Page 4 - New and Emerging Customer Types

In England, the commissioner has no responsibility for the direct provision of services. However, in two of the devolved nations, Scotland and Wales, the purchaser- provider split has been discontinued and responsibility for managing resources and service provision lies with the fourteen NHS boards in Scotland and the seven health boards in Wales.
Northern Ireland has a commissioner provider separation, with commissioning functions being undertaken by five local commissioning groups (LCG’s). The five LCG’s are co- terminus with the five main health and social care trusts (HSC trusts) that offer a range of
acute, community and social care services
Multi-Specialty Community providers
You may find the following link to “General Practice involvement in MCPs” a useful starting point in your understanding of the concept behind multi- specialty community providers.
https://www.youtube.com/watch?v=J-fFXwQajSg
The MCP is a place-based model of care, which is designed to join up services that had previously been provided under separate contracts, to create a unified approach to care.
In an MCP, patients will benefit from joined-up, responsive services that are able to provide personalised care and population health.
The MCP model is distinctive in as much as it has a multi-disciplinary approach with each of the health care providers working within the organisation holding accountability for the delivery of services to patients.
An MCP will ultimately become the focal point for a wider range of care needed by a registered patient population.
As larger group practices come together to form MCP’s, they will begin employing consultants or take them on as partners, bringing in senior nurses, consultant physicians, geriatricians, paediatricians and psychiatrists to work alongside community nurses, therapists, pharmacists, psychologists, social workers, and other staff.
These new entities will shift the majority of outpatient consultations and ambulatory care out of hospital settings. (NHS England, 2014)
Furthermore, they will take over the running of local community hospitals which could substantially expand their diagnostic services as well as other services such as dialysis and chemotherapy.
The important element to understand is that the contracting and payment system will incentivised and enable delivery of the service for improving population health.
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