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Trust 'not transparent'

By Cornish Guardian  |  Posted: June 26, 2013

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A LACK of transparent decision-making over placement of patients with learning and mental health disabilities in Cornwall did not adversely affect them, an investigation has ruled.

Health sector regulator Monitor found the Cornwall and Isles of Scilly Primary Care Trust (PCT) failed with regard to decision-making in its commissioning of learning disability services, but there was no decision to exclude the independent sector, specifically a care home near Falmouth.

St Piran's Healthcare Ltd, which ran Kryllas Manor at Mawnan Smith, complained the PCT breached the principle and rules of co-operation and competition.

It claimed the PCT refused to commission its services and after opening in 2009 Kryllas Manor only received one patient. The home shut in November 2010, but is still registered.

The firm said not placing patients there meant they were forced to go out of county.

Monitor ruled the PCT did not decide against such commissioning, but statements suggested it had "closed its mind" to using Kryllas Manor.

Catherine Davies, executive director of co-operation and competition at Monitor, said the transparency of Cornwall PCT's commissioning decisions "could have been better" and its ruling should guide clinical commissioning groups (which have replaced PCT's) in improving practices.

St Piran's told Monitor it assessed six patients as being suitable for Kryllas, but Cornwall PCT said it was not "clinically appropriate" to place patients at Kryllas because of the care required.

The firm declined to comment on the ruling and NHS England was not available for comment.

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