title: An evidence synthesis of the international knowledge base for new care models to inform and mobilise knowledge for multispecialty community providers (MCPs).
abstract: NHS England's Five Year Forward View (NHS England, Five Year Forward View, 2014) formally introduced a strategy for new models of care driven by simultaneous pressures to contain costs, improve care and deliver services closer to home through integrated models. This synthesis focuses on a multispecialty community provider (MCP) model. This new model of care seeks to overcome the limitations in current models of care, often based around single condition-focused pathways, in contrast to patient-focused delivery (Royal College of General Practitioners, The 2022 GP: compendium of evidence, 2012) which offers greater continuity of care in recognition of complex needs and multimorbidity.
  
  
  
  The synthesis, an innovative combination of best fit framework synthesis and realist synthesis, will develop a "blueprint" which articulates how and why MCP models work, to inform design of future iterations of the MCP model. A systematic search will be conducted to identify research and practice-derived evidence to achieve a balance that captures the historical legacy of MCP models but focuses on contemporary evidence. Sources will include bibliographic databases including MEDLINE, PreMEDLINE, CINAHL, Embase, HMIC and Cochrane Library; and grey literature sources. The Best Fit synthesis methodology will be combined with a synthesis following realist principles which are particularly suited to exploring what works, when, for whom and in what circumstances.
  
  
  
  The aim of this synthesis is to provide decision makers in health and social care with a practical evidence base relating to the multispecialty community provider (MCP) model of care.
  
  
  
  PROSPERO CRD42016039552 .
authors.affiliation: Strategy Unit, Midlands and Lancashire Commissioning Support Unit, West Bromwich, UK. alison.turner14@nhs.net.
authors.forename: Alison
authors.identifier: 0000-0003-3075-0868
authors.initials: A
authors.lastname: Turner
authors.affiliation: Strategy Unit, Midlands and Lancashire Commissioning Support Unit, West Bromwich, UK.
authors.forename: Abeda
authors.initials: A
authors.lastname: Mulla
authors.affiliation: School of Health and Related Research, University of Sheffield, Sheffield, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Booth
authors.affiliation: Strategy Unit, Midlands and Lancashire Commissioning Support Unit, West Bromwich, UK.
authors.forename: Shiona
authors.initials: S
authors.lastname: Aldridge
authors.affiliation: Strategy Unit, Midlands and Lancashire Commissioning Support Unit, West Bromwich, UK.
authors.forename: Sharon
authors.initials: S
authors.lastname: Stevens
authors.affiliation: Strategy Unit, Midlands and Lancashire Commissioning Support Unit, West Bromwich, UK.
authors.forename: Fraser
authors.initials: F
authors.lastname: Battye
authors.affiliation: Strategy Unit, Midlands and Lancashire Commissioning Support Unit, West Bromwich, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Spilsbury
mesh_terms: D003153:Community Health Services / Q000458:organization & administration / Q000592:standards; D019058:Community Networks / Q000592:standards*; D003362:Cost-Benefit Analysis; D004739:England; D019317:Evidence-Based Medicine; D006801:Humans; D051188:Knowledge Bases; D008511:Medicine; D013222:State Medicine
keywords: Community health services; Innovation, organizational; Integrated health care; Primary health care