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Additional Roles Reimbursement Scheme

The new additional staff recruited by a PCN or provided under contract as a service from a third-party organisation are referred to in this Network Contract DES Specification as “Additional Roles” and this element of the Network Contract DES is referred to as the “Additional Roles Reimbursement Scheme”.

 To receive the associated funding, a PCN must show that the staff delivering health services for whom funding is requested, i.e. the Additional Roles, comply with the principle of “additionality”.

 A PCN’s Additional Roles Reimbursement Sum equates to £26.631 multiplied by the PCN Contractor Weighted Population as at 1 January 2025. Further details of the method for determining Additional Roles Reimbursement Sum are set out in the Network Contract DES Guidance.

 Please see network-contract-DES-contract-contract-specification-2025-26.pdf Section 10 Network Financial entitlements  – 10.5.4 for the details about the ARRS and the table 2 for the maximum reimbursement amounts per workforce role for 2025/26.

Please see network-contract-DES-contract-contract-specification-2025-26.pdf Section 10 Network Financial entitlements  – 10.5.4 for the details about the ARRS and table 2 for the maximum reimbursement amounts per workforce role for 2025/26:

Update on the arrangements for the GP contract in 2025/26 - letter-primary-care-networks-network-contract.pdf

Changes at a glance:

The roles include:  

In 2025 there are new roles whose details are found in the following document: network-contract-DES-contract-contract-specification-2025-26.pdf – See Annex B – Additional Roles Reimbursement Scheme – Minimum Role Requirements for all the Roles claimable on ARRS. In 2025 the new roles claimable are as follows:

 

  • GP

  • Healthcare Support Workers

  • New to General Practice Nurses

  • Experienced General Practice Nurses

  • Consultant Nurses Primary Care

  • Other direct patient care roles

The NIHR (National Institute for Health and Care Research) have put together a 'who's who in general practice?' This explores key roles in general practice and evidences how research can help practices when introducing new roles.

Resources for Care Coordinators, SPLWs and Health and Wellbeing Coaches

We will keep this page updated with resources from Healthy London Partnership support newsletter for ARRS staff.

Please also check our Resources page and check by your job role or by topic to see further resources including blogs, podcasts, films and booklets that you might find useful.

Past events recordings

  • PCN support session: Setting up a proactive social prescribing service (personalised care DES spec) Recording and slides here:

    • Slide 11 - 14 – detail of the personalised care des spec – what is needed

    • Proactive SP case studies – slide 26 -30

    • Next steps to implement the personalised care DES spec – slide 32

    • Resources and support to coproduce, work in partnership and target cohorts – slide 38 - 39

  • PCN support session: Population Health and the PC ARRS roles: Recording, slides here (individual recordings are linked to the slides)

  • PCN support session: Spotlight on Health and Wellbeing Coaches. Recording, slides and FAQ here

  • PCN support session: Spotlight on Care Coordinators. Recording, slides and FAQ here

  • PCN support session: Embedding the three personalised care ARRS roles: Recording here

  • PCN support session: Using your personalised care roles effectively: Recording here

 External events

Workforce development frameworks for Personalised Care roles

Personalised Care roles include Social Prescribing Link Workers, Health and Wellbeing Coaches and Care Coordinators.

Please refer to the draft documents hosted on Future NHS to support plans around recruitment, training and retention:

Care Coordinator WDF

Health and Wellbeing Coach WDF

Social Prescribing Link Worker WDF

Hiring new SPLW, CC or HWBC?

  1. Make sure they sign up to the London wide peer supports and mailings for their role here

  2. Make sure they are signed up to the Future NHS pages which contain resources for induction as well as continued learning and development

  1. SP national page SP London page

  2. CC national page CC London page

  3. HWBC national page

Training, leadership and funding opportunities

  1. Coaching & Mentoring Handbook

  2. National personalised care Leadership programme (face to face), express interest by emailing: applications@leadershipforpersonalisedcare.org.uk

  3. Inclusion coaching – for those impacted by bias, racism or inequality.

  4. Foundations in System Leadership; collaborating for health and care – Leadership Academy

  5. Personalised care peer leadership programme by NHS Leadership Academy

  6. Management, team and leadership bitesize e-learning by NHS Leadership Academy

  7. Core Managers Programme to provide free inclusive leadership. register for programme on the NHS London Leadership Academy website

  8. Building Coaching Capability – contact runa.begum@leadershipacademy.nhs.uk to find out how to get involved

  9. Unpacking power: two-hour online collective inquiry into our experience of power in the workplace, to expand your potential at work

If you want to find out more about how your surgery can be supported by someone in an ARRS role please contact  nclicb.haringey.training@nhs.net