Important information on the Healthcare for the Future decision-making meeting

NHS North Cumbria Clinical Commissioning Group’s Governing Body will be meeting on Wednesday 8th March to make decisions following the recent public consultation.

These decisions will be made at a meeting held in public.

It will be held at the Oval Centre, Salterbeck, Workington CA14 5HA from 10am.

The meeting will be held in public, with some spaces reserved in the meeting room for people who attend every Governing Body meeting, as well as representatives from NHS providers and other partner organisations. There will also be some limited seating for representatives of some of the community and campaign groups who have been closely involved with the engagement and consultation process.

The remaining public spaces and those in a nearby room where proceedings will be streamed will be allocated on a first-come, first-served basis by emailing from 10am on Monday morning. This is to ensure people have notice of the process. Please do not email before then as we will only allocate spaces from the morning of Monday 6th March and will notify those who have been successful. Only one allocation can be requested per email.

We are grateful to the Oval Centre for enabling us to hold the meeting in a venue accessible to the public. There is limited parking on site and on street nearby (please be considerate to residents) and there is also a café.

As this is an Extraordinary Meeting of the Governing Body on a single issue – the options considered as part of Healthcare for the Future – there will not be the opportunity for members of the public to raise issues on the day.

The Healthcare for the Future public consultation ran between 26 September 2016 and 19 December 2016.

Since the end of the consultation there has been considerable reflection on the feedback from the public by members of the CCG’s Governing Body, and the leaders of the health system in west, north and east Cumbria. Clinicians have also reviewed the options in light of that feedback.

Members of the media that wish to attend need to confirm in advance with the CCG Communications Team.



More ‘Chatty van’ dates in November

As previously reported, the Healthwatch “Chatty Van” is touring west, north and east Cumbria and will be visiting a town/place somewhere near you during November to help raise awareness of, distribute and support people to respond to the NHS consultation document, ‘The Future of Healthcare in West, North and East Cumbria’.

This important consultation document sets out a number of options for health service delivery.

HWC is an independent organisation whose role is to ensure that people’s views and experiences of health and care services can inform service delivery and improvement. Our staff will be on the Chatty Van to enable people to access copies of the document by whatever means they require; easy read versions will be available as will electronic versions on iPads that will enable the user to respond immediately to the consultation.

David Blacklock the Chief Executive of Healthwatch Cumbria said: “It is very important that people from across West, North and East Cumbria take up the opportunity to consider and respond to the options that are outlined in the consultation document. We know that people have strong views about how and where services should be delivered and Healthwatch Cumbria’s role is to help as many people as possible to be able to understand, discuss and respond to the consultation”

The times and venues where you can visit the Chatty Van are:

Wednesday  09/11/2016

Coop Supermarket Car Park, Egremont 10am – 12noon

Civic Hall Market Square, Cleator Moor CA25 5AR, 1pm – 3pm 

Thursday     10/11/2016 

Castlegate GP Surgery/Community Hospital, 10am – 12noon

Workington Town Centre Hub, 1-3pm 

Friday         11/11/2016 

Tesco Supermarket, Warwick Road, Carlisle, 10am – 12noon

Aldi Supermarket, Dalston Road, Carlisle, 1pm-3pm

Saturday   12/11/2016   

Maryport Coop, Curzon Street, Maryport, 10am–12noon                                                          

Tuesday    15/11/16

Keswick town Centre – Outside Brysons shop, 10am–12noon

Sainsburys Supermarket Caldewgate Carlisle,  2pm–4pm

Wednesday  16/11/16    

Wigton Medical Practice Car Park, Wigton  10am–11:30am

West Cumberland Hospital, Homewood Road, Whitehaven 1pm–3pm                                   

Thursday   17/11/16       

Keswick Town Market, Keswick 9:30am–12noon

Thursday   17/11/16

Workington Community Hospital, park Lane, Workington, 1pm–3pm

Friday 18/11/16   

Carlisle City Centre, outside Primark, 10am–1pm

Cumberland Infirmary, Newtown Road, Carlisle, 2pm–4pm

Wednesday 23/11/16               

Morrisons Supermarket, Penrith, 10am–12noon

Sainsburys Supermarket Penrith, 1pm–3pm

Thursday 24/11/16         

Tesco supermarket, Millom, 11am–3pm

Friday  25/11/16  

Market Square, Kirby Stephen, 10am–12noon

Appleby Town Centre, (outside the information Centre), 1pm–3pm

Saturday 26/11/16

Workington Hub, Workington, 10am–12noon

NHS launches health consultation across west, north and east Cumbria

The NHS in West, North and East Cumbria has launched a public consultation on a number of possible service changes.

The NHS in West, North and East Cumbria launched a public consultation for a number of possible service changes on Monday 26th September 2016.  The wide-ranging consultation covers maternity services, children’s services, community hospital inpatient beds, emergency and acute care and stroke services.  It also covers some recent temporary changes in emergency surgery, trauma and orthopaedic services.

Launching the consultation Sir Neil McKay, chair the local Success Regime said:

“The health and social care system in West, North and East Cumbria faces a number of major challenges.  During this consultation we will be explaining these challenges and some of the changes we may need to make if we are to address the challenges and provide high quality care for our local communities.”

“Throughout my career in the NHS I have had to deal with a number of difficult and challenging issues but the issues we face in West, North and East Cumbria are the toughest I have ever faced.  There is a strong feeling locally that in this area, in recent years, there has been a lot of talk but not enough action.  Our focus is now upon action.”

