The client
A city-centre GP practice in the South-East discovered it was underclaiming significant amounts of funding through the Additional Roles Reimbursement Scheme (ARRS).
With four GP partners, three salaried GPs and a list of around 8,500 patients, the practice had made no changes to ARRS staff that may have explained the situation.
The dilemma
The situation became clear after the practice’s AISMA accountancy firm Xeinadin pointed out that the ARRS funding received in the first four months of 2026/27 had dropped, compared with what might be expected based on the 2025/26 practice accounts.
Daniel Tremain, lead partner for healthcare at Xeinadin, explained: ‘We provided the client with information on what ARRS funding should be available to them in 2026/27 and they were then able to raise this with their PCN. They subsequently found that they had underclaimed £12,500 in the first four months of the year.’
‘The practice had no idea that they were underclaiming until we raised the unusual variance with them,’ he added.
Action required
The work by Daniel and his team involved identifying the fall in funding using the bookkeeping software and budget monitoring systems they had put in place for the practice.
When it was clear after discussions with the practice that the fall in funding was unexpected, Xeinadin provided the practice with a breakdown of the funding available so that they could cross-reference this with the ARRS claims they were making.
The practice was then able to identify the underclaim and re-submit the claims recovering the full amount.
The PCN subsequently adjusted the payments for the remainder of the 2026/27 financial year.
Conclusion
Daniel explained: ‘If the underclaim had remained unnoticed the practice could have had a hole in their 2026/27 funding in excess of £37,000.
‘The client was very grateful that we were able to identify the issue without prompting and acknowledged that the discrepancy may not have been identified so quickly without our specialist knowledge of GP practice funding.’