New Roles & Career Frameworks

New Roles & Career Frameworks

Cornwall Primary Care Training Hub supports General Practice in identifying opportunities for introducing, supporting and embedding the GP contract “new roles” into primary care settings linked to the Additional Roles Reimbursement Scheme, in addition to developing career frameworks for all practice roles.

We have provided some information, helpful links and resources for you below on roles in General Practice.

There is also some helpful information on new roles within primary care via the E learning for health pages. 

Generic Links for Support with New Roles
  • New roles in the PCNs – how to make the most of the new services webinar –   What does the next phase of the PCN evolution look like? In this webinar, recorded on 8 September 2020, the Practice Managers Association explores the scope and breath of the new roles in PCNs with a discussion around the challenges and opportunities.
  • Future NHS– this site has lots of resources, information and case studies that can help you regarding specific roles- it is free to sign up to with your NHS email address. NHS Futures NEW ROLES
  • Allied Health Professions (AHPs) provide system-wide care to assess, diagnose and treat patients. They focus on improving health and wellbeing to allow individuals to maximise the potential to live full and active lives – for more information on AHPs in Primary Care Networks, and example job descriptions, click here.
  • The Roadmap Supervision – Top Up Session for GP Educational Supervisors (GP ESs) video provides a supportive additional training session to the existing GP Educator Supervisors training. It helps support understanding of the roadmap training for first contact practitioners and advanced practitioners.
Care Coordinator

Personalised care roles (Care coordinators/Health and Wellbeing Coaches) have been added to the scheme from October 2020 (in addition to the Social Prescribing Link Worker which was already part of the scheme).

PCN/practices must ensure that the Health and Wellbeing Coach or Care Coordinator is enrolled in or qualified from appropriate health coaching training with the training delivered by a training organisation listed by the Personalised Care Institute.

Contact the Training Hub for further information. The following links may be helpful if you are employing or supporting staff in these roles;

NHS England Health coaching summary guide

Supporting health and care staff to deliver personalised care

Future NHS Recruitment Support for Care Coordinator role

Future NHS Recruitment Support for Health & Wellbeing Coach

Health Coaching Conversations training – details of local training is available here

Clinical Pharmacist

The Clinical Pharmacist role has already been introduced in some practices in Cornwall. The Training Hub is supporting the system to create portfolio opportunities for Pharmacists to develop the skills and experience to work in multiple settings across within healthcare.

Below are some helpful links about employing a pharmacist and career pathways for the role;

First Contact Dietician

Dieticians can provide valuable support to primary care as part of the multi professional team. You can find out more about the role and how this could support your practice, along with example job description, via the below links

First Contact Dietician in Primary Care

First Contact Physiotherapist

Physiotherapy has become an important addition to primary care, helping to reduce onward referrals and support patients with MSK conditions.

The links and documents here may help you in understanding the value this role can add to your practice

Health & Wellbeing Coach

What is Health Coaching?

Health coaching is a partnership between health and care practitioners and people. It guides and prompts people to change their behaviour, so they can make healthcare choices based on what matters to them. It also supports them to become more active in their health and care. Health coaching is defined in Universal Personalised Care as:

Helping people gain and use the knowledge, skills and confidence to become active participants in their care so that they can reach their self-identified health and wellbeing goals.

There are two distinct approaches to using Health Coaching:

Health Coaching Services – Health Coaches as a new stand-alone service targeting a specific group e.g., supporting healthy behaviour changes in diabetes. Health coaches need to have completed a minimum of 4 days training (accredited training through the Personalised Care Institute) to become an EMCC Accredited Health Coach

Health Coaching Skills – training health and social care staff and voluntary sector representatives or carers to use health coaching skills as part of their consultations or conversations, as an approach to practice or mind-set. Health coaching skills can be used to enhance an existing service, as part of wider workforce development. This is usually a 2-day training in Health coaching skills and is particularly recommended for Social Prescribing Link Workers and Care Coordinators

The Personalised Care Institute

The Personalised Care Institute provide information on training providers and courses that meet the standards required with recommendations of training levels for different staff groups.

NHS England

A Guide to the Requirements and Implementation Checklists for Employing a Health and Well-being Coach – please see Annex C

Health Coaching Implementation and Quality Summary Guide

NHS England » Tools to implement supported self-management

Additional Information

Sample job descriptions and recruitment support documentation –

Health Coaching Conversations training – details of local training is available here

Nursing Associate

The Nursing Associate role was added to the Additional Role Reimbursement scheme in 2020. This role is a good training and career pathway for PCNs and practices wishing to develop current healthcare support staff or create further team opportunities.

There is an annual reimbursement of £25,671 (WTE) now available to cover the apprenticeship salary. The individual undertaking the training programme for this role needs to be employed on a contract minimum of 30 hours per week (off the job training commitment is 60%). The cost of the training is usually covered by levy transfer from larger organisations in order for practices & PCNs to benefit.

The training course is available via Plymouth University or Truro & Penwith College for potential Nursing Associate trainees in Cornwall. Applicants need minimum of GCSE Maths and English at grade 9 to 4 (A to C) or Functional Skills Level 2 in Maths and English (local support available to achieve this if required).

RCN Nursing Associate information

NHS Futures support 


Paramedics have been transitioning into enhanced and advanced practice roles within General Practice for a number of years. Within Cornwall, Paramedics are an already established workforce in General Practice and are increasingly supporting PCN’s to change their care models to best treat their patients.

The Training Hub have a Paramedic in house, supporting project development work on Advanced Clinical Practice and Paramedic Career Frameworks for Primary Care. Please get in touch for a discussion about how we can support your existing Paramedic workforce or for assistance with recruiting in this area.

In February 2021, the Paramedic Roadmap was published. You can find information about the roadmap here

Paramedics Workforce

Paramedic Specialist in Primary and Urgent Care

Advanced Practice

Physician Associate

The Physician Associate is one of the newest roles in primary care, and the Training Hub has recently supported the introduction of the role into General Practice in Cornwall. We have a PA within the Training Hub for 1 day per week, who can talk to you about the role and how this complements the team.

For more information, example job descriptions and helpful advice about the role, the following links provide some helpful advice:

Social Prescribing Link Worker

The social prescribing role is well established in primary care, and across Cornwall, practices already have good networks of support. This varies, with some social prescribers now employed directly within a practice or across a PCN. Social prescribing provides a holistic approach to care, and this role is now hugely valued by practice teams.

We can signpost you to development opportunities within Cornwall that would enable you to be eligible for a role of this kind.