Page 9 - New and Emerging Customer Types

Contract Types
This paper has previously touched on the contract types relevant for both the PACs and the MCP model. There are synergies across the model types.
Depending on the model type and approach, there will be three different contractual approaches; Virtual, Partial and fully integrated. (As with MCP’s)
With each PACs model, there will be a specified contractual arrangement.
The three PACS contracting models which are emerging and pioneered by the Vanguards are the ‘virtual’ PACS, where the providers are bound together by an alliance agreement, as in the case of the MCP’s.
The partially integrated’ PACS, which will see a contract for the vast majority of health and care services under a single budget and the fully integrated PACS, where there will be a single contract for all local health and care services, operating under a whole-population budget.
The PACs contract could be held by a group of General Practitioners but equally could be held in partnership between the Acute provider, General Practice and Social Care, which would be a new entity formed as a new venture.
Summary
In a rapidly changing NHS, the PACS and MCP models offer the opportunity to delivery care in a far more joined up way, to an increasingly complex and aging population.
The FYFV set out a vision for the future of the NHS in England and the soon to be published ten-year plan, will cement the health sectors ability to genuinely plan for the longer term, utilising health resources in a more innovative and collaborative and joined up way.
PACSs and MCPs represent two ways in which the vision of the FYFV are becoming a reality and although they each differ in size and scale, both care models include primary, community, mental health and social care, with the PACS model going one step further and including hospital services.
Because of the scale of the PACs operating model, they have the potential to transform the current business model right across in-patient and out-patient activity, and across the hospital spectrum.
A PACS model will undoubtedly be larger than an MCP, as it will cover the population of the hospital footprint, as a minimum. There is no question that both of these new health systems will mean a sea change in the way that care is delivered and also in the way that the pharmaceutical and life science sectors work with these new customer types.
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