NHS Alliance network positions: proposed multi-neighbourhood provider and single neighbourhood provider contracting models

This document brings together the positions of NHS Alliance member networks following engagement on the proposed multi-neighbourhood provider (MNP) and single neighbourhood provider (SNP) contracting models. It should be read in line with the NHS Alliance organisational consultation response. 

For questions relating to the NHS Alliance’s response and individual network responses, please contact Jack Sansum jack.sansum@thenhsalliance.org 

Overview 

ICB leaders view neighbourhood contracts as an opportunity to strengthen place-based delivery but seek evidence that they will simplify accountability and commissioning arrangements and clarity on how they will interact with the Provider Selection Regime. 

Primary care leaders are supportive of neighbourhood working but are seeking assurance regarding the future role of primary care networks (PCNs), the PCN Direct Enhanced Service and the sustainability of general practice. 

Acute and ambulance providers generally favour the use of familiar NHS contracting approaches and support flexibility in implementation, while emphasising the need for clear governance and investment in community alternatives. 

Mental health providers view MNP contracts as a potential opportunity to reduce variation and support more integrated physical and mental healthcare. However, concerns remain about safeguarding investment in mental health, preserving effective existing pathways, and ensuring VCSE organisations are involved as strategic partners, not just service delivery partners.

Community providers broadly support the ambition of the proposals, recognising the potential role of MNPs in supporting collaboration and improved outcomes. They emphasise the need for flexibility and a locally permissive framework.