Integrated care has become a key focus of reform in England as a response to a need to deliver further efficiency savings. Sustainability and transformation plans (STPs) and devolution are part of a number of wide range of new initiatives to develop and deliver integrated care.
Read the RCN's policy briefing 'Integrated Health and Social Care in England: update', published in April 2015.
The Case for Cornwall and the Deal for Cornwall were both approved by the Cabinet on 14 July 2015. They set out a commitment to achieve greater integration of health and social care and present opportunities for greater devolution of powers from Westminster. Cornwall is the first rural authority to agree a Devolution Deal with the Government. The Cornwall Devolution Deal outlines the powers that will be devolved to Cornwall for transport, energy, health and social care, and heritage.
As well as having powers devolved to Cornwall from London, Cornwall Council is also devolving services and assets to local councils, groups and organisations within Cornwall.
Currently Cornwall is not proceeding with health involvement in the devolution plan. However we expect movement on this as the STP moves forward with its plan. Meanwhile the various health providers are coming together in a consortium. These include Cornwall's acute hospital (Royal Cornwall Hospitals NHS Trust in Treliske), mental health hospitals (Cornwall Partnership NHS Foundation Trust), community hospitals (formerly Peninsula Community CIC) and Cornwall GPs (Kernow Health). This new arrangement will take some time to settle down operationally and will be exacerbated by the need to resolve the varying degrees of financial deficit within the component bodies.
Other plans in the South WestWest of England (Bristol area) - This bid is approved.
Further South West devolution bids also awaiting approval have been submitted from:
More information about devolution is available here.
Sustainability and transformation plans have taken over development of health provision. For more information please see our South West STPs webpage.
The South West has three vanguard sites piloting new models of care in different areas and health care settings. Follow the links for information about each one:
Integrated primary and acute care systems – joining up GP, hospital, community and mental health service:
South Somerset Symphony Programme
Urgent and emergency care – new approaches to improve the coordination of services and reduce pressure on A&E departments:
Acute care collaboration vanguard sites: