36. Cornwall and the Isles of Scilly

In October 2018, the chief executives of NHS England and NHS Improvement wrote to all STP leaders instructing them to come up with new five year plans by autumn 2019. The new five-year plans will replace those which were drawn-up in 2016 based on the previous five-year funding settlement to 2020-21. The new five year STP will be developed based on a new NHS England budget.

The letter notes that “It will be extremely important that you develop your plans with the proper engagement of all parts of your local systems and that they provide robust and credible solutions for the challenges you will face in caring for your local populations over the next five years.”

NOTE: The information on this page relates to the original STP drawn up in 2016, however much of the information is still relevant and could be part of the new STP.

What concerns have been raised about your STP?

Health planners are trying to reduce NHS deficits and think about ways to re-organise care. However getting the large deficit under control could prevent facilities being developed that can cope with the health and care social needs of local people.

Proposed changes

A review is under way of community hospitals and campaigners are concerned this could lead to a reduction in bed capacity or hospital closures.

The council has warned it will need to make savings from important NHS contracts including health visiting, school nursing, sexual health and drug and alcohol services.

The future of minor injury units is has been revealed to be in danger of facing closures.

Cost-cutting a primary aim

Cornwall is a 'capped-expenditure' area due to its high deficit. According to documents leaked to the HSJ and reported by the Independent, cost cutting measures for Cornwall could include:

  • Longer waiting times for elective care
  • Closure of wards and theatres
  • Staffing cuts
  • Ending funding for some treatments and prescriptions
  • Delaying or avoiding funding newly approved treatments

Changes in who organises our care

An integrated care system combining health and social care was in development in Cornwall, however opposition from Cornwall Council in March 2018 has led to the council pulling out of the plans. Without council backing a formal integrated care system for health and social care can not be developed and a less formal partnership arrangement for integrated care is now likely.