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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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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


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


The Model Region Blueprint: What Primary Care Network Leaders Need to Know
The Model Region Blueprint (published 11 September 2025) accompanies the Model ICB Blueprint published earlier in the year, presenting how oversight responsibilities will be split between regional teams and Integrated Care Boards (ICBs). If you're running a primary care network or practice, here's what you need to know.
Sep 15, 20252 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


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


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


The New PCN Management Competency Framework
While pharmacists, social prescribers, and care coordinators have established frameworks, PCN Managers have navigated complex responsibilities without a clear roadmap. Until now.
Aug 26, 20253 min read


The Latest Primary Care Network Guidance Documents Updated August 2025
We have compiled the latest primary care network documents and links into one central resource and linked them to some of our summaries to help you have them close to hand—the April 2025 update.
Aug 21, 20251 min read


Primary Care Network Update – July & August 2025
PCN update July–Aug 2025: key funding & DES revisions, ARRS uplifts, Enhanced Access, IIF CAN04 FIT incentive, and neighbourhood developments.
Aug 18, 20254 min read


NHS Commissioning Education Guide: Theory to Practice
As strategic commissioning gathers pace and opportunities for primary care leaders to influence more collaborative working arrangements with ICBs expand, understanding the commissioning landscape has never been more critical.
Aug 12, 20252 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


Neighbourhood Working for PCN Leaders | A Strategic Framework to Guide Positioning
Neighbourhood working is new territory for PCN leaders. The 10 Forces framework helps you understand the complexities around healthcare partnerships and make better strategic decisions when there's no established approach to follow.
Jul 28, 20255 min read


The NHS 10 Year Plan – The Vision for Neighbourhood Health
Distil the NHS 10 Year Plan's 168 pages into actionable neighbourhood health insights. Implementation timeline, financial case, and visual templates for busy healthcare leaders.
Jul 25, 20255 min read


The Role of the Physician Assistant in Primary Care Following the Leng Review
Review the complete guide to physician assistant roles in UK primary care following the Leng Review. Learn supervision requirements, scope of practice & new 2025 rules.
Jul 23, 20254 min read


The NHS 10 Year Plan:How to prepare for the new neighbourhood contracts
Expert panel reveals why PCNs have 6 months to prepare for NHS Ten Year Plan transformation. Take our free Neighbourhood MOT assessment to check your collaboration readiness for April 2026's SNP and MNP contracts.
Jul 21, 20254 min read
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