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New Roles & Career Frameworks

New Roles & Career Frameworks

The Training Hub can support General Practice in identifying opportunities for introducing, supporting and embedding the GP contract “new roles” into primary care settings.

The 2019 GP contract introduced the Additional Role Reimbursement Scheme (ARRS), and this supports practices to financially introduce these new roles. Full details of how this scheme works can be found in the most recent GP contract update.

The Training Hub staff are made up of a multi professional team, including GPs, Nurses, Paramedics, and Physicians Associates, all working to provide information, support and advice where required. We are able to link you to the right person to discuss your workforce plans and look at new ways of working that utilise the skills of this new wider General Practice team. We have provided some information and helpful links for you below on careers in General Practice.

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

For a conversation about how we can support your practice with new practice roles, please contact us at:

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;


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.

Paramedics Workforce

Paramedic Specialist in Primary and Urgent Care

Advanced Practice

Social Prescribing Link Workers

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.

Physicians Associates

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, the following links provide some helpful advice:

First Contact Physiotherapists

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