A new compensation mechanism will be adjusted, if necessary, between the overall sum at the practical level and the additional amount of the reimbursement of roles at the network level, depending on the level of actual revenue from the partner`s NHS. It will allow for an overall adjustment of the sums in both directions. The purpose of the mechanism is to give confidence to the profession and taxpayers by protecting themselves from higher-than-expected inflation increases or partner subscriptions. It would also increase or reduce the number of additional employees funded by the DES network contract. To become a network, firms must complete a short submission to the GCC as part of the DES by May 15, 2019 at THE LATEST. This requires the names and codes for each practice within the network, the total size of the network lists (i.e. the sum of the lists of member firms), a map that marks the network area, the name and details of each provider to obtain funding, the name and details of the clinical director, and the initial network agreement (signed by each practice). In addition to staff costs (for additional staff and clinical director), each network receives a recurring annual payment of $1.50 per patient (an extension of current, but not discretionary, GCC funding now), used by network firms to support their work. In addition, additional funds have been allocated to the overall amount for network implementation and contact practices. Justin highlights key thoughts on practices and networks before the registration deadline (8 min. 15 sec.) If an NCP is not willing to accept a practice, the Commissioner, in conjunction with the CML, will initiate discussions with the practice and the corresponding NCP and will take all appropriate steps to reach agreement on the conditions for integrating the practice into a NCP.
In the absence of agreement, the delegate may require a NCP to incorporate the practice as the central network practice of that NCP. The staff and the network are led by a clinical director, chosen from the family physicians of each network. This clinical director is funded – on average daily per week for a network of 40,000 patients (including costs) from new funds made available by NHS England.