The Case for Cornwall Health and Wellbeing for Cornwall Trevor Doughty Corporate Director – Education, Health & Social Care
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The Case for Cornwall
Health and Wellbeing for Cornwall
Trevor Doughty
Corporate Director – Education, Health & Social Care
The Cornwall context
CORNWALL & ISLES OF SCILLY POPULATION 545,335
ABOVE AVERAGE LIFE EXPECTANCY BUT ONLY AVERAGE HEALTHY LIFE EXPECTANCY
SOME OF THE MOST DISADVANTAGED NEIGHBOURHOODS IN THE COUNTRY
15% of households in Cornwall and Isles of Scilly experience fuel poverty (2nd highest in England)
HIGHER COST OF LIVING AND LOWER THAN AVERAGE EARNINGS 15.9% of children live in low income
households
Half of the population live in settlements of less than 3000 people –risk of rural isolation and poor access to services
Some poor outcomes for Children at school entry e.g. school readiness and obesity
LOW £ WAGES AND SEASONAL EMPLOYMENT
TRANSPORT LINKS BETWEEN MAIN TOWNS ARE VARIABLE
Number of people aged 75+ set to grow by 32% by 2024
Suicide accounts for more deaths in Cornwall than road accidents
• Co-terminousboundary
• Unitary authority
• 1 Clinical Commissioning Group
• 1 GP federation
• 1 Acute NHS provider
• 1 Mental Health Trust• 1 Community
Services provider
• 1 Health & Wellbeing Board
• 68 GP practices
Approximately 20% of residents are supported in their care by Plymouth and Devon health organisations
£300m combined funding gap between health and social care over next 5 years
Our ambition
People are able to live the lives they want to the best of their ability in their communities
The story so far
2009 2012 2013 2013 2014 2014 2014 2015 2015 2015
Our devolution deal outlines…
TO IMPROVE OUTCOMES FOR THE PEOPLE OF CORNWALL
COMMITMENT FOR SUPPORT
from Government, NHS England and other national partners
TO WORK TOGETHER AND WITH
Cornwall Council The Council of the Isles of ScillyNHS Kernow& other local partners
TO CO-DESIGN A BUSINESS PLANto move progressively towards integration of health and
social care resources
Shaping our transformation programme
Transportand
connectivity
Employment & skills
Public safety
Education
Environment
Housing
Start well, live well, be well
Economy
Community
Shaping our transformation programme
Thinking big with devolution
Greater local control over the wider determinants of health and wellbeing
A single budget with a 5 year settlement
A single performance framework reflecting local
needs
Local ownership of the local
estate
Effective use of all local commissioning resources e.g.
health, social care and welfareGreater control over policy
setting e.g. Sugar taxes
Stronger public influence over decisions
Developing a flexible workforce through multi-disciplinary professional development
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