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PCN DES 2025/26 | Will It Cover the National Insurance Increase?

In Health
April 28, 2025

While some changes must be unpacked, this blog focuses on finances.

It is important to keep in mind that when it comes to PCNS, the only approach should not be in money; However, it is important since networks need Understand if the allocation 25/26 would cover the increase in national insurance announced in the autumn budget of 2024.

Green bluish graph with text: "Primary Care Network of 2025/26. Will the increase in national insurance cover? (Includes calculator)".

Before analyzing the additional roles reimbursement scheme, let’s see what has changed.

Capacity and access support payment

Network participation payment

Additional roles reimbursement

ADDITIONAL ROLS GP SUM

Now integrated into the general budget of Arrs

INVESTMENT AND IMPACT FUND

The additional roles reimbursement scheme and national insurance

The Autumn Budget 2024 He announced that the employer’s national insurance contributions are increasing from 13.8% to 15% (a percentage point of 1.2), which created challenges for some networks that at the top of its budget.

In 25/26 DES, the financing of the additional roles reimbursement scheme has increased from £ 22,894 to £ 26,631 per weighted patient.

However … the figure of GP Arrs of £ 1,303 in 2024/25 was only founded 6 months a year. For a fair comparison from year to year, this amount must be annualized.

This means that the combined boat has increased by approximately 4.4%.

The increase of £ 25.50 to £ 26,631 is a difference of £ 1,131 per weighted patient.

The impact of Ni vs. Refund increases

Here is a illustrative The comparison of how the changes of nor accumulate with the increase in the reimbursement rate of 24/25 to 25/26 for roles nationwide (not internal or external of London).

The significant increase in GP Arrs funds from 2024/25 to 2025/26 is misleading. In 2024/25, the financing of the Arrs was only implemented for 6 months, which makes the sharing from year to year more dramatic than the real increase.

What this means for PCNS

The integration of the sum of the GP in the main Arrs pot could provide more flexibility in the way in which it implements the resources of its workforce, but for most roles, financial gains will be committed by the highest contributions of the employer.

While several scenarios will have already made in 2024 to see what would mean the increase of NI for its network, it now has confirmation.

About us

The primary care of THC is a award -winning specialization of health consulting in the management of the Primary Care Network and the creator of the Podcast Business of Healthcare. With about 20 years in the industry, we have supported more than 200 PCN through interim management, training and consulting.

Our experience covers project management and business development in public and private sectors. Our work has been published in the London Journal of Primary Care, and we have written about 250 blogs that share ideas about primary care networks.

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