ARRS Underspend 2024/25 refers to Additional Roles Reimbursement Scheme funding that Primary Care Networks (PCNs) failed to utilise during the financial year. The recovery process involves strategic planning and actions PCNs can take to reclaim portions of this unspent allocation through demonstrating recruitment efforts, workforce planning, and engagement with Integrated Care Boards. This is particularly important in 2024/25 as NHS England has implemented new mechanisms to help PCNs maximise their workforce funding.
ARRS underspend typically occurs due to several factors, including recruitment difficulties in competitive healthcare markets, insufficient workforce planning, administrative delays in processing reimbursement claims, lack of physical space to accommodate additional staff, and challenges in creating sustainable job roles that attract qualified candidates. Many PCNs also face issues with role retention, professional development limitations, and uncertainties about long-term funding that contribute to underspending their allocated ARRS budgets.
PCNs can demonstrate efforts by maintaining comprehensive documentation of all recruitment activities, including unsuccessful attempts. This should include job advertisements, interview schedules, and correspondence with recruitment agencies. Additionally, PCNs should develop and document detailed workforce plans aligned with population health needs, engage regularly with their ICB workforce leads, participate in regional recruitment initiatives, and consider innovative employment models such as rotational posts with secondary care. Evidence of addressing structural barriers to recruitment, such as workspace planning, can also strengthen recovery claims.
For 2024/25, NHS England has introduced several new mechanisms including quarterly rather than annual reviews of underspend, allowing mid-year adjustments to allocations; simplified reimbursement processes with standardised claim forms; greater flexibility in role definitions to suit local needs; enhanced support through regional recruitment hubs; options for role-sharing arrangements between PCNs; and conditional pre-approval of certain recruitment plans to provide PCNs with greater certainty. These mechanisms aim to streamline the recovery process and maximise the utilisation of available funding.
PCNs can explore several alternative workforce solutions including joint appointments with local NHS Trusts or community providers; trainee pathways with educational stipends; international recruitment programmes with appropriate support; digital roles that can work remotely across multiple PCNs; rotational models where staff work across different healthcare settings; apprenticeship schemes for developing new talent; and bank or flexible working arrangements. These innovative approaches can help PCNs utilise their ARRS allocation effectively while addressing recruitment challenges in traditional employment models.
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"text": "ARRS Underspend 2024/25 refers to Additional Roles Reimbursement Scheme funding that Primary Care Networks (PCNs) failed to utilise during the financial year. The recovery process involves strategic planning and actions PCNs can take to reclaim portions of this unspent allocation through demonstrating recruitment efforts, workforce planning, and engagement with Integrated Care Boards. This is particularly important in 2024/25 as NHS England has implemented new mechanisms to help PCNs maximise their workforce funding."
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"text": "PCNs can demonstrate efforts by maintaining comprehensive documentation of all recruitment activities, including unsuccessful attempts. This should include job advertisements, interview schedules, and correspondence with recruitment agencies. Additionally, PCNs should develop and document detailed workforce plans aligned with population health needs, engage regularly with their ICB workforce leads, participate in regional recruitment initiatives, and consider innovative employment models such as rotational posts with secondary care. Evidence of addressing structural barriers to recruitment, such as workspace planning, can also strengthen recovery claims."
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"text": "PCNs can explore several alternative workforce solutions including joint appointments with local NHS Trusts or community providers; trainee pathways with educational stipends; international recruitment programmes with appropriate support; digital roles that can work remotely across multiple PCNs; rotational models where staff work across different healthcare settings; apprenticeship schemes for developing new talent; and bank or flexible working arrangements. These innovative approaches can help PCNs utilise their ARRS allocation effectively while addressing recruitment challenges in traditional employment models."
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