Integration of Care

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At Blake Morgan, we understand the drivers for integration and are experienced in working on innovative models to deliver integrated pathways. In particular we can:
  • understand resource constraints and the need for better patient outcomes, more streamlined service provision and contract management; and the drive for quality improvements
  • advise providers on innovative models to deliver integrated pathways, including corporate and contractual joint venture structures between different provider types
  • advise commissioners on reviewing integrated models to identify and minimise risk in key areas: legal; contractual; governance; financial
  • advise on effective use of the NHS Standard Contract within all models of care
  • advise on other forms of collaboration, for example, section 75 arrangements, alliance, contracts, joint ventures etc
  • advise on market engagement and procurement aspects of integrated services commissioning; and
  • advise on outcomes-based contracting

Case Study:  NHS High Weald Lewes Havens Clinical Commissioning Group

We were instructed by NHS High Weald Lewes Havens CCG to assist with its commissioning of a key integrated musculoskeletal service for its local health economy under a high value 5-year contract. The transaction had a number of novel features: the provision of an integrated pathway covering diagnostic services, secondary care and follow-up treatment services.  Also, the structure involved a “lead provider”, whereby the contracted service provider is responsible for delivering the entire clinical pathway and managing the risk associated with subcontractors.  We advised on all aspects of the transaction resulting in a service delivery structure comprised of a corporate joint venture as well as a contractual joint venture.