NWL0150 Provision of List Based Enhanced Primary Care Service across GP and PCN site locations in North West London

NHS North West London ICB requires the provision of various Enhanced Primary Care Services covering the total registered population across multiple General Practice (GP) and Primary Care Network (PCN) sites from 1st April 2023. The contract term will be (3) years with the option to extend by a further two (2) year period, until 31st March 2028.

The contracts have been designed to deliver a range of enhanced primary care services via 45 PCNs, via the lead practice or where the PCN has formed a legal entity, (with GP practices subcontractors) in each of the 8 boroughs in North West London. Full patient population coverage has been made central to improve local care and reduce variability in people's outcomes. This will ensure that every patient has access to the range of services offered.

Specifications within the contracts are for out of hospital services to include services such as phlebotomy, ECG, diabetes, mental health and are outcomes based.

PCN level contracts have been designed to focus on improving clinical outcomes, driving improvements in the consistency of care provision in all GP practices, reduce unwarranted variation in general practice and reduce health and care inequalities for the whole population it serves.

The contracts are delivered at PCN level (with GP practices subcontractors) to enable delivery of the full range of services covered by the contracts and full patient population coverage.

NHS NW London ICB currently has contract arrangements in place with GP practices and with some GP Federations where services are delivered at scale through NHS Standard Contracts. These contract terms expires on 31st March 2023.

NHS NW London ICB is of the view that the PCNs, via a lead practice or where they are a legal entity, in the 8 boroughs of North West London are the only providers capable of delivering these services because the member practices have access to the registered list of patients. This enables them to proactively identify patients and have access to the entire patient medical record. This enables continuity of care and provision of services at a location closer to the patient's home.

The purpose of this notice is to set out NHS NW London ICB's intentions to initiate new PCN level contracts (NHS Standard Contract) for a period of three (3) years with the option to extend by a further two (2) year period, until 31st March 2028 (estimated value £68,300,000 per annum).

The ICB is committed to assessing the needs of the service users and considering how it should meet those needs, and improving the quality, efficiency and integration of services.