{
    "version": 2,
    "licence": "https://creativecommons.org/licenses/by/4.0/",
    "licence_note": "Site content is CC-BY 4.0. See https://alstonmoorhealth.org/licence",
    "source": "https://alstonmoorhealth.org",
    "generated_at": "2026-06-06T00:18:03+01:00",
    "count": 23,
    "items": [
        {
            "id": "4a3391f35355e037",
            "reference": "",
            "recipient": "Westmorland and Furness Council",
            "recipient_short": "WFC",
            "subject": "Health and Wellbeing Board (Grisedale Croft / Alston Moor intermediate care)",
            "summary": "It concerns the Westmorland and Furness Health and Wellbeing Board\r\n(the \"Board\"), covering the period from the establishment of\r\nWestmorland and Furness Council on 1 April 2023 to the date of this\r\nrequest, together with any shadow or transitional Health and\r\nWellbeing Board arrangements operating before that date.\r\n\r\nFor the purposes of this request, the \"relevant subject matter\" means\r\nany one or more of the following:\r\n\r\n(a) Grisedale Croft Care Home, Alston;\r\n(b) the proposed closure of Grisedale Croft and the current public\r\n    consultation on its future;\r\n(c) intermediate care, step-down or re-ablement provision for the\r\n    residents of Alston Moor, whether at Grisedale Croft or elsewhere;\r\n(d) inpatient, step-down or intermediate-care beds associated with the\r\n    Ruth Lancaster James Community Hospital, Alston; and\r\n(e) the adequacy, sufficiency or future of residential or intermediate\r\n    adult care provision in Alston Moor more generally.\r\n\r\nPlease provide the following recorded information that relates, in\r\nwhole or in part, to the relevant subject matter:\r\n\r\n1. Any agenda or agenda item of the Board.\r\n\r\n2. Any minute or record of proceedings of the Board.\r\n\r\n3. Any report, briefing or supporting paper presented or circulated to\r\n   the Board, including papers presented to any sub-committee, working\r\n   group or task-and-finish group of the Board.\r\n\r\n4. Any decision, recommendation, resolution or action recorded by the\r\n   Board.\r\n\r\n5. Any passage in the Joint Strategic Needs Assessment, or in any Joint\r\n   Local Health and Wellbeing Strategy (or any document serving the\r\n   equivalent function under a different title), that has been prepared,\r\n   adopted, reviewed or refreshed by the Board.",
            "campaign": "grisedale_croft",
            "sent_date": "2026-06-03",
            "deadline": "2026-07-01",
            "status": "sent",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/health_and_wellbeing_board_grise",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#4a3391f35355e037"
        },
        {
            "id": "8f3b83f77c662196",
            "reference": "",
            "recipient": "Westmorland and Furness Council",
            "recipient_short": "WFC",
            "subject": "Consultation process, decision-making and Gunning compliance for Grisedale Croft",
            "summary": "The consultation document for Grisedale Croft, the full list of consultees, and the distribution plan, including how residents without internet access on Alston Moor will be reached.\r\nConfirmation of the start date, end date, and scheduled decision date of the consultation, and the names of the officer and the Cabinet member with responsibility for analysing responses.\r\nConfirmation of whether the final decision will be taken by Cabinet, by full Council, or under delegated authority by the Director of Adult Care.\r\nConfirmation of whether and how the outcome will be scrutinised by the relevant Scrutiny Committee(s), and whether a call-in procedure is available.\r\nAny protocol or internal guidance governing how the Council responds to representations from a Parish Council, Town Council, MP or Member of the House of Lords during the consultation period.\r\nThe Cabinet report dated 21 April 2026 states at paragraph 9.5: \"Whilst a potentially suitable property has been identified, the Council has not had a conditional offer accepted.\" The Council's response to question 13 of FOI-208440-2026 (received 22 May 2026) states that no feasibility study, site-search report, options appraisal, or correspondence with potential site owners has been undertaken to date in relation to the provision of alternative accommodation. Please provide:\r\n\r\n(a) Any document, note, email, or other record that identifies the property referred to in paragraph 9.5 of the Cabinet report, or records how it came to the Council's attention.\r\n(b) Any document, note, email, or other record of any communication — whether formal or informal, written or otherwise — between any Council officer or member and any person with an interest in that property, prior to the Cabinet meeting of 21 April 2026.\r\n(c) Confirmation of whether any Council officer or member visited the property prior to the Cabinet meeting of 21 April 2026.",
            "campaign": "grisedale_croft",
            "sent_date": "2026-05-22",
            "deadline": "2026-06-20",
            "status": "sent",
            "response_date": "2026-05-20",
            "response_summary": "Please accept our apologies for the delay in responding.\r\n\r\nI can confirm that work continues this week to gather the information you have requested, if there is going to be any delays in providing a response to this then we should be in a better position to advise tomorrow once some additional responses are received from the relevant teams within the council.\r\n\r\nMany thanks for your continued patience.\r\n\r\nKind regards,\r\n\r\nAlan Shepherd\r\n\r\nInformation Case Management Officer\r\nCustomer & Digital - Enabler Services Directorate\r\n[Westmorland and Furness Council request email]\r\n0300 373 3300",
            "response_doc_id": "",
            "events": [
                {
                    "id": "evt_7093535d",
                    "date": "2026-05-13",
                    "kind": "clarification_request",
                    "kind_label": "Clarification request",
                    "direction": "outgoing",
