 Rent-free accommodation for GP trainees is provided in Workington by Allerdale Borough Council and Impact Housing.Because of difficulties accessing secondary care, GPs are supported by the practice and community to manage more complex conditions within primary care than in more urban areas.Palliative care is provided by Hospice at Home West Cumbria, St Mary's Hospice, Ulverston and Eden Valley Hospice, in Carlisle which also runs Jigsaw, Cumbria's Children's Hospice.