North London Partners in health and care

New GP contract: NCL GP practices submit primary care network proposals to commissioners

North London Partners are working with the five CCGs (Barnet, Camden, Enfield, Haringey and Islington) to support GP practices form new Primary Care Networks (PCN) as specified in the new GP contract. The five year framework contract, Investment and Evolution, published in January 2019 set out a coherent national policy and strategic direction for developing primary care and making it sustainable.

An early requirement of the contract is the formation of Primary Care Networks by June 2019.

PCNs are groups of GP practices working closely together with other primary and community care staff and health and care organisations to provide integrated services to their local populations. This is a similar principle to the existing collaborative arrangements in north central London’s (NCL) Care and Health Integrated Networks.

Across NCL GP practices have been forming PCNs and have all now submitted their initial proposals to commissioners, describing how they will work together.

Each PCN will appoint a clinical director, and, during 2019/20, will have access to funding for a clinical pharmacist and a social prescribing link worker, followed by funding for other roles from 2021 onwards. The new GP contract also signals a range of new services that will be delivered by PCNs in the next two years, these include:

  • Structured medications review and optimisation
  • Enhanced health in care homes, to implement the vanguard model
  • Anticipatory care requirements for high need patients typically experiencing several long term conditions, joint with community services
  • Personalised care, to implement the NHS Comprehensive Model              
  • Supporting early cancer diagnosis
  • Cardiovascular disease (CVD) prevention and diagnosis
  • Tackling neighbourhood inequalities

For more information see NHS England’s frequently asked questions about the PCNs

  • FAQ first iteration published April 2019: these FAQS focus on topics including general background, working arrangements, funding and contracting, PCN set up and governance, PCN development support, wider system and future planning and further information/next steps
  • FAQ second iteration published May 2019: these FAQs focus on topics including PCN set up and governance, further detail on funding and contracting, federations, PCN development support and estates.