The Network Contract Directed Enhanced Service (DES) was first introduced in 2019. The Network Contract DES allows primary care networks (PCNs) to claim funding for additional multidisciplinary roles through the Additional Role Reimbursement Scheme (ARRS) to deliver health services, including 5 AHP roles:

• first contact physiotherapists
• occupational therapists
• podiatrists
• dietitians
• paramedics

Details of the ARRS, including reimbursement arrangements and role requirements are set out in the Network Contract DES contract specification – see section 7 onwards for the ARRS and annex B for the minimum role descriptors.

Guidance has been developed to support commissioners, PCNs and general practices to implement the DES to support best practice delivery of the key functions, including:

• improving health outcomes
• reducing health inequalities
• targeting resource and efforts, for example proactive care for frailty

Useful resources and links

Understanding the multidisciplinary team roles

• NHS England: the additional roles at a glance: a quick reference summary
• NHS England: supervision guidance for primary care network multidisciplinary teams

The guidance also outlines how the allied health professions’ roles could work as part of a PCN’s multidisciplinary team, supporting work on clinical priorities. To access the full guidance and supporting documentation, please visit the ARRS page on the Futures collaboration platform (registration required).