Where I end and you begin: additional roles in British general practice

Abstract

Where I end and you begin:additional roles in British general practice Life & Times"… 'less qualified' is a loaded statement given an MDT approach, but it is important to consider the public understanding of additional roles in primary care."

Implementing the Additional Roles Reimbursement Scheme in seven English Primary Care Networks: a qualitative study

“…In keeping with our study, they also highlight challenges with estates, a lack of certainty over long-term funding and a clearer vision for the contribution that the roles can make as key issues for the future. Other commentators similarly (5) (6) note the need for clarity around the capabilities associated with particular roles, and consistency in how this is achieved and named. Our findings also resonate with those of a recent study (11) exploring the role of nine social prescribing link workers, which demonstrated that there was ambiguity around the definition and remit of this complex role, and that better understanding, support and training for these roles was required.…”

“…Opinion pieces on the scheme, such as that by Khan, focus on how the roles are perceived by patients, calling for clarity around nomenclature and standardised practices for the roles across the board. 6 Abrams and Eaton argued for role clarity but also mentioned that the new roles put extra strain on GPs in terms of supervision, adding to, rather than alleviating, pressures. 7…”

“…Baird et al also highlight confusion as to whether these roles were intended to deliver new services or to undertake core general practice work. Opinion pieces on the scheme such as that by Khan (5) focus on how the roles are perceived by patients, calling for clarity around nomenclature and standardised practices for the roles across the board. Abrams and Eaton (6) argued for role clarity but also mentioned that the new roles put extra strain on general practitioners in terms of supervision, adding to, rather than alleviating pressures.…”

‘Only connect’ … relationships and GP life

“…8 Nada Khan asks us to consider the multiplicity of professions delivering clinical services in primary care and their relationship to patients and to us. 9 But our relationships with work and each other leave us vulnerable to injury, and these injuries can overwhelm us if not addressed. Louise Stone reflects on the awful event of a colleague in distress taking their own life.…”

Amidst a GP workforce crisis, where did all the jobs go?

“…The changing face of the general practice workforce I've written here previously about the ARRS and some of the wider impacts of the scheme. 2 The 2019 Conservative Party Manifesto promised an additional 6000 GPs. When it became clear that this goal would not be achieved, ARRS shifted the scope from meeting the manifesto pledge to instead increase the number of appointments offered in general practice by 50 million a year.…”