NHS England 28 July 2016
- Close work with 6 local systems has supported the development of a Multi-Speciality Community Provider (MCP) framework which provides a way forward on commissioning, contracting, financial flows and organisational form.
- The fully integrated MCP is a place-based model of care. with a single whole population budget across the range of services it provides. It creates a new care model, backed by a new business model, based on the GP registered list and is a critical enabler of the GP Forward View.
- The building blocks of an MCP are the ‘care hubs’ of integrated teams. Each typically serves a community of around 30-50,000 people.
- The MCP care model operates at four different levels:
- at the whole population level, the MCP aims to bend the curve of future healthcare demand. It aims to address the wider determinants of health and tackle inequalities. It builds social capital by mobilising citizens, local employers and the voluntary sector;
- for people with self-limiting conditions, the MCP helps build and forms part of a more coherent and effective local network of urgent care;
- for people with ongoing care needs, it provides a broader range of services in the community that are more joined-up between primary, community, social and acute care services, and between physical and mental health; and
- for small groups of patients with very high needs and costs, it delivers an ‘extensive care’ service.
- Three contacting models are emerging:
- the ‘virtual’ MCP, brought about through an alliance contract.
- the ‘partially integrated’ MCP contract, which means that whilst general medical services are an integral part of the MCP model of care, the GPs retain their GMS contract, which ‘sits alongside’ the MCP contract.
- the ‘fully integrated’ model with a single whole population budget across all primary and community based services.
- A MCP contract development team is working on development of new commissioning, contracting, organisational forms and funding methodologies.
- A draft MCP contract will be published at the end of September.
- For a list of MCP Vanguards see here.
- See NHS England Board paper