The consultation document explains how some services could change in our communities and in our hospitals. In the case of most services the document offers a number options for change and invites the public to express its views on these options.


The key challenges outlined in the consultation document include:

  • Difficulty in attracting doctors, nurses, paramedics and other staff to live and work in Cumbria.
  • Hospital stays that are longer than they need to be or hospital admissions that are unnecessary.
  • A significant NHS overspend.
  • Some services which are described by the Care Quality Commission as being either inadequate or in need of improvement.

Vision for the future

The consultation document says, however, that the NHS can tackle these challenges but only if we change our behaviour and change the way in which we deliver services.

Building on the development of ideas that has taken place over recent years and engagement with local communities such as the “Closer to Home” consultation of 2007/8, the consultation document outlines a new vision for health and social care – developed and agreed by all the local health and care bodies – that could help attract the right staff and enable the NHS to deliver services that are tailor-made for communities in West, North and East Cumbria.  The vision is to create…

“A centre of excellence for integrated health and social care provision in rural, remote and dispersed communities”

Integrated Care Communities

At the heart of this new vision is the development of Integrated Care Communities designed to deliver joined up care from the NHS, social care providers and the voluntary sector.  West, North and East Cumbria has been organised into eight areas – based on natural communities of between 20,000 and 70,000 people – to start working in a joined-up fashion.  These are our Integrated Care Communities.

It is clear that people want care to be properly coordinated between health and social care, and between their GP and hospital specialists.  This is what Integrated Care Communities are for.  They will reduce the need for people to attend or stay in hospital, reduce the length of time people spend in hospital, plan care properly to prevent problems before they arise, make greater use of technology and home adaptations and thereby enable more people to remain independent for longer.

The case for change and next steps

The consultation document also lays out the national and local case for change and it explains how people can have their say.  More information is available on the consultation website at

Consultation responses will be analysed independently and an analysis report will be presented to the NHS North Cumbria Clinical Commissioning Group in early 2017.  NHS North Cumbria Clinical Commissioning Group and other local NHS organisations will consider the report before taking any decisions on service changes.

In the spring of 2017, working in partnership with other local NHS organisations and the NHS Northern England Clinical Senate, the Governing Body of NHS North Cumbria Clinical Commissioning Group will then take a number of decisions on the matters detailed in the consultation document.


In addition to outlining a number of possible service changes the consultation document also offers some information about NHS finances in West, North and East Cumbria.  It says that in the last financial year (2015/16) local NHS organisations had a combined overspend of around £70m.  This is projected to rise to £163m a year by 2020 if we do nothing and in order to address this the local health community will need to make efficiency savings of around 6.5% a year over the next five years.

The document says that by 2020 the NHS anticipates it will be able to make efficiency savings of £85m a year through things like reduced agency staff costs, more collaborative working with other health providers and more effective purchasing arrangements and that a further £42m a year can be saved by 2020 with new ways of working.  This includes providing more services in the community, more cost effectively, to help relieve the pressure on our local hospitals.

The document also explains that the direct savings from service changes in maternity services, children’s services, community hospital inpatient beds, stroke services and emergency services are unlikely to be more than £2.1m a year.  The main reason for proposing change in these areas is not money but rather the inability to recruit key staff.

Options for change

The main options for change outlined in the consultation document are:

Children’s services

  • OPTION 1 – Full inpatient services for children at Cumberland Infirmary Carlisle (CIC) but low-risk inpatient services only at West Cumberland Hospital (WCH)
  • OPTION 2 – Full inpatient services at CIC with a short stay children’s assessment unit at WCH
  • OPTION 3 – Full consolidation of children’s inpatient services at CIC

Maternity services

Antenatal and postnatal care would continue at WCH and CIC with all options

  • OPTION 1 – Consultant-led maternity care at CIC and WCH
  • OPTION 2 – Consultant-led care at CIC with a midwife-led unit at WCH
  • OPTION 3 – Full consolidation of maternity services at CIC

Community hospital inpatient beds

  • OPTION 1 – Consolidation of community hospital inpatient beds onto six hospital sites (Brampton, Cockermouth, Keswick, Penrith, Whitehaven, Workington)
  • OPTION 2 – Consolidation of community hospital inpatient beds onto five hospital sites (Brampton, Cockermouth, Keswick, Penrith, Whitehaven)
  • OPTION 3 – Consolidation of community hospital inpatient beds onto a different five hospital sites (Brampton, Keswick, Penrith, Whitehaven, Workington)
  • OPTION 4 – Consolidation of community hospital inpatient beds onto three hospital sites (Carlisle, Penrith, Whitehaven)

Emergency and acute care

Outpatient care and elderly care would continue at CIC and WCH in all options

  • OPTION 1 – 24/7 A&E would continue at CIC and WCH
  • OPTION 2 – 24/7 A&E would continue at CIC with a 24/7 Urgent Care Centre and daytime only A&E at WCH
  • OPTION 3 – 24/7 A&E would continue at CIC with a 24/7 Urgent Care Centre at WCH

Hyper-acute stroke services

Rehabilitation services would continue at both CIC and WCH with both of the options

  • OPTION 1 – Five day a week stroke services would continue as at present at both CIC and WCH
  • OPTION 2 – The NHS would develop a dedicated hyper-acute stroke unit at CIC

Download the presentation from the launch event.