New Roles In Primary Care - ARRS

Additional Roles Reimbursement Scheme

What does the future of Primary Care look like?

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 (below) they require based on their patient population requirements.

Although some roles were to be 70% reimbursable when the ARRS was first released, it has since been agreed that all roles are 100% reimbursable, affording the extra flexibility for networks.

New Roles in Primary Care

Works closely with GPs and other primary care professionals within the network to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers. The maximum reimbursable amount for this role per annum is £29,135 and there is no limit on the number eligible for reimbursement.

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Work as part of the multidisciplinary team in a patient-facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas. The Clinical Pharmacist can be a prescriber or undertake training to become one. The maximum reimbursable amount for this role per annum is £55,670 and there is no limit on the number eligible for reimbursement.

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(Funding not available until 2021) –  this role is currently being developed. Some networks have already trialled this role where the request for a home visit was triaged by the GP and then home visits, apart from those which were complex or end of life care, were undertaken by the paramedic. Some of the outputs were that more patients were managed at home and there was earlier intervention by the multidisciplinary team.

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https://vimeo.com/508177739 a video explaining the paramedic roadmap.

Diagnoses and treats diet and nutritional problems. Dietitians will support PCNs with patients of all ages with their food intake to address diabetes, food allergies, coeliac disease and metabolic diseases. The maximum reimbursable amount for this role per annum is £53,724 and there is no limit on the number eligible for reimbursement.

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Can assess, diagnose, treat and manage musculoskeletal (MSK) problems and discharge a person without a medical referral. Those working in these roles within a network can be accessed through direct referral by staff in GP Practices. The maximum reimbursable amount for this role per annum is £55,670 and one WTE per PCN is eligible for reimbursement unless the patient population is over 100,000 where two will be eligible.

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https://youtu.be/eP62fc8_IEc is a short first contact physiotherapy video animation explaining the role. 

Will use health coaching skills to support people with self-identifying existing issues and encourages proactive prevention of new and existing illnesses. They may provide access to self-management education, peer support and social prescribing. The maximum reimbursable amount for this role per annum is £35,389 and there is no limit on the number eligible for reimbursement.

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A Mental Health Practitioner role will be added to the ARRS from April 2021. However, further guidance is to be developed.

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(From 1 October 2020) – is a new support role that bridges the gap between healthcare assistants and registered nurses. The role will be part of the PCN nursing team under the supervision of a nurse. The maximum reimbursable amount for this role per annum is to be confirmed.

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Supports people of all ages with problems arising from physical, mental, social or development difficulties. OTs can help GPs across the network with frail patients, those with complex needs, those who live with chronic physical or mental health conditions and who need help with managing anxiety or depression. The maximum reimbursable amount for this role per annum is £53,724 and there is no limit on the number eligible for reimbursement.

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Will complement the work of the Clinical Pharmacist by using their pharmaceutical knowledge to undertake activities such as audits, discharge management and prescription issuing. This role will be under the supervision of the Clinical Pharmacist and will be part of a wider PCN pharmacy team. The maximum reimbursable amount for this role per annum is £35,389 and one WTE per PCN is eligible for reimbursement unless the patient population is over 100,000 where two will be eligible.

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Can help diagnose and treat foot and lower limb conditions. Podiatrists provide assessment, evaluation and foot care for a wide range of patients. The maximum reimbursable amount for this role per annum is £53,724 and there is no limit on the number eligible for reimbursement.

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Are healthcare professionals with a general medical education who work alongside and under the supervision of GPs providing clinical care as part of a wider multidisciplinary team. The maximum reimbursable amount for this role per annum is £53,724 and there is no limit on the number eligible for reimbursement.

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Connect people to community groups and agencies for practical and emotional support and complement other approaches such as care navigation and active signposting.  The maximum reimbursable amount for this role per annum is £35,389 and there is no limit on the number eligible for reimbursement.

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Webinar, Episode #1 - Physiotherapists, Paramedics & First Contact Practitioners

Webinar, Episode #2 - Dietitian and Occupational Therapist

Resources

The GP contract states that New Roles will be essential in securing the 26,000 extra staff under the Additional Roles Reimbursement Scheme (ARRS).

Training Hubs will support future workforce planning as one of their core functions. Training Hubs are designed to meet the educational needs of the multidisciplinary primary care team and bring together NHS organisations, community providers and local authorities. 

Contact

If you are interested in this opportunity, directly contact your local CCG for more information on how to apply.