                    "summary": "Dear Information and Case Management team,\r\nWe are writing to follow up on my message of 28 April 2026, sent under reference FOI-208440-2026, in which we asked the Council to confirm that each of the five distinct subject areas would receive a substantive response, and invited contact before any formal refusal under section 12 if scope needed to be discussed.\r\nWe have not yet received a reply to that message. As the response date of 22 May is now ten days away, we would be grateful for a brief acknowledgement confirming whether the Council has had the opportunity to consider the points raised.\r\nWe remain happy to discuss prioritisation or scope if that would assist the Council in responding within the statutory period.",
                    "documents": []
                },
                {
                    "id": "evt_a3a55604",
                    "date": "2026-05-20",
                    "kind": "other",
                    "kind_label": "Other correspondence",
                    "direction": "incoming",
                    "summary": "Please accept our apologies for the delay in responding.\r\n\r\nI can confirm that work continues this week to gather the information you have requested, if there is going to be any delays in providing a response to this then we should be in a better position to advise tomorrow once some additional responses are received from the relevant teams within the council.\r\n\r\nMany thanks for your continued patience.\r\n\r\nKind regards,\r\n\r\nAlan Shepherd\r\n\r\nInformation Case Management Officer\r\nCustomer & Digital - Enabler Services Directorate\r\n[Westmorland and Furness Council request email]\r\n0300 373 3300",
                    "documents": []
                }
            ],
            "events_count": 2,
            "wdtk_url": "https://www.whatdotheyknow.com/request/consultation_process_decision_ma#outgoing-2080194",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#8f3b83f77c662196"
        },
        {
            "id": "ca8aa50c23f0d7c2",
            "reference": "",
            "recipient": "Westmorland & Furness Council",
            "recipient_short": "WFC",
            "subject": "NHS-designated re-ablement / intermediate care beds at Grisedale Croft: operational records and commissioning basis",
            "summary": "1.  The criteria document or documents governing eligibility for admission to the two NHS-designated re-ablement / intermediate care beds at Grisedale Croft, including any version or versions issued to referrers — general practitioners, district nurses, and hospital discharge teams — from the date of the beds’ designation (on or around 2017–18) to the present.\r\n2.  All records of admissions to those beds from their designation to the present, including for each admission: the date of admission, the duration of stay, and the discharge destination or recorded outcome.\r\n3.  All financial records relating to payment for occupancy of the NHS-designated beds, including invoices rendered, payment schedules, and settlement or reconciliation accounts, from the date of designation to the present.\r\n4.  All commissioning agreements, service level agreements, memoranda of understanding, block-booking arrangements, or other formal documents — between the Council (or Cumbria County Council) and any NHS body — governing the designation, operation, or funding of those beds.\r\n5.  All correspondence between the Council (or Cumbria County Council) and any NHS body — including the former North Cumbria Clinical Commissioning Group, NHS North East and North Cumbria Integrated Care Board, Cumbria Partnership NHS Foundation Trust, and North Cumbria Integrated Care NHS Foundation Trust — regarding the criteria, referral pathway, operation, review, amendment or suspension of the NHS-designated beds, from 1 April 2017 to the present.",
            "campaign": "grisedale_croft",
            "sent_date": "2026-05-20",
            "deadline": "2026-06-19",
            "status": "sent",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/nhs_designated_re_ablement_inter#outgoing-2078867",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#ca8aa50c23f0d7c2"
        },
        {
            "id": "8c533dd3894ad281",
            "reference": "",
            "recipient": "Westmorland & Furness Council",
            "recipient_short": "WFC",
            "subject": "Grisedale Croft Care Home: capital and maintenance expenditure on the building, and assessments of its condition",
            "summary": "1.  All records of capital expenditure on the Grisedale Croft building and premises from 1 April 2015 to the date of this request, including but not limited to: works to the roof; installation, replacement, or refurbishment of the passenger lift; installation or replacement of fire detection, alarm, or suppression systems; installation or replacement of emergency power generation equipment; redecoration or refurbishment of bedrooms, bathrooms, corridors, or communal rooms; and any works to the attached flatted accommodation on the same site.\r\n2.  All building condition surveys, structural assessments, fire risk assessments, asbestos surveys, electrical condition reports, or similar inspection or certification reports relating to the Grisedale Croft building and premises from 1 April 2015 to the date of this request.\r\n3.  All planned maintenance schedules, asset management plans, or capital investment plans relating to the Grisedale Croft building and premises from 1 April 2015 to the date of this request.\r\n4.  All internal reports, briefing notes, or correspondence in which the physical condition, suitability, or fitness for purpose of the Grisedale Croft building is cited as a factor in any proposed operational change, from 1 April 2018 to the date of this request.",
            "campaign": "grisedale_croft",
            "sent_date": "2026-05-20",
            "deadline": "2026-06-19",
            "status": "sent",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/grisedale_croft_care_home_capita#outgoing-2078875",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#8c533dd3894ad281"
        },
        {
            "id": "0a183e9b3fd95a6a",
            "reference": "",
            "recipient": "NHS North East and North Cumbria Integrated Care Board",
            "recipient_short": "NENC ICB",
