A hospital trust that took on community services in two London boroughs is looking to offer all its services on a bundled tariff in 2012-13.
Whittington Trust chief executive Yi Mien Koh told HSJ the trust would look to provide all of the services across the two boroughs for a flat fee, the same price as this year’s planned turnover of £264m.
The Whittington took over the running of community services for NHS Haringey and NHS Islington in April.
The boroughs cover a population of 440,000.
Ms Koh said the funding model would see the risk of extra activity transferred from commissioners to the trust.
“My proposal is that we run at the same price as this year. We can then plan our services and our commissioners face no extra risk,” she said.
Haringey is one of three primary care trusts in the north central London cluster predicting a deficit for this year. It anticipates a year-end overspend of £18.8m.
The Whittington also plans to model different types of service delivery across the area. It hopes to develop services appropriate to the needs of populations with different levels of variation. “Hopefully by the end of 2012-13 we will have different options on the menu for different areas” said Ms Koh, pointing out commissioners may want different types of service in their area.
Greg Battle, the trust’s medical director of integrated care and a local GP, said there was “still the suspicion from some commissioners that this is the acute growing its business”. However he believed the bundled tariff plan would contradict this.
The trust is also looking at making joint appointments with Islington Council for social care positions.
Whittington’s plans were revealed as smaller acute trusts look at alternative models of provision. HSJ reported last week on Somerset-based Weston Area Health Trust’s investigation of the Valencia model of integrated care, which sees the regional government pay a fixed price per inhabitant to a private contractor for primary and secondary care.
Wye Valley Trust in Herefordshire is the first organisation in England to provide community, acute and social care services.