PCN Name: Carlisle and Rural
(This combines previous PCNs of Carlisle Healthcare and Carlisle Rural from April 2026)

Clinical Directors:  Dr Robert Westgate and Dr Mark Alban
Operational Leads: Tracey Darrington, Julie Swan and Sam Gargett

Network Population: 73,067

Overview of Area: Carlisle and Rural PCN includes the practices of Carlisle Healthcare, Brampton Medical Practice, Spencer Street Surgery, and Longtown Medical Practice.

This is now the PCN with the largest patient population.

Carlisle Healthcare and Carlisle Rural PCNs came together as a single Primary Care Network (PCN) from April 2026 to strengthen the teams and enable practices to respond nimbly to the opportunities created by the PCN framework, building primary care capacity by embedding non-traditional roles and staff within the primary care team - for example: mental health workers, occupational therapists, pharmacists, care co-ordinators, social prescribers, paramedics, physiotherapists and others.

This PCN will continue to evolve with their clinical model to improve patient access aiming to deliver high quality personalised care.

They are firmly committed to supporting the next generation of health professionals through investing in training, mentoring and support, both within our own organisations and working with a number of partner organisations.


You can visit the:
Carlisle Healthcare website here​​​​

Tel: 01228 588121
Out-of-Hours: 111

Carlisle Healthcare
St Paul's
St Paul's Square
Carlisle
CA1 1DG

Carlisle Healthcare
North Carlisle
Eden Street
Carlisle
CA3 9JZ

Carlisle Healthcare
South Carlisle
Locke Road
Carlisle
CA1 3UB

 

​​Spencer Street Surgery
10 Spencer Street
Carlisle
CA1 1BP

Tel: 01228 529171
Out-of-Hours: 111


Brampton Medical Practice Website

4 Market Place
Brampton
CA8 1NL

Tel: 016977 2551

Their main Practice is situated in Brampton, a small town situated in the North West of England within the county of Cumbria, north of the famous Lake District National Park.

Close to Hadrian’s Wall, Brampton is surrounded by the area’s stunning scenery and bounty of historically significant and culturally important sites. Our Practice area covers from Armathwaite to the edge of Kershope Forest including small villages such as Wetheral, Corby Hill, Bewcastle, Greenhead and more.


Longtown Medical Practice Website

Moor Road
Longtown
CA6 5XA

Tel: 01228 791328

Longtown is a small market town situated on the English-Scottish border – 3 miles from Gretna and 7 miles from Carlisle. Longtown has a very turbulent history, lying at the heart of the “Debatable Lands”. The 1542 Battle of the Solway Moss was fought here between the Scottish and English armies at the time of James V. Arthuret Church dates from 1150 and is strongly linked to the legend of King Arthur.

Unlike many towns which grew from smaller settlements or villages, Longtown was planned and built in the late 18th century by the local landowners, the Grahams of Netherby. The Reverend Robert Graham laid out the town with the wide tree-lined streets you see today. He established the Graham Arms as a coaching inn for travellers and mail from Edinburgh across the toll bridge. Longtown has a population of approximately 3,000.

Robert - profile.pngDr Robert Westgate said: "Carlisle Healthcare initially formed following the merger of 3 long standing general practices in Carlisle in 2016. We currently serve approximately 38,000 patients from our three sites across the city. We have purpose built premises in Eden Street, North Carlisle, St Paul’s Square in the city centre, and our head office based at Carlisle Healthcare South, Locke Road, Durranhill Industrial Estate. The PCN now also includes Spencer Street Surgery.

"We are a GP training practice and also have learners from many clinical disciplines. We have embraced the opportunities of the Primary Care Network contract and now have a workforce including clinical pharmacists, social prescribers, occupational therapists, musculoskeletal practitioners, mental health workers, paramedics and care co-ordinators as well as the more traditional primary care GP, nurse and practitioner roles.

"Our mission is to provide high-quality, accessible and patient centred healthcare in a way which is caring, efficient and innovative."
 

Dr Mark Alban said: “Carlisle Rural PCN, which covers Brampton and Longtown, is the second smallest in the country at just over 20,000 patients covers a large and sparsely populated 600 square mile territory in the very north eastern corner of Cumbria.  It borders Scotland and Northumberland to the north and east, the M6 motorway to the west and the  Eden valley to the south.  Eighty percent of the PCN population is registered at Brampton, the other fifth at Longtown. We are a two practice PCN. 

"Through additional role reimbursement we have been able to offer our patients a number of Advanced care roles such as Nurse Practitioners, a First Contact physiotherapist and Pharmacist.  We have also employed pharmacy technicians, Barnados (childrens) Link workers (social prescribers), a small personalised care team and a mental health practitioner, all of whom have filled valuable gaps in our health offer. The roles are well integrated into our practice teams and provide a seamless service to our patients.  We are enthusiastic about the future and see particular promise in our exceptional Frailty team and expanding social prescribing workforce, while also recognising that there is much more to be done.

“Looking ahead we need to start thinking hard about population health and helping people to help themselves by making better choices in terms of consumption and activity. We are working with partners in other parts of the Integrated Care system such as Community teams, Social Care and third sector providers to identify how we do this by designing support for our local area specifically as well as tapping into wider initiatives with other areas of North Cumbria.  We recognise that the task ahead in terms of population health is difficult but we are excited by the opportunities and in working together with all parts of our locality to improve all outcomes for people, not just health.”