ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2024
Implementing the Additional Roles Reimbursement Scheme in seven English Primary Care Networks: a qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Consultation complexity and professionals consulted: a retrospective cohort study in English primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Access to general practice appointments and sustainable change: a focused ethnographic case study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- GP workforce sustainability to maximise effective and equitable patient care: a realist review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Review
- Time, talk, and teamwork: Perceptions of personalised dementia care planning conversations in primary care.PloS one · 2026Article
- Factors associated with link workers considering leaving their role: a cross-sectional survey.BJGP open · 2025Article
- The impact of paramedics working in primary care teams on other professionals and patient experiences: a qualitative study.BJGP open · 2025Article
- Musculoskeletal First Contact Practitioners Undertaking a Higher Education Training Route-A Qualitative Exploration of Clinical Supervision Experiences.Musculoskeletal care · 2025Article
- Helping general practice find its groove again.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Experiences of integrating social prescribing link workers into primary care in England - bolting on, fitting in, or belonging: a realist evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Employment and deployment of additional staff roles in general practice: a realist evaluation of what works for whom, how, and why.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Additional Roles Reimbursement Scheme uptake, patient satisfaction, and QOF achievement: an ecological study from 2020-2023.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Challenges and enablers to implementation of the Additional Roles Reimbursement Scheme in primary care: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- INdependenT prEscribinG in community phaRmAcy; whaT works for whom, why and in what circumstancEs (INTEGRATE): Realist review study protocol.NIHR open research · 2024Article
- The Impact of the Introduction of the Additional Roles Reimbursement Scheme on the General Practice Nursing Workforce in England.Journal of primary care & community healthArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Additional Roles Reimbursement Scheme (ARRS) provides funding to Primary Care Networks (PCNs) in England to recruit additional staff into specified roles. The intention was to support general practice by recruiting an extra 26 000 staff by 2024, increasing access and easing workload pressures.
aimTo explore the establishment of the ARRS as part of PCNs' development to understand their role in supporting general practice. DESIGN AND
settingA longitudinal, qualitative case study involving seven geographically dispersed PCNs across England.
methodData were collected from July 2020 to March 2022, including 91 semi-structured interviews and 87 h of meeting observations. Transcripts were analysed using the framework approach.
resultsImplementation of the ARRS was variable across the study sites, but most shared similar experiences and concerns. The COVID-19 pandemic had a significant impact on the introduction of the new roles, and significant variability was found in modes of employment. Cross-cutting issues included: the need for additional space to accommodate new staff; the inflexibility of aspects of the scheme, including reinvestment of unspent funds; and the need for support and oversight of employed staff. Perceived benefits of the ARRS include improved patient care and the potential to save GP time.
conclusionThe findings suggest the ARRS has potential to fulfil its objective of supporting and improving access to general practice. However, attention to operational requirements including appropriate funding, estates, and management of staff is important if this is to be realised, as is clarity for the scheme post-contract end in 2024.
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