What to focus on in Q4 2025/26 | The guide for primary care network leaders

Introduction:

Q4 is the busiest quarter for general practices and primary care networks. Year-end deadlines converge, and the decisions you make now affect both this year's income and next year's planning.

This guide is structured around what needs action (ideally) before 31 March.

Whether you're new to the role or a seasoned PCN leader, use this as a practical checklist to ensure nothing slips through the cracks.

Part 1: Time-Critical Actions (payments at risk)

1. Claim Your CAIP Before 31 March

2. Maximise IIF Performance

3. Reconcile ARRS Spend

4. Verify Enhanced Access Compliance

Part 2: Understanding Your Context

• What ICBs Are Tracking

• PCN National Service Requirements

• PCN Funding Overview for 25/26

• Year-End Financial Housekeeping

Part 3: Looking Ahead to 26/27

• COVID-19 and Adult Flu Vaccination Changes (new specification published 15 December 2025) - More details on this can be found here.

Part 4: Q4 Checklists

• Checklist 1: Before 31 March (Payment at Risk)

• Checklist 2: Compliance and Delivery

• Checklist 3: Planning for 26/27

• Key Questions for Your Network Review

Members can access the full printable PDF guide.

Want to read more?

Subscribe to thcprimarycare.co.uk to keep reading this exclusive post.

Subscribe Now