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PCN DES Local Variation contract to deliver neighbourhood health

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MariaPCC 8 June 2026

NHS England has approved Kent and Medway’s request to offer GPs a local variation to the Network Contract Direct Enhanced Service (DES) that will deliver GP-led single neighbourhood care through the existing primary care network (PCN) arrangements. This variation was developed jointly by NHS Kent and Medway Integrated Care Board, and local GP representatives, Kent Local Medical Committee to simplify arrangements, reduce fragmentation, strengthen continuity of care, and unlock nearly £10 million of new annual investment to support patients with the most complex needs across Kent and Medway.

PCC can work with integrated care boards and PCNs to develop similar arrangements, contact enquiries@pcc-cic.org.uk to find out more.

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