Round up from the third Accountable Care System Inquiry Day, last chance to put questions

You have until noon tomorrow to submit a question to the inquiry


Round up from the third Accountable Care System Inquiry Day

Round up from the third Accountable Care System Inquiry Day from Cornwall Council on Vimeo.

Councillors have heard from senior health officers about the preferred options for the integrated strategic commissioning of health and social care in Cornwall and the Isles of Scilly during the latest session of the Accountable Care System Inquiry.

During the inquiry, the panel – made up of six Cornwall councillors led by Chairman Dr Andy Virr – heard from the Council’s Director of Public Health, Dr Caroline Court and Helen Childs, Interim Chief Operating Officer for NHS Kernow Clinical Commissioning Group (NHS Kernow).

Their evidence focussed on a desktop assessment of the six options for the future strategic commissioning of health and social care services which had been carried out by a group of senior officers from Cornwall Council, the Council for the Isles of Scilly, NHS Kernow and NHS England. The group had ranked the options which range from keeping the arrangements as they are at present to moving to strategic commissioning of health, social care and public health services through a new body such as a Joint Health and Care Committee.

The six options under consideration by the ACS Inquiry panel

View the presentation slides from yesterday, with more information about how the options have been ranked.


With three of the four inquiry sessions now completed, councillors are making good process in understanding the current challenges for health and social care in Cornwall and the Isles of Scilly, said Dr Virr.

“Both we and our colleagues in the NHS are agreed that the way health and social care services are currently commissioned in Cornwall and the Isles of Scilly won’t address the changing need of our communities. Our role is to consider the options put forward for integrated strategic commissioning and how this can be achieved,” said Dr Virr.

“After the final inquiry session, we will consider the evidence and make our recommendation to the Council’s Health and Social Care Scrutiny Committee, who will then consider our findings and make recommendations to the Cabinet. Any decision on this will ultimately rest with the 123 councillors who make up Cornwall’s elected representatives on the Council.”

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Developing an ACS for Cornwall and the Isles of Scilly is a way of just a way of bringing together the network of existing statutory health and care providers and commissioners, says the council. An ACS does not change an organisation’s statutory and legal responsibilities, and says Kate Kennally and others, will allow for one strategy, one budget and one plan approach to work together in people’s best interests, rather than those of each organisation.

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As well as being in agreement about the approach, all are signed up to making progress and testing out the practicalities by working in shadow form during 2018/2019.

There are four sessions taking place as part of the Accountable Care System Inquiry – the final session takes place at 10am on Wednesday 31 January. More information on the Inquiry sessions is available on the Council’s website.

You can submit comments for the panel to consider while weighing up the evidence – please email by 12noon on Wednesday 17 January.

Interview from Day 2 of the Inquiry:

thx to Council comms