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FOI 2025/1195

Reference FOI 2025/1195
Description CAIP payments 2024/25 - PCNs
Date Requested 10/04/2025
Date Replied 07/05/2025
Category Primary Care & Strategic Commissioning

I am looking for some information to be answered under the Freedom of Information Act relating to the capacity and access payment (CAP) scheme. Funding for this was split into two parts for PCNs in 2024/25– the first 70% was a capacity and access support payment (CASP), and the second 30% was a capacity and access improvement payment (CAIP), based on performance. This was outlined in the Network Contract DES 2024/25.

My questions are as follows:

  1. What was the total amount of funding available to PCNs in your ICB area for the capacity and access improvement payment scheme (CAP) as a whole in 2024/25?

 

  1. And please can you break down the total amount of funding that was available to PCNs via CASP payments in 2024/25 (70% of the total scheme funding)?

 

  1. And what was the total amount of funding available to PCNs in your ICB area for the CAIP payments in 2024/25 (the 30% amount – scheme details outlined above)?

 

  1. How many PCNs in your ICB area received the national capacity and access support payment (CASP) in 2024/25?

 

  1. How many PCNs in your ICB area received any money via the local capacity and access improvement payments (CAIP) in 2024/25?

 

  1. Can you please provide the amount of CAIP money received by each PCN in 2024/25? Please provide this both as an amount in pounds and as a percentage of what they were entitled to receive.

 

  1. If the answer to number 5 was less than 100%, can you please state why?

 

  1. These CAIP payments were split into three criteria – better digital telephony, simpler online requests and faster care navigation, assessment and response. Please provide for each PCN in your ICB the amount received per criteria in both amount in pounds and percentage in 2024/25.

 

  1. In the previous year, 2023/24, how many PCNs received any money via the local capacity and access improvement payments (CAIP)?

 

  1. Can you please provide the amount of CAIP money received by each PCN in 2023/24? Please provide this both as an amount in pounds and as a percentage of what they were entitled to receive.

 

  1. If the answer to number 10 was less than 100%, can you please state why?

 

  1. These CAIP payments were split into three criteria in 2023/24 – patient experience of contact, ease of access and demand management, and accuracy of recording in appointment books. Please provide for each PCN in your ICB the amount received per criteria.

 

  1. Who within your ICB assessed the delivery of the plans in 2024/25?

 

  1. Under what criteria was the delivery of the plan assessed in 2024/25?

 

  1. When were/will the payments be delivered to PCNs in 2024/25?

 

  1. How much CAIP funding was not allocated to PCNs in your ICB area in 2024/25?

 

  1. How much CAIP funding was not allocated to PCNs in your ICB area in 2023/24?

 

  1. What did the ICB do with the funding that wasn’t distributed to PCNs via these payments in 2024/25?

 

  1. What did the ICB do with the funding that wasn’t distributed to PCNs via these payments in 2023/24?

 

  1. £16,128,373.48

 

  1. £11,290,226.15

 

  1. £4,838,147.33

 

  1. All Greater Manchester (GM) PCNs received their full entitled funding i.e. 65 PCNs

 

  1. All 65 PCNs in GM declared achievement of at least one of the three domains and therefore all received CAIP payments.

 

  1. See attached analysis below.

**An excel sheet was sent to the requester with this response.  If you require a copy of the full response, together with the excel sheet, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**

 

It should however be noted that the 2024/25 scheme is subject to a post payment verification process which is anticipated to be concluded by the end of June 2025. As such funded amounts may be subject to clawback should a PCN found to be not fully in compliance with any aspect of their declaration.

 

  1. Funding for each CAIP domain within the scheme is released based on self-declaration of achievement of the necessary criteria by the Clinical Director of each PCN. Where a PCN has not submitted a declaration of achievement then no funding has been released to the PCN.

 

  1. Please see attached analysis to Q6.

 

  1. All 65 PCNs in GM achieved at least one of the domains within the 2023/24 CAIP scheme.

 

  1. Please see attached analysis to Q6.

 

  1. Not all PCNs achieved compliance of the requisite criteria, in particular around the submission of Friends and Family Test returns by their constituent practices.

 

  1. Please see attached analysis to Q6.

 

  1. Delivery of plans was assessed by both central GM and locality commissioning teams under a set of consistently agreed pan ICB criteria.

 

  1. Delivery of PCNs plans in 2024/25 will be assessed in line with the national requisite criteria of the DES as per the below: –
MGPA priority domain All PCN practices to have following components in place and these continue to remain in place
1) Better digital telephony
  • Digital telephony solution implemented, including call back functionality; and each practice has agreed to comply with the Data Provision Notice so that data can be provided by the supplier to NHS England.*
  • Digital telephony data is routinely used to support capacity/demand service planning and quality improvement discussions.*
2) Simpler online requests
  • Online consultation (OC) is available for patients to make administrative and clinical requests at least during core hours.
  • Practices have agreed to the relevant data provision notice (DPN) so that data can be provided by the supplier to NHS England as part of the ‘submissions via online consultation systems in general practice’ publication.
3) Faster care navigation, assessment, and response
  • Consistent approach to care navigation and triage so there is parity between online, face to face and telephone access, including collection of structured information for walk-in and telephone requests.
  • Approach includes asking patients their preference to wait for a preferred clinician if appropriate, for continuity.
  1. Payments for the majority PCNs in GM have already been made with a small number of PCNs whose full declarations or part declarations were finalised after the 6 April to receive payment no later than the 20 May 2025 (c£0.5m to be paid in May 25 of the total funded balance of £4.4m).

 

  1. Please see attached analysis to Q6.

 

  1. Please see attached analysis to Q6.

 

  1. All funding resultant for CAIP domains unachieved by PCNs across GM was used to support budgetary pressures within other areas of the overall GP Delegated budget.

 

  1. All funding resultant for CAIP domains unachieved by PCNs across GM was used to support budgetary pressures within other areas of the overall GP Delegated budget.

 

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