Memorandum of Understanding: 2025/26 PCN Winter Funding

Overview

This MoU is to confirm your PCN’s agreement to utilising the allocation of primary care and vaccinations winter funding for 2025/26 in line with the ICB request of PCNs. Section 1 outlines the funding and reporting expectations. Section 2 describes the conditions of funding.

Please review this page and then select ‘Complete the form’ at the bottom of the page to provide your agreement to the conditions of funding. Once completed, the ICB will arrange for funding to be transferred to your PCN’s nominated payee to enable you to mobilise and deliver your winter schemes.

1) Winter schemes with reporting expectations

The table below outlines the different Winter funding schemes and the reporting expectations.

Please complete this MoU by 10^th October 2025. This will trigger an initial payment in October 2025.

Outline activity plans are requested via this online survey by the 17^th October 2025, prior to final payment in November 2025.

The evaluation of this work will be due in April 2026 and will need to be submitted via an online survey which will be shared soon. Questions for the evaluation of each Winter scheme are summarised below.

There are 2 streams to the funding. We expect PCNs to split their payments with around 50% going to each stream of funding.

Proactive work
- Proactive care for at-risk cohorts
- Improving vaccinations uptake
Capacity boosting work
- Increased targeted capacity
- Optional - Triage Hub

All NCL PCNs are asked to deliver the following:

Element

Indicative activity plan (October 2025)

Evaluation reporting (April 2026)

Proactive care for at-risk cohorts (winter readiness)

Case reviews of vulnerable patients to support winter readiness and mitigate the risk of unplanned admissions (October to December 2025);

Qualitative

Definition of the patient cohort identified
Rationale for identifying this cohort
Expected impact of proactive review and intervention for this cohort on:
- Patient outcomes
- Practice demand
- Wider system demand (e.g. ED attendances / emergency admissions)

Quantitative

% funding you plan to use for this work
Total # patients in the patient cohort you are focusing on
Approximate number of patients to be reviewed, broken down by month
Estimate of number of these patients that may be proactively contacted
Estimate of number of appointments that may be created (in practice / home visits / telephone calls)

Qualitative

Please describe:
- The work you undertook
- Based on your experience of providing this element of the plan, what has been the potential impact of the proactive care provided on (please provide case studies where helpful):
  - Patient outcomes
  - Practice demand
  - Wider system demand (e.g. ED attendances / emergency admissions)
- Challenges and ways you addressed them

Quantitative

% of funding used for this work
Final number of patients in the cohort you focused on
Actual number of patients reviewed
Actual number of patients proactively contacted
Actual number of appointments created (in practice / home visits / telephone calls)
% appointment utilisation excluding DNAs

AND

Improve vaccination uptake of eligible patients in North Central London for seasonal vaccinations (Influenza and Covid-19) focusing efforts on those least likely obtain a vaccination – including housebound population (October to December 2025 );

The initial payment is to be used to do the following: undertake outreach activity to address historical inequality, ensure the provision of seasonal vaccinations to your housebound population, deliver enhanced call/recall to eligible populations and provide more effective signposting to Community pharmacies.

A further outcome-based payment to be made based on vaccination activity (influenza) at the end of the contract (see appendix)

Qualitative

How does your PCN intend to provide seasonal vaccinations for the various eligible populations?
How do you intend to undertake outreach activity to address historical inequality, as well as enhanced levels of call/recall to your eligible patients (including more effective signposting to Community Pharmacies)?
How does your PCN propose to offer seasonal vaccination (Influenza and Covid-19) to eligible housebound patients and care home residents?

Quantitative

% funding you plan to use for this work

Qualitative

Please describe:
- The work you undertook
- The impact the work had – please provide evidence
- Challenges throughout the season

Quantitative

% of funding used for this work

Vaccination uptake will be monitored using NHS ImmForm which reports flu uptake data directly from practice EMIS systems. Further outcomes-based payment to be based on this vaccination activity.

