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What’s in our archive?
We have had a number of working groups looking at specific issues around children, recruitment and patient voice. All of the notes and reports from previous meetings can be found here.

What’s still active?
We have a number of active groups and would love to hear from anyone who wants to get involved.

They include: Telehealth, Recruitment and Retention and Copeland Community Stroke Prevention Project

Children's Working Group

Working Together to get better outcomes  for Children and Young People

In this working group we are looking at the development of Short Stay Paediatric Units at our hospitals and ensuring the voice of the patients and their family as well as frontline staff is clearly heard. We are looking at wider issues for young people including the 'whole system asthma pathway' and prevention issues. As well as shaping services we are also looking at how the community can help share key health messages to support families.


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Recruitment and Retention Workstream Group

In this working group we are looking at how to support recruitment – arguably the biggest challenge facing the health and care system. We are looking at the issues which may prevent recruitment from a perspective the NHS may not have considered, working with NHS HR teams, looking for advice and guidance from other industries and working with the community to present our areas as a great place to live and work. We also want to ensure staff who are working here feel valued and want to stay.

Medical Staffing Updates:

This is information as requested by the Working Together Steering Group. 

25 October 2018 update

4 June 2018 update

Stroke Services Working Group

We will work with our communities as we implement the Hyper-Acute Stroke Unit and improve our Early Supported Stroke Discharge pathway which will offer more intensive support to get stroke patients active more quickly.

What it is:

We are holding workshops for the public facilitated by the Stroke Association.

We are asking three questions to prompt feedback that can help shape our thinking and influence the implementation of the Hyper Acute Stroke Unit (HASU) and the Early Supported Stroke Discharge (ESSD) pathway. They are:

  • What opportunities do these changes offer?
  • What are the challenges?
  • What do patients and their families/carers want clinicians to know as the service develops?

Emerging themes from workshops so far:

  • The acute phase of the stroke lasts for a short time and the implication and recovery / living life after stroke lasts much longer
  • Concerns about travel for people in west Cumbria
  • Concerns about people in south Copeland / travel times
  • Acknowledging we deserve a modern service 24/7
  • Opportunity to promote prevention and FAST
  • Opportunity to refresh and develop information for people after a stroke which could be ICC specific
  • Pressures on staff within the system at the moment
  • Organisations like the Stroke Association need more support

Building Health Partnerships

North Cumbria Health and Care System is being supported by NHS England to take part in the Building Health Partnerships (BHP) programme working with facilitators from the Institute of Voluntary Action Research (IVAR).

We are one of 5 Integrated care Systems to have successfully bid to be part of the programme.

In North Cumbria we are looking at the prevention of cardiovascular disease such as stroke and heart disease and the detection of conditions like atrial fibrillation which could lead to stroke.

We are hoping to pilot a project in the Copeland area which we could share across the north of the county.

Members of the Third Sector, the West Cumbrian Voices for Healthcare, the Stroke Association, Rotary, Healthwatch and Public Health are working with NHS colleagues to shape and develop a project.

You can find out more about IVAR and the BHP process on the Institute for Voluntary Action Research website

It focuses on facilitating a conversation between local people, the third and voluntary sector and public agencies.

The processes offers support to design a collaborative approach to health challenges with some members of the group going on to  leadership training with the Kings Fund.

Community Hospitals Working Group

Three community alliances have been established in Alston, Maryport and Wigton to develop alternative health service plans when community beds are closed there. We will work with communities around other cottage hospitals to increase the number of beds. Our plans have been shaped by sitting around a table and talking and planning together.


Local Alliances

The decision was made in March last year (2017) that the in-patient beds in Alston, Maryport and Wigton would close. The local alliances - made up of the League of Friends, other community representatives, the NHS and interested members of the public, working together with social care, developed plans of how their local health and care could be delivered so it best suited the needs of those areas without in-patient beds.



The proposals for Alston will provide services for people locally where possible. Health and Care services will work in close partnership with the local community to develop a high quality, affordable and sustainable model for this remote and rural community. The summary that follows below sets out a fully integrated health and care provision delivered in a remote rural setting.

View the summary of Alston Alliance's Health & Care Plan for Alston Moor.

The full document is currently being updated following feedback from the public.


The Maryport Alliance have thanked locals for their support in developing local health plans.

The group who are developing plans for the future of health and care services in Maryport have extended their thanks to the local community for their support and contributions. This is following the decision by the CCG to close the overnight beds in Victoria Hospital.

Vanessa Connor – ICC manager said:

“The CCG gave us the opportunity to develop plans to reinvest the money previously spent on the overnight beds and we are determined to demonstrate that we can use this money effectively in a variety of ways which will undoubtedly benefit Maryport. We do not want to lose the money or our wonderful staff in the hospital!"

Kate Whitmarsh from the Ewanrigg Local Trust and a member of the Alliance said:

"Over the last few months people have contributed by attending meetings, ‘drop in’ events and commenting on social media. All of the ideas and suggestions are being explored and we are including as many as possible in the plans for future development. We are very grateful to all those who have contributed and would encourage more people to get involved.”

More information Here

'Making Maryport Smile' is also on Facebook Here


Wigton and Solway

Residents of the Wigton and Solway area are being asked to share their views on the current health and care proposals for their area.

The proposals have been developed by the Solway Alliance, NHS staff who work in the area, people who have used the services and other health and care services. They outline how health and care services can be delivered to the residents of Wigton and Solway following the decision to close inpatient beds at the hospital.

Last week more than 50 local people came along to hear about the proposals in Wigton at an event organised by the Solway Alliance. Local people had the opportunity to look at the proposed health and care plans, provide feedback and speak to members of the Solway Alliance.  A number of other local representatives also came along to provide information on support available in the area, including: The Community Falls Prevention Team, Public Health, Age UK West Cumbria, West Cumbria Carers and Allerdale Borough Council.

View a summary of The Solway Alliance's Health and Care Plan for Wigton


Maternity Voices Partnership

The existing West Cumbria Maternity Voices Partnership is very active and their members are supporting work where service users' views are vital – this includes the development of midwifery-led care and the Alongside Midwife-Led Units. More information can be found here:

The Maternity Voices Partnership website features more information on the work of the group, how you can get involved, and upcoming events.

New Mums and Dads are always welcome to join the group.


If you would like to get in touch to find out more about Maternity Voices, give feedback or get involved, please email: 

You can also email the Chair of the group:


Experience of Care at Distance Group

This group was established some time ago to consider the issues faced by people travelling for care, to visit family and friends and to ensure we are appropriately responding to their challenges and concerns. This group will feed into the maternity and paediatric discussions and bring some of the challenges under consideration to the wider maternity and paediatric group.

The Experience of Care at Distance Group was agreed by Senior Leadership Board to focus on co-produced solutions to mitigate the impact of receipt of care at distance to where people live, including both transport and non-transport issues, and enabling overarching co-ordination of transport and access associated issues.

Various work is taking place on the group to try and improve the experience of healthcare users and staff relating to the delivery of care distant to where people live and work.

If you would like to get involved with this group or learn more please e-mail:

Telemedicine Working Group

This group is looking at how Telemedicine can be developed to ease some of the challenges faced by being so far from specialist teaching hospitals. It is developing links with specialist services and within the local community. It will also develop links across our system to share learning.