The removal of the Capacity and Access Payment from the PCN budget does not have to be an all-or-nothing story. The contract has taken the money away, but nothing stops a network and its practices deciding together what to do next. Here is what PCN leaders can still choose to do.
If your PCN had to justify every ARRS role it currently funds, could it? Not in theory. With evidence of impact, embedded relationships, and a clear case for why that role, in your network, is worth protecting.
NHS England published Fit for the Future on 17 March 2026. Here is what is new, what it confirms, and what remains open for PCN leaders and Clinical Directors.