• Tara Humphrey

Top tips for effective management of the Primary Care Network Impact and Investment Fund

Updated: Apr 4


Regardless of your level of experience, I think it’s always helpful to create a checklist. To help guide this activity, we have created a starting point, including tips that will support you in managing this year's Primary Care Network Impact and Investment Fund (IIF).


What is the Impact and Investment Fund (IIF)?


  • The IIF is an incentive scheme for PCNs to come together to work to improve and enhance care for their patients

  • In 2020/2021 when the scheme first launched there were 6 indicators. From the 1st of April 2022, there are now 28 indicators.

  • The scheme offers a financial incentive, which is to be reinvested into the PCN and there is freedom on how you choose to do this.


Where can I find NHS guidance on the Impact and Investment Fund for 2022/2023?


NHS England: https://www.england.nhs.uk/wp-content/uploads/2021/08/B0828-iii-annex-b-investment-and-impact-fund-21-22-22-23.pdf


The 2022/23 Network Contract directed Ehanced Service Specification



Getting Started


In partnership with your PCN Clinical Directors and Practice Managers as an initial starting point, I would encourage PCN Managers to:


  • Ensure your network is update on the latest impact and investement fund indicators


  • Take time to go through the indicators to gain a better understanding of what the network is required to do.


  • Use the templates provided by the organisations that provide support to your clinical systems. Do not manually code, as this will result in errors and an inaccurate view of the performance to date.


  • Ensure you are using the most up-to-date version of the templates provided by the organisation that provides support to your clinical systems.


  • Double-check the codes are accurate.


  • Encourage your practice to hold a weekly or fortnightly performance meeting under the local national spec and devise a plan for action supported by your performance dashboards. (Most will do this but some do not.)


  • Ensure your locums and other interim staff understand and know which templates and codes to use and why.


  • If the data is not accurate, contact the organisation that provides your searches and templates for support.


  • Review monthly achievement at a PCN level. Depending on where you are based and your preference, you can use Ardens, the organisations that provide your searches and templates and NHS View Point ( there may be others) and discuss with your practice managers and in your PCN monthly meeting.


  • Identify how you plan to reinvest money now. Do not wait until the end of the test to decide. These plans will provide additional motivation and clarification as to why the PCN should invest time in meeting the indicators.


  • Agree now on how you will manage/support practices that do not meet their practice target, as this will impact the financial performance of the whole network.


Below is an indicative view of what your clinical reporting system may look if you use EMIS:

Below is an indicative view of what your clinical reporting may look if you use SystmOne:


Please note this is just a starter for you to build on and make your own.


A big thank you goes out to Karishma, my friend, former practice manager and now clinical facilitator at the Clinical Effectiveness Group (CEG) for my endless questions about the IIF!


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I have an MBA in Healthcare Leadership and Management, I'm published in the London Journal of Primary Care and I host The Business of Healthcare Podcast.


I've written blogs for the NHS Confederation, appeared on the General Practice Podcast and the You are Not a Frog Podcast with Dr Rachel Morris.


I have 3 children - my youngest has Type 1 Diabetes and my middle child has the kidney condition Nephrotic Syndrome. Working with healthcare professionals is not just a job for me, it's part of everyday life. And as a result, I've developed a huge passion for helping others to deliver excellent care.


Find out more about THC Primary Care and follow me on Twitter.