As part of this automated solution, previous pay codes have been deactivated and have been replaced with new pay codes. Where the commissioner had requested future PCN payments using these pay codes, no action is required as these have automatically been stopped subsequent to PCN payments being processed on PCSE Online.
All PCN capitation-based payments are calculated by PCSE Online automatically and payments processed to the PCN without any further commissioner intervention.
The PCN needs to download this banking declaration and complete your PCN’s details and submit the form to your Commissioner. The Commissioner then needs to verify the signatures on the banking declaration form and the Commissioner contact listed on the Authorised Email List (AEL) needs to submit this to PCSE at email@example.com.
Where feasible wet signatures should be obtained, however the below e-signature options are also acceptable:
What has been happening until now and how will these arrangements change?
Delivery of capitated PCN payments via PCSE Online will replace a number of different arrangements for paying organisations. Up until now, capitated payments for PCNs whose nominated payee is a member practice could have opted to use the interim solution to be calculated in the Calculating Quality Reporting System (CQRS) and then processed via PCSE Online. This interim solution has not been accessible to PCNs whose nominated payee is not a member practice – any payments to these PCNs have been made manually by commissioners.
The new PCN payment functionality within PCSE Online will replace these previous payment methods, enabling automated issuing of capitated payments to all PCNs, irrespective of the identity of the nominated payee.
Delivery of payments under the Additional Roles Reimbursement Scheme (ARRS) have, until now, been submitted via an ARRS portal which calculates PCN ARRS payment entitlements which are then instructed manually by commissioners. Under the new PCSE Online arrangements, claims will continue to be submitted via the ARRS portal, and these claims will then be sent to PCSE Online for automated payment (after commissioner approval).
Investment and Impact Fund (IIF) payments will continue to be calculated within CQRS and sent to PCSE Online for processing. From 3 October 2022, PCSE Online will be able to process future IIF payment calculations for all PCNs, irrespective of the identity of the nominated payee.
In order for a change to take effect from the next month, any change to a list size will need to be made the day before the last working day of the month, as all the calculations happen automatically on the 1st and 2nd of each month.
Please contact your PCN User Admin and request they assign the ‘PCN Nominated Payee View’ role to you PCSE Online account. Once you have the ‘PCN Nominated Payee View’ role you can access the PCN statements by the following steps:
The Care Home Premium payment is made to the PCN on a monthly basis and is calculated based on the number of care home beds aligned to the PCN. You can find the care home bed total for a PCN by logging into PCSE Online and clicking into the PCN module; from here you will need click into the PCN Organisation tile and search for the PCN. Selecting the PCN from the search results will take you to the PCN Details screen which holds the care home bed total as well as other reference data.
The Lead Commissioner must ensure the care home bed total is updated on a monthly basis in line with the CQC Care Directory. Note that if there have been no changes from the previous month’s bed total then there is no need to provide an update as the automated system will use existing data to calculate the payment.
Please download the PCN Bed Data Update Instruction if you need to inform PCSE of any changes to the number of care home beds aligned to one or more of your PCNs. You will need to complete this instruction by entering the PCN ODS code, revised care home bed total and the effective from date. Once complete, this should be emailed to the team at firstname.lastname@example.org.
If this instruction is submitted to PCSE by the last working day on or before the 14th day of the month, then the updates will be applied and reflected in payments from the following month. For example bed updates received on or before 14 December 2022 will be applied from January 2023 and will be reflected in payments from January 2023 onwards.
If the instruction is received after the 14th day of the month i.e. late submissions, then PCSE will endeavour to follow the same process as above. However if this has not been possible, updates will be applied and reflected in payments from the month following the subsequent month. For example bed updates received after 14 December 2022 will be applied from February 2023 and will be reflected in payments from February 2023 onwards.
Please note that PCSE can only accept updates from contacts at the ICB who have been authorised to submit bed data changes.