Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the underspend for the Additional Roles Reimbursement Scheme was in the most recent year for which data is available.
The following table shows the number of full-time equivalent direct patient care staff positions that have been recruited as of each December over the last four years, within general practice and primary care networks, (PCNs) and breaks this down by the role they were recruited to:
Role | December 2021 | December 2022 | December 2023 | December 2024 |
Total for all Additional Roles Reimbursement Scheme eligible roles | 15,369 | 24,499 | 35,808 | 37,539 |
Advanced Dietician Practitioners | - | 11 | 10 | 10 |
Advanced Occupational Therapist Practitioners | - | 20 | 19 | 22 |
Advanced Paramedic Practitioners | - | 434 | 594 | 669 |
Advanced Pharmacist Practitioners | - | 679 | 831 | 916 |
Advanced Physiotherapist Practitioners | - | 113 | 197 | 219 |
Advanced Podiatrist Practitioners | - | 4 | 6 | 5 |
Apprentice Physician Associates | - | - | 20 | 13 |
Care Coordinators | 2,082 | 4,143 | 6,822 | 7,062 |
Dieticians | 67 | 127 | 176 | 168 |
General Practice Assistants | - | - | 2,148 | 2,670 |
First Contact Physiotherapists | 1,063 | 1,620 | 2,046 | 2,156 |
Health and Wellbeing Coaches | 516 | 1,031 | 1,341 | 1,294 |
Mental Health Practitioners | - | - | 1,050 | 1,238 |
Nursing Associates | 334 | 630 | 985 | 1,242 |
Paramedics | 1,288 | 1,705 | 2,212 | 2,227 |
Pharmacists | 5,156 | 6,534 | 7,935 | 8,153 |
Pharmacy Technicians | 1,140 | 1,891 | 2,598 | 2,806 |
Physician Associates | 1,041 | 1,541 | 2,009 | 2,068 |
Podiatrists | 30 | 57 | 60 | 60 |
Social Prescribing Link Workers | 2,229 | 3,125 | 3,664 | 3,543 |
Therapists - Occupational Therapists | 111 | 187 | 224 | 218 |
Trainee Nursing Associates | 310 | 647 | 859 | 781 |
Source: the data is only available from September 2021, and is published quarterly by NHS England at the following link: https://digital.nhs.uk/data-and-information/publications/statistical/primary-care-workforce-quarterly-update
This data does not distinguish between staff recruited through the Additional Roles Reimbursement Scheme or through other routes. The most recent complete year for which data is available on underspend for the Additional Roles Reimbursement Scheme is 2023/24. The maximum value of PCN level entitlements available under the Additional Roles Reimbursement Scheme in 2023/24 was £1,412 million. Total expenditure by PCNs in 2023/24 was £88 million, below the maximum entitlements.