A single provider could become responsible for emergency and primary care services in Oxfordshire, it has been revealed.

Proposals would also include urgent care and community services.

The county’s clinical commissioning group is making the move after the county failed to reach an agreement on providing integrated care.

They also believe they can transfer “financial risk” to the new provider. This would mean the provider would be expected to reduce or contain hospital emergency admissions to keep costs down.

The proposal is to be considered at an extraordinary meeting of the CCG’s governing body in a few days’ time, the Health Service Journal Reported.

It says that two local GP federations are likely to make a joint bid with a community services provider, Oxford Health.

Oxford Health has been in dispute with the hospitals trust, Oxford University Hospitals, over how to integrate care – and the hospitals trust said it is also likely to submit a bid.

A contract that separated A&E services from other acute services would raise new questions about the management of hospital sites.

CCG finance director Gareth Kenworthy said it might prefer to receive a joint bid from the two organisations.

He said: “We genuinely think that the best model for integration is if the providers decide to collaborate and work together to deliver it.”

The paper to the board says: “We would expect bidders to demonstrate how they will deliver these services in partnership with those GP practices and GP federations delivering primary care services.”