The Additional Roles Reimbursement Scheme was introduced by NHS England in 2019 to support the recruitment of additional roles into Primary Care. These additional funds were made available to the Primary Care Networks to create more frontline roles and support the reduction in waiting lists at GP surgeries.
The funds are allocated to each PCN and this is calculated according to how many patients they have registered. The PCN is then free to allocate these funds as they see fit and hire for any of the roles that are covered by the ARRS funding.
This funding covers a number of roles, such as Clinical Pharmacists, Social Prescribers, Podiatrists, Paramedics, Occupational Therapists, Dietitians, and Physiotherapists to name but a few.
Depending on the demography (and sometimes geography) of the area, the PCN chooses the distribution of roles that best reflects their population and the services that are required.
The PCN applies to their local CCG for these funds. Once they have been agreed, the PCN is able to create any new role and fund it.
The newly employed person does not sit on their direct payroll, with the salary being covered by the AARS funding money that has been made available by NHS England. This might be a person who is hired directly by the PCN or through a company, such as Xcel Health.