Additional Roles Reimbursement Scheme (ARRS)

This scheme was introduced in 2019 as part of the Government’s commitment to improving access to Primary Care. At HCL, we believe that healthcare requires a community-centred approach and we recruit ARRS roles that best suit the needs of our local population.

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ARRS roles currently recruited by 
HCL include:

  • 01

    Advanced Nurse Practitioners

    Advanced Nurse Practitioners, who are educated to master’s level or equivalent, use their advanced skills and knowledge to better meet the needs of the people they care for.

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  • 02

    Care Coordinators

    Care Coordinators work with GPs and other Primary Care professionals to provide personalised care to patients that reflects local Primary Care Network (PCN) priorities and tackles health inequalities.

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  • 03


    Dietitians are qualified and regulated health professionals that assess, diagnose and treat dietary and nutritional problems at an individual and wider public-health level.

    They use the most up-to-date public health and scientific research on food, health and disease which they translate into practical guidance to enable people to make appropriate lifestyle and food choices.

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  • 04

    Digital & Transformation Leads

    Digital & Transformation Leads support increased access to care for patients through the adoption of new technology and other initiatives, help PCN staff to work more effectively and support the sustainability of GP services.

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  • 05

    First Contact Physiotherapists

    First Contact Physiotherapists are qualified autonomous clinical practitioners who can assess, diagnose, treat and manage musculoskeletal problems and undifferentiated conditions.

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  • 06

    GP Assistants

    GP Assistants arrange clinical support (e.g. referrals, tests and follow-ups), conduct simple clinical observations, provide administrative support and explain procedures to patients.

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  • 07

    Health and Wellbeing Coaches

    Health and Wellbeing Coaches use their skills to help people make conscious and informed health choices, change behaviours and encourage proactive management and prevention of illness.

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  • 08

    Mental Health Practitioners

    Mental Health Practitioners (e.g. Clinical Psychologists and Community Mental Health Nurses) support patients whose needs cannot be met by local talking therapies but who may not require ongoing care from secondary mental health services.

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  • 09

    Clinical Pharmacists

    Clinical Pharmacists conduct structured medication reviews (SMRs), provide independent prescribing/deprescribing 
and give medication advice to healthcare professionals 
and patients.

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  • 10

    Pharmacy Technicians

    Pharmacy Technicians apply their pharmaceutical knowledge in tasks such as medicines reconciliation and prescription management support.

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  • 11

    Social Prescribers

    Social Prescribers connect people to non-medical community-based activities, groups and services in order to meet their practical, social and emotional needs (e.g. specialist advice services, the arts, physical activity and nature).

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  • 12

    Nursing Associates

    Nursing Associates deliver hands-on, person-centred care, such as conducting clinical observations and clinical health checks, and support registered nurses who focus on more complex clinical care.

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  • 13


    Paramedics in Primary Care can provide a rapid response to deteriorating patients and patients with long-term conditions, minor injuries and minor illness, as well as offering telephone triage and home visits.

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