1. New Models of Care: Multi Specialty Community Providers
June 2017

2. 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

3. “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

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

5. 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

6. 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

7. Fully Integrated MCP
Commissioner

8. 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

9. Partially Integrated MCP
Commissioner
MCP Provider
GP medical services providers

10. 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

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

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

13. Thank you
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