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Class 6. Our Services
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The range of services that we commission and provide for the NHS and how we deliver these. The Cotswold and Vale Primary Care Trust commissions and provides services for the districts of Cotswold and Stroud. The Trust covers an area of 627 square miles and is responsible for healthcare for a population of 192,000, of whom approximately 10,000 people are registered with Gloucestershire GPs, but live outside of the county boundary. There are 123 GPs in 33 Practices; 40 community pharmacists; 80 dentists and 80 optometrists working within the Trust area. The Trust is a relatively large employer, with over 1900 employed staff working largely within the Trust area. The Trust is responsible for assessing the health needs of the local population and securing appropriate primary, secondary and tertiary healthcare to meet their needs. The Trust also provides some shared and hosted services on behalf of the Gloucestershire Health Community. These are Children's Services; Maternity Services; Sexual Health and HIV Services; Dentistry; Hotel Services; and the Health Community Implementation Team for Information for Health. The Trust manages hospitals at Berkeley, Bourton-on-the-Water, Cirencester, Fairford, Moreton-in-Marsh and Stroud. Details about the Trust and its services are published in 'Your Guide to Local Health Services', also known as The Patients Prospectus. The Trust publishes its proposals for service changes in its Health and Commissioning Strategy and Local Delivery Plan. The Trust informs and involves members of the public in the development of its proposals for service changes and details of how members of the public can become involved are given in Section 8, Patient and Public Involvement. The Trust, in conjunction with other Trusts in the Gloucestershire health community, publishes a List of Interventions Not Normally Funded (LINNF), a policy statement about exceptions to the list of interventions not normally funded and the process for considering individual circumstances, and the factors which will be considered when an application under the Exceptions policy has been received. Decisions about services are published in Trust Board public agendas, minutes and papers. The Trust directly provides a number of non-clinical support services, which are covered in Class 6. A number of non-clinical support services to the Trust are provided by other organisations through Service Level Agreements, some of which are still being developed. The non-clinical support services include Estates, Information Management and Technology Services, Paymaster and Human Resources. The published information is available on the Trust's website or by contacting:
Comments or complaints about the Trust's clinical or non-clinical services can be addressed directly with the local organisation you are unhappy with (e.g. the hospital, GP surgery or dentist) to try to resolve your complaint. They may offer to bring in a conciliation service - this can often help to resolve complaints more quickly and amicably. This service may be provided by the Patient Advice and Liaison Service (PALS) or the Independent Complaints and Advocacy Service (ICAS).
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