            "subject": "NHS wraparound services commissioned to support Grisedale Croft intermediate / re-ablement provision, 1 April 2018 to date",
            "summary": "1. Copies of any commissioning specifications, service-level agreements, contracts, or contract variations between (a) North Cumbria Clinical Commissioning Group and/or NHS North East and North Cumbria Integrated Care Board and (b) any provider, relating to NHS step-down, intermediate care, or re-ablement beds delivered at or in conjunction with Grisedale Croft Care Home, Alston, from 1 April 2018 to the date of this request.\r\n2. Records of the funding, budget allocations, or contract values committed for the two NHS-designated re-ablement / intermediate-care beds at Grisedale Croft, broken down by financial year, from 1 April 2018 to the date of this request.\r\n3. Copies of the referral pathways, eligibility criteria, and access procedures established for the NHS-designated beds at Grisedale Croft, including any subsequent updates or amendments, from 1 April 2018 to the date of this request.\r\n4. Copies of any service reviews, performance reports, KPI reports",
            "campaign": "grisedale_croft",
            "sent_date": "2026-05-17",
            "deadline": "2026-06-12",
            "status": "sent",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/nhs_wraparound_services_commissi#outgoing-2077268",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#0a183e9b3fd95a6a"
        },
        {
            "id": "9c234115118a0621",
            "reference": "",
            "recipient": "North Cumbria Integrated Care NHS Foundation Trust",
            "recipient_short": "NCIC",
            "subject": "NHS wraparound services delivered at Grisedale Croft Care Home, 1 April 2018 to date",
            "summary": "1. Records of bed occupancy of the two NHS-designated re-ablement / intermediate-care beds at Grisedale Croft, by month or financial year, in whatever aggregated form the Trust holds them.\r\n2. Records of referrals to those beds — referrals received, referrals accepted, referrals declined, and where recorded the reasons for any declines — in whatever aggregated form the Trust holds them.\r\n3. Records of average and / or median length of stay for patients placed in those beds.\r\n4. Records of the clinical staffing arrangements supporting the NHS-designated beds at Grisedale Croft, including community nursing, therapy, and primary care input, and any changes to those arrangements over the period.\r\n5. Records of the operation of the BREATHE digital health monitoring system installed at Grisedale Croft, including the period of operation, the data collected, any reviews or evaluations of its use, and the date and circumstances of its decommissioning if it has been decommissioned.\r\n6. Records of enhanced community nursing services delivered specifically in or around Alston Moor in connection with the Alston Alliance Plan, including service descriptions, staffing levels, and any service reviews.\r\n7. Records of any rapid response, day services, or end-of-life care provided through the Grisedale Croft step-down arrangement during the period.\r\n8. Please confirm whether North Cumbria Integrated Care NHS Foundation Trust currently has any ongoing operational or commissioning relationship with the NHS-designated beds at Grisedale Croft. If that relationship has been varied, suspended, terminated, or transferred since 1 April 2018, please supply the relevant decision records and the date of each change.",
            "campaign": "grisedale_croft",
            "sent_date": "2026-05-17",
            "deadline": "2026-06-12",
            "status": "sent",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/nhs_wraparound_services_delivere#outgoing-2077270",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#9c234115118a0621"
        },
        {
            "id": "71d193a79901acc7",
            "reference": "",
            "recipient": "Northumbria Healthcare NHS Foundation Trust",
            "recipient_short": "Northumbria Healthcare NHS Foundation Trust",
            "subject": "Ruth Lancaster James Community Hospital, Alston: legal title and occupation arrangements",
            "summary": "The request concerns the Ruth Lancaster James Community Hospital, Church Road, Alston, Cumbria, CA9 3QX (CQC location ID RNNRJ; OS National Grid Reference NY 718 462), hereafter \"the site\".\r\n\r\n1. The name of the legal owner of the freehold of the site, including the main hospital building, any car parking, and any ancillary buildings or land held for the purposes of the hospital.\r\n\r\n2. The HM Land Registry title number or numbers under which the site is registered. If any part of the site is unregistered land, please confirm this.\r\n\r\n3. The basis on which the Trust occupies the site (lease, licence, occupational agreement, memorandum of occupation, or any other arrangement), including:\r\n   a. the date on which the Trust took occupation of the site or any part of it;\r\n   b. the term and expiry date of any lease or licence;\r\n   c. the identity of the landlord or licensor;\r\n   d. any rent, service charge, or other consideration payable by the Trust to the landlord or licensor in respect of the site for the most recent completed financial year.\r\n\r\n4. The name of the body from which the Trust acquired its occupation interest in the site (for example, North Cumbria Integrated Care NHS Foundatio",
            "campaign": "alston_cottage_hospital",
            "sent_date": "2026-05-11",
            "deadline": "2026-06-09",
            "status": "sent",
            "response_date": "2026-05-11",
            "response_summary": "Received an acknowledgement.",
            "response_doc_id": "",
            "events": [
                {
                    "id": "legacy_71d193a79901acc7",
                    "date": "2026-05-11",
                    "kind": "other",
                    "kind_label": "Other correspondence",
                    "direction": "incoming",
                    "summary": "Received an acknowledgement.",
                    "documents": []
                }
            ],
            "events_count": 1,
            "wdtk_url": "https://www.whatdotheyknow.com/request/ruth_lancaster_james_community_h",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#71d193a79901acc7"
