City and Hackney Additional Roles Sustainability

The London Borough of Hackney and the City of London would like to commission a provider to deliver an Additional Roles Sustainability Scheme via the Most Suitable Provider Process.

A most suitable provider has already been identified for this scheme.The aim of the scheme is to build and utilise the additional roles to help solve the workforce shortage in general practice as well as help achieve the government's manifesto commitment of increasing the number of annual appointments in general practice by 50 million.

Whereas the funding will be for new roles being introduced within PCNs, each network will have the flexibility to determine which roles form a core list they require based on their patient population requirements (although in the first year PCNs were limited to recruiting clinical pharmacists and social prescribers). However very broadly speaking PCNs have very similar population requirements and workforce issues.

PCNs do differ in other ways which shape ARRS preferences. At the time when ARRS were introduced CCGs were required to document all pre-existing funded ARRS-type posts and commit to continuing to fund these, in order to ensure that the ARRS funding would be used to create additionality.