What are the New Roles in Primary Care?

The Additional Roles Reimbursement Scheme (ARRS) provides additional roles to PCNs to create bespoke multi-disciplinary teams. It is forecasted to create 26,000 new roles in primary care by 2024. The aim of the scheme is to build and utilise the additional roles to solve the workforce shortage in general practice.

The Primary Care Training Hub identified a need amongst its stakeholders for local resources to promote and embed these roles, and therefore have created the below tools.

The Primary Care Training Hub worked with various local and national stakeholders to develop an online resource which provided further information about all of the new roles. The resource is split into into a Roles Overview, including skills and competencies, job descriptions, case studies and more; and a Skills Matrix and User Guide of competencies against constings.

New Roles in Primary Care Videos

These videos are currently being edited and will be available to view soon.

Role Specific Webinars

Working closely with local stakeholders, the Primary Care Training Hub gave role specific webinars to give further insight into some of the ARRS roles, and how to embed these in practice. Click below to view.

 Clinical Pharmacist and Pharmacy Technician Webinar 
 Physician Associate Webinar 
 Personalised Care Roles Webinar

Preceptorship Mentor Guidance for Physician Associates 

NHS England have produced this guidance to provide information relating to the delivery of mentorship for Physician Associates (PA) undergoing funded preceptorships. This guidance is intended to support the development of robust mentorship arrangements for PA preceptees, where established models may not exist.

To view the guidance, please click here.

If you have any questions or concerns, please don’t hesitate to contact us at england.advancedpractice.ne@nhs.net for further information.

ARRS Workshops and Resources

Please click on the links below to access the ARRS Workshops and resources.

 ARRS Workshop #1

 ARRS Workshop #2

 ARRS Workshop #3

 PCN ARRS Resources – Issues and Options to Resolve

 Your General Practice Team is Here to Help You - Video 

 ARRS Workshop #4

 Estates Slides

 Estates Slides #2

 National Institute for Health and Care Research: Who's in General Practice? Research Can Help Practices Introduce New Roles

 ARRS Workshop #5

 ARRS Workshop #5 Slides

ARRS Case Studies

The below case studies show the positive impact that the ARRS roles are having on the primary care workforce. Please click on the links below to view the case studies for each ARRS role. 

Allied Care Professional

 NHS Humber and North Yorkshire ACP Case Study

 NHS England - Case Studies: Advanced Practice in the Region

Care Coordinator

 Durham Dales Health Federation Case Studies

Clinical Pharmacist

 CPPE - Case Studies 

 NHS England - Clinical Pharmacists Prescribing Better Care


 HEE/NHS England - Dietitians in Primary Care

Digital Transformation Lead

 West of England Academic Health Science Network - Case Study: Baywater Telehealth Project

 NHS England - Delivering Benefits for Patients

First Contact Physiotherapist

 Musculoskeletal Physiotherapist First Contact Practitioners Case Studies

 Chartered Society of Physiotherapy - An integrated approach across primary, community and secondary care, East Sussex

General Practice Assistant

 e-Learning for Healthcare Case Studies

 HEE/NHS England - North West Case Studies (1)

 HEE/NHS England - North West Case Studies (2)

 HEE/NHS England - Midlands Case Studies

 GPA Perspective 

Health and Wellbeing Coach

 NHS England - Working with a health and wellbeing support worker helped Victoria to better manage her condition. Now she’s more confident, is making friends and dreaming again

Mental Health Practitioner

 NHS England - Mental Health Case Studies

Trainee Nurse Associate / Nursing Associate

 TNA Case Study - Cumbria 

 HEE/NHS England - Case Studies

 NHS England - Case Studies

Occupational Therapist

 HEE/NHS England - Occupational Therapists in Primary Care


 Alyesha Proctor, Advanced Paramedic Practitioner Case Study 

 Matt Davis, Advanced Paramedic Practitioner Case Study

Pharmacy Technician

 East Midlands Deanery - Case Studies 

 Pharmacy Technician Case Study - North Cumbria

Physician Associate

 Royal College of Physicians - Case Studies 


 NHS England - Transformation-fund establishes successful multi-disciplinary footcare team in Dartford

 Royal College of Podiatry - MSK Toolkit: Case Studies 

Social Prescribing Link Worker

 NHS England - Case Studies 

 NHS England - A GP perspective on social prescribing and the response to COVID-19 in Merton

 Newcastle Case Study 

 Social Prescribing Link Worker Toolkit

Getting Started...

Many practices and PCNs are still in the early stages of understanding and embedding these roles. The Primary Care Training Hub have worked closely with stakeholders to understand the challenges that this brings to be able to signpost and support appropriately.

NHS Jobs

If you're looking for a new role in primary care, these are all being advertised on NHS Jobs and HealthJobs.
For guidance on completing a successful application on NHS Jobs, click here.#

Induction Support

The Primary Care Training Hub work with local CCGs to arrange induction programmes for those new to primary care. To find out if your CCG has a local induction coming up, get in touch! We have created an Induction Checklist which you can use with your practice or line manager to help you get settled into your new role.

Embedding Roles into Primary Care

The Kings Fund have provided this research to demonstrate how to implement and integrate ARRS roles into PCNs effectively, examining relevant issues and considering how these are overcome.  View full report here |  View summary here.

New to Primary Care Course : North Cumbria Only

The Primary Care Training Hub are running two further cohorts of our New to Primary Care course for primary care ARRS employees within North Cumbria. Please click here to view the flyer for more information and how to register.

Support, tools and resources for ARRS Practitioners

Our support doesn't stop once you're in post. We're really passionate about retention of our workforce, so have worked on the below tools and resources that we hope keeps you happy and engaged in your role, and supports you should you wish to develop beyond it.


Through Health Education England and other NHS resources, you have access to a variety of learning tools to support your development. Click here to access our training page which will signpost you to a range of suitable resources. Opportunities include Mary Seacole for leadership roles, or clinical modules at Sunderland University.


Keep up to date on the virtual and face to face events coming up through our events page. We recommend checking this regularly, as it is often updated with events that may be relevant to your role, your interests or your development. Click here to access.

Health and Wellbeing

We recognise the incredible challenges and pressures that your role requires you to face on a daily basis. We've collated a range of health and wellbeing resources that are either free to the public, or free to NHS staff, that can be found here.

Peer Support

The Primary Care Training Hub are working alongside North East and Yorkshire Leadership Academy to provide additional support for ARRS roles through interactive peer support sessions. To see evaluation, more information and to enquire, click here.

Knowledge Library Services

Health Education England fund the Knowledge Library Services, allowing you to access high quality knowledge and evidence resources all in one place to support you in the patient care you provide. Click here for more information about this service or to start a search.

Is there anything else you need support with? give us an email!