Additional Roles Reimbursement Scheme (ARRS)
You can find complete job descriptions, funding, and training requirements for the new roles in primary care at the e-learning for healthcare hub.
PCN workforce plans to 2022
Implementation of the NW London primary care workforce transformation plan is facilitated by the Primary Care Workforce Task & Finish group.
Phase one of the primary care workforce plan, submission of the PCN Workforce Templates, was completed on 31 August 2020 and phase two is is now under way.
The new updated PCN workforce planning template for PCNs to provide indicative recruitment intentions for 2021/22 is now available on the FutureNHS website. Further information on this template can be accessed on the FutureNHS workforce planning workspace. Please ensure PCNs are accessing the template through the link provided and submitting completed templates to their CCG by 31 October (2020).
A new updated version of the CCG aggregate tool for October/November submissions will be uploaded to the same FutureNHS workspace shortly.
All previous versions of the template/ tool should be disregarded as these new versions incorporate the new nursing associate and trainee nursing associate roles.
If you or anyone in your region have any queries regarding October/November’s submission deadlines please contact email@example.com.
31 August: PCNs to formally submit recruitment intentions for 2020/21 to their CCGs.
30 September: CCGs to agree aggregate local plan with PCN clinical directors
31 October: PCNs to provide indicative recruitment intentions for 2021-2022 for recruitment of wider workforce including GPs, nurses, paramedics and ARRS roles
Additional Roles Reimbursement Scheme (ARRS)
Under the Network Contract DES which went live on 1 July 2019, funding is made available to PCNs through a new Additional Roles Reimbursement Scheme to recruit up to an additional 20,000 full time equivalent (FTE) posts across specific roles, over the next five years.
The Additional Roles Reimbursement Scheme has been put in place to grow additional capacity through new roles in general practice, and by doing so, help to solve the workforce shortage.
The Additional Roles Reimbursement Scheme entitles PCNs to access funding to support recruitment across the specific reimbursable roles below. See section 2.3 of the Network Contract DES for details.
- clinical pharmacists
- social prescribing link workers
- physician associates
- first contact physiotherapists
- pharmacy technicians
- occupational therapists
- chiropodists / podiatrists
- mental health practitioners
Additional Roles Reimbursement Scheme (ARRS) First Contact Practitioner Community Paramedics
The additional roles reimbursement scheme is expanding to include paramedics from April 2021. Click here to view some of the prerequisites to PCNs claiming reimbursement under the ARRS, with links to tools and further guidance to support decision making.
ARRS role support
ARRS salary modelling tool 2021-22
Claims documentation - Additional Roles Reimbursement Scheme
This letter sets out the process by which CCGs can claim centrally held additional funds for the Additional Roles Reimbursement Scheme:
PCNs additional roles reimbursement scheme: update to commissioners: Letter from Robert Kettell
First Contact Practioner resources
- New Webinar-Additional roles: First Contact Practitioner in Primary Care
- DES frequently asked questions
- NHS England Elective Care High Impact Interventions: First Contact Practitioner for MSK Services
- NHS Futures site – Elective Care Community of Practice
- Slides from the national conference in Jan 2020
- Slides from the NWL FCP event in Feb 2020 (main and ‘day in the life’)
- Additional roles framework
- HEE Implementation guide
Useful CSP links
Health and Wellbeing Coaches
New Roles in Primary Care Toolkit
Paramedic and London Weighting discussion documents
There are some new resources and papers available on the paramedic and London Weighting discussions currently taking place. Please click on the links below to view them:
Paramedic and LW issues - ARRS
PCN Inner and Outer LW Salary Costing Model
Please email any queries/questions to the workforce inbox: firstname.lastname@example.org
PCN workforce templates (more information)
The new updated PCN workforce planning template for PCNs to provide indicative recruitment intentions for 2021/22 is now available on the FutureNHS workspace. Further information on this template can be accessed on the workforce planning workspace. Please ensure PCNs are accessing the template through the link provided and submitting completed templates to their CCG by 31 October (2020).
A new updated version of the CCG aggregate tool for October/November submissions will be uploaded to the same FutureNHS page shortly.
All previous versions of the template/tool should be disregarded as these new versions incorporate the new nursing associate and trainee nursing associate roles.
Musculoskeletal First Contact Physiotherapists: NHSEI webinar and Q&A session
Over 350 participants joined the MSK FCP webinar and Q&A session across various roles and organisations. A large number of questions were received via the Q&A chat box and whilst a vast majority of the questions were picked up by the expert speakers and panellists, the team will be reviewing all the questions and identifying common themes. These will be addressed as part of a dedicated MSK FCP FAQ and launched on the FutureNHS platform. The recording and presentations of the webinar is available now.
New Webinar: Additional roles: First Contact Practitioner in Primary Care
Presenter: Claire Wilson, Quality Improvement Lead, Primary Care, NW London CCGs
Video and audio resources
Healthy London Partnership
Clinical Pharmacists in general practice
How physician associates are supporting primary care
Health Education England
Allied Health Professions: Transforming Dietetic Services
Physician associates in primary care
Physician Associates working in general practice - with subtitles
Physician associates working in general practice: Talac's story (with subtitles)
Podcast: The Power of Practice Nursing (SoundCloud, Spotify, search 'London Health podcast' on iTunes)
First Contact Practitioners in Primary Care (NW London HCP)
Physician Associates in General Practice (HEE)
Clinical Pharmacists in General Practice (HLP)
Dietitians in primary care (HEE)