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Thursday 21 March 2019
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Legislation change allows practices to ‘suspend current contract’ when integrating with an ICP

Legislative changes are being introduced that will make it easier for practices to become part of an integrated care provider (ICP), the Government has announced.
 
The changes will allow organisations to work more closely together, giving GP practices the possibility to easily switch from their current contracts to an ICP contract, if they wish to do so, the Department of Health and Social Care (DHSC) said.
 
The regulations state: ‘Changes to secondary legislation have been proposed which would provide that, where a GP practice decides that it wishes to become fully integrated with an ICP, it may suspend its current contract, allowing the primary medical services to be commissioned through the ICP contract. GPs would then become either salaried GPs of the ICP or subcontractors to it.’
 
The regulations were submitted to Parliament on 13 February and will come into force on 1 April 2019.
 
Setting up a single ICP contract means primary medical services will be delivered through the same contract. At the moment, each organisation holds their own independent contract with commissioners.
 
Following these legislative changes, ICPs will be required to follow the same rules that apply to other NHS or care organisations, ‘for example around complaints procedures and the reimbursement of travel expenses’, according to the DHSC.
 
Minister for Health Stephen Hammond said: ‘These new regulations are a crucial step towards more integrated care for patients in England.
 
‘ICPs will give local areas the power to integrate care by bringing all the different healthcare services provided to local residents into a single contract.’
 
As stated in the long term plan, ICP contracts will be available for use from this year but before they are awarded, ‘any bids will be reviewed by local clinicians and NHS staff to ensure it is the most effective and beneficial organisation for the local area’, the DHSC said.
 
The Government added that it expects the contract to be held ‘by statutory providers, such as NHS foundation trusts’.
 
Speaking in front of the Health and Social Care Committee last month, health and social care secretary Matt Hancock said ICP contracts will be held by public bodies following recommendations previously put forward by the committee.
 
The comments were made in response to concerns voiced by campaign groups and others that the ICP contract might give way to the privatisation of the NHS.