PCN Finance Overview Guide
A plain-English guide to how PCN funding works, including the PCN Contract, DES payments, ARRS reimbursement, and the role of the PCN Clinical Director.
## Understanding PCN Finance
### How PCNs Are Funded
PCNs receive funding through the Network Contract Directed Enhanced Service (DES). Payments flow from NHSE to ICBs, then to the nominated payee practice (usually the PCN host practice).
### Key PCN Funding Streams
**PCN Core Funding**
A per-patient payment based on registered population. Used for PCN infrastructure, governance, and administration.
**Clinical Director Time Payment**
Payments to fund GP time for the Clinical Director role (typically 0.25 WTE per 50,000 patients).
**ARRS Reimbursement**
Reimbursement for ARRS roles up to the maximum rates set by NHSE. PCNs submit monthly payroll data for reimbursement.
**Capacity and Access Premium (CAP)**
Incentive payment for meeting access targets, including evening/weekend provision.
### PCN DES Deliverables
DES payments are conditional on completing agreed deliverables, including:
- Social prescribing referrals
- Structured medication reviews
- Enhanced health in care homes
- PCN governance requirements
### Financial Management Tips for PMs
- Ensure the host practice has a signed PCN Agreement and sub-contracting agreements with all member practices
- Agree a clear PCN budget with the Clinical Director at the start of each financial year
- Reconcile ARRS reimbursement monthly — gaps can be significant
- Keep ARRS staff employment records carefully — NHSE audits do occur
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Added 9 July 2026 · 0 views