The evolving role of the general practice nurse in the ARRS: Are we ready?

The new Additional Roles Reimbursement Scheme (ARRS) represents a paradigm shift in primary care, aiming to expand the scope of practice for GPNs and enhance the efficiency and effectiveness of healthcare delivery. Under this scheme, its suggested that GPNs are empowered to take on new responsibilities and undertake additional roles beyond traditional nursing duties. These roles may include chronic disease management, preventive care, minor illness management, and more.

However, this is not new as we know many GPNs who already have the skills and work at and enhanced level. However, being positive, this does recognise the expertise and capabilities of GPNs, providing opportunities for professional development and career advancement. GPNs are equipped with the training, resources, and support necessary to excel in their expanded roles, enabling them to make meaningful contributions to patient care and population healthcare outcomes. I am sure you have all read ‘The Principles of Enhanced Level Practice’, a HEE-published report in 2022, led by Prof Alison Leary and colleagues, which outlines what enhanced practice is and what it is not. If not, it is worth seeking out as it may help your discussions with your employers