Framework sets out how to be a multispecialty community provider

carer and older woman

A new framework outlines how place-based partnerships can replicate the successful work of the 14 multispecialty community provider (MCP) vanguards, when establishing their own programmes.

Described as a milestone in the new care models programme and the implementation of the Forward View, the NHS England document defines what being an MCP means by taking features from the 14 vanguards to create a common framework. Commissioners and providers can follow the framework when establishing MCPs, and the vanguards themselves will adopt or adapt it for their own local communities. 

The MCP vanguards will move specialist care out of hospitals and into the community, removing divides between primary, community, mental health, social care and acute services to provide efficient, joined-up and preventative care.

Highlighted in the framework is primary care home, the joint programme between NHS Confederation and the National Association of Primary Care (NAPC), which redesigns primary care around the needs of local communities with the same goal of providing integrated, joined-up and person-centred care.

Ten elements that are key to successfully establishing an MCP:

  • Build collaborative leadership around a shared local vision based on a new clinical model.  
  • Create a dedicated ‘engine room’ to drive and manage the local transformation programme.
  • Establish a transparent governance structure.
  • Understand the different needs of your diverse population.
  • Develop and maintain a clear and explicit description that explains how the proposed transformations in care are intended to lead to the intended outcomes. 
  • Establish the financial case for developing the MCP. 
  • Design and document each component part of the care redesign.
  • Systematically plan, schedule and manage the implementation of the changes. 
  • Learn and adapt quickly.
  • Commission and contract for the new model, so that organisational forms and financial flows support your goals. 

NHS England is inviting comments on the framework, before a first draft of an MCP contract is published by the end of September. You can send your feedback by 2 September to  

Access the MCP framework on NHS England's website

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