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Care coordinators top the bill as most increased ARRS hires

Care coordinators top the bill as most increased ARRS hires
By Jess Hacker
24 May 2022

PCNs have hired more care coordinators via the Additional Roles Reimbursement Scheme (ARRS) over the last six months than any other role, new data has shown.

New NHS Digital figures indicate that as many as 2,775 coordinators are working in PCNs in England as of March this year, up by more than 1,100 since September.

Care coordinators work with GPs to develop personalised care plans for patients long term physical or mental health conditions, connecting them with community and hospital-based services.

According to NHS Digital figures – which are based on data submitted by 84% of PCNs – 16,780 staff have been hired into ARRS roles and are working in general practice.

The dataset also indicated PCNs have hired 4,722 pharmacists – the most recruited-to role – followed by care coordinators, social prescribers with 2,527 hired, and pharmacy technicians at 1,364.

It also showed there are only 98 dieticians and just 38 podiatrists working in PCNs.

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On its publication, the Government cited the data in claiming it is ‘on track’ to deliver its manifesto commitment of 26,000 more primary care staff by 2024.

However, the 18,200 figure it gave includes around 1,400 staff who were not employed under the ARRS, despite the scheme standing as the structure for meeting the target.

Dr Samira Anane, BMA GP committee workforce policy lead, said that despite the increase in ARRS staff, the ‘real test must be in what difference this is making for practices’ in managing demand.

She said: ‘Focusing on an overall increase, rather than on accurately capturing the work done by GPs and their teams in a consistent way, tells us very little about what’s happening in practices.

‘While a wider practice team made up of a range of professionals can be really valuable, we also know that many PCNs are struggling to recruit and are frustrated by the bureaucracy and inflexibility of the ARRS scheme, meaning the right staff are not necessarily reaching the communities that need them most.’

Ruth Rankine, director of primary care at the NHS Confederation, said there must be ‘greater acceptance’ that there are ‘simply not enough staff’ in primary care, and said the lack of a workforce is ‘striking’.

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