1. Super Partnerships
Creating a GP led Integrated Care
Organisation
Helen Parker, Director, Practice Partners
Dr Naresh Rati, Executive Partner, Vitality
Partnership

2. A new model for general practice
Key features of the Super Partnership:
• Built on local general practice with local GPs
• Integration of primary and secondary care services, patient processes and
planning within one organisation: managed care model
• Creating a list size of 100k + patients
• Multi-site operation
• Detailed 5 year business and investment plan
• More corporate internal structure for GPs
• Long term business partners for diverse skill set

3. Managed Care Infrastructure
• Provision of high quality
PMS/GMS services over 5
strategic ‘outlets’
• Integrated with wide range of
specialist services delivered from
a service ‘hub’ (Level 2)
• Consultant partnerships
• Social care and patient
partnerships
• Integrated IT system
• Vitality Education Centre

5. Progress to date
• List size 38k … 50k by November 11, 70k by Dec
2012
• 4 sites in operation (plus a university site)
• Specialist services provided:
– Rheumatology
– Dermatology
– Gynaecology
– Digital x-ray
• Purchase of Level 2 facility
• Demand, activity planning and investment modelling

6. Integrating specialist services:
Commissioning enablers
• Supporting (competitive) integrated models of care
• Agreeing longer term contracts to incentivise
provider investments
• Incentives through funding mechanisms e.g.
capitated budget or pathway tariffs
• Shifting from hospital outreach to community in-
reach models of care

7. Integrating specialist services:
Commissioning tensions
• Short termism rules: need to invest to save
• Reluctance to decommission hospital services
resulting in (higher cost) parallel provision
• Consultant co-operation and enthusiasm hampered
by Foundation Trust reluctance to relinquish activity
• Consultant tensions in bidding process – where do
loyalties lie?