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Writer's pictureMohammed A Rashad

What is Additional Roles Reimbursement Scheme (ARRS)?

Updated: Oct 22

What is ARRS or ARRS Pharmacist Support?

Looking to enhance patient care and alleviate the workload in your practice? The Additional Roles Reimbursement Scheme (ARRS) is designed to do just that, offering a groundbreaking approach to primary care through strategic ARRS funding and comprehensive ARRS support. The ARRS staff are pivotal in transforming primary care services by bringing diverse expertise and skills to Primary Care Networks (PCNs).


The Additional Roles Reimbursement Scheme (ARRS) transforms primary care by funding new roles like clinical pharmacists and social prescribing link workers. In this guide, we'll discuss ARRS and how ARRS funding and ARRS support can enhance your practice. We'll explore the diverse roles funded by ARRS, and the specifics of the reimbursement process. The integration of ARRS staff is crucial for achieving these goals.

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Key Takeaways:


What is ARRS?

The Additional Role Reimbursement Scheme is a vital part of the NHS's long-term plan to transform Primary care services in the UK. The scheme aims to help Primary Care Networks (PCNs) expand their teams with a wide range of ARRS roles, including primary care pharmacists, clinical pharmacists, and more, via targeted ARRS funding and ARRS support. The ARRS staff are essential in implementing these roles effectively.


This addresses the urgent need for a more diverse healthcare workforce. The ARRS role list includes professionals like clinical pharmacists and social prescribing link workers, greatly enhancing the capabilities of PCN ARRS staff and teams. Looking ahead, ARRS funding for 2024/25 will continue supporting and growing these essential primary care roles.


 

Enhance your clinical services with our Clinical Pharmacists for your PCN, GP Practice, or Federation.


 

What does ARRS Aim to Achieve?

The primary goal of the ARRS is to relieve the increasing pressures and work strain from general practices and improve patient healthcare service access. By expanding the clinical and non-clinical teams via ARRS roles maximum reimbursement, the scheme aims to achieve the following benchmarks:


  • Meet the evergrowing healthcare demand by enhancing the capacity of primary care services with skilled ARRS staff.

  • Improving patient outcomes and satisfaction by delivering a diverse range of healthcare services through dedicated ARRS staff.

  • Support PCN integration with healthcare services to facilitate an innovative and more collaborative approach to patient care.

  • Promote the shift towards more preventative healthcare support and community-based care, reducing the reliance on hospital care.


What are the New ARRS Roles in Primary Care?

The ARRS roles listed in primary care are diverse, each contributing uniquely and broadening PCN's service range. All these roles are reimbursed through ARRS funding, allowing PCNs to meet the patients' complex health needs more effectively with the help of ARRS staff.


The following is the new ARRS role list through ARRS funding 2024/25:

  • Clinical Pharmacists: Manage medications, conduct reviews, advise, and support chronic disease management to ensure optimal therapeutic outcomes. ARRS staff in this role are crucial for medication management

  • Pharmacy Technicians: They assist clinical pharmacists in managing medications and organising prescriptions, helping patients understand their treatment procedures. ARRS Staff in this role enhances pharmacy operations.

  • Health and Well-being Coaches: They help people heal by changing their lifestyles and focusing on physical and mental well-being. ARRS staff in this role provide essential dietary guidance.

  • Dieticians: These medical professionals offer nutritional advice for health improvement and disease management by creating customised patient diet plans.

  • Nursing Associates: They support patient care by filling the gap between registered nurses and healthcare assistants, providing mixed nursing and care services.

  • Podiatrists: These professionals treat foot and lower limb issues, essential for maintaining mobility and managing conditions affecting the quality of life.

  • Occupational Therapists: They help patients overcome challenges from long-term illnesses, disabilities, or injuries, improving their ability to carry out daily life activities.

  • Paramedics: Paramedic staff provide acute care, home visits, and emergency support to patients, enhancing the responsiveness and flexibility of primary care services.

  • Adult Mental Health Practitioners: They support adult patients with complex mental health needs in primary care.

  • Care Coordinators: They manage patient care across healthcare providers, ensuring seamless support for those with complex healthcare needs. ARRS staff in this role streamline care coordination.

  • First-contact Physiotherapists: They offer direct support and care for musculoskeletal problems, reducing GP consultations. ARRS staff in this role improve musculoskeletal care.

  • Physician Associates work with doctors to diagnose and manage patients, perform medical histories and exams, and recommend treatments. ARRS staff in this role support comprehensive patient care.

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Other ARRS roles in primary care include:

  • Children's and Young People’s Mental Health Practitioners: They specialise in early intervention and support for children and young people. ARRS staff focus on mental youth.

  • Trainee Nursing Associates: Trainee nursing associates are training to fill the gap between healthcare assistants and registered nurses, gaining diverse skills. The objective of ARRS staff for this role is to develop future nursing talent.

  • Social Prescribing Link Workers: These workers connect patients with community support services to address social, emotional, and practical needs. ARRS staff in this role enhance community connections.

  • General Practice Assistants: General practice assistants support clinical staff with administrative tasks, patient care, and patient record management.

  • Digital and Transformation Leads: These leaders manage digital innovation projects to improve patient care, streamline operations, and enhance digital health solutions. ARRS staff in this role drive digital transformation.

  • Advanced Practitioners: Advanced practitioners assess, diagnose, and treat patients autonomously in specialised areas, contributing to efficient patient care.

