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746263

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, for what reasons Dudley Clinical Commissioning Group has advertised the contract for the multi-speciality community provider abroad.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1587
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>Dudley Clinical Commissioning Group (CCG) is solely responsible for carrying out the procurement, including the agreement of the award criteria, selection process and evaluation, and award of the contract.</p><p> </p><p>The commissioner can design the award criteria to reflect the service being contracted. The criteria for Dudley Multispecialty Community Provider (MCP) can be viewed in the comprehensive outcomes framework which is available on Dudley CCG’s website.</p><p> </p><p>CCGs must be compliant with the Public Contracts Regulations (PCR 2015). This includes running a procurement process that is equal and transparent, which means that commissioners cannot discriminate against, or in favour of, bidders on the grounds of geographic location. PCR 2015 also requires that contracts for clinical services with a lifetime cost over the £589,148 threshold must be advertised in the Official Journal of the European Union.</p><p> </p><p>It will be for bidding providers to determine the ownership model of that provider. Neither the advert nor the criteria should specify the organisational form of the body that will be awarded the contract, and the precise arrangements will not be known until bids have been received and reviewed. Local areas will need to work through the trade-offs between:</p><p> </p><p>- the degree of formal integration they want to achieve and the strength of governance and decision making required for implementation of the model; and</p><p>- their appetite for change and the pace at which they are able to proceed.</p><p> </p><p>Any holder of the MCP contract, regardless of organisational form, will be required in to be work closely with local stakeholders, including local general practitioners to deliver the care model.</p><p>In November 2016 NHS England and NHS Improvement published details of a new Integrated Support and Assurance Process (ISAP). The dual purpose of the ISAP is to guide the work of local commissioners and providers in creating successful and safe schemes, and to provide a means of assurance that this has happened. The ISAP process will test the ability of the provider to deliver the contract. The contract can only be awarded once all stages of the ISAP have been completed.</p><p> </p><p>Once awarded, the contract can only be disposed of to a third party with the approval of the CCG and they may require any replacing provider to provide a guarantee from its parent or another party as a condition of the approval.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1568 1570 1586 1594 1608 1609 1707 question first answered 05/07/2017 09:44:33 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746278

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how Dudley Clinical Commissioning Group has kept the public informed of the proposed multi-specialty community provider; and what public representations that group has received in response to that proposal.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1567
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1566 1583 1589 1590 1610 1624 question first answered 05/07/2017 10:01:27 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746267

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people responded to consultations organised by Dudley Clinical Commissioning Group on its proposed multi-specialty community provider; and what assessment has been made of the content of those responses.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1566
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1567 1583 1589 1590 1610 1624 question first answered 05/07/2017 10:01:27 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746268

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how staff were consulted by Dudley Clinical Commissioning Group on the proposed multi-speciality community provider.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1590
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1566 1567 1583 1589 1610 1624 question first answered 05/07/2017 10:01:27 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746286

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what arrangements are being made for NHS staff who do not wish to transfer to new arrangements under the multi-specialty community provider proposed by Dudley Clinical Commissioning Group.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1575
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>As part of the consultation process, Dudley Clinical Commissioning Group (CCG) have held a series of events with professionals working for local health providers in order to ensure their perspectives on the Multispecialty Community Provider (MCP) were also captured. These included sessions with staff from Dudley and Walsall Mental Health Partnership NHS Trust, governors from the Dudley Group NHS Foundation Trust, and a group of local general practitioners. In addition, deep-dive events were also conducted with local clinicians. In total, approximately 80 staff attended these events.</p><p> </p><p>Where staff roles fall under the services in scope of the MCP contract, and that contract is awarded to a new provider, staff may transfer under TUPE regulations. Existing employers have a duty to engage and consult with the staff on any possible transfer. Under TUPE, any employees that are transferred to a new employer will be able to retain their job role, their terms and conditions of employment, and their continuity of service.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1576 question first answered 05/07/2017 10:05:53 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746288

