was too sensual not to crave the experience and too possessive of Yao not to invade his marriage bed.
He sucked harder on Ivan's thigh and at the same time worked his fingers into Ivan's ass. He would mark Ivan here, and then again on his ass. Added to the marks he'd put on his chest, Yao was relatively sure that Ivan would carry a reminder of his possession for days to come. They should help Ivan rein in his jealousy over Yao's marriage for the first week. He pulled his fingers out of Ivan while Ivan moaned, and added more cream. Ivan was deliciously tight, and as good as it felt they'd learned through experience there had to be a certain amount of preparation before Yao could fuck him. He was just too tight to rush into it.
He stopped sucking and laved the bruised skin with his tongue soothingly. Ivan liked it just a little rough, just the way Yao liked it.
He supposed that was a good thing because his penis was just large enough that fucking was rarely a gentle affair. He worried yet again about Allie. Would she like it that way too? Would she be able to take Yao? Suddenly Ivan's hand fisted in Yao's hair as Yao licked him.
"Hands above your head, Ivan," he ordered quietly. With a whimper Ivan obeyed. God, he loved that. He knew everyone wondered about them. Who was dominant? Who was on top? Ivan was so loud and brash it was hard for anyone to imagine him surrendering to Yao, but surrender he did, in every way, and Yao made him love it. "Roll over, Ivan," he told him, and Ivan did it immediately. Yao kept his fingers in Ivan's ass while he rolled, scissored them as they twisted with Ivan's movement. Ivan cried out and Yao laughed. He had to take them out to pull his arm out from underneath Ivan's leg and Ivan gasped, making him laugh again.
"Keep your hands above your head, Ivan. I'm going to mark your ass, darling. A huge love bite right here." He licked a spot on Ivan's muscular left cheek and Ivan shivered. He bit down on the choice piece of flesh just as he thrust his three fingers back in Ivan's ass. Ivan moaned and his hips jerked back, taking the thrust expertly. Yao pulled his mouth off and lightly slapped his ass. "Don't move, Ivan. I need to suck."
"God damn it, Yao, I can't help it. You can't expect me not fuck back when it feels so goddamn good." Ivan's voice was harsh and breathless. Yao had been working him for almost half an hour, lovingly torturing him as he marked his territory. Yao slapped his ass again and Ivan groaned. "If you keep doing that I'm going to come. I'm warning you."
Yao swooped down and sucked hard on Ivan's ass, relishing the clenching of the tight muscles there. Yao always made sure Ivan's trousers were cut snugly. He loved his ass, loved to watch him walking or riding, the muscles flexing. Just the thought made him bite a little rougher as he sucked and Ivan swore again, but he didn't move.
"Fuck, fuck, fuck. Yes, god damn you. Don't stop." The words were harsh, but his tone was pleading.
Yao finally broke away. The taste and feel of Ivan's salty, firm flesh in his mouth, the musky scent of him, the tight little whimpers he made had pushed Yao to his limits. He needed to fuck, he couldn't wait any more. He yanked his fingers out and rolled Ivan over unceremoniously.
"What the…" Ivan was startled by Yao's abrupt movements. He lay sprawled, his arms spread over his head, his legs wide. He was breathing hard and his cock was rigid, pre-cum glistening on the tip.
"I want you now." Yao could hear the growl in his voice. He was on edge and he tried to rein himself in, pull back from the precipice of desire but he couldn't. He wanted. No, he hungered plain and simple. He'd been a seething mass of pent-up emotions for days with worry over Allie, over Ivan, over the wedding, over the wedding night. Somehow it was all boiling to the surface here, in this fuck.
He grabbed the pillows from where they'd been tossed to the end of his huge bed. He partially rolled Ivan over to shove the pillows under his hips and then hauled him back over them. Ivan didn't say a word. He knew better.
