During inspection activity and engagement in the area, the local CQC teams in Cornwall had identified ongoing and significant challenges. These included concerns about the community and adult social care provision, including sustained challenges faced by the clinical commissioning group (CCG), an acute trust (including the emergency department and urgent and emergency care) and delayed transfers of care. The review aimed to explore the reasons for concerns and to understand the factors contributing to issues affecting the system, so we could focus interventions and work with national and local stakeholders.