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Primary Care Network (PCN) Payments  

 

PCSE Online is now processing Primary Care Network (PCN) payments. The system went live on 3 October 2022 and payments will be made in existing BACS run for the month. Network Participation Payments will follow in November 2022.

How does this work?

  • PCSE Online calculates PCN capitation payments, based on approved reference data.
  • PCSE Online will make payments to the PCN's nominated payee.
  • The nominated payee will then disseminate the funds where appropriate between members within the PCN (this will take place outside of PCSE Online).

PCN payments within PCSE Online will enable:

  • The processing of payments to any nominated payee regardless of organisation type.
  • Accurate and timely payments aligned to the Network Contract DES
  • A reduction in manual processes.
  • A consolidated view of PCN capitation payments via system generated statements.

PCN payments timeline for Oct-Dec:

Frequently asked questions:

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 to 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 pcse.payments@nhs.net.

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.

In order to implement the new automated solution, the current pay codes will be deactivated and replaced with new pay codes. Where the commissioner has requested future PCN payments using these pay codes, no action will be required as these will automatically be stopped once PCSE Online begins processing PCN payments from October. Any PCN workforce payments should be entered via the ARRS portal for onward processing by PCSE Online.

All PCN capitation-based payments will be calculated by PCSE Online automatically and payments processed to the PCN without any further commissioner intervention.

Commissioners

Each ICB should have at least one ICB (PCN) User Approver within their organisation. ICB (PCN) User Approver users are responsible for managing users in their organisation using the ‘User Management’ tab on PCSE Online. They will need to search for the user within their ICB and provide them with one of the following appropriate roles:

  • ICB (PCN) User Approver – this user can create users and assign them with the ‘Regional View’ and or ‘ICB Data Administrator’ roles.
  • PCN Regional View – this user can view and download PCN payment statements, search for PCN organisations and view IIF payment data
  • ICB Data Administrator – this user can view and download PCN payment statements, adjust practice list sizes, search for PCN organisations and view IIF payment data

Important note: If you provide ICB (PCN) User Approver access to PCN colleagues they’ll be able to see all information for the ICB. PCSE Online is mapped to ICBs and there is no PLACE mapping, this means PLACE colleagues will see info for all the ICB.

 

PCNs

ICBs have nominated PCN user administrators for PCN organisations. These users will be able to provide access to PCN payments for other users within their organisation, including themselves.

PCN user administrator roles are applied at a GP Organisation or Non-GP Organisation (which must be part of the PCN). This will allow the PCN user administrator to access and apply PCN Payments roles to only those users within their GP Organisation or Non-GP Organisation.

PCN user administrators manage users by clicking on the ‘User Management’ tab on PCSE Online and search for the user within their organisation and provide them with one of the following appropriate roles:

  • PCN User Admin – this user can create users and assign them with the ‘PCN - Nominated Payee View’ and/or ‘PCN - PCN User’ roles.
  • PCN - Nominated Payee View – this user can view PCN statements within a Nominated Payee Organisation (or for a user in another organisation who is able to view the NP data, e.g., accountancy firm).
  • PCN - PCN User – this user can view their organisations PCN data.

Important note: when the PCN user logs in they need to select their organisation (i.e GP Practice and not the PCN).

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 pcse.payments@nhs.net.

Where feasible wet signatures should be obtained, however the below e-signature options are also acceptable:

  • ‘Upload an image’ functionality on your signing software to insert signature - A photograph (JPEG) of the wet ink signature.
  • 'Sign document by drawing a signature' using functionality within software such as Nitro, DocuSign etc to insert a signature on to a PDF.

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.

If you have any questions about PCN payments which you can’t find the answer to using the support and guidance available to you, your nominated lead contact in your ICB will be invited to regular Early Life Support (ELS) forums which will be run by PCSE from 3 October 2022. Please ask them to raise anything on your behalf. We will continue to update the guidance on the PCN payments page with any outputs from the ELS forums.

The below tables demonstrate what each user will have access to:

For ICBs and NHS Regions:



For Organisations that belong to a PCN:

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