Enhanced Practice Nurses: These nurses have postgraduate certification in specialist care areas and provide advanced patient management and leadership skills.


 

Enhance your clinical services with our Clinical Pharmacists for your PCN, GP Practice, or Federation.


 

ARRS Funding Benefits and Use Cases


  1. Improved Patient Access in Urban Areas:

    A PCN in Manchester utilised ARRS funding to hire additional Clinical Pharmacists and Health and Well-being Coaches. This expansion allowed them to offer more same-day appointments and personalised care plans, significantly reducing patient wait times and improving overall satisfaction.


  2. Enhanced Preventative Care in Rural Communities:

    In a rural area of Cornwall, ARRS funding enabled the recruitment of Social Prescribing Link Workers and Dieticians. These roles focused on preventative care, helping to reduce hospital admissions through community-based health initiatives and nutritional counselling.


  3. Increased Efficiency in Multi-disciplinary Teams:

    A London-based PCN integrated First-contact Physiotherapists and Care Coordinators into their team. This strategic use of ARRS funding streamlined patient referrals and reduced GP workload, allowing doctors to focus on more complex cases.


ARRS Funding for 2024/25

The ARRS funding scheme is transformative for PCNs, providing financial backing to alleviate their clinical teams. The funding covers the costs associated with various healthcare roles under the scheme, thus relieving the workload on GPs and facilitating more efficient patient care delivery.


ARRS Funding Allocation

The funding will be allocated to PCNs depending on their specific needs and the population they serve. This approach ensures that the resources are directed exactly where they are most needed, allowing PCNs across the UK to benefit from additional healthcare.


How will the funds be Utilised?

The Primary Care Networks are responsible for utilising and managing ARRS funding 2024/25. This includes covering salaries and training budgets and ensuring these ARRS roles deliver value in patient care.


The PCNs must work within the NHS England and Improvement framework, which outlines the eligible roles and the ARRS role's maximum reimbursement suitability.


How much is the ARRS Funding for 2024/25?

In 2023/24, the ARRS delivered 26000 additional staff over a year early. The scheme has strengthened the recruitment process, and as of December 31, 2023, 34000 additional healthcare staff have already been recruited since 2019. 

The ARRS funding for 2024/25 has been agreed to allot a total of £1,441 million. The NHS, England will hold this funding, which will not be added to the revised funds of the local primary care allocations.


Challenges and Solutions in Integrating ARRS Roles

Integrating ARRS roles into PCNs presents unique challenges, from role clarity to effective team integration. The Medicines Management Team offers solutions involving clear job descriptions, role-specific training, and strategic use of ARRS funding to ensure each ARRS role is utilised to its full potential, contributing to the overarching goals of the PCN ARRS initiative.


Challenge 1: Role Clarity and Expectation Management

Problem: Lack of role clarity and defined expectations for ARRS roles within PCNs can lead to underutilisation and frustration among team members.


Solution: The Medicines Management Team establishes clear job descriptions and service agreements. They offer remote services like remote prescribing to overcome space limitations in primary care estates.


Challenge 2: Team Integration and Collaboration

Problem: Ensuring effective integration of ARRS roles into existing teams can lead to resistance or a lack of collaboration.


Solution: The Medicines Management Team facilitates sessions to foster a collaborative environment, emphasising the unique contributions of each role and promoting understanding of their value.


Challenge 3: Ensuring Role Sustainability and Development

Problem: Ensuring long-term sustainability and career development of ARRS roles can be challenging.


Solution: The Medicines Management Team implements comprehensive development programmes, including continuous professional development (CPD) opportunities, mentorship programmes, and clear pathways for career advancement.


The ARRS Pay Scales

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The ARRS pay scales depend on the specific role and its associated responsibilities. Generally, ARRS roles like physician associates and clinical pharmacists have higher salaries because they require advanced training and expertise.


Moreover, ARRS roles in primary care, such as health and well-being coaches, occupational therapists, and others, have competitive salary packages, reflecting their vital contributions to primary care in the UK.


The ARRS roles maximum reimbursement mainly depends on the following factors:

  • Complexity of the role: Positions that require advanced training and qualifications often demand higher pay.

  • Experience: The more experienced a healthcare professional, the higher the salary.

Location: ARRS pay scales also vary according to geographical locations. Serving a higher population offers increased salaries.


Conclusion

In conclusion, ARRS plays an essential role in enhancing primary care by funding diverse healthcare roles, ensuring fair ARRS pay scales, and maximum reimbursements. The scheme not only relieves GP workload but also provides the PCNs with services tailored to the patient's needs.

This targeted healthcare approach improves patient satisfaction and aligns with NHS England's goals to create a more proactive, responsive, and diverse healthcare system.


Transform Your Primary Care Services Today

Are you ready to optimise your ARRS funding and enhance your primary care services? Contact The Medicines Management Team today to learn how we can support your PCN in effectively integrating ARRS roles and maximising the benefits of this transformative scheme. 


Visit our website for more information and tailored solutions.


FAQs

How does ARRS contribute to the NHS's broader goals?

By funding diverse roles and promoting preventative care, ARRS aligns with the NHS's goals to create a more sustainable, proactive, and community-focused healthcare system. This approach not only improves patient satisfaction but also reduces reliance on hospital services.

What is the process for applying for ARRS funding?

How can The Medicines Management Team assist PCNs with ARRS?

How is ARRS funding allocated to PCNs?

How does ARRS benefit Primary Care Networks (PCNs)?


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