ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2024
Challenges and enablers to implementation of the Additional Roles Reimbursement Scheme in primary care: 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 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Impact of the clinically oriented roles of a general practice receptionist: a systematic review with narrative synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- 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
- Development, integration, retention, and career progression of physician associates/assistants in UK NHS hospitals and clinical teams: a multiple-case qualitative study.BMC medicine · 2026Article
- Implementation of the Nursing Associate in the NHS: A Rapid Realist Synthesis to Understand Mechanisms of Integration and Workforce Development.Journal of clinical nursing · 2026Review
- Scale, Skill-Mix, and Access Implications of the Production of Appointments by Primary Care Practices in England.Health economics · 2026Article
- 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
- 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
- Challenges to quality in contemporary, hybrid general practice a multi-site longitudinal case study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Effect of Additional Roles Reimbursement Scheme roles on prescription patterns and patient satisfaction in England: a retrospective panel data analysis.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
- Enhancing access to primary care is critical to the future of an equitable health service: using process visualisation to understand the impact of national policy in the UK.Frontiers in health services · 2024Article
- Understanding Experiences of First Contact Physiotherapy in General Practice: A Realist Qualitative Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Additional Roles Reimbursement Scheme (ARRS) was set up to recruit 26 000 additional staff into general practice by 2024, with the aim of increasing patient access to appointments. Despite the potential benefits of integrating ARRS practitioners into primary care, their implementation has not always been straightforward.
aimTo explore the challenges and enablers to implementation of the ARRS including its impact on primary and secondary care systems. DESIGN AND
settingQualitative interview study with ARRS healthcare professionals and key professional stakeholders involved in staff education or scheme implementation across three integrated care systems in England.
methodParticipants (
resultsUsing framework analysis, 10 categories were identified. Three were categorised as successes: staff valued but their impact unclear; multiple and certain roles maximise impact; and training hub support. Seven were categorised as challenges: scheme inflexibility; creating a sustainable workforce with career progression; managing scope and expectations; navigating supervision and roadmap progression; infrastructure and integration challenges; ARRS roles impact on wider systems; and tensions and perspectives of existing staff.
conclusionMost ARRS staff felt valued, but the scheme broadened expertise available in primary care rather than reducing GP burden, which was originally anticipated. Some PCNs, especially those in areas of high deprivation, found it difficult to meet the population's needs as a result of the scheme's inflexibility, potentially leading to greater health inequalities in primary care. Recommendations are proposed to optimise the effective implementation of the primary care workforce model. Further research is required to explore administrative role solutions, further understand the impact of health inequalities, and investigate the wellbeing of ARRS staff.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.