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The Business of Primary Care Networks Blog
Over 250 blogs to support the leadership and management of primary care networks
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PCN Events | January – June 2026
Discover key events for PCN leaders in 2026, including PCN Plus Live, NHS ConfedExpo, Digital Health Rewired, and Best Practice London. Free CPD opportunities.
13 minutes ago5 min read


Why your neighbourhood discussions aren't progressing in your primary care network
Why practices are rationally resisting neighbourhood engagement - and what kind of conversation actually creates movement when the vision isn't clear yet.
Jan 122 min read


What to focus on in Q4 2025/26 | The guide for primary care network leaders
Practical Q4 guidance for Primary Care Network leaders. Covers CAIP claims, IIF targets, ARRS spend, Enhanced Access compliance, and 26/27 vaccination changes.
Jan 121 min read


The 2026/27 COVID-19 Vaccination Service | What Could Change for Primary Care Networks
NHS England's 2026/27 COVID-19 vaccination specification allows practice-level delivery. What does this mean for primary care networks? Key changes, payments, and deadlines.
Jan 56 min read


How to Calculate the Workforce Your PCN Actually Needs
There's no best practice ARRS staffing ratio. Here's how to calculate the WTE your PCN actually needs using your own data and demand-based modelling.
Jan 26 min read


Do Primary Care Networks Need to Have New Structures in Place by 1st April 2026?
Many PCN leaders are asking whether they need new structures in place by April 2026. With implementation details still unclear, it's hard to know what to do. Here's my view: don't panic, but don't stand still either. Pick a service, test collaboration, and let the structure follow.
Dec 14, 20252 min read


How Do You Use Your Power?
In Dare to Lead, Brené Brown explores four types of power. This blog looks at how "power over" often disguises itself in primary care and invites you to reflect on how you use yours.
Dec 5, 20253 min read


The Latest NHS Policies and Guidance Affecting Primary Care Networks — November 2025
Budget announcements, BMA standoffs, and the Strategic Commissioning Framework. A November 2025 roundup for PCN and practice managers navigating NHS policy.
Dec 2, 20254 min read


CQC Registration for PCNs: Process, Timeline & Requirements with BAXCQC
CQC registration gives PCNs autonomy over the services they provide, rather than relying on member practices to hold individual contracts. This independence allows networks to manage services consistently and meet regulatory requirements efficiently.
Dec 1, 20255 min read


What's inside the PCN Members Club?
Welcome to the PCN Members Club - your friendly time-saving hub for busy PCN teams.
Nov 28, 20252 min read


The NHS Strategic Commissioning Framework: Is It Time for Reluctant PCNs to Engage with Neighbourhood Health Agenda
At THC Primary Care, we provide resources for primary care leaders. This blog focuses on the Strategic Commissioning Framework – specifically for PCNs who are currently stalling on the neighbourhood agenda.
Nov 25, 20257 min read


NHS Strategic Commissioning Framework: What Primary Care Leader Needs to Know
The NHS Strategic Commissioning Framework explained for primary care leaders. Understand what's changing, the timeline, and what it means for PCNs and general practice.
Nov 24, 20255 min read


Is Reading NHS Policy and Guidance Actually Worth Your Time?
Should you spend time reading NHS policy? Our framework will help PCN leaders find where alignment exists in their work - and make conscious choices about engagement.
Nov 17, 20255 min read


Make Q4 Work for Your PCN: Lessons from Past Underspend with Medacy
By the end of this blog post, you’ll have practical insights and actionable strategies to make your Q4 PCN Underspend work harder, strengthen your workforce, and maximise the impact of your underspend
Nov 12, 20255 min read


Is Optometry Missing from Your Neighbourhood Health Discussions?
In a recent episode of The Business of Healthcare podcast, I spoke with Dharmesh Patel, Chief Executive of Primary Eye Care Services.
We discussed why optometry so often gets left out of neighbourhood planning, the practical barriers they face, and what it would actually take to properly include them in integrated care discussions.
Nov 10, 20255 min read


The NHS Medium Term Planning Framework: What Primary Care Network Leaders Need to Know
Understand the NHS Medium Term Planning Framework 2026/27-2028/29. Essential guide for PCN leaders on integrated neighbourhood teams, targets & timelines.
Nov 6, 20253 min read


Understanding the NHS Single Patient Record | What Primary Care Leaders Need to Know
From Shared Care Records to the Single Patient Record: what the NHS 10-Year Plan means for primary care leaders, with actionable steps you can take today.
Nov 6, 20258 min read


When Your PCN Takes Two Steps Backwards: Why Regression is Normal (and What to Do About It)
The Challenge: I fear our network moving backwards and can see all of our hard work being undone.
Oct 21, 20255 min read


Neighbourhood Health Uncertainty: A Flexible Framework for PCN Decision-Making
Despite the fact that 42 neighbourhood pilot sites have been selected, and it appears full steam ahead with seeing how these models develop, for many, there is a sense of uncertainty about what to do next when it comes to developing their neighbourhood model.
Oct 14, 20254 min read


Career Progression Options for Primary Care Network Managers
If you're a PCN Manager considering your next career move, there are numerous pathways to explore. Here are the key options and strategies for developing your career
Oct 10, 20255 min read


Choosing Healthcare AI: What Questions Should NHS Leaders Be Asking
Healthcare leaders face a flood of promises from vendors touting AI healthcare solutions to revolutionise care delivery. The real challenge isn’t whether technology can help – it’s how to distinguish genuine opportunities from costly distractions.
Oct 6, 20256 min read


What to Focus on in Q3: October – December 2025 | A Practical Guide for PCN Leaders
At THC Primary Care, we create resources for Primary Care Network leaders to make running their networks a little bit easier.
In this blog, we provide our take on what PCN leaders need to focus on in Q3 2025/26.
Oct 5, 20253 min read


Primary Care Network Funding: Whose Money Is It Anyway?
Discover proven strategies for managing primary care network funding conflicts.
Learn how to navigate different money mindsets and build transparent financial processes.
Sep 28, 20255 min read


GP Contract 2025 Changes: Understanding the Changes and Different Perspectives
Read this comprehensive guide to GP Contract Access Changes taking effect October 2025. Understand new continuous access requirements for phone lines, online booking, and premises. Balanced coverage of government modernisation goals vs GP safety concerns, implementation timeline from February agreement to October rollout, and potential patient impacts.
Sep 18, 20254 min read
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