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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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Four financial reports every practice needs
Article Excerpt
Most GP practices produce financial information, but far fewer produce reports that genuinely support decision making. This article explains the four simple financial reports every practice should use to improve financial management, strengthen leadership and make better business decisions.
Aug 125 min read


The Neighbourhood Contract Consultation | The questions PCNs and practices should be answering
Neighbourhood Contract Consultation: NHS England's MNP and SNP proposals raise important questions beyond the consultation itself. Explore what ARRS funding protection really means, the impact of Enhanced Access, why PCN footprints matter, and the capability challenges facing neighbourhood providers.
Aug 26 min read


Measuring the Strength of Your Practice
Most GP practices measure finance, patient satisfaction and performance, but very few measure the overall strength of their business. This article explains why business strength matters, the seven areas that influence long term success, and how measuring them can improve planning, decision making and continual improvement.
Jul 287 min read


The Neighbourhood Contract Consultation: what leaders are being asked to choose between
NHS England's MNP and SNP consultation sets out four routes but only two contracts. What PCN leaders need to weigh up, and how to respond by 10 Sept 2026.
Jul 229 min read


Provider to Provider: The Contracting Shift for PCNs and Neighbourhoods
As neighbourhood working evolves, provider-to-provider contracting is helping some areas move faster without waiting for new national contracts. Discover how the approach works, where the opportunities lie, and the key legal and organisational risks PCNs should consider before getting started.
Jul 145 min read


Occupational health for PCN leaders: when to refer, what to ask, and how to read the report
Occupational health referrals across PCN teams are rising. HR specialist Joanne Harding and occupational health practitioner Dr Shoby Sathananthan explain when to refer, what to ask, how to read the report, and how to handle reasonable adjustments, capability and consent.
Jun 118 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


Neighbourhood Health Centres and CQC Registration: What happens when multiple providers share one space?
This blog, written in partnership with BAXCQC, cuts through the assumptions and sets out what every provider in a shared space needs to understand.
The NHS is moving decisively toward a neighbourhood model of care.
Mar 313 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


How to Stop the Merry-Go-Round of Indecision
We've all been there. You leave a meeting thinking something's been agreed, only for someone to ask at the next one: "But did we actually agree?
Feb 104 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


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.
Jan 195 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


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


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


When Someone in Your Team Isn't Working Out: The Conversation No One Wants to Have
You know that nagging feeling when someone isn't quite right for the role? When you're constantly having to step in and do work that should have been delegated? When colleagues start coming directly to you instead of going through proper channels?
Sep 18, 20254 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


When PCN Decisions Create More Problems Than They Solve
I had a conversation last week with a PCN that's completely fractured. Two camps with fundamentally different visions of what their network should be. Board meetings where five people stay silent and two oppose everything. A clinical director ready to step down after five years because the stress isn't worth it any more.
Sep 2, 20255 min read


Stop Walking on Eggshells: Confident PCN Leadership When Teams Disagree
This blog explores the critical leadership challenges facing Primary Care Network (PCN) managers and clinical directors who struggle with team dynamics, stakeholder management, and decision-making in complex healthcare environments. Drawing on insights from supporting over 300 primary care networks, the article identifies the core paradox of PCN leadership: the more leaders try to accommodate everyone's preferences and avoid conflict, the more frustrated and ineffective their
Aug 26, 20253 min read
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