 Out-of-hours services are provided by County Durham and Darlington NHS Foundation Trust.Walk-in centres in North Ormesby and Eston were closed in 2017 and replaced by the South Tees Access Response service, run by ELM Alliance Ltd, an alliance of local GPs, which offered late night and weekend appointments at four GP surgeries.Mental health services in the county are provided by Tees, Esk and Wear Valleys Foundation NHS Trust.