NWL0069 Provision of List Based Enhanced Primary Care Service across GP and PCN site locations in NWL CCG

NWL CCG requires the provision of various Enhanced Primary Care Services covering the total registered population across multiple GP and PCN sites.

The contracts have been designed to deliver a range of enhanced primary care services via 347 GP practices and/or GP federations in each of the 8 boroughs in North West London. Full patient population coverage is central to improving local care, and reducing variability in people's outcomes, so that every patient has access to the range of services offered.

Specifications within the contracts are for out of hospital services include services such as phlebotomy, ECG, diabetes and are outcomes based.

The contracts have been designed to focus on improving clinical outcomes, driving improvements in the consistency of care provision in all GP practices, reduce unwarranted variation in general practice, and reduce health and care inequalities.

The contracts are delivered in general practices and at scale by PCNs/other GP led organisations to enable providers to deliver the full range of services covered by the contracts and full patient population coverage.

The CCG currently has contract arrangements in place with all 347 GP practices and with some GP Federations where services are delivered at scale through NHS Standard Contracts. The contract term expires on 31st March 2022. The primary focus for 2022/23 is to transition to PCN based contracts and delivery from 2023/24. By moving to PCN level delivery, it is envisaged it will lead to a better integrated, resilient primary care working which will embed effective population health management thereby improving health outcomes for the whole population it serves.

The CCG is of the view that the 347 GP Practices and GP federations in the 8 boroughs of North West London are the only providers capable of delivering these services because this provider group has access to the registered list of patients, can proactively identify patients and has access to the entire patient medical record. This will enable continuity of care and provide services at a location closer to patients home.

The purpose of this PIN is to be transparent about the CCG's intentions to extend (where applicable) and initiate new contracts with practices until 31st March 2023 while service specifications and contractual frameworks are revised.

During 2022, it is anticipated that NWL CCG will be succeeded by an Integrated Care Board (ICB). Any future contract and/or procurement opportunity may therefore be in the name of the ICB.