Our Workforce

Our Workforce

Additional Roles Reimbursement Scheme (ARRS)

The ARRS scheme allows PCNs to establish multidisciplinary teams to provide a wider range of services locally and enables patients to access preventative care, such as health and wellbeing support and medication reviews, more easily, while reducing pressure on GPs. 

Bromley PCNs have assessed the needs of the local population in their area and, working with local community services, made support available to people where it is most needed. PCNs can recruit from a variety of roles from the list below:

Clinical Pharmacists

Clinical pharmacists are health professionals who train for many years to become specialists in medicines.

They can work directly with you as part of the GP team to make sure your medicines help you to get better and
stay well.

Having a clinical pharmacist in the GP team means you can be treated by the best person to meet your needs.

All pharmacists are registered with the General Pharmaceutical Council.

Social Prescribing Link Worker

Social Prescribing Link Worker is someone who helps connect people with community-based services, groups, and activities that address practical, social, and emotional needs affecting their health and wellbeing. They listen, get to know the individual, and help create a personalised plan.

Care Co-ordinators

Care co-ordinators help to co-ordinate and navigate care across the health and care system, helping people make the right connections, with the right teams at the right time. They can support people to become more active in their own health and care and are skilled in assessing people’s changing needs. Care co-ordinators are effective in bringing together multidisciplinary teams to support people’s complex health and care needs.

They can be an effective intervention in supporting people to stay well particularly those with long term conditions, multiple long-term conditions, and people living with or at risk of frailty.

First Contact Physiotherapists

First Contact Physiotherapists (FCPs) are physiotherapists usually based in GP surgeries with an expertise in the assessment and management of musculoskeletal conditions.

Podiatrists

Podiatrists support primary care by providing expertise in foot and ankle health. In addition, podiatrists also take a lead role in supporting people who live with long term conditions that affect the health of the foot and ankle such as arthritis, diabetes, or cardiovascular disease. 

Nurse Training Associates

The nursing associate is a clinical support role that bridges the gap between healthcare support workers and registered nurses. Created to deliver hands-on, person-centred care as part of nursing teams. The Nursing Associate role works in a variety of settings in health and social care and with people of all ages.

Community Paramedics

Community Paramedics are paramedics with Primary Care certification. The Community Paramedic should be available to respond to a scene and arrange appointments and transportation to alternate destinations through established partnerships or direct field communication.

General Practice Assistants

A General Practice Assistant (GPA) is a healthcare professional who supports General Practitioners (GPs) and other members of the primary care team in delivering patient care.

Digital Transformation Lead

Digital Transformation Leads in NHS Trusts focus on enhancing patient care through tech solutions. They oversee large-scale change activities and work closely with clinical teams. Key duties include:

  • Developing digital strategies aligned with NHS goals
  • Implementing new digital systems and tools

Pharmacy Technicians

Pharmacy technicians are registered healthcare professionals who carry out specialised tasks, such as preparing and dispensing complex medicines for patients. They work under the direct supervision of a pharmacist and may also be involved in delivering some public health services such as advice on stopping smoking. Pharmacy technicians are skilled and essential members of the pharmacy team who manage the supply of medicines and assist pharmacists with advisory services to patients and the public.

Health & Wellbeing Coaches

Health and wellbeing coaches support people to increase their ability to self-manage, motivation levels and commitment to change their lifestyle. They are experts in behaviour change and focus on improving health related outcomes by working with people to set personalised goals and change their behaviours. They work with people with physical and/or mental health conditions and those at risk of developing them.

Health and wellbeing coaches can be an effective intervention for people experiencing a range of long term conditions, including respiratory, cardiovascular (including type 2 diabetes and hypertension), and stress/low mood. They can also support people with weight management, diet and increasing activity levels.

Mental Health Practitioners

Mental health practitioners contribute to the ambition to develop integrated models of primary and community mental health care, supporting adults and older adults with severe mental illnesses to live well in their communities. Community mental health transformation defines those severely affected by mental illness, including but not limited to:

  • psychosis
  • bipolar disorder
  • ‘personality disorder’ diagnosis
  • eating disorders
  • severe depression
  • mental health rehabilitation needs

Some of these conditions may co-exist with other conditions such as frailty, cognitive impairment, neurodevelopmental conditions, or substance use.

Physician Associates

Physician associates support doctors in the diagnosis and management of patients.

As a physician associate, you might work in a GP surgery or be based in a hospital, but wherever you work, you’ll have direct contact with patients.

Dietitians

Dietitians are qualified and regulated health professionals that assess, diagnose and treat dietary and nutritional problems at an individual and wider public- health level. They are one of the key Allied Health Professionals (AHPs) in the NHS.

Occupational Therapists

An occupational therapist is a care professional who assesses the physical, psychological and social functions of an individual, identifies areas of dysfunction and involves the individual in a structured programme of activity to overcome disability. They use specific care activities to limit the effects of disability and promote independence in all aspects of daily life. Occupational therapists are registered with the Health and Care Professions Council.

Nursing Associates

The nursing associate is a generic nursing role in England that bridges the gap between healthcare support workers and registered nurses, to deliver hands-on, person-centred care as part of a multidisciplinary team in a range of different health and social care settings.

Newly Qualified GPs

All newly qualified GPs wishing to administer primary care in the UK need to be on the NHS Performers List, which as of 2019 can be completed via the PCSE online portal.