July 7, 2026 · The British journal of general practice : the journal of the Royal College of General Practitioners · DOI: 10.3399/BJGP.2026.0067

Evaluating Additional Roles in Primary Care: Expanding Capacity and Transforming Care Delivery

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The authors aimed to evaluate the impact of the Additional Roles Reimbursement Scheme (ARRS) on consultation rates and patient outcomes in primary care. Their longitudinal study found that while most consultations remained GP- or nurse-led, there was an increase in consultations with ARRS-eligible roles, particularly in less deprived areas, suggesting that ARRS has diversified the primary care workforce and expanded overall capacity without significantly reducing GP workload.

Jialan Hong, Christopher Penfold, Peter Jonathan Edwards, Mavin Nathan Kashyap, Hugh Mcleod, Chris Salisbury, Nicola Walsh, Ben Bennett, John Macleod, Maria T Redaniel

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