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<p>The priority for the Primary Care Network (PCN) overall will be to ensure that
it builds on the core of current primary care services by enabling greater provision
of proactive, personalised, coordinated and more integrated health and social care.
PCNs will take part in the Network Contract Directed Enhanced Service from July 2019.
This provides funding for additional capacity in general practice, extended access
and clinical leadership. The priorities for individual PCNs will be determined locally
by their Clinical Director and leadership team, in close conjunction with their local
authority and clinical commissioning group. These priorities must be within the context
of the seven service specifications that are being published and which will set out
what all networks have to deliver. The seven are focused on areas where PCNs can have
significant impact against the ‘triple aim’ of improving health and saving lives,
for example from strokes, heart attacks and cancer; improving the quality of care
for people with multiple morbidities; and helping to make the National Health Service
more sustainable, for example, by helping to reduce avoidable hospital admissions.</p><p>The
specifications cover the following topics:</p><p> </p><p>- Structured medications
review and optimisation;</p><p>- Enhanced health in care homes, to implement the vanguard
model;</p><p>- Anticipatory care requirements for high need patients typically experiencing
several long-term conditions, joint with community services;</p><p>- Personalised
Care, to implement the NHS Comprehensive Model;</p><p>- Supporting early cancer diagnosis;</p><p>-
Cardiovascular Disease (CVD) prevention and diagnosis; and</p><p>- Tackling neighbourhood
inequalities.</p><p> </p><p>The framework can be viewed at the following link:</p><p><a
href="https://www.england.nhs.uk/wp-content/uploads/2019/01/gp-contract-2019.pdf"
target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/01/gp-contract-2019.pdf</a></p>
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