389:. The inspectors reported that exhaustion was leading to “high levels of staff sickness and staff resignations” with high vacancy rates for nursing staff in adult social care services. They also found a “lack of joined up communication across the system has resulted in people facing lengthy delays as they wait for assessment and treatment”. In August 2022 the average waiting time for category 2 calls was “hovering around 200 minutes when the national target response time is 18 minutes. Nearly half of the trust’s community beds were occupied by patients who were medically fit to leave but waiting to be placed in their next care setting.
22:
730:
401:
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The clinical commissioning group proposed in
October 2017 that it would no longer pay for non-emergency patient transport to hospital patients who frequently travel to hospital. The policy would particularly impact kidney dialysis patients, who typically have to visit hospital three times a week. The
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announced that it was abandoning proposals to establish an
Accountable Care System but they would continue to support the integration of health and care services. They said they would strengthen the existing Health and Wellbeing Board to become a more effective decision making body. Cllr Andy Virr,
158:
The
Sustainability and transformation plan says that the 13 community hospitals in the area with a total capacity of 314 beds are not used effectively, not fit for purpose and are not sustainable. It proposes to develop integrated community care hubs primarily for care of the elderly and to integrate
289:
intended to ensure care packages were available for patients leaving hospitals in
Cornwall but between July and September a total of 3,815 hospital bed days were lost because of problems with social care packages, compared with 2,255 days for the same period in 2014, meaning that there were 69% more
113:
in
October 2017 found that the county's health and social care system ‘is not working well together’, that different parts of the system are not working together to ensure people can move between services as they need them, and that too many people were stuck in hospital waiting for a social care
239:“Cornwall Council will ultimately become the strategic commissioner for all healthcare for Cornwall that is commissioned by the CCG. The longer term plan is that the CCG becomes a department within Cornwall Council and we will buy services from the providers.”
205:
in
December 2015. It has a budget of £728.7 million and expects a deficit of £14 million for 2015/16. It is required to have a turnaround director in place. Keith Pringle, who had previously worked with CCGs in Hampshire and at
774:
220:
In
September 2017 it was forecasting a £37 million deficit and had “no viable plan” to hit its control total, a £19.9 million deficit on its allocated £765 million, in the financial year.
529:
382:
595:
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In May 2017 there was a backlog of 14,000 people unable to register with an NHS dentist in the county. Waiting times for routine appointments were up to eighteen months.
297:
from 2011 but from April 2016 will be taken over by a consortium of Royal
Cornwall Hospitals NHS Trust, Cornwall Partnership NHS Foundation Trust and Kernow Health CIC.
708:
259:, a community interest company run by member practices. The consortium will operate under the name Cornwall Health. In 2017 it was announced that a £48m contract for
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the
Conservative health spokesperson, said that kind words regarding working together were vacuous without a commitment to integrate and combine budgets.
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as lead strategic partner for the delivery of extra care in
Cornwall with a seven year agreement for 750 extra care housing units worth £150 million.
174:
642:
1000:
247:
There are 69 GP practices in the county. St Mary’s hospital on the Isles of Scilly is a small community hospital with a Minor Injuries Unit run by
353:
341:. According to the trust between 8 and 12 patients a month have to be sent out of Cornwall, because there is an "inadequate provision" of beds.
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for the county. Services are to be provided by one or more “accountable care partnerships” led by the existing NHS providers. According to
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were considering a merger. In March 2022 it was announced, after prolonged and repeated delays, that the merger would not be going ahead.
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was the first dedicated helicopter emergency medical service operational in the United Kingdom. The Duchy Hospital in Truro run by
177:
established a joint board in July 2017 to “gradually unite clinical and non-clinical services" - a step towards the creation of an
106:
from 2002 until 2006 when that was merged into NHS South West. The PCT and the strategic health authority were abolished in 2012.
414:
884:
322:
94:
came under the South and West (Wessex and South Western) Regional Health Authority. Cornwall and Isles of Scilly constituted a
378:
Cornwall had 134 patients, the second-highest number in England, waiting more than 12 months for treatment in November 2018
87:
129:, a statutory partnership of organisations who prepare, buy, and provide health care services in their geographical area.
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Cornwall was one of the four areas chosen to trial the integration of specialised commissioning, previously run by
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to act as a voice for patients. There is one Healthwatch for Cornwall and a separate Healthwatch for the
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reported 29 serious incidents in Cornwall between October and December 2021 during an inspection by the
361:
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was to take over the functions of Kernow Clinical Commissioning Group as part of the development of an
260:
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167:. The CCG’s savings target for 2017/8 is £29.6 million but it has "no viable plan" to achieve this.
164:
33:. The reason given is: Clinical commissioning groups have been replaced with integrated care systems.
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contract, worth £8m a year, from 2015 was awarded to Devon Doctors, a GP led social enterprise, and
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are to create a plan to bring health and social care services together under local control.
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819:"Cornwall Council agrees partnership with Mears Group to deliver £150m extra care scheme"
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service has been supplied by E-zec Medical Transport Services Ltd. since summer 2016.
35:
Please help update this article to reflect recent events or newly available information.
356:
serves the east. Specialised services are provided from other trusts outside the area.
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90:. Cornwall came under the South West RHA. Regions were reorganised in 1996 and
396:
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From 1947 to 1974, NHS services in Cornwall were managed by the South-Western
143:
In July 2015 a devolution deal, the Deal for Cornwall, was announced by the
464:"CQC finds 'little confidence' in Cornwall's health and social care system"
951:"CEO 'not proud' as heart attack patients face three-hour ambulance wait"
54:
975:
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is the only private hospital in the County. It has 27 in-patient beds.
