Funding stream | Money available (yearly) | Basis of payment | Proportion of available contract fundinga | Weighted |
---|---|---|---|---|
Network participation payment | £1.761 per weighted patient registered with practice | Prospective weighted capitation payment | 13% | Carr-Hill formula |
Additional-roles reimbursement scheme | £7.131 per weighted patient registered with PCN practices | Weighted reimbursement for 100% of salary and employer costs for additional roles (up to maximum/role) | 52.6% | Carr-Hill Formula |
PCN support payment | £0.27 per weighted patient registered with PCN practices. (1 April 2020 to 30 September 2020 COVID-19 payment) | Prospective weighted capitation payment — transferred from the Investment and Impact Fund due to COVID-19 pandemic | 2% | Carr-Hill formula |
Core PCN funding | £1.50 per patient registered with PCN practices | Prospective unweighted capitation payment | 11% | No weighting |
Clinical director contribution | £0.722 per patient registered with PCN practices | Prospective unweighted capitation payment for 0.25WTE/50 000 patients | 5.3% | No weighting |
Extended-hours access | £1.45 per patient registered with PCN practices | Prospective unweighted activity-based payment for 30 minutes/1000 patient/week | 10.7% | No weighting |
Care home premium | £60 per care home bed (rising to £120 from 1 April 2021) | Prospective unweighted capitation payment per care home bed linked to the PCN | Variable | No weighting |
Investment and Impact Fund | £111 per point (initially 194 points available per PCN starting 1 October 2020) | Activity-based payment dependent on points gained adjusted for prevalence and list size | 5.3% | No weighting — prevalence and list size adjustments |
↵a An estimate based upon an assumed PCN combined list size of 30 000, with all available payments received. Care home premium removed because of variability between PCNs. Proportions will differ depending on Carr-Hill calculated practice index. Arrangements as at 15 December 2020. Changes for 2021/2022 were subject to negotiation. PCN = Primary Care Network.