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PCN Additional Roles

Parkgate Surgery is a member of the Ormskirk Primary Care Network (PCN). Under the Network Contract DES which went live on 1 July 2019, funding is made available to PCNs through a new Additional Roles Reimbursement Scheme to recruit additional posts across specific roles, over the next five years.

The Additional Roles Reimbursement Scheme has been put in place to grow additional capacity through new roles in general practice, and by doing so, help to solve the workforce shortage. 

First Contact Physiotherapist

  • Abdel El-Madani

The role of First Contact Physiotherapists (FCPs) in Primary Care is to assess patients with soft tissue, muscle and joint pain and to decide on the most appropriate management pathway. FCPs are physiotherapists with expertise in the assessment and management of Musculoskeletal (MSK) conditions.

Laura works at Parkgate Surgery one day per week. Patients can book an appointment with her by contacting Reception.

Clinical Pharmacist

  • Tim Fisher MPharm PGDip IP

Clinical pharmacists work as part of the general practice team to improve value and outcomes from medicines and consult with and treat patients directly. This includes providing extra help to manage long-term conditions, advice for those on multiple medicines and better access to health checks. The role is pivotal to improving the quality of care and ensuring patient safety.

Tim works at Parkgate Surgery two days per week. Patients can contact Reception if they wish to speak to Tim about a medication query.

Social Prescribing Link Worker

  • Philip Wink

Social prescribing is a way for local agencies to refer people to a link worker. Link workers give people time, focusing on ‘what matters to me’ and taking a holistic approach to people’s health and wellbeing. They connect people to community groups and statutory services for practical and emotional support.

Social prescribing works for a wide range of people, including people:

  • with one or more long-term condition
  • who need support with their mental health
  • who are lonely or isolated
  • who have complex social needs which affect their wellbeing


  • Chris Lloyd
  • Helen Madden

In 2021 the Additional Roles Reimbursement Scheme was extended to allow PCNs to employ Paramedics.

Clinically, Paramedics are generalists in the sense that they can support any patients they are called out to. Consequently they will be able to see a broad range of practice patients. Those that have worked in the Ambulance Service will bring a wealth of experience in conducting home visits

Mental Health Practitioners

  • Rowena Carlton – Associate Psychological Practitioner (APP) 
  • Kylie Hamilton-Lathom – Specialist Mental Health Nurse

All staff adhere to the Practice’s Confidentiality Policy and Data Protection Act 2018.