NHS Cumbria has adopted the Publication Scheme Action Plan under the Freedom of Information Act NHS Cumbria is required to publish as a single document a Quality Account NHS Cumbria is the county's primary care trust We decide how and where local NHS services should be delivered including; GPs, dentists, pharmacies, opticians, public health campaigns, acute hospitals, community hospitals, community based health services and mental health services As a primary care trust we do not manage hospitals, but oversee how they are run by other health providers in the county