The multispecialty community provider (MCP) emerging care model and contract framework

Across the country, NHS leaders have been developing sustainability and transformation plans (STPs) to implement the NHS Five Year Forward View. Nearly all of the STPs involve creating new models of accountable care provision.  Some are planning MCPs, others the bigger primary and acute care systems (PACS) model, under which all hospital services are also included under a single  form of integrated provision. The underlying logic of an MCP is that by focusing on prevention and redesigning care, it is possible to improve health and wellbeing, achieve better quality, reduce  avoidable hospital admissions and elective activity, and unlock more efficient ways of delivering care.

This document defines what being a multispecialty community provider (MCP) means by assembling features from the 14 MCP vanguards into a common framework.

Integrated primary and acute care systems (PACS) - Describing the care model and the business model

A new framework to help local areas establish a single primary and acute care system (PACS) has been published by NHS England, as well as another for improving the lives of care home residents.

Under a PACS, hospital, primary, community, mental health and social care services align their goals and incentives to improve the health and wellbeing of the population.

The announcement comes following the publication in July of a framework for the multispecialty community provider (MCP) model.

The King's Fund integrated care summit 2018

As the national rhetoric focuses on supporting the delivery of population health and integrated care, different models of care and new ways of working are being implemented across England. While integrated care systems (ICSs) are emerging to lead on planning and commissioning care for their populations, providers are also working together to deliver integrated care locally. 

Integrated primary and acute care systems (PACS) - Describing the care model and the business model

A new framework to help local areas establish a single primary and acute care system (PACS) has been published by NHS England. Under a PACS, hospital, primary, community, mental health and social care services align their goals and incentives to improve the health and wellbeing of the population.

The announcement comes following the publication in July of a framework for the multispecialty community provider (MCP) model.

The multispecialty community provider (MCP) emerging care model and contract framework

Across the country, NHS leaders have been developing sustainability and transformation plans (STPs) to implement the NHS Five Year Forward View. Nearly all of the STPs involve creating new models of accountable care provision.  Some are planning MCPs, others the bigger primary and acute care systems (PACS) model, under which all hospital services are also included under a single  form of integrated provision. The underlying logic of an MCP is that by focusing on prevention and redesigning care, it is possible to improve health and wellbeing, achieve better quality, reduce  avoidable hospital admissions and elective activity, and unlock more efficient ways of delivering care.

This document defines what being a multispecialty community provider (MCP) means by assembling features from the 14 MCP vanguards into a common framework.

Bridging the Gap: A Mixed Methods Study Investigating Caregiver Integration for People with Geriatric Syndrome

Transitions of care between acute hospital and community settings are points of vulnerability for people with geriatric syndrome. Routinely including informal caregivers into the transition processes may mitigate risk. Guidance for operational aspects of caregiver inclusion is currently lacking in healthcare policy and fails to address the barriers faced by caregivers and healthcare professionals.

This pilot mixed method study adopts an implementation science lens to “bridge the gap” between top-down policy recommendations and the realities experienced by healthcare professionals who provide transitional care. It explores how informal caregiver integration can be better achieved. In the past, caregiver integration literature has focused the role of nurses and case managers in this role. However, in true person-centred integrated care, discharge planning and caregiver inclusion is the responsibility of every healthcare professional. This study conducted a pilot to explore these concepts and challenges in physiotherapists at a private hospital in New South Wales ...