In 2019, NHS England introduced a 5-year plan (2019-2024) which included the Direct Enhanced Service (DES), aimed at improving access to and the quality of primary healthcare through local collaboration among healthcare providers. The DES was designed to be delivered through Primary Care Networks (PCNs), groups of general practices working closely with a range of providers, including community services, secondary care, pharmacies, voluntary, community and social enterprises (VCSEs), and local authorities. Together, they deliver an integrated model of care that combines clinical and holistic approaches.
Through the DES, PCNs are also able to hire new healthcare professionals under the Additional Roles Reimbursement Scheme (ARRS), expanding their multidisciplinary teams and enriching the services provided in primary care.
In North Hertfordshire, 12PointCare GP Federation has played a crucial role in the formation and support of its two local PCNs. The Federation currently supports both PCNs in North Hertfordshire by offering the following services:
- Human Resources (HR) Support: Recruitment for ARRS and other PCN roles, employee assistance, and ensuring HR compliance with regulatory standards.
- Financial and Accounting Management: The Federation supports PCNs with financial claims, payment processing, financial reporting, payroll, auditing, budgeting, and risk management.
- Enhanced Access Service: Provided through the EAS Hub at Sollershott Surgery, Letchworth Garden City, offering extended clinical services across North Hertfordshire, supported by an operations team and an extensive clinical workforce to meet patient needs.
Looking ahead, PCNs will continue to evolve, with a focus on collaborative working within neighbourhoods, deeper integration of services, digital transformation, and a stronger emphasis on preventive care.