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The Business of Primary Care Networks
Over 250 blogs to support the leadership and management of primary care networks
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Community pharmacy and general practice: The differences and Why Good Relationship Need Aligned Contracts
At THC, we create resources for General practice and community pharmacy, which are part of the same primary care family, but anyone who has worked across both worlds knows it does not always feel that way. The two often sit alongside each other rather than together, sharing patients and misconceptions about how and why each party operates as it does. The inaugural community pharmacy conference and general practices conference held on 21st and 22nd June set out to close that g
Jun 245 min read


The NHS Oversight Framework 2026/27 and what it means for general practice
The new NHS Oversight Framework 2026/27 never mentions PCNs. But read Annex B and primary care runs right through the ICB scorecard, from same day access to long-term condition management and screening. Here is how the framework works, where general practice sits inside it, and why your ICB will be paying attention.
Jun 214 min read


The Uncomfortable Truths About Neighbourhood Meetings
Meetings are one of the most expensive things PCN leaders do. A practical guide to making them worth the time and money they cost, plus a checklist to take away.
Jun 165 min read


Is Your Practice Running Like a Business?
ost GP practices work hard to deliver excellent patient care, but being a good practice does not automatically mean being a good business. Gary Hughes explores the seven ingredients that help create stronger, more resilient practices and introduces the Business Strength Model.
Jun 86 min read


How Do You Support Your PCN Pharmacist’s Progression When You Have Devolved That Role Down to Practice?
Support PCN pharmacist progression when ARRS roles are devolved: practical insights to unlock development across your network.
May 124 min read


Can You Run a Primary Care Network Like a Business?
This blog explores whether business principles have a place in running a primary care network. Not profit. Not customers. But vision, intentional decision-making, and a long-term view. With the average PCN managing over £1 million in staffing funding, the accountability is significant, and the approach that got you here may not get you there. This blog sets out what business thinking actually looks like in a PCN context.
May 115 min read


Could You Easily Justify Every PCN ARRS Role You Fund?
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.
Apr 184 min read


Navigating the Neighbourhood Health Agenda: A Reading Guide for PCN Leaders
Eight pieces to help PCN Clinical Directors, PCN managers and practice managers understand neighbourhood health policy, contract architecture and governance readiness. Start here.
Mar 243 min read


Are You Ready for SNP and MNP Contracts? A Governance Readiness Self-Assessment for PCN Leaders
SNP and MNP Contracts: Governance Readiness Self-Assessment for PCNs
Mar 185 min read


Fit for the Future Is Published — What’s New, What’s Confirmed, and What’s Still Coming: The Guide for PCN Leaders
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.
Mar 185 min read


What is the Role of the Primary Care Network CQC Registered Manager and Who Should Hold This Position?
Not sure who should be your CQC Registered Manager? This guide helps PCNs ask the right questions, understand the role, and appoint the right person with confidence.
Mar 96 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


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


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


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


NHS Neighbourhood Health Implementation: Assumptions Checklist and Facilitation Exercise to Avoid Project Failure
Don't let hidden assumptions derail your neighbourhood health project. Use this exercise at your next team meeting to surface risks early. Based on analysis of major NHS failures like NPfIT and terminated integration contracts, this practical tool helps teams identify dangerous blind spots across 8 key areas: relationships, funding, governance, community needs, and more.
Sep 8, 20253 min read


Primary Care Network Budget Underspend Explained
Tara Humphrey breaks down why over £93 million in Additional Roles Reimbursement Scheme funding went unspent by Primary Care Networks in 2024/25, and what's changing ahead.
Sep 1, 20251 min read


Should Form Follow Function or Function Follow Form when it comes to PCNs and Neighbourhood Teams?
PCN leaders face critical decisions: adapt to neighbourhood team structures or build on strengths? Practical guidance on NHS transformation ahead.
Aug 4, 20256 min read
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