Background Digital datasets about primary care In 2019, the Additional Roles practices and their activity from 2018 Reimbursement Scheme (ARRS) was to 2022. The study included data from introduced in England as a crucial >6000 general practices. component of the government’s Method manifesto general was to recruit practice. pledge26 The 000to enhance primary extra personnel objective access to Aconducted associationlinear regressionto between determineanalysisARRS the staffwas through new roles into general and prescription rates and patient practice. satisfaction, controlling for patient Aim and practice characteristics. To analyse the effects of ARRS staff Results on prescription rates and patient The results showed that ARRS satisfaction. roles tend to be more frequent in Design and setting larger general practices, with fewer A retrospective panel data analysis full-time GPs per patient, and with combining data from the General more overseas trained GPs. The Workforce Minimum Dataset and NHS use of ARRS staff was significantly associated with lower prescription rates (β = –0.52, P<0.001) and higher patient satisfaction (β = 3.2, P<0.001), after controlling for patient and practice characteristics. Conclusion This study suggests that the ARRS has the potential to have a positive role in primary care, notably through reduced prescription rates and improved patient satisfaction. Further research is needed to explore the long-term effects of the ARRS on primary care, including patient outcomes and healthcare costs, and the potential barriers to its implementation.