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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, in addition to developing career frameworks for all practice roles.

The 2019 GP contract introduced the Additional Role Reimbursement Scheme (ARRS), and this helps practices financially to introduce these new roles to their teams. 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 GP, Nurse, Paramedic, and Physicians Associate ambassadors, all working to provide information 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 can utilise the skills of this new wider General Practice team. 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. 

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

Other resources

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.

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

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.

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:

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

Pharmacy Technician
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 guidance

NHS Futures support (this will include JD once approved)

Personalised Care roles

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

Physician Associates and Administration of Covid-19 Vaccines