Patient representatives from across Fylde and Wyre have praised a new service offering community-based care to the most unwell elderly people in society.

Extensive Care enables elderly and frail patients with two or more long-term conditions to receive more coordinated support closer to their home and less in hospital.

In the Fylde and Wyre area, the service has first launched for patients in the Lytham, St Annes, Ansdell and Freckleton areas and is based at Lytham Primary Care Centre.

Extensive Care houses doctors, nurses and all the other clinicians required under one roof, drastically reducing the number of appointments people need to attend in different places and reducing hospital admissions.

Patients are allocated their own wellbeing support worker, who they meet with on a regular basis, to develop a long-term plan for their health. This includes setting a number of achievable goals which are all geared towards improving their health and wellbeing.

And the Fylde and Wyre Clinical Commissioning Group (CCG) showed members of its Patient and Public Engagement (PPE) Group around the Lytham-based service to see first-hand the work going on there.

The service, which has received widespread praise from patients referred into it, will soon become available in Poulton-le-Fylde at the Wyre Civic Centre, with a roll out of the service across the whole of the CCG area – including Fleetwood and Kirkham – planned by the end of next year.

Mel Ashe, chairman of the Patient Participation Group (PPG) at Queensway Surgery in Poulton, said: “The service provides care co-ordinators and wellbeing support workers, as well as all the doctors, nurses and other clinicians you might expect, which means patients get a very focused and personal care, which is wonderful.

“The extensive care service provides excellent support for people who need it.”

Ian Gibson, chairman of the PPG at Over Wyre Medical Centre, said: “The visit was an opportunity to see how some of the most vulnerable patients in the Wyre area will be able to access support in a one-stop shop from April 2016.

“The team were very knowledgeable and provided a valuable insight into how extensive care can help patients.”

The Extensive Care Service formed part of the CCG’s 2030 Vision for Health and Care and later became a key component of NHS England’s Five Year Forward View.



  • NHS Fylde and Wyre Clinical Commissioning Group (CCG) is the organisation responsible for planning and buying health services in the area to meet patients’ needs. This is known as ‘commissioning’.
  • Led by family doctors (GPs), the CCG currently serves a population of 152,000 people across approximately 320 sq km of coast and countryside. The majority live in the urban towns of Fleetwood, Thornton, Poulton-le-Fylde, Kirkham and Lytham St Annes, but a significant proportion live in rural villages.
  • The CCG receives a set amount of money from the government and is committed to spending this wisely for the benefit of local people.
  • Giving you more choice is a priority of the modern NHS. More information is available at
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  • There are many ways to get involved in health service developments, including joining our Influence membership scheme or your practice’s patient participation group.
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