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The NHS Strategic Commissioning Framework: Is It Time for Reluctant PCNs to Engage with Neighbourhood Health Agenda

  • Nov 25, 2025
  • 7 min read

At THC Primary Care, we provide resources for primary care leaders. This blog focuses on the Strategic Commissioning Framework – specifically for PCNs who are currently stalling on the neighbourhood agenda.


Whilst many PCNs are organising themselves to support and deliver the neighbourhood agenda, many have been standing firm and choosing not to engage due to:


  • Unclear funding models

  • Additional work without additional resources

  • Uncertainty whether it would be mandated

  • Waiting to see if it's a genuine priority


But with the new Strategic Commissioning Framework... is now the time for resistant networks to start thinking about what opting out could mean for them?


Why the Strategic Commissioning Framework Changes Everything

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