NHS England has dropped plans for separate contracts for different “accountable care models” in favour of a single accountable care organisation (ACO) contract. The ACO contract is a revised and renamed version of the multispecialty community provider (MCP) contract published in December 2016. NHS England says the ACO contract will be used for accountable care models generally, including MCP and integrated primary and acute care system (PACS).
"The services that emerge in response to calls for transformation will need to be delivered in modern, well-designed premises that are convenient, safe and fit for purpose – a far cry from the current stock of GP premises” (From Premises, Premises, PCC, 2015)
As GP organisations increasingly come together to deliver services at scale, a common sticking point is the availability of suitable premises.
PSNC’s funding team has published further materials to help community pharmacy contractors to understand how recent changes may be affecting their cashflow.
The funding imposition has already led to changes in payments made to contractors in recent months, but, following the reduction in Category M reimbursement prices effective from August, pharmacies will now see additional pressure on their income.
This report finds that there have been improvements in maternity services with a large increase in midwife-led units co-located with obstetric units and increasing birthplace choice for pregnant women. However, it highlights concerns about variation in availability of staff, facilities and services.