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ICBs must sign-off GP access plans to allocate £73.8m

ICBs must sign-off GP access plans to allocate £73.8m
By Jaimie Kaffash
30 March 2023

Integrated care boards (ICBs) must agree and sign-off GP networks’ access improvement plans by 12 May 2023 in order to allocate the £73.8m capacity and access funding.

The £73.8m fund – totalling around £60,000 per PCN, or £1.30 per patient – will be disseminated to networks based on their success at improving access.

Announced as part of the Network DES, PCNs will need to develop ‘an access improvement plan that is agreed with the ICB’ to receive the £1.30 payment per patient.

They will also need to: demonstrate improvement in the patient experience over the year through metrics such as the patient survey and the friends and family test; adopt the use of cloud-based telephony systems; and accurately record data.

The document said: ‘ICBs, PCNs and member practices should co-develop and co-own a local improvement plan setting out the changes they intend to make. Local  improvement plans should address any identified barriers to improvement or wider support required and link to local support offers for integrated primary care, and where commissioner support is required, commissioners should commit to providing that support.’

PCNs will also be funded £11,500 on average every month in 2023/24 to improve access.

This funding is part of the investment and impact fund (IIF) incentive scheme, and as part of this, networks will be expected to see 85% of patients within two weeks of them requesting an appointment.

Under the IIF part of the Network DES, PCNs will be given an average of £3 per patient unconditionally in 2023/24 to help support them to improve access, working out at about £11,500 per month for an average PCN.

A separate indicator in the IIF requires PCNs to see at least 85% of patients being given an appointment within two weeks of them requestion them.

The indicator (ACC08) is worth around £14,000 per PCN on average and GPCE have said networks should consider whether they want to engage with it.

Dr Clare Bannon, a GPCE negotiator, told GPs at a contract seminar yesterday: ‘There’s two different segments in IIF. There’s the ACC08 target and this is an IIF indicator. It gives you around 25p per patient for hitting the two-week access target. So what we’re going to be measured on there is the number of patients that are seen within two weeks. And the targets are 85% at the lower threshold and 90% at the upper threshold. Now that is going to be difficult for a lot of practices to meet.

‘I just want to say that this is not contractual, that’s a target, so practices need to think about if that’s not doable then consider not doing it. We’ve been talking to LMCs a lot about safe working and you need to think about 25 contacts a day. If you’re seeing more than 25 patients a day then is that manageable? Is that going to be safe? Are you going to risk burning out?’

A version of this article first appeared on our sister title, Pulse.

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