ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2025
Additional Roles Reimbursement Scheme uptake, patient satisfaction, and QOF achievement: an ecological study from 2020-2023.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- Implications of skill-mix change in general practice: secondary analysis of data from the GP Patient Survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- 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
- 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
- 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
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Additional Roles Reimbursement Scheme (ARRS) was introduced by NHS England in 2019 alongside primary care networks (PCNs), with the aims of increasing the workforce and improving patient outcomes.
aimTo describe the uptake of direct patient care (DPC)-ARRS roles and its impact on patients' experiences. DESIGN AND
settingAn ecological study using 2020-2023 PCN and practice workforce data, registered patient characteristics, the General Practice Patient Survey, and the Quality and Outcomes Framework (QOF).
methodDescriptive statistics with associations were examined using quantile and linear regression.
resultsBy March 2023, 17 588 full-time equivalent (FTE) DPC-ARRS roles were commissioned by 1223 PCNs. PCNs with fewer constituent practices had more DPC-ARRS roles per population (
conclusionThe commissioning of DPC-ARRS roles was associated with small increases in patient satisfaction and perceptions of access, but not with QOF achievement. DPC-ARRS roles were employed in areas with more GPs rather than compensating for a shortage of doctors. Single-practice PCNs commissioned more roles per registered population, which may be advantageous to single-practice PCNs. Further evaluation of the scheme is warranted.
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