Yao crawled over him, predator and prey. He settled himself between Ivan's legs, his hands on Ivan's thighs, spreading them apart. Ivan's ass was raised high by the pillows, perfect for Yao to penetrate deeply, effortlessly. At the same time Yao could watch Ivan while he fucked him, play with his cock. He loved fucking Ivan in this position. He grabbed the cream and rubbed a generous amount on his aching erection. While he rubbed he stared at Ivan and their eyes locked.
"I'm going to fuck you this way so you can see me, Ivan. I want you to see the look on my face when I'm inside you. I want you to see how much I need you. I want you to know, once and for all, that you are mine and I will never let you go."
Yao rose to his knees and leaned over Ivan, supporting his weight on his fists by Ivan's shoulders. He adjusted his hips and pressed his cock into Ivan's ass. The first few inches were the hardest, pushing his head past the tight ring of muscles that guarded Ivan's passage so well. It was a sweet, vicious torture for Yao every time. If he could get past the entrance without coming, he knew he'd last for a good, hard fuck. But there had been times when he'd barely gotten inside and he'd come before thrusting even once, the tight, burning heat of Ivan's ass driving him over the edge.
Ivan's neck and upper back arched sharply, pushing his chest into the air as he grabbed at the bedsheets above his head. "Yao," he cried out, his voice strangled. Yes, it was a sweet torture for him as well. He'd told Yao that those first few inches frequently crossed the line between pain and pleasure and then back again. For Ivan, short of climax it was one of the best parts of fucking Yao.
Yao was breathing heavily, his nostrils flared, his eyes narrowed in concentration. He focused on the pulse in Ivan's neck as he pushed until he was halfway inside, then he paused. He closed his eyes and relaxed for a moment, just enjoying the overwhelming sensations of heat and tightness. Ivan relaxed with him as he slowly adjusted to Yao's width.
"More," Ivan whispered, bringing one hand down to grip Yao's forearm. Yao opened his eyes and looked directly into Ivan's intense stare. "More," he repeated. Yao's eye was caught by the glitter of a drop of sweat running down Ivan's temple. He looked and saw Ivan's hair was wet and curling with perspiration, and suddenly he could feel the heat and sweat of their passion on his own skin. It added a new layer of sensation, of decadence, to their intense fuck. He didn't answer Ivan with words, instead he gave him what he desired. With a strong thrust he slid the rest of the way into Ivan.
Ivan's neck arched again and he groaned loudly.
"Is that what you wanted, Ivan?" Yao's question was soft and menacing. "I'll give you what you want, what you beg me for." Yao pulled back and then thrust in again and Ivan angled his hips more to take Yao deeper. Yao laughed darkly at Ivan's complete surrender to him. "Spread your legs wider and bend your knees more. I want to get closer, deeper." His commands harsh, Yao pushed forward, forcing Ivan's legs farther apart. Ivan whimpered and Yao felt the beast inside him stir and stretch. "Cry for it," he told Ivan roughly at the same time his thrusts became less controlled, faster and harder.
Ivan cried out and clutched at Yao's arms with both hands now. "Put your hands above you, against the headboard." Ivan didn't obey, and Yao repeated the order louder, breaking through Ivan's sexual haze. Slowly Ivan complied while Yao stopped moving and waited.
"Why?" Ivan questioned breathlessly.
"Because I don't want you to hit your head on it." Ivan shuddered and closed his eyes. Yao would have none of that. He reached one hand over and fisted Ivan's hair tightly, pulling it hard enough to make his eyes fly open. "Don't you close your eyes. Look at me. Watch me fuck you. Watch me."
Ivan kept his eyes open and trained on Yao's face as Yao began to fuck him again. His motions were smooth, practiced, but each thrust increased in intensity until Ivan's whole body was jerking with each one, only his arms braced over his head keeping him from sliding forward. At that point, Yao adjusted his angle just a fraction and Ivan couldn't stop the loud, harsh cry that ripped from his throat. Oh yes, Yao knew just how to fuck Ivan until he cried with the pleasure of it.
