Part 2: Our Services 2.1 ‘Core’ Services Additional Roles Reimbursement Scheme (ARRS) & the Practice Care Network (PCN) Support Team Introduced in 2019, the NHS England’s Additional Roles Reimbursement Scheme (ARRS) has been supporting the expansion of the workforce in general practice. The range of roles and integration into the Primary Care teams has been crucial to support new ways of working in the longer term – for the benefit of the patient and the staff who deliver their care. Each PCN has its own approach to integrating ARRS employed staff into their workforce. NNPC has supported the PCN’s by directly employing ARRS staff in between 1 st April 2023 and 31 st March 2024. The ARRS roles include Clinical Pharmacists, Pharmacy Technicians, Care Coordinators, Physiotherapists, and Advanced Care Practitioners. The PCN support team continue to work with the practices to provide access to advice and information utilising decision aids and tools to best support the delivery of patient care. The team has given support to recruit, retain, and employ the ARRS staff across the PCN’s. They also facilitate the delivery of clinical supervision and provide day-to-day human resources support for the NNPC employed ARRS staff, with support from an external human resources consultant, where required. They support and work with practices to build strategies and implement National Directives such as premises strategies, extended access plans and Capacity & Access Improvement Plans. This is done through a series of regular meetings set up and serviced by our dedicated PCN team to: • Disseminate summarised, complex, national information – developing options and building consensus between the practices leading to action • Provide momentum, bringing people together, setting of agendas, servicing meetings – ensuring that practices are fully engaged and prepared for whatever the Network Contract evolves into next year • Facilitate strategic planning, financial planning, and inter-practice agreements • Data & analytics – for the Investment & Impact Fund (IIF), capacity & demand, or business case development. Synthesising changing patterns of demand and money, benchmarking practices in a non-confrontational way, and presenting back to practices to prompt decision- making • Work on behalf of practices in service improvement work with other system providers (for example NCH&C, NSFT, MIND etc), frequently needing to lead on behalf of the system • Being the “engine room” behind Clinical Directors (CD’s) and other clinical leaders: facilitating peer networking, giving CDs succinct “what you need to know” information, ensuring important system decisions are presented to CDs for clinical input, and making best use of limited CD time • Ensure that PCNs and general practice have a loud voice at Place Board and Health & Wellbeing Partnerships
North Norfolk Primary Care - Quality Account 2023/24
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