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment the Dudley Clinical Commissioning Group has made of the effect of the UK leaving the EU on the size and type of workforce required by Dudley's multi-speciality community provider.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1625
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Secretary of State is committed to ensuring that the National Health Service and social care system have the nurses, midwives, doctors, carers and other health professionals that it needs. The Department has a detailed understanding of how many EU27 staff work in the NHS and regular discussions are held with the Home Secretary and Cabinet colleagues to ensure that this informs our plans for the workforce and the Government’s negotiations with the European Union.</p><p> </p><p>On Monday 26 June the Government published “The United Kingdom's exit from the European Union: safeguarding the position of EU citizens living in the UK and UK nationals living in the EU”. The policy paper outlines how the Government intends to protect the rights of EU citizens in the UK and UK nationals in the EU.</p><p> </p><p>As Brexit negotiations continue, the Department and its arm’s length bodies will continue to support the health system’s preparation for Brexit to ensure the NHS is able to deliver the services that patients rely on.</p><p> </p><p>As part of our workforce planning, the Department is undertaking analysis of overall staffing levels across the NHS as a result of the UK’s exit from the EU and the future immigration system. We would expect Dudley Clinical Commissioning Group (CCG) to have taken account of the size and type of workforce required by the Multi-speciality Community Provider and as with all CCGs this will be considered as part of the work we are doing.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/07/2017 08:20:37 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746280

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what changes would be made to the contracts for GPs involved in the GP consortium bidding for the Dudley multi-specialty community provider contract in the event that that consortium won that contract.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1569
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The new Multispeciality Community Provider (MCP) contract will be between Dudley Clinical Commissioning Group (CCG) as commissioner and the MCP as a provider, rather than with individual general practitioners (GP) or GP practices. The MCP model opens up the prospect of a wider set of options for how GPs can relate to the National Health Service. During procurement GPs will negotiate how they will work with the MCP to deliver services and whether (and how) they might choose to share in financial incentives.</p><p> </p><p>Of the many possible options, one includes participating GPs leaving their current contractual arrangements by suspending their current contract for a specified period of time. Doing so would allow the MCP to provide primary medical services to the relevant patient list while enabling GPs to take a full part in the MCP arrangement. We are discussing with NHS England proposals to enable this and expect arrangements will be in place before the Dudley MCP contract goes live. The terms on which GPs do so would be a matter for local discussion.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/07/2017 08:21:59 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746349

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what criteria will be in place to judge the effectiveness of Dudley's multi-specialty community provider.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1609
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>Dudley Clinical Commissioning Group (CCG) is solely responsible for carrying out the procurement, including the agreement of the award criteria, selection process and evaluation, and award of the contract.</p><p> </p><p>The commissioner can design the award criteria to reflect the service being contracted. The criteria for Dudley Multispecialty Community Provider (MCP) can be viewed in the comprehensive outcomes framework which is available on Dudley CCG’s website.</p><p> </p><p>CCGs must be compliant with the Public Contracts Regulations (PCR 2015). This includes running a procurement process that is equal and transparent, which means that commissioners cannot discriminate against, or in favour of, bidders on the grounds of geographic location. PCR 2015 also requires that contracts for clinical services with a lifetime cost over the £589,148 threshold must be advertised in the Official Journal of the European Union.</p><p> </p><p>It will be for bidding providers to determine the ownership model of that provider. Neither the advert nor the criteria should specify the organisational form of the body that will be awarded the contract, and the precise arrangements will not be known until bids have been received and reviewed. Local areas will need to work through the trade-offs between:</p><p> </p><p>- the degree of formal integration they want to achieve and the strength of governance and decision making required for implementation of the model; and</p><p>- their appetite for change and the pace at which they are able to proceed.</p><p> </p><p>Any holder of the MCP contract, regardless of organisational form, will be required in to be work closely with local stakeholders, including local general practitioners to deliver the care model.</p><p>In November 2016 NHS England and NHS Improvement published details of a new Integrated Support and Assurance Process (ISAP). The dual purpose of the ISAP is to guide the work of local commissioners and providers in creating successful and safe schemes, and to provide a means of assurance that this has happened. The ISAP process will test the ability of the provider to deliver the contract. The contract can only be awarded once all stages of the ISAP have been completed.</p><p> </p><p>Once awarded, the contract can only be disposed of to a third party with the approval of the CCG and they may require any replacing provider to provide a guarantee from its parent or another party as a condition of the approval.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1568 1570 1586 1587 1594 1608 1707 question first answered 05/07/2017 09:44:33 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746264

