ARRS hits a high of 37,000 staff, NHS confirms

Primary care networks (PCNs) are employing 37,000 staff through the additional roles reimbursement scheme (ARRS), including nursing associates, physician associates, and pharmacists, according to NHS England.

A spokesperson told our sister title Pulse PCN that as of June, there were ‘37,000 roles under the programme currently in place’, which is 43% higher than their original 26,000 target for the scheme. This figure is up from 31,000 in October last year.

This total ARRS figure is drawn from the PCN claims for ARRS staff wages via the ARRS claims portal and information submitted to the National Workforce Reporting Service (NWRS).

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NHS England confirmed there was ‘no upper limit’ for the number of staff employed through the ARRS scheme – which PCNs can use to reimburse the salaries of some staff, including pharmacists.

A spokesperson said: ‘There is no upper limit in the number of staff employed through the ARRS scheme and although the significant increase in the value of the scheme over the past five years has now flattened, we would expect the numbers of staff to fluctuate as PCNs further develop the best skill mix to meet the needs of their local population.’

The latest NHS England primary care network workforce data, which only uses NWRS data rather than the full claims data, covers up until 31 May 2024, shows that pharmacists continue to be the most popular role employed under the scheme, with around 5,315 FTE employed by PCNs. This is up by seven from April.

Care coordinators are the next most popular, with 4,734 FTE employed through the scheme, however this figure did drop by 37 since April.

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Meanwhile, there are 468 nursing associates, 456 trainee nursing associates and 432 advanced nurse practitioners employed through the scheme.

The total FTE roles employed by the ARRS scheme according to the primary care workforce data is 24,241.

The new contract added the role of enhanced level practice nurse to the scheme from April, however figures for this role are not yet included in the statistics. The role was capped at one per PCN, or two for those with 100,000 patients.

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It comes after some PCNs lost out on ARRS funds due to varying NHS England advice to integrated care boards (ICBs) over when the mechanism for bidding for funding would be removed. PCNs also underspend on the scheme by around £45m, according to figures obtained by Pulse PCN.

This article first appeared on our sister title Pulse PCN.