Why Primary Care Networks Should Become CQC Registered

Primary Care Networks (PCNs) have become a cornerstone of NHS service delivery, bringing together general practices and other providers to deliver care at scale. While many PCNs currently operate as collaborative entities without a single legal identity, the NHS contract is evolving, and so are patient expectations. One of the most important strategic decisions a PCN can make is whether to become CQC registered.

Becoming registered with the Care Quality Commission is not just about compliance—it’s about future-proofing, enabling service expansion, and building credibility.

1. Positioning for the Future NHS Contract

The revised contract arrangements increasingly emphasise integration, population health, and delivery at scale. A PCN that is already CQC registered is better positioned to:

Hold and deliver services directly, rather than relying on individual practices
Access new funding streams tied to service delivery (e.g., enhanced access, community-based services)
Demonstrate readiness to commissioners and Integrated Care Boards (ICBs).

2. Service Expansion and Flexibility

Without CQC registration, a PCN’s activities are limited. Registration unlocks the ability to:

Employ staff and deliver regulated activities independently
Provide services beyond traditional general practice, including diagnostics, outpatient clinics, and urgent care hubs
Bid for contracts directly, increasing autonomy and financial sustainability.

3. Credibility and Governance

CQC registration signals that a PCN is operating to the same high standards as individual GP practices and other regulated providers. This builds:

Patient confidence – reassurance that services are safe, effective, and well-led
Commissioner trust – confidence that the PCN has governance structures in place
Professional credibility – making the PCN an attractive partner for secondary care providers, social care, and voluntary organisations.

4. Risk Management and Accountability

Operating at PCN level without registration creates potential risks, particularly around:

Clinical accountability – who holds responsibility when things go wrong?
Employment law – staff employed by the PCN but delivering regulated activities may require CQC oversight
Liability and indemnity – insurers may expect registration where regulated activity occurs.

By registering, PCNs ensure compliance and reduce governance risks.

5. Aligning with National Direction

The CQC’s regulatory framework emphasises system-level working and collaboration working towards Integrated Neighbourhood teams.

ICBs and national NHS leaders are increasingly expecting PCNs to be proactive, compliant, and ready to scale.

Registration now sends a clear message: this PCN is forward-thinking, compliant, and prepared to lead within the new integrated landscape.

Conclusion: A Strategic Move, Not Just Compliance

Becoming CQC registered is not simply a bureaucratic requirement—it is a strategic enabler. It empowers PCNs to grow, lead service delivery, attract funding, and build long-term resilience.

At BAXCQC, we specialise in guiding PCNs through the entire registration process—minimising the burden while maximising the opportunities.

We are experienced in General Practice and Primary Care Networks, so we understand how PCNs work.