AND

Increased capacity targeted for specific cohorts such as elderly/paediatrics – (January to March 2026). *Please ensure increased capacity particularly 2-18^th January 2026 as this is the most pressured time for providers*

Qualitative

Definition of the patient cohort(s) identified
Rationale for identifying this cohort(s)
How will you allocate capacity between January and March 2026?
Rationale for allocating capacity in this way
Describe the impact you expect to see due to this work

Quantitative

% funding you plan to use for this work
Number of appointments you plan to create (in practice/ home visits/ telephone calls)
Number of appointments you plan to allocate between 2-18th January
Number of appointments you plan to allocate between 19^th January and end of March

Qualitative

Please describe
- The patient cohort(s) you worked with
- The work you undertook
- When you allocated most additional capacity between January to March 2026?
- The impact the work had – case studies and evidence
- Challenges and ways you addressed them

Quantitative

% of funding used for this work
Total number of appointments created (in practice / home visits / telephone calls)
Number of appointments created specifically in the period 2-18 January
Number of appointments created between 19^th January and end of March
% appointments utilisation excluding DNAs

Optional –

You may also choose to use some of your capacity boost funding for a Triage Hub. You must still use funding to complete all requirements above with triage capacity forming part of the increased capacity provided.

Triage hubs – at scale management of online consultations across a PCN footprint.

Qualitative

Is this a new initiative and if so, please describe your plan for establishing a PCN Triage Hub
Is this an existing offer and if so, please describe how it works

Quantitative

% funding you plan to use for this work
What number of e-consults do you anticipate triaging using this funding?

Qualitative:

Please describe
- The work you undertook
- The impact the work had – please provide case studies and evidence
- Challenges and ways you addressed them

Quantitative

% of funding used for this work
# e-consults triaged during Winter
% of total e-consults triaged that were additional using this funding
Please provide a breakdown of how and who the requests were managed by:
- % GP appt (online, f2f)
- % Admin
- % Community service (Pharmacy first, sexual health etc
- % Other

2) Conditions of funding

Please review the conditions of funding and the funding process below and then submit your responses to our form at the end of the page to acknowledge that you agree to these.

Conditions of funding and reporting

This funding is to run winter readiness / winter management projects and must be spent by the end of March 2026 to deliver your winter schemes.
You confirm that the project(s) stated above for your Primary Care winter funding will deliver additional capacity during winter above and beyond work that practices / PCNs are already paid for (e.g. core provision, PCN DES specifications, long-term conditions LCS activity, pre-existing proactive care work and triage hubs).
You judge the indicative activity plans to be feasible for delivery over the periods described, notwithstanding unexpected challenges which may arise and can be discussed with the commissioner.
This funding is non-recurrent so cannot be used to fund anything that creates recurrent costs unless the PCN is willing to bear the ongoing costs beyond March 2026.
You agree to collect data for Primary Care Winter projects in line with the reporting expectations outlined in Section 2 and provide this to the ICB by the end of April 2026. This can be supported by quantitative information and case studies.
Any significant changes or issues that arise between now and March 2026 which impact your ability to deliver this work as planned should be raised with the ICB primary care team to jointly agree how to proceed.
As part of the evaluation, the ICB develops case studies which demonstrate good practice and significant impact to be shared widely with other PCNs for learnings – please let the ICB primary care team know if you do not wish to have your PCNs information shared as part of the case studies. Please note that no business sensitive information is included.

Funding process:

Once you are happy with the conditions of the funding above, please select ‘Complete the form’ at the bottom of this page to submit your acceptance of funding. NCL ICB will then begin the payment process to the nominated payee for your PCN.
PCNs that return the MoU by COP on 10th October 2025 will receive 28% of the initial Primary Care winter payment in October 2025, with the remaining final 72% paid in November 2025 following the submission of the indicative activity plans. MoUs received after this deadline will receive full payment in November 2025 subject to the receipt of activity plans. *Please note payments can only be made once the MoU is received*.

Appendix:

Summary of funding for activity by PCN:

*Please note the total funding allocated to PCNs is £1.675m. £25k of funding has been held by the Vaccinations team to support interventions in the event of outbreaks and will be used to support general practice / primary care network resilience this winter.

