Intended for healthcare professionals


Government is refusing to include GPs or nurses in additional roles scheme, says BMA leader

BMJ 2024; 384 doi: (Published 20 February 2024) Cite this as: BMJ 2024;384:q450
  1. Elisabeth Mahase
  1. The BMJ

The government is refusing to lift restrictions on who general practices can employ through the additional roles reimbursement scheme (ARRS) despite out of work GPs being ready and willing to take up posts, a key BMA negotiator has told The BMJ.

The scheme was introduced in 2019 with funding for primary care networks to hire 22 000 more staff by 2023-24. But practices can only use the money to hire clinical pharmacists, social prescribing link workers, physician associates, physiotherapists, and paramedics, among others, not GPs or practice nurses.1

It has led some practices in financial difficulty to rely on using staff hired through the scheme rather than taking on GPs.2

In an interview, David Wrigley, BMA’s GP Committee England (GPC) deputy chair, said, “We’ve now got the incredible situation of …

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