1. MCP Voluntary Contract

2. The MCP – What is it?
A population based care model aiming to improve the physical, mental and social health wellbeing of a local population.
Based on the General Practice registered list.
New model of enhanced primary and community care.

3. MCP Care Model Natural community of care (neighbourhood) – 30-50,000
Services delivered through “care hub” which has a multi disciplinary team supported by GPs
Natural communities combine to a population foot print of 100,000 plus

4. The Four Levels of MCP Care Model

5. Contract is Voluntary . . . there are 3 options
Virtual MCP
Partially Integrated Model
Fully Integrated Model

6. Virtual MCP Practice commissioned under GMS, PMS or APMS
Practices sign an “alliance agreement” with commissioners and other providers
Sits on top of contracts
Alliance Contract
NHSE
CCG LA
GMS
PMS
APMS
NHS
Standard
Contract
Other
Contracts
Community Services
Social
Care
GPs
Mental Health

7. Partially Integrated MCP
Commissioners award a contract for all services in scope – except core general practice.
Practice keeps GMS or PMS contract but signs an “integration” agreement with MCP provider.
This is a local agreement
Existing GMS/PMS/APMS
GPs
GPs
Community and MH services
Some hospital services
Social Care
MCP Contract
GPs
GPs
GPs

8. Fully Integrated MCP
MCP Contract
Commissioners award a contract for a full range of services for population which includes core general practice.
GPs able to give up or suspend GMS or PMS contract – become MCP owners employees.
Primary care funding becomes part of the MCP whole population budget.
GPs
GPs
Community and MH Services
Some hospital services
Social Care
Primary care
GPs
GPs

9. The Contract Sum
Capitated budget covering all services within the contract – provider deploys flexibly.
MCP pay for performance – QoF and CQUIN.
Gain risk share arrangement.

10. Organisational Form GP owned MCP Corporate joint venture
Company limited by shares or LLP
Corporate joint venture
Existing NHS Body (FT or NHS Trust)
Host arrangement

11. What could be included in the Contract?
Community Nursing and Therapy
Some Hospital Services (Diabetes)
Diagnostics
Sexual Health
Mental Health
Ambulatory Care

12. What benefits could there be to GPs?
Greater influence and control over the local health and care system including control over the allocation of financial and human resources in the community.
Work in a care model built by GPs that allows GPs to have a work/life balance which will in turn increase recruitment and retention.
Make helping those with complex problems easier by offering a greater access to a broader, more in-depth range of services in primary care settings.
True multidisciplinary working that reduces hand offs to general practice from other clinicians and professionals.
Wider career opportunities for GPs that allow portfolio careers.

13. How would this work? CCG Commission a service Contract to include….
Contract length years
Must have general practice support
Commissioned for outcomes rather than activity
Population based budget
Place based services
Held by a legal entity
Provider partnership replaced competition