        },
        {
            "id": "4d837a4e786a0a9d",
            "reference": "",
            "recipient": "North Cumbria Integrated Care NHS Foundation Trust (NCIC)",
            "recipient_short": "NCIC",
            "subject": "Ruth Lancaster James Community Hospital, Alston: legal title and inherited records",
            "summary": "The request concerns the Ruth Lancaster James Community Hospital, Church Road, Alston, Cumbria, CA9 3QX (CQC location ID RNNRJ; OS National Grid Reference NY 718 462), hereafter \"the site\", and is addressed to the Trust and any predecessor body whose records the Trust now holds, including Cumbria Partnership NHS Foundation Trust and earlier NHS bodies.\r\n\r\n1. The body in which the freehold of the site was vested on 31 March 2017, immediately before the closure of the in-patient beds, together with any HM Land Registry title number(s) recorded in the Trust's or its predecessors' files.\r\n\r\n2. The basis on which the Trust (or Cumbria Partnership NHS Foundation Trust) occupied the site at that date — lease, licence, occupational agreement, or other arrangement — together with the identity of the landlord or licensor and the principal terms of any such agreement.\r\n\r\n3. The date on which the Trust ceased to occupy the site or to provide services from it, and the body to which occupation passed (understood to be Northumbria Healthcare NHS Foundation Trust). Please provide a copy of any transfer of services agreement, lease assignment, or occupational handover document recording that change.",
            "campaign": "alston_cottage_hospital",
            "sent_date": "2026-05-11",
            "deadline": "2026-06-09",
            "status": "sent",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/ruth_lancaster_james_community_h_2#outgoing-2073583",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#4d837a4e786a0a9d"
        },
        {
            "id": "c72c7ffb0e5db1f6",
            "reference": "PSC-231621-D3R0",
            "recipient": "NHS Property Services Limited",
            "recipient_short": "NHS Property Services Limited",
            "subject": "Ruth Lancaster James Community Hospital, Alston: title, lease and disposal plans",
            "summary": "The request concerns the Ruth Lancaster James Community Hospital, Church Road, Alston, Cumbria, CA9 3QX (CQC location ID RNNRJ; OS National Grid Reference NY 718 462), hereafter \"the site\".\r\n\r\n1. Confirmation of whether NHS Property Services Ltd holds the freehold (or any other legal interest) in the site, including the main hospital building, any car parking, and any ancillary buildings or land held for the purposes of the hospital.\r\n\r\n2. The HM Land Registry title number or numbers under which the site is registered, so far as NHSPS is the registered proprietor.\r\n\r\n3. If NHSPS holds the freehold or other interest, the date on which that interest was acquired and the statutory basis on which it was transferred to NHSPS (for example, under a property transfer scheme made under section 300 of the Health and Social Care Act 2012).\r\n\r\n4. The body from which NHSPS acquired the interest (for example, NHS Cumbria Primary Care Trust, the Secretary of State for Health and Social Care, or another NHS body).\r\n\r\n5. Any lease, licence, occupational agreement, or other arrangement that NHSPS has granted in respect of the site to North Cumbria Integrated Care NHS Foundation Trust, Cumbria Partnership",
            "campaign": "alston_cottage_hospital",
            "sent_date": "2026-05-11",
            "deadline": "2026-06-09",
            "status": "sent",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/ruth_lancaster_james_community_h_3#outgoing-2073592",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#c72c7ffb0e5db1f6"
        },
        {
            "id": "foi_16",
            "reference": "FOI 0000 6883",
            "recipient": "North Cumbria Integrated Care NHS Foundation Trust",
            "recipient_short": "NCIC",
            "subject": "Pathway 2 / D2A and Grisedale Croft (NCIC redirect from ICB)",
            "summary": "NHS North East and North Cumbria ICB has directed the PC to North Cumbria Integrated Care NHS Foundation Trust (\"the Trust\") under reference FOI ICB 26-033, advising that the Trust holds the information sought in relation to step-down and Discharge… (and 6 further questions).",
            "campaign": "both",
            "sent_date": "2026-04-29",
            "deadline": "2026-05-29",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/freedomofinformationrequestp_3294",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_16"
        },
        {
            "id": "foi_17",
            "reference": "FOI-2604-2323728",
            "recipient": "NHS England",
            "recipient_short": "NHS England",
            "subject": "Success Regime decision-making and STP records",
            "summary": "Please provide all documents held by NHS England (and its predecessor bodies) that record: 1 The development, decision-making and implementation of the closure of the Alston in-patient beds at Ruth Lancaster James Community Hospital, including doc…",
            "campaign": "alston_cottage_hospital",
            "sent_date": "2026-04-29",
            "deadline": "2026-05-29",
            "status": "acknowledged",
            "response_date": "2026-05-20",
            "response_summary": "NHS England does not hold this information.\r\n\r\nFor purposes of this request searches were carried out in the North East  \r\nand Yorkshire Region of NHSE.\r\n\r\nThis information may be held by North East and North Cumbria local  \r\nIntegrated Care Board. As such, you may wish to contact the ICB directly.  \r\nContact details can be found using the following link; [1]NHS North East  \r\nand North Cumbria Integrated Care Board.\r\n\r\nIt may help if we explain that the NHS in England is not one single  \r\norganisation. It is made up of multiple different organisations of  \r\ndiffering sizes, at central, national, regional, and local levels each  \r\nwith its own roles and responsibilities.\r\n\r\nNHS England is a single regulatory body responsible for overseeing the  \r\nfunding, planning, delivery, transformation, and performance of NHS  \r\nhealthcare in England. It is also responsible for providing unified,  \r\nnational leadership for the NHS. NHS England does not directly deliver  \r\nclinical services. Any recorded information NHS England may be able to  \r\nprovide in response to an FOI request will generally relate to the  \r\nfunctions we perform.\r\n\r\nFor more information on the functions carried out by NHS England and the  \r\ntypes of information we hold you can visit our [2]website. For further  \r\ninformation on the NHS, its structure and other NHS organisations please  \r\nrefer either to our [3]website or the NHS [4]website.",
