Cumbria's out of hours medics are asking patients to think before calling this New Year, and to make sure they have transport available.
Cumbria Health on Call dealt with 4,521 calls between Christmas Eve and 8.00am on 29 December. They're expecting to be similarly busy over the New Year period.
Once they've taken basic details over the phone, they arrange for an on-call doctor to ring the patient. If necessary, they'll book them an appointment at an on-call clinic.
But transport and home visits are only provided if a patient is too ill to travel themselves, or has special requirements.
And they're advising people only to call if they need urgent medical attention.
The telephone number for medical assistance out of hours is 03000 247 247.
Care home provider Executive Care has announced that it is closing Branthwaite Nursing Home in Workington.
The care company terminated its contracts with Cumbria County Council and NHS Cumbria Clinical Commissioning Group (CCG).
The NHS Cumbria report found a strong link between lifestyles and unsuccessful pregnancies.
One in five mothers reviewed for the report had a body mass index (BMI) of more than 35, and a third of the mothers smoked during pregnancy.
In comparison, from the general maternity population, around one in ten mothers have a BMI of more than 35 and one in six smoke throughout their pregnancy.
A report has found that although the number of stillbirths and infant mortality cases in Cumbria are declining, more can still be done to prevent deaths.
The NHS Cumbria report shows the county has fewer perinatal deaths than the national average, but urges local hospitals and expectant mothers to help reduce the number further.
The research panel have recommended that tackling lifestyle issues such as smoking and obesity can help give the mother and child the best chance of survival.
They also suggest that local hospitals carry out more individual case reviews in order to learn from what has happened.
Work has begun on a major renovation of Keswick Hospital.
It's part of a drive by NHS Cumbria to bring standards in community hospitals to new national levels.
The development will increase the range of services and cut down the number of patients having to travel long distances for simple procedures.
Ryan Dollard has the full report:
With the new year just a few days old, people in the region are being urged to think about improving their health in 2013.
NHS Cumbria want everyone to think about cuting down on how much they smoke and drink and to improve their diet.
People across Cumbria will have the opportunity to discuss any concerns they have about alcohol, during a live webchat.
The chat is part of alcohol awareness week and offers people the chance to discuss issues such as the effect alcohol has, and drink driving laws.
The chat will take place between 10am and 12pm, with representatives from NHS Cumbria and Cumbria Police responding to questions.
People can join in by visiting the Cumbria Police website.
The complete webchat will be posted online afterwards.