The pleasure, however, was a double-edged sword. The rippling of Ivan's muscles with each plunge of Yao's cock, Ivan's throaty cries, the heat, the sounds of flesh slapping flesh, the feel of Ivan's balls and hard cock caressing his lower stomach with each thrust drove Yao closer and closer to his own climax.
"Who owns you, Ivan?" Yao panted demandingly, rising to his knees, grabbing Ivan's thighs and spreading them so he could watch his cock go in and out of his ass. "Who owns you?"
"Yao," Ivan groaned.
"Come for me, Ivan. Do it, now." The command was all Ivan needed. He cried out harshly and bent forward as cum shot from his cock to cover his stomach. He jerked over and over until he was spent and fell back. Yao slid his arms under Ivan's thighs and gripped his hips. He fucked hard into him, pulling Ivan down on his cock with each thrust and Ivan grunted with each harsh penetration. In moments Yao roared wordlessly as his semen filled Ivan and he could feel its heat and wetness surround his cock inside him. The pleasure was so intense Yao's vision wavered, and when the waves of orgasm quieted he felt weak as a babe.
He gently collapsed on top of Ivan. He gripped Ivan's hair again, shaking him out of his post-orgasmic lassitude. When Ivan opened his eyes and focused on him, Yao leaned over and lay his lips against Ivan's before he spoke.
"I love you, you fucking idiot. Do you believe me now?"
Ivan laughed weakly. "Right now you could tell me the moon was made of cheese and I'd believe you, Yao. Ask me again tomorrow after your wedding."
Yao sighed and rolled off Ivan to pull him close. Ivan curled into him, his head on Yao's shoulder and his arm and leg across Yao as if to hold him there. Right before falling into a deep sleep, Yao spared one more thought to worry about Allie
A/N: The only reason I made this into ChuRo rather than RoChu is because of this line:
"He knew everyone wondered about them. Who was dominant? Who was on top? Ivan was so loud and brash it was hard for anyone to imagine him surrendering to Yao, but surrender he did, in every way, and Yao made him love it"
That line struck me as interesting and it stuck with me for years.
I like her way of writing, minus the overuse of swear words.
Original Summary:
A Brothers in Arms novel.
A child when they were betrothed, Sophia Middleton has been waiting twelve years for Ian Witherspoon to return and marry her. Preyed upon by her vicious father and older brother, Sophie longs for Ian to rescue her.
Ian Witherspoon and Derek Knightly became best friends during the Peninsular War, and returned as lovers. Two more years pass before the desire for a wife and children prompts Ian to recall his little fiancée. Ian is determined to make a marriage work between the three of them. Derek opposes the marriage despite Ian's determination, but how long will he be able to resist love's command?
Sophie's vulnerability hides a core of strength and the combination enthralls and seduces both men. An apt pupil, Sophie learns trust and passion from Ian, and Derek tutors her in the ecstasy of surrender. Love will conquer their fears as they fight those who would tear them apart.


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Enjoy the art galleries and other features of Leon Valley. This city's horseback riding, baseball games and aquarium draw many visitors. San Antonio SeaWorld and River Walk are just a couple of the must-sees in the area. Whether you're planning a family holiday, romantic stay or friends trip, vacation rentals offer features like full kitchens and laundry facilities for a more convenient stay.
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Whether you're looking for adventure or just want to take in the scenery, Leon Valley is a great spot to appreciate mother nature. These are a few of the area's most enchanting sights, all within 30 miles (48.2 km) of the city center:
Fly into San Antonio, TX (SAT-San Antonio Intl.), the closest airport, located 8.8 mi (14.1 km) from the city center.
Our 2019 property listings offer a large selection of 866 vacation rentals near Leon Valley. From 486 Houses to 275 Condos/Apartments, find a unique house rental for you to enjoy a memorable stay with your family and friends. The best places to stay near Leon Valley for a holiday or a weekend are on HomeAway.
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