1. HFMA: West Midlands Annual Conference
Wolverhampton
22nd June 2017
Commissioning from the Perspective of ‘New Models of Care’

2. Workshop Format ‘What do you know’ Quiz
National Guidance and Background
Options and Opportunities
Commonality and Differences
Commissioning and Contracting
Workshop Discussion

3. National Guidance and Background
Five Year Forward View (October 2014)
New Models of Care Programme (January 2015)
GP Five Year Forward View (April 2016)
The Multi-Speciality Community Provider (MCP) Emerging Care Model and Contractual Framework (July 2016)
Formation of Sustainability and Transformation Partnership 2017 Contracting Round
Next Steps on the NHS Five Year Forward View (March 2017)

4. Options and Opportunities
What are the New Models of Care going to achieve?
‘Support sustainable general practice’
‘Bringing together large community based care delivery’
‘Combining practices with community services to create a broader, more holistic form of general practice’
‘A new opportunity for partners, clinicians and managers to do things differently’

5. Options and Opportunities Cont.
Two broad approaches have been described:
Multi-speciality Community Based Provider (MCP)
- A Integrated Multidisciplinary Provider
Primary and Acute Care System (PACS)
- A Majority Provider for Local Hospital Providers

6. Commonality and Differences
Population base approaches
Aim to improve the physical, mental, social health and wellbeing of a defined population
Base around General Practice and General Practice registered population
Encourage Providers to work differently (collaboratively/partnerships)
Holistic team base care
Whole population based budgets
Differences:
Scale of included population
- PACS being significantly larger
- PACS offer transformation across the acute sector foot print

7. Commissioning and Contracting
Contracting Approaches:
Virtual Partnership Arrangements
Pooled Budgets
New and Novel Contracts
Commissioning Approaches:
Rapid Pilot Vanguard Sites – provide some insight
National Guidance (NHSE 2016) Regulations
Length of Contract (5 – 10 years)
Outcomes Based Service Specification (move away from pathways)
Procurement Options:
Novel procurement to support partnership approach
Formal tender process

8. Workshop Discussion: Questions
As a Senior Finance Officer, what do you think will be the consequence of introducing a ‘New Model of Care’?
How would you approach establishing a budget for an New Model of Care Programme?
- Partnership Working - Running Costs
- Capital Defining what is not in
3. Would you anticipate efficiency from the Model?

9. Summary
Benefits
Risks
MCPs
PACs