Integrating new non-medical practitioners in general practices: barriers and facilitators

General practices in England face workforce challenges because of insufficient numbers of GPs and practice nurses, combined with an increase in demand for services. One solution is to integrate new non-medical practitioners – such as advanced nurse practitioners, paramedics, pharmacists, physician associates and physiotherapists – in the general practice team. The integration of some of these roles is incentivised by the Additional Roles Reimbursement Scheme launched in 2019 for five years. This article reports on and discusses the findings of a scoping review of the recent literature on the barriers and facilitators to the integration of new non-medical practitioners in general practices in England. The review found that the integration of new non-medical practitioners faces many challenges and that sustainable models of transdisciplinary working are needed.