What should Integrated Care Boards do when they’ve overspent?

What do you do if you’re overspent by £100 million? That’s the position many Integrated Care Boards (ICBs) currently find themselves in and it’s a situation I’m coming across more and more in my work. With a budget position that horrendous, many of them do the worse thing possible. Absolutely nothing. They sit there almost…

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What steps can you take to keep your PCN running smoothly?

What is effective Primary Care Network (PCN) governance? That’s never a straightforward question and it’s probably more difficult now than it’s ever been. I’ve seen examples recently where debates and comments regarding how PCNs are run and the best way to do things have spilled over onto social media, which is never ideal. From my…

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Why Primary Care Networks (PCNs) Need To Reboot

We’ve come through year end for the Primary Care Networks, and for many of them, this is a time for looking forward. When they think about 2023/24, some of them will be dealing with reformation where the original set-up didn’t work, and so they’re looking at a new PCN. Some of them will be embedding…

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Why GPs need permission to say no – or we risk losing them

I’ve written many times about the pressure of workload, how that’s affecting GPs and some of the tactics they can use to address the problems that a heavy workload is creating for them. But it’s a problem that is really coming to a head now, especially with the new instruction in the GP Contract update…

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What does the new GP contract mean for your PCN?

The GP Contract update has just been published. It includes the Primary Care Network (PCN) DES, the Investment and Impact Fund update, the update to the Quality and Outcomes Framework (QOF). There are 11 documents in total and it’s an awful lot for time-pushed GPs, GP Federations and Primary Care Networks to get through when…

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Conflicts Within Primary Care Networks Are On The Rise – Is Dispute Resolution The Answer?

Disputes are on the rise within the NHS, and we should not be surprised by that. Working under indescribable pressure, crippling staff shortages and ever-increasing workloads are not ingredients usually found within harmonious professional relationships.  And there’s no sign of an immediate improvement. The latest data shows GP appointments are still way above pre-pandemic levels,…

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What If Your PCN Is Not Delivering What You Need It To?

We’re at that time of year when GPs, nurses, pharmacists and others start to ask themselves if they are in the right primary care network. PCNs were formally established across England on July 1 2019. They were reshuffled in March 2020, again in 2021 and again in 2022. I’ve no doubt this year some networks…

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How do successful Primary Care Networks make their money?

Most of my NHS clients understand they must work out their priorities well in advance in order to attract the most income from the Primary Care Network Direct Enhanced Service (DES) and the Investment and Impact Fund (IIF), which is what I help them to do. In essence, the more indicators – clinical objectives –…

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