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Primary care networks – commissioners user guide

This guide is for commissioners issuing offers of participation for the primary care networks (PCN) services on Calculating Quality Reporting Service (CQRS).

Published August 2020

Introduction

Creating offers for PCN services will follow a different process to non-PCN services. There are also changes to how commissioners will view PCN service information in CQRS.

PCN services are offered to GP practices from the lead commissioning organisation through the PCN as a whole entity - commissioners cannot deselect GP practices.

If an organisation leaves the network early, CQRS will automatically end their participation.

These services can use a new value called Weighted Practice List Size (WPLS) which is a modified version of CRP, and this will be automatically populated in CQRS for calculation.

New network contract Directed Enhanced Service (DES) Services

These are the new network contract DES services available on CQRS for financial year 2020/21.

The Primary Care Networks 2021 service will include an automated data extract from GP practices via GPES.

There are four services which will not involve a data extract and will be used for calculation and payment purposes. These are:

  • PCN Core PCN Funding 2021
  • PCN Clinical Director Payment 2021
  • PCN Extended Hours Access Payments 2021
  • PCN Network Participation Payments 2021 (practice level, not a PCN service)

New user roles In CQRS

There will be two new user roles available in CQRS.

PCN View

PCN View is available to GP Practice and PCN organisations. It allows access to:

  • new dashboards that allow the user to view all GP practices within their PCN including data submission details and payment declaration details
  • expanded reporting to enable users to view additional organisations

PCN Management

PCN Management is available to PCN organisations. It gives access to:

  • new dashboards that allow the user to view all GP practices within their PCN, including data submission details and payment declaration details
  • add/update GP practice data within their PCN
  • expanded reporting to enable users to view additional organisations

Participation management

There have been some changes to the participation management process for PCN services.

  1. Offers will be made by commissioners but auto-accepted – practices will not be required to accept the offer.
  2. Step 3 of the non-PCN process is skipped because it is automatically offered to all GP practices associated with the PCN(s) under this lead CCG.

Create an offer

Step 1 – Select a Quality Service

Select the PCN service that you wish to offer out.

Step 2 – Define Service Details

This is where you will automate the offer. Tick the 'Automatically Accept Offer' box and press continue.

Screnshot of CQRS 'Define Service Details' tab

You will skip step 3 as PCN services will be automatically offered to all GP practices associated with the PCN(s) under this lead CCG.

Step 4 – Review

Review the offer and press submit, then go to Step 5 and submit the offer.

Screenshot of CQRS 'Step 4 - Review' tab

Offered services

Offered Services will have a new transition page when a PCN service is selected.

The first page will show the list of PCN’s.

Screenshot of CQRS 'Offered Services' tab

Once you select the link, you will see the 'Associated Service Providers' as usual.

Screenshot of CQRS 'Associated Service Providers'

Cancel Service function can only be applied for the whole PCN, not individual practices or service providers.

Data submission tab – new network achievement page

Displays a dashboard for those with the PCN View or PCN Management user roles and Data Submission access.

This page only displays PCN services.

Commissioners can click on the 'Service Provider Name' to go to 'Record Provider Achievement'.

Screenshot of CQRS 'Data submission' tab

Achievement tab – new payment declaration approval process

PCN payments will be aggregated into one payment declaration.

Payment amounts start the process at the GP practice level for initial review and approval.

PCN services will use the 'Auto-Declare' feature.

Once an individual payment amount within a PCN is approved, it is moved to the new ‘Awaiting Network Achievement’ status to wait for 100% of the payment declarations to be approved by the commissioning organisation before moving on for final approvals.

Once 100% threshold is met, the individual payments are summed into an aggregated payment declaration for the PCN.

These payments will be made to the nominated payee (or PCN directly if no nominated payee exists).

New tasks and messages will keep commissioners informed of the status of the payment declarations within the PCN.

Achievement tab – new Network Declaration Management page

Scrrenshot of CQRS 'Achievement' tab

Displays a dashboard those with the PCN View or PCN Management user roles and Achievement access.

This page only displays PCN services.

Report changes

Added to various reports, for ease of reference, will be:

  • PCN org name
  • Nominated payee name
  • WPLS value

Additionally, access will be expanded when applicable to allow service providers the ability to run reports for their peers within their PCN. This is associated with the PCN View user role.

Aggregated payment detail will be accessible on new top-level reports similar to the provider payment declaration.

Screenshot of CQRS 'Data Submission Report'

Contact

Any queries about the Primary Care Networks contract or policy should be directed to NHS England – England.gpcontracts@nhs.net.

General PCN queries should be directed to NHS England via England.pcn@nhs.net.

Technical CQRS queries should be directed to support@cqrs.co.uk.

General queries can be sent to cqrsfeedback@nhs.net.

Last edited: 6 August 2020 11:09 am