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Not so new care model

Stockport Foundation Trust and borough council have tapped into the trend of reviving all things nineties and noughties for running their new care model.

The term “care trust” was introduced in the 2000s under the NHS Plan. Local organisatons were given the power to create care trusts with their local authorities – bringing together the commissioning and provision of health and social care services under one organisation.

The FT, council and other health and social care providers for the Stockport Together vanguard project now want to create a new care trust to run the area’s MCP contract.

They published an options appraisal document in mid-October setting out five potential options for the organisational form of the MCP: a contractual alliance; an accountable care trust; the lead provider model; a corporate joint venture; or a limited liability partnership.

Following an initial assessment it was decided that the creation of an accountable care trust was the preferred option, subject to approval by the boards of the providers involved.

Under this option, Stockport FT and the council would create a care trust, which would hold the MCP contract and the contracts for all other health and social care services. However, HSJ understands core primary care services would not be provided by the care trust. Instead the new organisation would subcontract services out to GPs.

According to Stockport CCG’s recent board papers, interim arrangements for the MCP are anticipated to go live from April, while the scope of services for the contract is estimated to be £180m.

Money mystery

The Department of Health and Health Education England have refused to say how much Jeremy Hunt’s scheme to train more graduates as NHS managers will cost, or how it will be funded.

The health secretary announced a major expansion of NHS graduate management scheme places on Wednesday, from a current 100, to 200 in 2018, followed by phased increases each year. The Department of Health told HSJ they were intended to reach “up to 1,000 places by 2020 subject to funding”. Funding those numbers of graduates is expected to come with a significant cost.

NHS England had told HSJ that it would be funded in 2017-18 by “£1m from the General Practice Forward View transformation fund”. However, after publication, NHS England told us this was not the case. A spokeswoman said: “All money identified for GPFV schemes will be spent on GPs and primary care and none whatsoever is being diverted to other schemes, such as the health secretary’s announced expansion of the management training scheme.”

The Department of Health, Health Education England and NHS England have all declined to say how much is planned to be spent on the scheme in any year, or how it will be funded.