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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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GP Reimbursement Scheme 2026/27: How Much Is Your Practice Entitled To
The 2026/27 GP Reimbursement Scheme moves funding to practice level. Work out what your practice or network is entitled to with our free calculator, then work through a checklist of the other May changes with your team
May 275 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


The Removal of the Capacity and Access Payment: What PCN Leaders Can Still Choose to Do
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.
Apr 214 min read


Neighbourhood Working | Must dos, Could dos, Trade-Offs and Risks
At THC Primary Care, we provide resources to support the leadership and management of primary care networks. In this blog, we summarise our recent YouTube Live session with Ben Gowland, Dr Andy Foster, and Dr Hussain Gandhi. This conversation has become something of a yearly tradition, where we come together to discuss the news stories affecting primary care in the run-up to our national conference, PCN Plus Live , taking place on 22nd April. If you want the full discussion,
Mar 304 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


Enhanced Access: Is Your Model Working For You?
As we approach the end of the financial year, now is the ideal time to review how effectively your services are working.
Jan 264 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 161 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


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


Preparing For Neighbourhood Contracts | Facilitation Questions
Transform your neighbourhood health contract meetings with professional facilitation tools. Six essential conversation areas covering meeting dynamics, workforce challenges, and provider collaboration. Practical question frameworks help PCNs navigate complex discussions and build stronger community partnerships.
Jul 31, 20253 min read


The NHS FIT Dashboard | A Quick Start Guide for PCN Leaders
Struggling to navigate the NHS FIT Dashboard? This quick-start guide helps PCN leaders achieve 80%+ completion rates with practical monthly actions. Based on the official dashboard published on 10th July 2025.
Jul 13, 20253 min read


Strategic Commissioning and Service Redesign in Primary Care
David Mphanza, Head of Primary Care for East Berkshire, discusses strategic commissioning, service decommissioning, and the future of NHS primary care.
Jul 9, 20254 min read


PCN Incorporation: The Essential Guide for Primary Care Network Leaders
Considering incorporation for your Primary Care Network? Our comprehensive guide simplifies this complex process with practical tools and expert insights. Explore the benefits and challenges, compare legal structures, and use our interactive assessment to determine your PCN's readiness. From governance frameworks to stakeholder engagement, we cover all 12 critical considerations PCN leaders need to address. Make informed decisions with real-world case studies and step-by-step
Jun 9, 20253 min read


The 25/26 GP Advice and Guidance Enhanced Service Explained
Whether you're a Practice Manager, GP Partner, salaried GP, or employed through the Additional Roles Reimbursement Scheme, this overview will help you understand what this Enhanced Service means for you and your practice.
Apr 21, 20254 min read


What to focus on in Q4 in 24/25 | A guide for Primary Care Network Leaders
What to focus on in Q4 in 24/25 | A guide for Primary Care Network Leaders
Jan 3, 20255 min read


Strategic Workforce Planning in your Primary Care Network (Understanding the Investment Required)
We share some principles to aid your strategic workforce planning, so your PCN and system better understand the investment required.
Oct 19, 20243 min read
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