            "response_doc_id": "",
            "events": [
                {
                    "id": "evt_1c946bc9",
                    "date": "2026-05-20",
                    "kind": "full",
                    "kind_label": "Full response",
                    "direction": "incoming",
                    "summary": "NHS England does not hold this information.\r\n\r\nFor purposes of this request searches were carried out in the North East  \r\nand Yorkshire Region of NHSE.\r\n\r\nThis information may be held by North East and North Cumbria local  \r\nIntegrated Care Board. As such, you may wish to contact the ICB directly.  \r\nContact details can be found using the following link; [1]NHS North East  \r\nand North Cumbria Integrated Care Board.\r\n\r\nIt may help if we explain that the NHS in England is not one single  \r\norganisation. It is made up of multiple different organisations of  \r\ndiffering sizes, at central, national, regional, and local levels each  \r\nwith its own roles and responsibilities.\r\n\r\nNHS England is a single regulatory body responsible for overseeing the  \r\nfunding, planning, delivery, transformation, and performance of NHS  \r\nhealthcare in England. It is also responsible for providing unified,  \r\nnational leadership for the NHS. NHS England does not directly deliver  \r\nclinical services. Any recorded information NHS England may be able to  \r\nprovide in response to an FOI request will generally relate to the  \r\nfunctions we perform.\r\n\r\nFor more information on the functions carried out by NHS England and the  \r\ntypes of information we hold you can visit our [2]website. For further  \r\ninformation on the NHS, its structure and other NHS organisations please  \r\nrefer either to our [3]website or the NHS [4]website.",
                    "documents": []
                },
                {
                    "id": "evt_874725df",
                    "date": "2026-05-20",
                    "kind": "chase",
                    "kind_label": "Chase letter",
                    "direction": "outgoing",
                    "summary": "We are requesting an internal review of NHS England's response to FOI [15], on the grounds that the search carried out does not appear to have covered the full scope of records that may be held.\r\nThe response states that searches were carried out in the North East and Yorkshire Region. The North Cumbria Success Regime ran from approximately 2015 to 2018, at which time NHS England operated a \"North of England\" regional structure covering both North East and North West, including Cumbria. Records generated during that period would not necessarily sit in the current North East and Yorkshire regional systems, and we ask that the legacy regional and transitional records be searched.\r\nIn addition, the North Cumbria Success Regime was a nationally-initiated transformation programme chaired at national director level. Programme Board governance and correspondence at national level would be expected to sit in central NHS England records rather than regional records. We ask that a search of central/national records be carried out.\r\nWe are not contesting the good faith of the original search; we are asking that it be extended to cover these two further areas before a \"not held\" conclusion is confirmed.",
                    "documents": []
                }
            ],
            "events_count": 2,
            "wdtk_url": "https://www.whatdotheyknow.com/request/northcumbriasuccessregimerec",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_17"
        },
        {
            "id": "foi_15",
            "reference": "",
            "recipient": "NHS England",
            "recipient_short": "NHS England",
            "subject": "North Cumbria Success Regime legacy records",
            "summary": "All documents held by NHS England (including the North East and Yorkshire regional team and its predecessor regional structures) concerning the commitments made to the Alston Moor community during the work of the North Cumbria Success Regime (2015… (and 2 further questions).",
            "campaign": "alston_cottage_hospital",
            "sent_date": "2026-04-25",
            "deadline": "2026-05-26",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/legacyrecordsofthenorth_cumb",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_15"
        },
        {
            "id": "foi_09",
            "reference": "FOI-215087-2026",
            "recipient": "Cumberland Council",
            "recipient_short": "Cumberland Council",
            "subject": "Inherited CCC records and cross-border arrangements",
            "summary": "Any records held by Cumberland Council that were inherited from Cumbria County Council concerning the 2017–2018 closure of the Alston in-patient beds at the Ruth Lancaster James Cottage Hospital, or concerning the Alston Alliance / Eden Integrated… (and 3 further questions).",
            "campaign": "grisedale_croft",
            "sent_date": "2026-04-24",
            "deadline": "2026-05-26",
            "status": "partial",
            "response_date": "2026-05-13",
            "response_summary": "Partial response from Cumberland Council",
            "response_doc_id": "e700dc82b3986601bd6a341187ccc5c7",
            "events": [
                {
                    "id": "evt_712ddcca",
                    "date": "2026-05-14",
                    "kind": "clarification_request",
                    "kind_label": "Clarification request",
                    "direction": "outgoing",
