New Models of Care: Multi Specialty Community Providers June 2017

MCPs MCPs are about integration Current divisions: Divisions do not help Primary Care • Prevention Community Care • Efficiency Mental Health Care • Quality Social Care Acute Services

“If I were you, I wouldn’t start from here” MCPs “If I were you, I wouldn’t start from here” Six MCP Vanguards Three Models • Virtual • Partially integrated • Fully Integrated

Voluntary Sector organisation Virtual MCP Commissioner Commissioner Commissioner Commissioner Foundation Trust NHS Trust GP Federation Voluntary Sector organisation

Virtual MCP - Key Elements of Template Alliance Agreement (1) Parties – Commissioners and Providers Initial period with option for Commissioners to extend Alliance Objectives and Principles Governance Alliance Leadership Team and Alliance Management Team Alliance Programme Manager Transparency and Ethical Walls

Virtual MCP: Key Elements of Template Alliance Agreement (2) Services Contracts Key Performance Indicators and Risk/Reward Mechanism Remaining clauses IP Confidentiality and FOIA Personnel Liability and Indemnity Exclusion from the Alliance Termination

Fully Integrated MCP Commissioner

Fully Integrated MCP: Key Elements of Template Agreement Parties – Commissioners and MCP Provider Based on NHS Standard Contract plus primary medical services elements Still in development Particulars are blank – detail to be added to reflect local arrangements Service Conditions and General Conditions – some still awaiting new MCP Directions

Partially Integrated MCP Commissioner MCP Provider GP medical services providers

Partially Integrated MCP: Contracts Contract between Commissioners and MCP provider broadly the same as fully integrated contract But core primary medical services not included Instead – obligations on MCP to integrate its services with core primary medical services In addition – template Integration Agreement Level of commitment required to deliver integrated care model Parties: MCP provider and primary medical services provider Mainly obligations on GPs

Related Issues VAT Competition Procurement Pensions CQC I.T. Premises

And the answer is…?????? Vision Desire Willingness Necessity Different Models will suit different areas Need for GP coherence

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