Summary of vaccination outcome-based payment:

The vaccination outcome payment is made based on the PCN vaccination uptake, comprising of the following eligible cohorts:
- Over 65
- Under 65 (at-risk)
- 2 & 3 year olds
School aged children and vaccines in pregnancy have been excluded from the calculations as General Practice is not the primary provider for these cohorts.
To achieve the maximum payment a PCN must achieve a 6% increase in uptake percentage to what they achieved last year (source – Immform February 2025).
To achieve the minimum payment (50% of the assigned value) the PCN must achieve the same uptake as was achieved in 24/25, any less and no outcome payment will be made.
Outcome payments will be paid on a sliding scale from the lower payment threshold. Therefore, if a practice vaccinates a greater percentage than they did in 24/25, but not enough to reach the higher payment threshold, they will receive an outcome payment in line with their percentage improvement. For example, if a practice has been assigned £5000 and achieves a 5% uptake, they will receive an outcome payment of £4583.33
Outcome payments will be made to the PCN at the end of the seasonal vaccination campaign.

			Vaccinations outcomes based payment - sliding scale between these numbers
Borough	PCN Code	Primary Care Network	Same uptake as 24/25 (50% payment)	3% improvement on 24/25 (75% payment)	6% improvement on 24/25 (100% payment)
Barnet	U84655	PCN 1D	£1,482.15	£2,223.22	£2,964.29
Barnet	U07605	PCN 1W	£2,645.00	£3,967.49	£5,289.99
Barnet	U33392	PCN 2	£7,817.32	£11,725.97	£15,634.63
Barnet	U58538	PCN 3	£5,432.54	£8,148.81	£10,865.08
Barnet	U35438	PCN 4	£3,833.44	£5,750.16	£7,666.88
Barnet	U39686	PCN 5	£2,910.00	£4,365.00	£5,820.00
Barnet	U30079	PCN 6	£4,300.78	£6,451.17	£8,601.56
Barnet	U06780	PCN 7	£1,683.53	£2,525.29	£3,367.05
Camden	U83457	Central Camden	£3,263.02	£4,894.52	£6,526.03
Camden	U52461	Central Hampstead	£2,159.24	£3,238.86	£4,318.48
Camden	U51577	Kentish Town Central	£2,203.96	£3,305.95	£4,407.93
Camden	U78517	Kentish Town South	£1,944.70	£2,917.05	£3,889.41
Camden	U54007	North Camden	£3,571.07	£5,356.60	£7,142.14
Camden	U05885	South Camden	£967.45	£1,451.17	£1,934.90
Camden	U34811	West and Central	£2,777.98	£4,166.96	£5,555.95
Camden	U81184	West Camden	£1,902.37	£2,853.55	£3,804.74
Enfield	U50311	Edmonton PCN	£2,301.55	£3,452.32	£4,603.09
Enfield	U80019	Enfield Care Network PCN	£5,206.28	£7,809.42	£10,412.57
Enfield	U36687	Enfield South West PCN	£3,563.41	£5,345.12	£7,126.83
Enfield	U58312	Enfield Unity PCN	£11,679.22	£17,518.83	£23,358.43
Enfield	U63047	West Enfield Collaborative PCN	£3,048.00	£4,572.00	£6,096.00
Haringey	U15334	Haringey - East Central	£2,424.24	£3,636.36	£4,848.48
Haringey	U36584	Haringey - N15/South East Haringey	£2,658.15	£3,987.23	£5,316.30
Haringey	U51636	Haringey - North Central	£3,206.57	£4,809.86	£6,413.14
Haringey	U96599	Haringey - North East	£3,735.62	£5,603.43	£7,471.24
Haringey	U12920	Haringey - North West	£3,510.56	£5,265.84	£7,021.12
Haringey	U27139	Haringey - South West	£2,650.98	£3,976.46	£5,301.95
Haringey	U83168	Haringey - Welbourne	£3,238.14	£4,857.21	£6,476.28
Islington	U60337	Central 1 Network	£1,993.97	£2,990.96	£3,987.94
Islington	U55709	Central 2 Network	£2,655.04	£3,982.56	£5,310.08
Islington	U36795	Islington North	£2,492.40	£3,738.61	£4,984.81
Islington	U02795	Islington North 2	£5,441.63	£8,162.44	£10,883.25
Islington	U87168	South Network	£3,799.72	£5,699.57	£7,599.43
		Total	£112,500	£168,750	£225,000

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