Place Category: Health & Social Care
CHoC (Cumbria Health on Call) is a not for profit organisation serving patients and visitors to the whole of Cumbria which equates to 499,900 population. Cumbria Health on Call also cover a population of approximately 7,000 patients in North Yorkshire and 2,268 square miles in total. The two main population areas are Carlisle and Barrow with a spread of population across the county. 51% of the population live in rural communities.
Cumbria has 24 specific communities that are in the 10% most deprived in England and Wales, of which seven are in the worst 3%.CHoC has a team of salaried and sessional GPs, triage nurses and nurse practitioners. The service covers seven locations across the county. CHoC are co-located next to A&E Departments and various primary care facilities within community hospitals. There are twelve fully equipped vehicles on the road to meet the challenges of providing care to a rural community and also a remote prison.
CHoC provide step up, step down care to ten community hospitals and two Community wards within the Acute Trust setting. CHoC also run a successful GPR programme, investing in five days training per year to equip GPRs to work solo during the OOH period. Investment in training to deliver clinical pathways, i.e. DVT pathway has saved the Cumbria health economy consistently over the last four years. A rolling training programme is in place for all clinical staff which includes Telephone Consultancy, Safeguarding to Level 3, BLS and also refresher days for all clinicians.
Over the past 18 months CHoC has developed further and begun to implement day time services in order to benefit the population of Cumbria. CHoC run a successful Cardiology clinic on a fortnightly basis in the North of the County. The clinic is led by a Consultant Cardiologist alongside two GPSWI’s, who are training in a Diploma for Cardiology. Referrals are currently being accepting from the Eden and Carlisle localities. Patient satisfaction survey results are showing and reporting very positive results.
CHoC also operate a day time home visiting services and residential home visiting services within Furness Locality. This service is in its infancy at the moment, initial reports show that it is running effectively and being received positively by the primary care community.
Social Impact Statements:
Social Impact Statements
The Social Enterprise Mark criteria includes a requirement that the applicant can demonstrate that social and/or environmental objectives are being achieved.
In support of this, new applicants and renewing Mark holders must submit Social Impact Statements that summarise their headline activities and achievements, helping show how they are striving to make a difference and stand up to scrutiny of purpose as a social enterprise.
Updated February 2017
1) Delivering crucial out-of-hours care services
CHoC as a provider are part of the wider integrated healthcare economy in Cumbria. This ensures we meet the needs of our local communities and those visiting the county. Over the past 12 months CHoC have continued to provide a high quality and consistent out-of-hours primary care service to the people of Cumbria. We provide primary care for the majority of the week (68%).
During the OOH period in Cumbria where health services are limited, CHoC provide the only access to primary care and work alongside the emergency departments and the ambulance teams to ensure patients see the right clinician, in the right place in an efficient and timely manner. CHoC have a shared electronic record with the NHS Number as a primary identifier for all providers and is responsible for sharing information to enhance clinical decision making and patient outcomes.
During the last 12 months we have extended our services to include telemedicine, this ensures that we are providing services to harder to reach groups and geographically isolated areas of the county.
In December 2015 Cumbia saw unprecedented rainfall across the county, with thousands of people left homeless and others without power/water. Some communities, for examples Glenridding, were completely cut off with the only access being via boat. CHoC provided primary care to these communities throughout this time, utilising resources in different ways and sending doctors in by boat when we needed to! CHoC continue to provide day time primary care to the rural population of Glenridding. This practice was due to close as it was unable to secure funding and recruit a GP. CHoC have provided the primary care to this community in-hours for over 12months. Significant improvements have been made in terms of patient access and support to the wider GP community within the locality.
2) Providing accessible services to vulnerable patient groups
Approximately 140,000 people access the CHoC service each year. As an OOH organisation we are open to all communities and try to ensure that we are as accessible as we can possibly be.
In October 2015, when NHS111 became the main point of contact for patients OOH in Cumbria, to ensure that vulnerable groups were not disadvantaged by this change in service (this took place on national level) we implemented a separate number specifically designed to take direct calls from vulnerable patient groups to
3) Measuring the benefit to patients
We measure the benefit of our service through patient feedback. We have a live site available at https://www.iwantgreatcare.org/. This a public facing website open to all, and all reviews are published.
Healthwatch Cumbria, an independent patient advice and advocacy service, are currently undertaking a piece of work to gather patient feedback across the county, once the report has been made public (January 2017) this can be shared to demonstrate the benefit of our service.