Under the Primary Care Network DES, Primary Care Networks are able to recruit new roles to expand their care team with NHSE&I with a forecast of 26,000 additional staff working in general practice by 2024.
The aim of the scheme is to build and utilise the additional roles to solve the workforce shortage in general practice. Whereas the funding will be for new roles being introduced within PCNs, each network will have the flexibility to determine which roles form a core list they require based on their patient population requirements.
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.
In March 2023 a NHS primary care workforce report (March 2023) was published showing that there an additional 4,246 direct patient care roles that have been recruited into London PCNs since March 2019. The corresponding national figures are an additional 29,103.
In May 2023 the national team published a suite of documents to support the induction and supervision of the PCN multidisciplinary team. These include:
- Staff Induction Checklist - Template
- Additional Roles - A quick reference summary
- Supervision Guidance
2023/24 changes to the Additional Roles Reimbursement Scheme (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
The maximum reimbursable amounts for 2022/23 period are in the ARRS max reimb 22-23 sheet.
The DES document and the BMA's primary care network handbook also includes a lot of useful information on ARRS scheme.
The roles include:
- Social Prescribing Link Workers
- Physician Associate
- Clinical Pharmacist
- First Contact Physiotherapist
- Care Coordinator
- Health and Wellbeing Coach
- Nursing Associate
- Occupational Therapist
- 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
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: email@example.com
Core Managers Programme to provide free inclusive leadership. register for programme on the NHS London Leadership Academy website
Building Coaching Capability – contact firstname.lastname@example.org 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 email@example.com.