Source · Select Committees · Health and Social Care Committee

Recommendation 8

8 Deferred Paragraph: 47

Set out plans to increase flexibility of ARRS for diverse local hiring.

Recommendation
NHS England should set out how it plans to increase the flexibility of the Additional Roles Reimbursement Scheme to allow Primary Care Networks to hire both clinical and non-clinical professionals other than those set out in the current guidance, according to local need.
Government Response Summary
The government partially accepts but deflects by focusing on e-prescribing in hospitals and the interface between general practice and hospitals. It rejects a national mandate for a standardised reporting tool, stating that Integrated Care Boards should decide their own approaches to improving communication and local pathways.
Paragraph Reference: 47
Government Response Deferred
HM Government Deferred
Partially accept. The Department partially accepts this recommendation. We agree that e-prescribing should be introduced in hospitals. Work is already underway, with NHS England working on a 3-year programme for hospitals. The Academy of Medical Royal Colleges review of the interface between general practice and hospital service identified a range of insights and practical improvements and this has been shared with systems to action within their local contexts. NHS England will continue to emphasise the importance of improving interface working and gathering systematic GP feedback to inform this. However, we do not agree that mandating a single approach at national level, such as a standardised reporting tool, would be appropriate. Rather, each Integrated Care Board should decide on its own approach, proportionate to local circumstances, to identifying issues, improving communication and agreeing changes to local pathways.