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Last August we spoke to Tracey Vell, Manchester GP and LMC Lead about the integration of services in Manchester as they piloted the draft contract for Multi-speciality Community Providers. Nine months on Ben catches up with Tracey to talk about their continuing progress; about the philosophy and the model they are adopting, about the impact felt by individual practices and about some of the key lessons they are learning.
Show Notes
What’s happened in the last nine months since the previous podcast? (2min 11secs)
The Local Care Organisations in Manchester (3min 03secs)
Each LCO is around 250,000 patients (4mins)
Manchester is out to procurement – how? (4mins 25secs)
How did you achieve the level of sign-up (5mins 45secs)
Enhanced services ring-fenced within the LCO – a hub based structure (6mins 51secs)
What to do with QOF? (8mins 01secs)
Mechanisms for gain-share? (8mins 50secs)
The High Impact Centre – managing intensive patients (10mins 17secs)
The difficulties of procurement (11mins 18secs)
The impact on individual practices (11mins 50secs)
Successful bid for £42m for general practice (12mins 47secs)
Everything is aligned through one strategy (13mins 37secs)
The confidence of the practices (15mins 19secs)
Resilience in the long term (16mins 10secs)
Getting 90 practices to sign up – the key drivers (17mins 01secs)
Engaging with the practices (18mins 47secs)
The role of the federations (20mins 36secs)
The ownership of the MCP – avoiding provider control (22mins 36secs)
Do integrated care organisations provide a secure future? (24mins 43secs)
The radical difference that drives integration: population based outcomes rather than service specifications (25mins 48secs)
Getting more information (27mins 03secs)
The resources that Tracey describes are available here http://www.gmhsc.org.uk/
Remember – if you want to take part in the live event on becoming a GP partner on July 4th between 7pm and 8.30pm contact Ben ben@ockham.healthcare
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