To start can you just explain to me your role within the CCG and your involvement with PCNs? Local PCNs How have PCNs been established? (Flat practice network/lead provider/GP federation–provider entity/super practice as a network, non-GP provider (community trust) employer model) How many PCNs are within your CCG footprint? How many patients in the largest PCN and smallest PCN? Why have the PCNs been established in this way? (History / GP federation/geography …) As a CCG did you reject any PCN applications? (If so, why?) Are the clinical directors of local PCNs GPs? (If not, what job role, and why not a GP?) Have patients had any role in the development or operation of your PCN? Have any members of staff been recruited using the Network Contract DES within any of your PCNs? (clincal pharmacist & social prescriber) What factors have enabled and supported the establishment of PCNs? (max. 3) What issues have you faced when trying to establish PCNs? (max. 3 — 100% coverage/data sharing) PCN work and wider organisational involvement How are GP practices working together? What domains of work are they focusing on? (What influenced the choices made?) Are networks working with other organisations? (If so, at what level: neighbourhood, place, or system level? Get examples from each level where available) Intended benefits of PCNs What are the intended benefits of PCNs for patients? What are the intended benefits of PCNs for practices? What are the intended benefits of PCNs for the CCG? How are outcomes being measured and by whom? Commissioning and contracting mechanisms What commissioning arrangements do you have in place as a CCG to support PCNs? (Is the support to help with their development or for longer term?) Were any financial incentives put in place to help with PCN development, in addition to the DES? (From NHS England and/or the CCG?) What kind of organisation holds the DES contract for most PCNs and how was this decided? What contract mechanisms as a CCG are you using to support collaborative working? (DES/LES, etc.) Are NHS England involved with the commissioning of PCN? (If so, explain …) Are NHS England involved with the contracting of PCN? (If so, explain …) |