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10 High Impact Actions
General Practice Development Programme National support for local change to release time for care 10 High Impact Actions to release time for care Optional extras Federation Learn from Productive General Practice support innovators Select Test, refine, Embed Plan changes Preparation priorities implement change 9-12 month collaborative change programme Improvement Leader training (300 places per year) £30m Funding for reception & clerical staff training (from 2016) over 3y £45m Funding for online consultation systems (from 2017) over 5y £45m Practice manager development over 5y £6m over 5y
What is an MCP? • Multispeciality community based provider • Delivery of primary care and community based services • Place based – serves whole population based on registered lists of participating practices • Purpose is care redesign • 14 MCP vanguards piloting, all serve a minimum population of 100,000 • Plan to increase coverage from 8% of population to 25% in 2017-18 • New national new care models funding stream to support
Examples of care redesign • A broader and deeper range of services in the community • Broader – integrating primary, community, mental health, social and urgent care • Deeper – providing services traditionally delivered in secondary care • Patient and public engagement – voluntary sector • Prevention is a “must do” • Extensivist model • Enhanced urgent care – clinical hubs. 7/7 solution • Integration of IT • Risk profiling and early targeted intervention
What is the MCP Voluntary Contract?
MCP Voluntary Contract • Announced at the Conservative Party Conference 2015 • Contract with a legal entity • Population based > 30,000 • Must have GP engagement – built on GP registered list • Integration with community services • Could include GMS/PMS • Potential to replace QoF and enhanced services • Potential to provide indemnity and single CQC registration • Improve access 8am to 8pm seven days a week
Who could hold a MCP Contract? • LLP • Limited company • Community Interest Company • NHS Trust • Foundation Trust
What are the different types of Voluntary MCP contract? • Virtual MCP model • Partially Integrated model • Fully integrated model
Virtual MCP model • Providers work together in an alliance partnership model • Does not change contracts • Providers have a shared vision • a commitment to managing resources together • a clear governance structure • gain/risk sharing arrangements • an agreement about how services will be delivered operationally.
Partially Integrated MCP • Single contract for services except GMS • Could include local enhanced contracts and QoF • Services that could be included: – Community nursing and therapy – Care of the elderly including frailty – Long term conditions e.g. Diabetes, Respiratory care – Diagnostics – Community mental health • Would need a legal entity to hold contract • Contract length 10 – 15 years
Fully Integrated MCP • Needs to be held by a legal entity • Single population based budget including primary and community care • Can offer an employed model with contract held by MCP • Fully integrate GMS/PMS – can be “put on ICE” for limited period • New hybrid contract between primary medical contracts (GMS, PMS or APMS) and NHS Standard contract • MCP offers indemnity also this is the registered provider for CQC • Important that population has access to general practice (a requirement not an option)
Questions • Do practices have to be involved? • Is this the end of partnerships? • Does this replace my GMS contract? • Can I go back to GMS? • Could one practice in an are stop this happening?
Questions • What if some want to be fully integrated and some partially? • Is this subject to competitive tendering? • Are hospitals involved?
If you want more information Look at the Wessex LMC website and search for MCP Voluntary contract click on MCP contract video – Carole Cusack (LMC Director) questioning Dr Nigel Watson (CEO Wessex LMCs)
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