                    "summary": "This is our response to their response\r\nReference: FOI-215087-2026\r\nDear Information Governance Team,\r\nThank you for your response of 13 May 2026 to my request of 24 April 2026.\r\nIn respect of Question 1, I confirm I would like Cumberland Council to proceed with the disclosure of any records held that were inherited from Cumbria County Council concerning the 2017–18 closure of the Alston in-patient beds at the Ruth Lancaster James Cottage Hospital, or concerning the Alston Alliance / Eden Integrated Care Community plan. I am content to receive material even where there is some overlap with material that may subsequently be disclosed by Westmorland and Furness Council under FOI-208440-2026 (whose statutory deadline is 22 May 2026). My reasons are briefly: (i) the response from Westmorland and Furness Council has not yet been received, so duplication cannot be assumed; (ii) the disaggregation of former Cumbria County Council records between the two successor authorities is, as I understand it, still in progress, and the two councils may hold different parts of the archive; and (iii) where the same record is held by both bodies, the cross-reference is itself useful as confirmation. I would be grateful if you could confirm the revised statutory deadline for the disclosure on Question 1.\r\nI am content with your responses to Questions 2 (Section 21 referral — noted, with thanks for the URL to the 15 December 2020 Health Scrutiny Committee minutes), 3 (information not held), and 4 (no placements made by Cumberland Council at Grisedale Croft since the local government reorganisation, and no records held to the requested level of detail prior to 1 April 2023).",
                    "documents": []
                }
            ],
            "events_count": 1,
            "wdtk_url": "https://www.whatdotheyknow.com/request/inheritedcumbriacounty_council",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_09"
        },
        {
            "id": "foi_10",
            "reference": "FOI ICB 26-033",
            "recipient": "NHS North East and North Cumbria Integrated Care Board",
            "recipient_short": "NENC ICB",
            "subject": "Step-down commissioning and 2017-2018 legacy records",
            "summary": "Every contract, framework agreement, spot-purchase arrangement or individual placement agreement that the ICB (and its predecessor, NHS North Cumbria Clinical Commissioning Group) has held since 1 April 2020 with Grisedale Croft Care Home, Alston,… (and 5 further questions).",
            "campaign": "both",
            "sent_date": "2026-04-24",
            "deadline": "2026-05-22",
            "status": "partial",
            "response_date": "2026-05-20",
            "response_summary": "The internal review came back from Liane Cotterill (Information Governance Manager) on 20 May 2026 — that's 14 working days after your review request of 29 April. So procedurally they've met their own deadline.\r\nThe substance, though, is essentially a one-line answer to each of your four detailed asks:\r\n\r\n(a) \"The All age Continuing Care Team and Head of Commissioning for Secondary Care conducted searches and advised that they do not hold records of the information held.\"\r\n(b) \"Files and folders were reviewed and these teams and colleagues advised that information to respond to this request was not held.\"\r\n(c) \"The teams and colleagues advised that this information is not held.\"\r\n(d) They have given you the NHS England FOI email.",
            "response_doc_id": "4e44d08d88ef17c1f920881380275745",
            "events": [
                {
                    "id": "legacy_foi_10",
                    "date": "2026-04-29",
                    "kind": "other",
                    "kind_label": "Other correspondence",
                    "direction": "incoming",
                    "summary": "NENC ICB sent a substantive response inside the statutory deadline. Replies to all six questions were issued in the attached PDF \"FOI ICB 26 033 Response Letter.pdf\". An internal review was subsequently requested.",
                    "documents": []
                },
                {
                    "id": "evt_3d58566f",
                    "date": "2026-05-20",
                    "kind": "partial",
                    "kind_label": "Partial response",
                    "direction": "incoming",
                    "summary": "The internal review came back from Liane Cotterill (Information Governance Manager) on 20 May 2026 — that's 14 working days after your review request of 29 April. So procedurally they've met their own deadline.\r\nThe substance, though, is essentially a one-line answer to each of your four detailed asks:\r\n\r\n(a) \"The All age Continuing Care Team and Head of Commissioning for Secondary Care conducted searches and advised that they do not hold records of the information held.\"\r\n(b) \"Files and folders were reviewed and these teams and colleagues advised that information to respond to this request was not held.\"\r\n(c) \"The teams and colleagues advised that this information is not held.\"\r\n(d) They have given you the NHS England FOI email.",
                    "documents": [
                        {
                            "id": "4e44d08d88ef17c1f920881380275745",
                            "url": "https://alstonmoorhealth.org/documents/4e44d08d88ef17c1f920881380275745"
                        }
                    ]
                },
                {
                    "id": "evt_6987e225",
                    "date": "2026-05-20",
                    "kind": "other",
                    "kind_label": "Other correspondence",
                    "direction": "outgoing",
                    "summary": "See letter attached for our response to their response",
                    "documents": [
                        {
                            "id": "704acdc3387b03c33b7a232b446acd13",
                            "url": "https://alstonmoorhealth.org/documents/704acdc3387b03c33b7a232b446acd13"
                        }
                    ]
                }
            ],
            "events_count": 3,
            "wdtk_url": "https://www.whatdotheyknow.com/request/commissioningofstepdownand_r",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_10"
