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Funding for GP/PCNs/CCG - Coggle Diagram
Funding for GP/PCNs/CCG
PCN
7 national service specifications
Three started in 2020/21: structured medication reviews, enhanced health in care homes, and supporting early cancer diagnosis.
(2021) A further four are also set to follow- anticipatory care (with community services), personalised care, cardiovascular disease case-finding, and locally agreed action to tackle inequalities.
taking a proactive approach to managing population health and assessing the needs of their local population to identify people
Primary care networks will be focused on service delivery, rather than on the planning and funding of services, responsibility for which will remain with commissioners
DES - £1.8 billion by 2023/24. It includes money to support the operation of the network and up to £891 million to help fund additional staff, through an additional roles scheme.
PCN Funding
Core PCN Funding, £1:50 per patient
QOF and Networked DES/LES Funding
1 Qty of the GP salary for Clinical Director
Additional roles scheme
Care home premium,
120
per care home
Extended hours access payments,
1:45
per patient
Investment & impact fund
Vision: is also a need to maximise the value of their spending and used their income effectively to develop and strengthen the network (PCN) and ensure their offer matches local patient need.
The ambition is that primary care networks will be the mechanism by which primary care representation is made stronger in integrated care systems, with the accountable clinical directors from each network being the link between general practice and the wider system.
DES & LES
Directed Enhanced Services (DES) that all commissioners of general practice must offer to their practices in their contract and the locally negotiated and set Local Enhanced Services (LES) that vary by area.
Contracts
1, Essential 2, OOHours, 3, Additional services, 4,Enhanced (Network DES) services, 5,Locally Services (LES)
How does the money flow(GPs)?
Core contract services, such as essential services. Estimate of 50% of the income is for core services.
Enhanced Services
QOF (10%)
ICS
42 in England
ICS Statutory Footing by 2022
Drive improvements in population health and tackle health inequalities
References
https://www.drneilpaul.blog/how-gps-are-paid/
The Primary Care (GP) Digital Services
Operating Model 2019-2021 - Data quality service
integration-and-innovation-working-together-to-improve-health-and-social-care-for-all-web-version
Networked PCN - Network Contract Directed
Enhanced Service
https://www.kingsfund.org.uk/publications/integrated-care-systems-explained
https://www.kingsfund.org.uk/publications/primary-care-networks-explained