The evolution of ARRS staff in general practice

As general practice continues to evolve, the introduction of Additional Roles Reimbursement Scheme (ARRS) staff has presented both challenges and transformative opportunities for Practice Managers (PMs) across the UK. PMs are grappling with the complexities of integrating these new roles into their practices while maximising the financial resources they bring amidst tightening budgets

CREDIT: This is an edited version of an article that originally appeared on Practice Index

Introducing ARRS staff often poses immediate challenges for Practice Managers. Upon starting, these staff members may lack clear induction plans, leaving both the PM and the new staff uncertain about their roles and work locations. This can lead to logistical issues, such as finding suitable workspace within already crowded practices, sometimes resulting in remote work arrangements.

Operational hurdles

Another hurdle is booking patients to see these new staff members, who often operate on different systems than those used within the practice. This discrepancy can increase administrative burden as PMs strive to streamline appointment scheduling processes.

Financial impact and strategic importance

ARRS staff constitute a significant portion of the funding invested in general practice since 2019, comprising approximately 10% of total funding. In financially challenging times for general practice, leveraging these resources effectively is crucial for sustainability and growth.

Evolving situation and integration

While initially challenging, the situation with ARRS staff is improving. With no new funding this year, practices are focusing on integrating existing roles more effectively. As familiarity grows, so does the value these staff members bring to practice teams.

Enhanced role allocation and integration

The allocation of ARRS staff has evolved significantly from earlier years. Initially shared across all practices in a PCN, there are now more staff available, allowing for more targeted allocations to specific practices. This shift promotes better integration within individual practice teams.

Improving patient navigation and acceptance

Reception and care navigation teams are becoming adept at directing patients to the appropriate professionals. Despite initial adjustment periods, patients are gradually embracing the benefits of these new roles, supported by initiatives like the IGPM’s Right Care First Time campaign.

While integrating ARRS roles has been challenging, their increasing value to general practice and improved operational integration make them a worthwhile investment for Practice Managers. Continued efforts promise even greater benefits as these roles become more deeply embedded in everyday practice operations.