New Community Specialist Paramedics The Trust has developed a new Community Specialist Paramedic (CSP) role, the first of its kind in the UK, whereby individual clinicians work more closely with communities to help deliver more locally co-designed models of care. The role will provide a stable central presence within the community to add additional capacity as a 999 responder and to build relationships with patients, the public and other provider organisations, to create a more integrated and patient-centred approach and improve the local community infrastructure and to provide safe care closer to home. The CSPs will be co-located with a local primary or community care facility such as a GP Practice, Health Centre or Community Hospital and will remain in the community on a permanent basis. They will also help promote innovation by testing new ideas or technologies in an ambulance setting such as; patient activation measures, health coaching, telemedicine and the use of self-care and self-triage guidance by patients. In the longer term this will result in increased care delivered closer to home, with a reduction in 999 demand and unplanned hospital admissions. There are 12 communities within the region which have been identified for the scheme, and are a mix of remote rural, rural and urbanised areas. These are: Millom (Cumbria), Pendle (Lancashire), Alsager, (Cumbria), Partington (Greater Manchester), Glossop (Greater Manchester), Barrow (Cumbria), Whitehaven Area (Cumbria), Knutsford (Cheshire), Sklemersdale (Lancashire), Chorlton (Greater Manchester), Fylde Coast (Lancashire) and Aintree (Merseyside).