Intended for healthcare professionals

Letters Primary care networks

Primary care networks: Where are we? Where is the evidence base? What might the future bring?

BMJ 2021; 375 doi: (Published 26 November 2021) Cite this as: BMJ 2021;375:n2925
  1. Simon Hodes, general practitioner1,
  2. Lana Kovacevic, doctoral researcher2
  1. 1Bridgewater Surgeries, Watford, UK
  2. 2NIHR Imperial Patient Safety Translational Research Centre, Imperial College London, London, UK
  1. simon.hodes{at}

Since July 2019, practices across England have been encouraged to form Primary Care Networks (PCNs),1 which have become the focus for primary care investment.2 Advantages of PCNs, realised through economies of scale,3 include development of cost effective, community level services; sharing of best practice and IT systems; and improved quality of care.4 The main advantage for PCNs is funding for extra staff through the additional roles reimbursement scheme.5 However, recognised inflexibilities in the scheme mean restrictions on types of staff …

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