The Additional Roles Reimbursement Scheme (ARRS) - Changes to contract
There are some notable changes to the GP contract which includes the addition of nurses in Advanced Practitioner roles as well as reimbursing time for training them. Here are some key brief points:
In 2023/24 the following changes will be made to the ARRS:
increasing the cap on Advanced Practitioners from two to three per PCN where the PCN’s list size numbers 99,999 or fewer, and from three to six where the PCN’s list size numbers 100,000 or over.
reimbursing PCNs for the time that First Contact Practitioners spend out of practice undertaking education and training to become Advanced Practitioners.
including Advanced Clinical Practitioner Nurses in the roles eligible for reimbursement as Advanced Practitioners (APs).
introducing apprentice Physician Associates (PAs) as a reimbursable role.
removing all existing recruitment caps on Mental Health Practitioners and clarifying that they can support some first contact activity.
amending the Clinical Pharmacist role description to clarify that Clinical Pharmacists can be supervised by Advanced Practice Pharmacists.
During 2023/24 the ARRS will be reviewed to ensure that it remains fit for purpose and aligned to future ambitions for general practice.
For more information please see: