PCN requirements and entitlements for Additional Roles Reimbursement Scheme (ARRS) 2023/24
ARRS for Advanced Practitioners – May 2023
What is advanced practice?
Experienced, registered health and care practitioners deliver advanced practice. They demonstrate a high degree of autonomy and complex decision making.
Master’s level award or equivalent underpins this area of practice. The training encompasses the four pillars:
and demonstration of core capabilities for any specific pillars.
The Centre for Advancing Practice and its regional faculties oversee advanced practice training and education in England. All of which are part of the NHS England Workforce, Training and Education directorate (NHSE WT&E).
NHSE WT&E recognises which training routes to advanced practice?
The training route recognised by NHSE WT&E is to complete a 3-year (part-time) MSc Advanced Practice programme offered by a university in England in conjunction with work-based learning. Many universities in England offer MSc advanced practice programmes which have engaged in the Centre’s the accreditation process. For a full list of currently accredited programmes visit the Centre for Advancing Practice programme accreditation webpage.
From April 2023, PCNs can claim reimbursement for the time any AHP FCP, spend training to become an advanced practitioner. Reimbursement is through the ARRS scheme.
AHP – Allied Health Professional
FCP – First Contact Practitioner
ARRS for First Contact Practitioner training (section B15.4)
How do I enroll on an advanced practice programme?
Employers supported funding applications. Employers must:
- ensure progression to an identified advanced practitioner role on completion of training
- meet the minimum requirements for supervision of advanced practitioner trainees
- engage with the guidance noted in the advanced practice Governance Maturity Matrix from the Centre for Advancing Practice.
Organisations should discuss with their respective training hub, advanced practice leads and Regional Faculties for Advancing Practice their plans for implementing progression from FCP roles to trainee advanced practitioner roles; thereby ensuring they understand the funding options available, required governance, supervision and time frames for regional funding applications. Organisations should have an equitable recruitment process for interested FCPs to be gain the opportunity to progress into a trainee advanced practitioner role. Prospective trainee advanced practitioners will also need to meet the entry criteria of the university they are planning to apply to.
Does this mean that the funding supplied for the training course, or just the salary paid? If the latter, where can I access funding for the course?
Funding for advanced practice training is available through NHSE WT&E Regional Faculties for Advancing Practice. Organisations / practices who wish to access the funding should in the first instance liaise with their advanced practice lead or education and training lead within their primary care training hub. Who in turn will submit training demand to their respective Regional Faculty for Advancing Practice. Each regional faculty have their own funding processes and application criteria, for specific regional information please refer to a regional faculty’s advancing practice website.
The additional roles reimbursement scheme now provides funding for the salaries of FCP staff training for advanced practitioner roles, including the time they spend out of practice attending an MSc advanced practice programme. Is there any limit to the amount of time someone can spend out of practice?
There is no nationally set limit on the amount of time someone can be out of practice. However, some programmes include minimum requirements for the proportion of ‘off-the-job’ training. For example, apprenticeships which is 20% off-the-job training calculated according to an employee’s contracted employment hours across their whole training programme. This is usually equivalent to around one day per working week.
Is the reimbursement for the salaries of staff training to become advanced practitioners focused on FCPs?
Under the current ARRs reimbursement scheme, time spent on training is for on FCPs from an allied health professional background training to become advanced practitioners. The ARRs reimbursement scheme does not currently include general practice nurses. As a result, nursing staff training to become advanced practitioners will not receive funding.
ARRS for Advanced Practitioner Nurses (section B15.2.d)
Can I claim reimbursement for nurses working in advanced practitioner roles?
Yes, if they have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centre’s ePortfolio (supported) Route. For a full list of accredited programmes or more information on the ePortfolio (supported) Route visit the Centre for Advancing Practice programme accreditation webpage.
Does this criteria disregard the skills and experience of existing nurses working in advanced practitioner roles?
Existing nurses working in advanced practitioner roles can apply for recognition of the quality assurance of their advanced practice education and training equivalence via the Centre’s ePortfolio (supported) Route. Further information regarding the eligibility criteria and application process for the ePortfolio (supported) Route can is available on the Centre for Advancing Practice website.
How do I apply for a MSc advanced practice programme offered at a university?
Universities accept applications directly via their website. Applications follow confirmation of employer support and Regional Faculty confirms funding.
How long do the programmes take / when can I expect my nurse working in an advanced practitioner role to become eligible for reimbursement?
A MSc advanced practice programme is usually a 3-year part-time Master’s programme. Where a practitioner has relevant prior learning accepted by universities, the 3-years may reduce. An example of recognised learning is V300 prescribing or health assessment.
Following successful completion of a Centre accredited MSc advanced practice programme an ‘Advanced’ digital badge can claimed.
The ePortfolio (supported) Route usually takes 12-months to complete. On successful completion applicants are able to claim their ‘Advanced’ digital badge.
What if that takes them beyond 2023/24?
Staff employed through the scheme will be supported beyond 2023/24. The scheme itself will continue in some form beyond 2023/24. As such, it is likely that PCNs will be able to recruit nurses working in advanced practitioner roles in 2024/25, even if you are unable to do so in 2023/24.
Can I claim reimbursement through the additional roles scheme for nursing staff training to become advanced practitioners or for those nurses applying for recognition for their advanced practice education and training equivalence?
No. Under the current reimbursement scheme you can only claim for nurses in advanced practitioner roles once:
- they have graduated from a Centre for Advancing Practice accredited MSc advanced practice programme
- if they have received recognition of their advanced practice education and training equivalence through the Centre’s ePortfolio (supported) Route.
Both instances lead to eligibility for the Centre’s ‘Advanced’ digital badge. Which acknowledges the quality assurance of educational and experiential preparation as an advanced practitioner.
Are the Centre’s ‘Advanced’ digital badges only relevant to nurses working in advanced practitioner roles?
Whilst the 23-24 iteration of ARRS specifically provides reimbursement for nurses working in advanced practitioner roles who hold the Centre’s ‘Advanced’ digital badge, the badge itself has a multi-professional applicability and useful for all advanced practitioners from nursing, allied health, or pharmacy registrant backgrounds. Badges are for those individuals who have either graduated from a Centre accredited MSc advanced practice programme, or are existing, experienced advanced practitioners who have completed the Centre’s ePortfolio (supported) Route. The Centre’s ‘Advanced’ digital badge offers standardised recognition of the quality assurance of the education, training and learning experience of advanced practitioners.