NHS England has published the GMS and PCN income ready reckoner for this financial year, 2025/26.
The tool is intended to give an indication of the changes practices and networks might see to their income streams from 1 April 2025.
For practices, the calclulator is based on:
- on global sum payments of £121.79 (up from £112.50 last year)
- the out of hours payment adjustment remaining at 4.75%
- A QOF point being now worth £225.49 (up from £220.62 last year)
- the practice network participation payment being £1.761 per weighted patient in 2025/26.
Under this year’s contract, 71 points (worth around £100m in total) have been removed from QOF and reinvested into the global sum. As such, ‘the QOF value in the ready reckoner has been proportionately adjusted to reflect the new total number of points’, the tools says.
The ready reckoner can also be used by PCNs, with a calculator that can adjust the predicted income to their own population list size.
For example, PCNs with 30,000 registered patients and actual weighted patients across the network as of 1 January 2025 could receive a maximum of £107,179 in core PCN funding and £798,930 in additional roles reimbursement scheme (ARRS) funding. The total net funding, also including enhanced access, impact and investment fund and capacity and access payments, would be around £1.6m altogether.
A PCN with over 150,000 patients would expect to receive around £379,000 in core funding and almost £4m in ARRS funding, with a total net amount of £5.1m.
Meanwhile, this year ARRS funding is to be added to allocations for ICBs rather than drawn down separately, NHS England has said.
A letter from the commissioner sent out in mid-April, which provided an update to the GP contract agreement, explained that said that some ARRS funding in 2024/25 was allocated to ICBs on a drawdown basis in line with claims, while all GP ARRS funding was allocated this way.
But for 2025/26, it explained, all ARRS funding, including for GPs, will be added to allocations for ICBs so there ‘will not be a requirement for ICBs to draw this down separately’.
A version of this article was first published by our sister title Pulse PCN
