DES Slideshare

1. Network Contract DES 2022/23
A summary of the DES for
PCNs April 2022
Year four of a five year contract

2. www.pcc-cic.org.uk © 2022 PCC
Priorities for 2022/23
● Maintain stability for general practice
● Bolster investment in workforce and leadership
● Support the recovery of communities
● Ensure patients continue to receive timely, high quality care
● Builds on Investment and Evolution.

3. Additional roles
reimbursement scheme
• ARRS funding increased by
£280m
• 15 different roles available to
support service delivery
Workforce plans
• 31 Aug 2022- updated plans for 22-
23
• 31 Oct 2022- updated plans 23-24
Points to note
• On target to have achieved 21,000 FTE
by March 2023
• Number of mental health practitioner
(MHP) roles doubled (up to two MHPs
where <100,000 patients)
• MHP role broadened to include non
clinical support to patients
• Unclaimed funding- to be identified by
30 Sep 22- if PCN agrees estimate- the
PCN will no longer have right to claim
• Commissioner may allow other PCNs
to bid
• Core PCN funding of £1.50 per head
maintained

4. Funding overview
Payments based on list size 1 Jan 2022
list size 1 Jan 2022
• Extended hours access (1 April- 30
Sept) = £0.720 per PCN registered
list size
• Extended hours access (1 Oct- 31
Mar ‘23) = £3.764 per PCN registered
list size
• Care Home = £120 per bed per
annum
• Leadership and Management
payment = £0.699 x PCN adjusted
population per year
• Core PCN funding of £1.50 per
registered patient
• Network participation payment to
practices £1.761 per contractor
weighted population

5. Enhanced Access
1 April 2022- 30 Sep 22- existing extended hours
access continues
Combines network DES extended access funding
with CCG commissioned extended access
services
Draft enhanced access plan submitted to
commissioners by 31 July 2022
Final version to be agreed by 31 Aug 2022
Service to include:
• Bookable appointments outside core hours
• 6.30pm-8pm weekday evenings
• 9am-5pm Saturdays
• These are then ‘network standard hours’
• Offer a range of general practice services
in line with patient preference and need
• Minimum 60 minutes per 1,000 PCN
adjusted patients per week- no stipulation
re appointment length
£3.764 per PCN adjusted population to cover
six months period (Oct 2022 – Mar 2023)
Plan to demonstrate:
• How PCN has engaged with patients
• Services provided
• What is the mix of appointments types (face
to face and remote)
• Proposed staffing / skill mix
• Locations (a minimum equivalent to CCG
extended access service)
NB- How this will be delivered must be set out
in the network agreement
Service requirements - extended access

6. Enhanced Access
Medication review and medicines
optimisation
Enhanced health in care homes (EHCH)
PCNs must offer and deliver a volume of
structured medication reviews determined and
limited by the PCN’s clinical pharmacist
capacity
The PCN must demonstrate reasonable
ongoing efforts to maximise that capacity
PCN must
• Deliver EHCH in the homes in its PCN area
• Ensure a lead GP (or GPs)is agreed for
each of the PCN’s aligned homes
• Work with community service providers to
establish a multi-disciplinary team
• Have established protocols for information
sharing, shared care planning
• Deliver a ‘home round’- reviewing only those
according to need not all home residents.
• Create personalised care plans
Service requirements

7. Enhanced Access
Early cancer diagnosis
PCNs are required to :
• Review referral practices and work with
member practices to improve
• Work with local system partners to agree
improved uptake of screening
Social prescribing service
PCNs must
• Provide the PCN’s patients with access to a
social prescribing service
Service requirements
Cardiovascular disease (CVD) prevention and diagnosis
PCNs are required to :
• Improve diagnosis of patients with hypertension
• Improve coverage of blood pressure checks
Opportunistically
At outreach venues based on health inequalities
• Improve identification of those with AF
• Identify patients at high risk of familial hypercholeserolaemia
• Offer statin treatments
• Support earlier identification of heart failure

8. Enhanced Access
Tackling neighbourhood inequalities
PCNs are required to :
• Identify and deliver an annual health
check for patients with a learning disability
(75% of patients aged 14 and over)
• Identify and include all patients with severe
mental illness and deliver health checks
for 60% of these patients
• Record the ethnicity of all patients
registered with a PCN unless the patient
chooses not to provide their ethnicity
• Appoint a lead for tackling health
inequalities
• Develop a plan to tackle unmet needs of a
population
Anticipatory care
PCNs must
• PCNs must contribute to the delivery of ICS
plans
Service requirements
Personalised care
PCNs must
• By 30 Sept 2022- work to offer and improve
access to social prescribing to an identified
cohort with unmet need
• 1 October- must deliver the plan

9. Service requirements
• All clinical staff complete e-learning
refresher training for shared decision
making (SDM) conversations.
Investment and Impact Fund (IIF)
Three domains
• Prevention and tackling health
inequalities
• Providing high quality care
• A sustainable NHS
36 indicators (up from 20 in 21/22)
1,153 points available
£200 per point
Achievement to be calculated after
31 March 2023

10. Useful links
Useful Links
● Contract Specification- requirement
and entitlements
● DES guidance
● DES ready reckoner
● DES IIF Summary
● DES IIF updated guidance
● Update to the GP Contract financial
implications
● QOF Changes
● Weight Management ES
● PCN ECD guidance
● DES Adjusted populations calculator
● DES – Personalised care
● DES FAQ
● CVD Supplementary guidance

11. www.pcc-cic.org.uk © 2022 PCC
PCC support
● Range of virtual courses being delivered over the coming months. See PCC
events calendar for further details
● Visit our website for news, articles and how we can help you www.pcc-
cic.org.uk
● Keep up to date with NHS news - sign up to our free weekly newsletters
www.pcc-cic.org.uk/newsletters/