The 2026/27 PCN DES introduces one of the most significant shifts since ARRS began. While most headlines have focused on GP reimbursement uplifts and neighbourhood alignment, the real change is the clearer and more flexible route for practices to consider directly employing ARRS staff.

NHS England published their letter to all primary care services (28th February) outlining the GP contract arrangements for the upcoming financial year, with changes aimed at improving primary care services, enhancing patient outcomes, and empowering Primary Care Networks (PCNs). We take a look into the key contents of the letter, summarise the important points, and discuss potential implications for ARRS funding, primary care staffing, and general budgets for primary care services in the UK.