160:
929:"Multiple deaths due to care delays highlighted in damning CQC report"
272:
797:"Dental crisis in Cornwall sees 14,000 people stuck on waiting list"
210:
was employed at a cost of £396,000 in 2015/6 including agency fees.
775:"NHS consortium preferred provider for Cornwall community services"
596:"NHS England permits CCG to spend nearly £400k on interim director"
552:"Plans to 'privatise' NHS in Cornwall are abandoned after protests"
530:"Trusts set up joint board in move towards accountable care system"
121:
was introduced by the government, that included the abolishment of
508:"Sustainability and Transformation Plans: Find out about your STP"
91:
337:
NHS mental health services in the county are largely provided by
643:"Financially struggling CCG has 'no plan' to hit deficit target"
980:
753:"Bed blocking in Cornwall increases by 69% as new scheme fails"
102:
was established. This was managed by the South West Peninsula
665:"NHS Kernow in House of Commons Budget 'death tax' name check"
285:
During 2015 there was a programme funded with £44.5m from the
15:
863:"Two NHS health trusts in Cornwall announce possible merger"
251:
which also runs community hospitals all over Cornwall. The
907:"New fines for leaving patients waiting more than a year"
70:. As far as the NHS is concerned, Cornwall includes the
263:
GP and 111 services had been awarded to a consortium of
709:"Social enterprises win Cornwall out of hours contract"
618:"NHS to trial specialised commissioning with four STPs"
98:
from 1974 until 2002 when Cornwall and Isles of Scilly
383:
South Western Ambulance Service NHS Foundation Trust
86:. In 1974 the boards were abolished and replaced by
486:"Cornwall devolution: First county with new powers"
114:package or a place in a residential establishment.
352:provides hospital care in the west of the county.
58:was until July 2022 the responsibility of Kernow
731:"New NHS-private partnership wins £48m contract"
689:. Local Government Chronicle. 14 December 2017
208:Gloucestershire Hospitals NHS Foundation Trust
438:"Find your local integrated care board (ICB)"
8:
290:delays in discharging people from hospital.
841:"Lack of mental health beds causes concern"
777:. Health Service Journal. 20 November 2015
711:. Health Service Journal. 13 February 2015
645:. Health Service Journal. 7 September 2017
574:"Kernow CCG placed under legal directions"
909:. Health Service Journal. 10 January 2019
687:"Another council set to take on CCG role"
369:Cornwall Partnership NHS Foundation Trust
339:Cornwall Partnership NHS Foundation Trust
175:Cornwall Partnership NHS Foundation Trust
953:. Health Service Journal. 16 August 2022
576:. Commissioning Review. 16 December 2015
887:. Health Service Journal. 21 March 2022
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354:University Hospitals Plymouth NHS Trust
227:In December 2017 it was announced that
133:Sustainability and transformation plans
733:. Health Service Journal. 23 June 2017
598:. Health Service Journal. 28 July 2016
532:. Health Service Journal. 12 July 2017
510:. NHS Support Federation. October 2017
139:Sustainability and transformation plan
931:. Health Service Journal. 27 May 2022
201:was placed under legal directions by
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293:Community services were provided by
981:Kernow clinical commissioning group
466:. Healthcare Leader. 9 October 2017
885:"Trusts scrap long-awaited merger"
373:Royal Cornwall Hospitals NHS Trust
350:Royal Cornwall Hospitals NHS Trust
265:Royal Cornwall Hospitals NHS Trust
171:Royal Cornwall Hospitals NHS Trust
14:
667:. Cornwall Live. 24 November 2017
367:In May 2015 it was reported that
821:. Homecare Insight. 24 July 2020
415:Healthcare in the United Kingdom
399:
20:
1001:Healthcare in England by county
843:. West Briton. 10 February 2015
623:. Commissioning. September 2016
323:Health and Social Care Act 2012
278:Palliative care is provided by
184:In March 2018, after protests,
217:centrally, in September 2016.
1:
554:. Cornwall Live. 2 March 2018
199:Clinical Commissioning Group
123:clinical commissioning group
60:clinical commissioning group
125:and its replacement by the
88:regional health authorities
62:, until it got replaced by
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865:. West Briton. 18 May 2015
755:. BBC News. 7 January 2016
295:Peninsula Community Health
269:Community Interest Company
249:Peninsula Community Health
243:Primary and Community Care
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104:Strategic Health Authority
96:district health authority
29:This article needs to be
488:. BBC News. 16 July 2015
119:Health and Care Act 2022
68:Health and Care Act 2022
799:. Guardian. 21 May 2017
387:Care Quality Commission
345:Hospital and acute care
233:accountable care system
179:accountable care system
151:and the Council of the
111:Care Quality Commission
84:Regional Hospital Board
976:Cornwall Mental Health
358:Cornwall Air Ambulance
127:Integrated care system
64:Integrated care system
362:Ramsay Health Care UK
321:was set up under the
280:Cornwall Hospice Care
137:Further information:
66:, as a result of the
261:Out-of-hours service
253:Out-of-hours service
165:out-of-hours service
996:Health in Cornwall
100:Primary Care Trust
257:Kernow Health CIC
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825:7 September
693:20 December
671:23 December
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470:23 December
319:Healthwatch
314:Healthwatch
308:Mears Group
215:NHS England
203:NHS England
990:Categories
781:19 January
627:29 October
514:14 October
421:References
306:confirmed
145:government
759:8 January
649:8 October
536:23 August
492:27 August
448:3 January
381:Staff at
41:July 2022
715:24 March
393:See also
163:and the
55:Cornwall
935:30 June
869:19 June
737:16 July
602:28 July
558:9 March
197:Kernow
161:NHS 111
78:History
31:updated
891:22 May
803:21 May
442:nhs.uk
273:Vocare
621:(PDF)
92:Devon
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915:2019
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