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| 1 | +{% set serviceHome = '/live/start' %} |
| 2 | + |
| 3 | +{% extends 'address-update/layout.html' %} |
| 4 | + |
| 5 | +{% set heading = 'Where do you live?' %} |
| 6 | + |
| 7 | +{% block pageTitle %} |
| 8 | +{{ heading }} - {{ data.presets[0].servicename }} - NHS |
| 9 | +{% endblock %} |
| 10 | + |
| 11 | +{% block outerContent %} |
| 12 | + {{ backLink({ |
| 13 | + "href": "javascript:history.go(-1)", |
| 14 | + "text": "Go back", |
| 15 | + "classes": "nhsuk-u-margin-top-4 nhsuk-u-margin-bottom-0" |
| 16 | + }) }} |
| 17 | +{% endblock %} |
| 18 | + |
| 19 | +{% block content %} |
| 20 | + |
| 21 | + <div class="nhsuk-grid-row"> |
| 22 | + <div class="nhsuk-grid-column-two-thirds"> |
| 23 | + |
| 24 | + <form action="what-is-your-current-address" method="post" autocomplete="off"> |
| 25 | + |
| 26 | + {% call fieldset({ |
| 27 | + legend: { |
| 28 | + text: heading, |
| 29 | + classes: "nhsuk-fieldset__legend--l", |
| 30 | + isPageHeading: true |
| 31 | + } |
| 32 | + }) %} |
| 33 | + |
| 34 | + {{ radios({ |
| 35 | + "idPrefix": "find-gp-is-address-uk", |
| 36 | + "name": "find-gp-is-address-uk", |
| 37 | + "items": [ |
| 38 | + { |
| 39 | + "value": "England~https://www.nhs.uk/service-search/find-a-gp/", |
| 40 | + "text": "England", |
| 41 | + checked: checked("find-gp-is-address-uk", "England") |
| 42 | + }, |
| 43 | + |
| 44 | + { |
| 45 | + "value": "Isle of Man~https://www.gov.im/categories/health-and-wellbeing/doctors/", |
| 46 | + "text": "Isle of Man", |
| 47 | + checked: checked("find-gp-is-address-uk", "Isle of Man") |
| 48 | + }, |
| 49 | + |
| 50 | + { |
| 51 | + "value": "Northern Ireland~https://www.nidirect.gov.uk/services/gp-practices", |
| 52 | + "text": "Northern Ireland", |
| 53 | + checked: checked("find-gp-is-address-uk", "Northern Ireland") |
| 54 | + }, |
| 55 | + { |
| 56 | + "value": "Scotland~https://www.nhsinform.scot/scotlands-service-directory/gp-practices/", |
| 57 | + "text": "Scotland", |
| 58 | + checked: checked("find-gp-is-address-uk", "Scotland") |
| 59 | + }, |
| 60 | + |
| 61 | + { |
| 62 | + "value": "Wales~https://111.wales.nhs.uk/localservices/?s=GPSurgeries&pc=n&sort=default", |
| 63 | + "text": "Wales", |
| 64 | + checked: checked("find-gp-is-address-uk", "Wales") |
| 65 | + } |
| 66 | + ] |
| 67 | + }) }} |
| 68 | + |
| 69 | + {% endcall %} |
| 70 | + |
| 71 | + {{ button({ |
| 72 | + "text": "Continue" |
| 73 | + }) }} |
| 74 | + |
| 75 | + </form> |
| 76 | + |
| 77 | + </div> |
| 78 | + </div> |
| 79 | + |
| 80 | +{% include 'live/includes/devmode.html' %} |
| 81 | + |
| 82 | +{% endblock %} |
| 83 | + |
| 84 | +{% block footer %} |
| 85 | + {% include 'live/includes/footer.html' %} |
| 86 | +{% endblock %} |
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