Driven to deliver the best possible outcomes for frail, older patients, the teams from North West Surrey Clinical Commissioning Group (CCG) and Ashford and St Peter's Hospitals NHS Trust seek to create a coherent health and care system by establishing a fully integrated, person-centred service based around 'locality hubs'.
The locality hubs are physical buildings which sit alongside a community hospital. They provide an integrated frailty service for people and their carers. All locality general practices and their services operate in a network supported by diagnostics, pharmacy and transport.