        },
        {
            "id": "foi_11",
            "reference": "FOI 0000 6812",
            "recipient": "North Cumbria Integrated Care NHS Foundation Trust",
            "recipient_short": "NCIC",
            "subject": "Alston bed closures and Cumberland Infirmary discharges",
            "summary": "All documents inherited from Cumbria Partnership NHS Foundation Trust concerning the closure of the in-patient beds at the Ruth Lancaster James Cottage Hospital in 2017–2018, the replacement package of community-based care, and the Alston Alliance… (and 5 further questions).",
            "campaign": "both",
            "sent_date": "2026-04-24",
            "deadline": "2026-05-23",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/legacyrecordsofthealston_hos",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_11"
        },
        {
            "id": "foi_12",
            "reference": "",
            "recipient": "Northumbria Healthcare NHS Foundation Trust",
            "recipient_short": "Northumbria Healthcare",
            "subject": "Hexham General discharges and RLJ Cottage Hospital",
            "summary": "For each financial year from 2020/21 to the latest completed year: the number of patients discharged from Hexham General Hospital whose home address was within the Alston Moor parish, broken down by destination (home with no new care; home with a… (and 4 further questions).",
            "campaign": "alston_cottage_hospital",
            "sent_date": "2026-04-24",
            "deadline": "2026-05-23",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/hexhamgeneralhospital_discharg",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_12"
        },
        {
            "id": "foi_13",
            "reference": "",
            "recipient": "Newcastle upon Tyne Hospitals NHS Foundation Trust",
            "recipient_short": "Newcastle Hospitals",
            "subject": "Freeman and RVI discharges of Alston Moor residents",
            "summary": "For each financial year from 2020/21 to the latest completed year: the number of patients discharged from the Freeman Hospital or the Royal Victoria Infirmary whose home address was within the Alston Moor parish, broken down by discharge pathway (… (and 3 further questions).",
            "campaign": "alston_cottage_hospital",
            "sent_date": "2026-04-24",
            "deadline": "2026-05-26",
            "status": "acknowledged",
            "response_date": "2026-05-20",
            "response_summary": "Replied but admitted there is no pathway or they do not have any records for refering people to Grisedale",
            "response_doc_id": "c151fbe8b0a0be5868c199bf71931f94",
            "events": [
                {
                    "id": "evt_d7edb976",
                    "date": "2026-05-20",
                    "kind": "partial",
                    "kind_label": "Partial response",
                    "direction": "incoming",
                    "summary": "Replied but admitted there is no pathway or they do not have any records for refering people to Grisedale",
                    "documents": [
                        {
                            "id": "c151fbe8b0a0be5868c199bf71931f94",
                            "url": "https://alstonmoorhealth.org/documents/c151fbe8b0a0be5868c199bf71931f94"
                        }
                    ]
                },
                {
                    "id": "evt_251fb069",
                    "date": "2026-05-20",
                    "kind": "partial",
                    "kind_label": "Partial response",
                    "direction": "incoming",
                    "summary": "Supplementary question — FOI request re discharges of Alston Moor residents\r\n\r\nDear Freedom of Information Team,\r\nThank you for your response to my request concerning discharges of patients with a CA9 3** home postcode from the Freeman Hospital and the Royal Victoria Infirmary.\r\n\r\nI have one supplementary question arising directly from the data you provided.\r\n\r\nYour response gave discharge counts for patients with a CA9 3** home address for each financial year from 2020–21 to 2025–26, totalling 340 discharges across the period. You explained that pathway coding could not be linked to those counts.\r\n\r\nI would be grateful if you could provide, for the same cohort and the same period, one additional figure:\r\nThe number of patients in each financial year whose recorded discharge destination was a care home, nursing home or other residential care setting, as distinct from a return to a home address or other community setting, without identifying any individual patient.\r\n\r\nI understand this asks about discharge destination rather than discharge pathway. If your administrative systems record discharge destination separately from pathway coding — for example through a destination code — this question may be answerable from the same dataset you consulted.",
                    "documents": []
                }
            ],
            "events_count": 2,
            "wdtk_url": "https://www.whatdotheyknow.com/request/dischargesofalstonmoorreside",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_13"
        },
        {
            "id": "foi_14",
            "reference": "",
            "recipient": "Care Quality Commission",
            "recipient_short": "CQC",
            "subject": "Regulatory record and correspondence",
            "summary": "All inspection reports, intelligence-gathering notes, monitoring-call records and provider-information-return records held about Grisedale Croft Care Home, Alston (across both the archived Cumbria County Council registration and the current Westmo… (and 6 further questions).",
            "campaign": "grisedale_croft",
            "sent_date": "2026-04-24",
            "deadline": "2026-05-26",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/regulatoryrecordstatutory_noti",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_14"
        },
        {
            "id": "foi_01",
            "reference": "FOI-208440-2026",
            "recipient": "Westmorland and Furness Council",
            "recipient_short": "Westmorland and Furness Council",
