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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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Who pays for the NHS left shift? (Why the money isn't following patients out of hospital)
NHS England says the left shift isn't happening in practice. This blog looks at why the money isn't following patients out of hospital, using one trust's accounts as an example.
Oct 195 min read


Integrated Health Organisations: Risk and Gain Contracts Explained
Integrated Health Organisations are arriving, and they run on a mechanism most PCN leaders haven't had explained yet: the risk and gain contract. Here's what it is, how it differs from how NHS money moves today, what it takes to hold one well, and what to watch for when several organisations manage a shared budget together.
Sep 224 min read


July 2026 NHS England updates for PCN leaders
The eight NHS England publications from July 2026 for PCN leaders, from patient list validation to winter planning, and what each one means for your network.
Jul 2412 min read


An Overview of the GP Contract 2026/27: Financial Entitlements and What Practices Are Contractually Required to Deliver
In a previous post, we shared the GP Contract letter for 2025/26. This post does the same for 2026/27, but goes a step further. As well as covering what has changed this year, we wanted to give those of you who are not GP partners or Practice Managers a clearer understanding of what practices are contractually required to deliver and the income streams available to them.
May 48 min read
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