The document discusses integrating care delivery through GPs acting as both providers and commissioners of services. It proposes that a mid-Surrey commissioning group take on a managed care contract to make or buy diagnostics, planned, and unplanned adult care for their registered population. This would make practices both clinically and financially responsible for delivering these services. The benefits would include funds to develop community-based services in real time under a capped risk model.

1. CONTRACTING TO DELIVER INTEGRATED CARE TO PATIENTS: GPs AS BOTH PROVIDER AND COMMISSIONER Dr Tim Richardson GP Partner and Commissioning Lead The Integrated Care Partnership Epsom & Medical Director of Epsomedical (Diagnostic and Day Surgery Services) Ltd 09/11/10 TR/JSt