            "subject": "Cabinet papers and supporting documents",
            "summary": "The full Cabinet report, all appendices, and all impact assessments (Equality Impact Assessment, Integrated Impact Assessment, and any Data Protection Impact Assessment) relating to the decision taken by Cabinet on 21 April 2026 concerning the fut… (and 3 further questions).",
            "campaign": "grisedale_croft",
            "sent_date": "2026-04-23",
            "deadline": "2026-05-22",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "Dear Information and Case Management team,\r\nI am writing to follow up on my message of 28 April 2026, sent under reference FOI-208440-2026, in which I asked the Council to confirm that each of the five distinct subject areas would receive a substantive response, and invited contact before any formal refusal under section 12 if scope needed to be discussed.\r\nI have not yet received a reply to that message. As the response date of 22 May is now ten days away, I would be grateful for a brief acknowledgement confirming whether the Council has had the opportunity to consider the points raised.\r\nI remain happy to discuss prioritisation or scope if that would assist the Council in responding within the statutory period.\r\nYours sincerely,",
            "response_doc_id": "",
            "events": [
                {
                    "id": "legacy_foi_01",
                    "date": "",
                    "kind": "other",
                    "kind_label": "Other correspondence",
                    "direction": "incoming",
                    "summary": "Dear Information and Case Management team,\r\nI am writing to follow up on my message of 28 April 2026, sent under reference FOI-208440-2026, in which I asked the Council to confirm that each of the five distinct subject areas would receive a substantive response, and invited contact before any formal refusal under section 12 if scope needed to be discussed.\r\nI have not yet received a reply to that message. As the response date of 22 May is now ten days away, I would be grateful for a brief acknowledgement confirming whether the Council has had the opportunity to consider the points raised.\r\nI remain happy to discuss prioritisation or scope if that would assist the Council in responding within the statutory period.\r\nYours sincerely,",
                    "documents": []
                }
            ],
            "events_count": 1,
            "wdtk_url": "https://www.whatdotheyknow.com/request/cabinetpapersandsupportingdo",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_01"
        },
        {
            "id": "foi_02",
            "reference": "FOI-208440-2026",
            "recipient": "Westmorland and Furness Council",
            "recipient_short": "Westmorland and Furness Council",
            "subject": "Operational data — occupancy, staffing, finance, referrals",
            "summary": "At 31 March of each year from 2020 to the latest available year: the number of registered beds at Grisedale Croft, the number of beds open for admission, the number of permanent residents, and the number of respite and intermediate-care / step-dow… (and 6 further questions).",
            "campaign": "grisedale_croft",
            "sent_date": "2026-04-23",
            "deadline": "2026-05-22",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/foioperationaldataforgriseda",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_02"
        },
        {
            "id": "foi_03",
            "reference": "FOI-208440-2026",
            "recipient": "Westmorland and Furness Council",
            "recipient_short": "Westmorland and Furness Council",
            "subject": "Building condition and replacement-facility feasibility",
            "summary": "The most recent building condition survey and any stock condition report for Grisedale Croft (and any preceding report since 2018), together with any engineers' or architects' assessments of whether the building can be refurbished or extended. (and 3 further questions).",
            "campaign": "grisedale_croft",
            "sent_date": "2026-04-23",
            "deadline": "2026-05-22",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/foibuildingconditionofgrised",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_03"
        },
        {
            "id": "foi_04",
            "reference": "FOI-208440-2026",
            "recipient": "Westmorland and Furness Council",
            "recipient_short": "Westmorland and Furness Council",
            "subject": "Step-down placements and projected local need",
            "summary": "For each financial year from 2020/21 to the latest completed year, the number of Westmorland and Furness residents aged 65 or over whose home address was within the Alston Moor parish and who had a Discharge to Assess (Pathway 2) placement in a be… (and 5 further questions).",
            "campaign": "grisedale_croft",
            "sent_date": "2026-04-23",
            "deadline": "2026-05-22",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/dischargetoassesspathway2_st",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_04"
        },
        {
            "id": "foi_05",
            "reference": "FOI-208440-2026",
            "recipient": "Westmorland and Furness Council",
            "recipient_short": "Westmorland and Furness Council",
            "subject": "Equality Impact Assessment and PSED",
            "summary": "The Equality Impact Assessment completed to inform the Cabinet decision of 21 April 2026 concerning Grisedale Croft, in full and unredacted save where redaction is legally required. (and 4 further questions).",
            "campaign": "grisedale_croft",
            "sent_date": "2026-04-23",
            "deadline": "2026-05-22",
            "status": "acknowledged",
            "response_date": "",
            "response_summary": "",
            "response_doc_id": "",
            "events": [],
            "events_count": 0,
            "wdtk_url": "https://www.whatdotheyknow.com/request/equalityimpactassessmentandp",
            "submitted_via": "WhatDoTheyKnow",
            "url": "https://alstonmoorhealth.org/foi-register#foi_05"
        }
    ]
}