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the potential costs to Dudley Clinical Commissioning Group of changes resulting from the establishment of the new multi-speciality community provider.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1588
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Dudley team managing this contract consists of staff representing the disciplines of commissioning, procurement, contracting, finance and analytics. The team has sought appropriate external expert advice in relation to public health, law, governance, procurement and finance.</p><p> </p><p>In addition, the team is part of the intensive support programme provided by NHS England which was set up to support the commissioning of new care models and to design the new standard National Health Service contract for this purpose. This is a long-term contract designed to bring services together into one population-based arrangement that will focus on delivering long-term outcome improvements for the population that are sustainable. Dudley is using this new national contract.</p><p> </p><p>The capacity and capability of the team was tested during Checkpoint 1 of the NHS England/NHS Improvement Integrated Support and Assurance Process (ISAP) and green rated. The ISAP was established specifically to deal with complex and novel procurements of this nature. Their actions will be further tested at Checkpoints 2 and 3 of the ISAP in order to ensure that the process they have gone through is sound and that a sustainable contract is established.</p><p> </p><p>Dudley Clinical Commissioning Group (CCG) has made no specific estimate of the costs of changes resulting from the establishment of the new Multispecialty Community Provider. However Dudley CCG currently holds in excess of 170 contracts. This number will be reduced substantially with a consequential reduction in the associated transaction costs.</p><p> </p><p>As part of the commissioning process, we would expect commissioners (and providers where appropriate) to have forecast the Whole Population Budget (WPB) value for the duration of the contract. These forecast values should take account of expected future cost and activity pressures, for example anticipated changes in population size, demographics as well as inflation in health and care provision costs (as reflected in national planning assumptions). NHS England will be publishing documentation to support commissioners in forecasting WPB values for the duration of the contract. Dudley CCG has conducted its own financial modelling.</p><p> </p><p>Commissioners then need to assure themselves that these plans are balanced, affordable within commissioner allocation constraints, and result in a WPB that reinforces the sustainability of the wider local health and care system.</p><p> </p><p>The method used to develop budget projections should be transparently recorded, recognising that this information may need to be shared for future procurement activities and contract documentation.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1572 1574 1578 1581 question first answered 05/07/2017 09:38:44 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746124

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his policy is on not allowing bids for Dudley's new multi-speciality community provider from particular countries or organisations; and if he will make a statement.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1586
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>Dudley Clinical Commissioning Group (CCG) is solely responsible for carrying out the procurement, including the agreement of the award criteria, selection process and evaluation, and award of the contract.</p><p> </p><p>The commissioner can design the award criteria to reflect the service being contracted. The criteria for Dudley Multispecialty Community Provider (MCP) can be viewed in the comprehensive outcomes framework which is available on Dudley CCG’s website.</p><p> </p><p>CCGs must be compliant with the Public Contracts Regulations (PCR 2015). This includes running a procurement process that is equal and transparent, which means that commissioners cannot discriminate against, or in favour of, bidders on the grounds of geographic location. PCR 2015 also requires that contracts for clinical services with a lifetime cost over the £589,148 threshold must be advertised in the Official Journal of the European Union.</p><p> </p><p>It will be for bidding providers to determine the ownership model of that provider. Neither the advert nor the criteria should specify the organisational form of the body that will be awarded the contract, and the precise arrangements will not be known until bids have been received and reviewed. Local areas will need to work through the trade-offs between:</p><p> </p><p>- the degree of formal integration they want to achieve and the strength of governance and decision making required for implementation of the model; and</p><p>- their appetite for change and the pace at which they are able to proceed.</p><p> </p><p>Any holder of the MCP contract, regardless of organisational form, will be required in to be work closely with local stakeholders, including local general practitioners to deliver the care model.</p><p>In November 2016 NHS England and NHS Improvement published details of a new Integrated Support and Assurance Process (ISAP). The dual purpose of the ISAP is to guide the work of local commissioners and providers in creating successful and safe schemes, and to provide a means of assurance that this has happened. The ISAP process will test the ability of the provider to deliver the contract. The contract can only be awarded once all stages of the ISAP have been completed.</p><p> </p><p>Once awarded, the contract can only be disposed of to a third party with the approval of the CCG and they may require any replacing provider to provide a guarantee from its parent or another party as a condition of the approval.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1568 1570 1587 1594 1608 1609 1707 question first answered 05/07/2017 09:44:33 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley