• Non-vanguard CCG launches procurement of a £1.3bn new care model contract
  • Scarborough and Ryedale CCG aims to award an MCP contract to a single provider by April 2018
  • GP services are not initially included in MCP’s “core” service scope but the CCG aims for partial integration of 15 GP practices from the start

Commissioners in Yorkshire, who are not one of NHS England’s national vanguards, have signalled their intention to tender a new care model contract worth more than £1bn, HSJ has learned.

Last month, Scarborough and Ryedale Clinical Commissioning Group published a prior information notice, saying that it hopes to procure a single multispecialty community provider contract, worth £1.3bn over 10 years, by April 2018.

In an overview document, published on 20 March, the CCG said it has been following the progress of NHS England’s 14 MCP vanguard sites and hopes to use the national MCP contract to procure a single provider for all community, continuing healthcare and funded nursing care services in its area.

The notice, which comes before a formal procurement process, outlines that the contract will go live by April 2018 and will be awarded to a “single entity” for 10 years with the option to extend for another five.

According to documents published at the same time, the contract will not initially cover GP services, but aims for 15 practices in the area to participate on a “partially integrated basis”.

The contract will be designed to cover a population of 119,00, which is the size of the combined patient list of these practices.

The CCG will “allow for growth in the number of GP practices which may seek to participate in this arrangement (potentially with GP practices joining from outside the CCG’s locality”.

The national MCP contract, published last year by NHS England, outlines three models for GP participation within an MCP: an alliance, partial integration and full integration.

Under the partially integrated model GPs can retain their general medical services contract alongside the MCP contract.

Although the CCG hopes to award the contract to a “single entity”, it will also consider “prime [provider] and subcontracting models, special purpose vehicles or other bidding structures”.

The services scope adds that from April 2019 the contract will include community outpatient services such as rheumatology, ENT, dermatology and gynaecology.

The CCG has outlined that it “will be expecting transformation of service delivery to be effected as soon as possible after the service commencement date” and that prospective bidders “may need to make upfront investments to deliver the CCG’s requirements”.

As part of the procurement process the CCG held a market engagement event for prospective bidders last week.