The 25/26 PCN DES and the expanded Additional Roles Reimbursement Scheme (ARRS)

Now, let’s see the expansion of the additional roles reimbursement scheme, and Keep reading to see our new PCN roles browser.

The following table has a comparison from 24/25.

There is no limit on the staff of each ROB of Arrs, ​​but its limit is its financing envelope.

Each PCN has an established financing allocation based on the population adjusted by PCN.

PCNs can recruit as many roles as they wantInsideIts maximum reimbursable amount (section 7.3.2) or DES 25/26.

• The roles must be “additional” to the existing workforce

• Must meet the specific training and qualification requirements

• It requires appropriate clinical supervision

If a PCN has not recruited a direct social prescriber, for example, subcontracting the service instead of using directly, you can claim up to £ 200 per month (Or £ 2,400 annually) for each full -time equivalent SPL (WTE) assigned to the PCN. The monthly contribution of £ 200 must be included when calculating the maximum general annual reimbursement limit.

MHPS for adults: the first receives 50%funds. With the commissioner and supplier agreement, additional MHPs can receive 100% reimbursement.

Why to see the minimum requirements of each role?

Using the PCN ROLES Navigator, You will find a concise general description of the direct role requirements obtained from PCN DES 2025/26.

The additional roles reimbursement scheme for primary care networks (PCN) in 2025/26 has key guidelines:

🛑 There are no filler or existing filling personnel: PCNS cannot use Arrs funds to replace existing personnel.

🛑 There is no claim for recent staff: PCNS cannot claim the reimbursement of nurses who have worked on the network in the last 12 months unless they are giving them a promotion for specialized roles.

🛑 Promotion exception: PCNs can claim the reimbursement of promised nurses to specialized roles, supporting professional progression.

✅ The roles must be “additional” to the existing workforce

We understand that many people are concerned about the introduction of growing roles within the scheme and their potential impact on existing workforce arrangements.

There are understandable anxieties about how these new roles could cancel current personnel models, in part the possible implications for established team structures and existing health professionals.

The uncomfortable truth is that the needs of your PCN can be changing, and the addition of new roles to the Arrs provides an opportunity for networks to follow a different workforce strategy based on their needs.

However, this is not the case of all networks.

For those with Conerns, they should not be discarded, and the following provisions are designed to address any potential impact on the workforce.

Section 10.2.4 of the contract explicitly establishes that “the commissioner will be responsible for the verification after payment. This may include auditing PCN claims to ensure that they meet the requirements of the network contract.”

Section 7.2.7 Clearly discuss the continuous reaction Mis:

“A failure to send information or provision of inaccurate information of the workforce is a breach of the specification of the network contract and may result in the commissioners retaining the reimbursement waiting for new consultations.

Reimbursement claims will be subject to validation and any suspicion that deliberate attempts have a leg to subvert the addiction principles will result in a reference for investment as a potential fraud. “

The contract provides specific protections for existing workforce levels. Section 7.2.3 describes that if the networks of the baseline workforce of a PCN pass the period of 1

April 2020 to March 31, 2026, “the PCN will be subject to a reduction of WTE equivalent in the workforce funds under the additional roles reimbursement scheme of additional roles.”

These provisions create genuine obstacles to recruitment; However, the general strategy, regardless of personal opinion, is designed to establish more roles in primary care.

The Arrs scheme now includes additional roles, which is positive. However, with only a general increase of 4.4% in Arres’s budget, financing unfortunately is not not done?

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Tom edge -pcn lead and digital manager and transformation

North Shropshire Primary Care Network

The primary care of THC is a award -winning specialization of health consulting in the management of the Primary Care Network and the creator of the Podcast Business of Healthcare. With about 20 years in the industry, we have supported more than 200 PCN through interim management, training and consulting.

Our experience covers project management and business development in public and private sectors. Our work has been published in the London Journal of Primary Care, and we have written about 250 blogs that share ideas about primary care networks.