This is a summary of the financial entitlements for PCNs for 2021/22.
Summary of PCN DES (direct enhanced service) financial entitlements
| Payment details | Amount |
|---|---|
| Core PCN funding | £1.50 per registered patient per year (£0.125 per patient per month) |
| Clinical director contribution | £0.722 per registered patient per year (£0.06 per patient per month) |
| Staff reimbursements | Actual salary plus employer on-costs to the maximum per WTE amounts as outlined in network contract DES specification |
| Extended hours access | £1.44 per patient (£0.120 per patient per month) |
| Care home premium | £60 per bed for the period 1 August 2020 to 31 March 2021 (£7.50 per bed per month) £120 per bed per year from 1 April 2021 |
| PCN support payment | £0.27 per weighted patient for 1 April 2020 to 30 September 2020 (£0.045 per weighted patient per month) |
In addition to the payments made to the PCN’s nominated payee under the terms of the network contract DES, participating practices will be entitled to the network participation payment (£1.76 per patient).
ARRS (additional roles reimbursement scheme)
Each PCN is allocated an additional roles reimbursement sum for the year. This is based on the PCN’s weighted population share of the total ARRS funding. PCNs are able to claim up to this maximum sum each year.
For PCNs in London, the maximum reimbursement amounts per role within the ARRS will now include inner and outer London weighting on top of maximum current ARRS reimbursement amounts.
Annual reimbursement rates 2021/22
| Role | Agenda for change band | Maximum reimbursable amount over 12 months (with on costs) £ |
|---|---|---|
| Advanced practitioner | 8a | 62,705 |
| Care coordinator | 4 | 29,726 |
| Clinical pharmacist | 7-8a | 56,829 |
| Dietitian | 7 | 54,841 |
| First contact physiotherapist | 7-8a | 56,829 |
| Health and wellbeing coach | Up to 5 | 36,114 |
| Mental health practitioners* | 5 / 6 / 7 / 8a (depending on the individual registered clinician providing the service) | 18,057 - 31,352 |
| Nursing associate | 4 | 29,726 |
| Occupational therapist | 7 | 54,841 |
| Paramedic | 7 | 54,841 |
| Pharmacy technician | 5 | 36,114 |
| Podiatrist | 7 | 54,841 |
| Social prescribing link worker | Up to 5 | 36,114 |
| Physician associate | 7 | 54,841 |
| Trainee nursing associate | 3 | 26,188 |
*The rates are set at 50% of the standard levels, reflecting the 50% PCN contribution to the salary and employer costs for the individual delivering the service.
IIF (investment and impact fund) indicators
The IIF (investment and impact fund) was introduced as part of the network contract DES in 2020/21. PCNs are rewarded for delivering objectives set out in the NHS Long Term Plan and the five-year agreement document.
IIF funding will rise to £150 million for 2021/22, as previously agreed. However, there will be a more phased approach to the introduction of new IIF indicators for 2021/22.
The following indicators will continue for 2021/22.
- seasonal flu vaccination (including for over 65s, patients aged 18-64 in a clinically at-risk group and children aged 2-3 years)
- annual learning disability health checks and health action plans
- social prescribing referrals.
Prevention and tackling health inequalities domain indicators
VI indicates vaccination and immunisations area.
HI indicates health inequalities area.
| Indicator | Total funding available (£m) | Points available | Lower threshold | Upper threshold |
|---|---|---|---|---|
| VI-01: percentage of patients aged 65 or over who received a seasonal influenza vaccination between 1 September and 31 March | 8.9 | 32 | 80% | 86% |
| VI-02: percentage of patients aged 18 to 64 years and in a clinical at-risk group who received a seasonal influenza vaccination between 1 September and 31 March | 20 | 72 | 57% | 90% |
| VI-03: percentage of children aged 2-3 who received a seasonal flu vaccination between 1 September and 31 March | 3.1 | 11 | 45% | 82% |
| HI-01: percentage of patients on the learning disability register aged 14 or over, who received an annual learning disability health check and have a completed health action plan | 8.1 | 29 | 49% | 80% |
Providing high quality care domain indicators
PC indicates personal care area.
ACC indicates access area.
| Indicator | Total funding available (£m) | Points available | Lower threshold | Upper threshold |
|---|---|---|---|---|
| PC-01: percentage of patients referred to social prescribing | 4.5 | 16 | 0.8% | 1.2% |
| ACC-05: By 31 March 2022, make use of GP patient survey results for practices to identify patient groups experiencing inequalities in their experience of access to general practice, and develop and implement a plan to improve access for these patient groups | N/A | 56 | N/A | N/A |