Decision Maker: Cornwall Council

Outcome: Recommendations Approved

Is Key Decision?: No

Is Callable In?: No

Date of Decision: July 22, 2025

Purpose:

Content: It was moved by Councillor Chopak, seconded by Councillor Creek and   RESOLVED that we are disappointed that this decision has been made nationally on behalf of Cornwall and would have been keen to see Cornwall & IOS ICB remain sovereign but look forward to working with the new board upon their appointment and that the Council:-   1. Engages constructively with NHS England, the new ICB leadership, and the Secretary of State for Health to seek:      - Clear assurances and seek guarantees that Cornwall will retain **dedicated leadership representation** within the cluster.      - Transparent funding arrangements, ensuring Cornwall’s budget is protected and used to address local health inequalities.      - A strong voice for Cornwall in strategic planning, with meaningful involvement of local authorities and communities and this remains central to the delivery of health and care services for residents in Cornwall.   -   Ensure the residents of Cornwall continue to be heard through a revised and strengthened ‘Healthwatch ‘ provision   2. Requests a joint discussion with Devon County Council and the Isles of Scilly Council to explore collaborative governance arrangements that respect both systems’ needs.   3. Tasks the Health & Adult Social Care Overview & Scrutiny Committee with monitoring the transition, reporting on:      - Impacts on Cornwall’s health services and outcomes.      - Community and stakeholder engagement in decision-making.    - Financial and staffing stability during the merger process.   4. Works with Cornish MPs and health leaders to ensure local concerns are heard at a national level, while seeking opportunities to strengthen, not diminish, health outcomes for all residents.