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:
- Staff Induction Checklist - Template
- Additional Roles - A quick reference summary
- Supervision Guidance
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
- Social Prescribing Link Workers
- Physician Associate
- Clinical Pharmacist
- First Contact Physiotherapist
- Paramedic
- Care Coordinator
- Dietitian
- Health and Wellbeing Coach
- Nursing Associate
- Occupational Therapist
- Podiatrist
- GP Assistant
- Digital Transformation Lead
- Advanced Clinical Practitioner
- Mental Health Practitioner
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.
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
Telling a story – how to tell a story strategically by NHSE Head of Transformation – recording
Elemental Proactive Social Prescribing demo - Recording.
Social prescribing, focusing on strengths and asset-based approaches - NSHEI national SP team - Recording
Making the most of community assets to deliver Proactive Social Prescribing - NSHEI national SP team - Recording
Webinar: What does the future look like for the general practice workforce? - Recording
Driven by Data: navigating impact as an anchor – useful for Social Prescribing Services wishing to evaluate - Recording
The role of NHS estates in tackling health inequalities - Recording
Complete Care Community Summit recordings (PCN level programme to support tackling Health Inequalities)
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:
Make sure they sign up to the London wide peer supports and mailings for their role here
Make sure they are signed up to the Future NHS pages which contain resources for induction as well as continued learning and development
National personalised care Leadership programme (face to face), express interest by emailing: applications@leadershipforpersonalisedcare.org.uk
Inclusion coaching – for those impacted by bias, racism or inequality.
Foundations in System Leadership; collaborating for health and care – Leadership Academy
Personalised care peer leadership programme by NHS Leadership Academy
Management, team and leadership bitesize e-learning by NHS Leadership Academy
Core Managers Programme to provide free inclusive leadership. register for programme on the NHS London Leadership Academy website
Building Coaching Capability – contact runa.begum@leadershipacademy.nhs.uk to find out how to get involved
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