Primary Care Networks

Primary Care Networks (PCNs) in England provide a range of integrated clinical services aimed at improving access to healthcare and addressing the needs of local populations. These networks consist of groups of general practices working collaboratively with other healthcare providers, such as community services, mental health services, pharmacies, and social care organizations. Below is an overview of the clinical services provided by PCNs:

Core Clinical Services

1. Structured Medication Reviews and Medicines Optimisation
   PCNs conduct reviews to ensure patients are on the most effective and safe medications, particularly for those with complex needs or multiple prescriptions.

2. Enhanced Health in Care Homes
   PCNs provide proactive healthcare support to residents in care homes, including regular check-ups and personalized care plans.

3. Early Cancer Diagnosis
   They focus on improving the early detection of cancer through screening, referrals, and awareness campaigns.

4. Social Prescribing Services
   PCNs connect patients with non-clinical support, such as community groups, exercise programs, and mental health resources, to address social determinants of health.

5. Cardiovascular Disease (CVD) Prevention and Diagnosis
   Services include identifying and managing conditions like hypertension and high cholesterol to reduce the risk of heart disease and stroke.

6. Tackling Health Inequalities
   PCNs work to reduce disparities in healthcare access and outcomes by targeting underserved populations and addressing specific local health challenges.

Additional Services Introduced in Recent Years

1. Anticipatory Care
   This involves proactive, coordinated care for patients at high risk of hospital admission, often in collaboration with community services.

2. Personalised Care
   PCNs provide tailored care plans that empower patients to manage their health conditions effectively.

Workforce and Multidisciplinary Teams

PCNs employ a variety of healthcare professionals under the Additional Roles Reimbursement Scheme (ARRS), including:

• Clinical pharmacists
• Social prescribing link workers
• First-contact physiotherapists
• Mental health practitioners
• Paramedics
• Health and wellbeing coaches
• Dieticians and podiatrists

These roles enhance the range of services available and ensure patients receive care from the most appropriate professional.

Benefits of PCN Services

• Integrated Care: PCNs bring together primary, community, and social care services to provide seamless and coordinated care.
• Proactive Health Management: They focus on prevention, early intervention, and managing chronic conditions.
• Improved Access: Patients benefit from extended hours and a broader range of services closer to home.

Future Developments

PCNs are evolving to address emerging healthcare needs, with a focus on digital health, personalized care, and reducing health inequalities. They remain a cornerstone of the NHS Long Term Plan, aiming to deliver proactive, patient-centered care at scale.

For more detailed information, you can refer to NHS England's resources on PCNs and their service specifications.