Lecture on GP Contract Changes for 2025-2026

Introduction

• Discussion on draft suggested changes to the GP contract for 2025-2026.
• Changes have been tentatively approved by the General Practitioners Committee (GPC).
• Focus on what’s in the letter from NHS England and GPC responses.
• Also addressing what’s missing and future implications.

Overview of Changes

• Significant Funding Increase

  • Total of £889 million uplift.
  • Additional £180 million for advice and guidance part.
  • Predominantly funding directed towards the global sum.

• Online Consultation Access

  • From October 2025, online consultations must be available throughout core hours.
  • Applies to non-urgent appointment requests, medication queries, etc.

• GP Connect Functionality

  • By October 2025, enable read-only access to patient records for other NHS and private providers.
  • Community Pharmacy professionals to send consultation summaries to GP practice workflow.

• Quo Indicator Changes

  • 32 QOF indicators retired, with a total of 212 points reallocated.
  • Points to be reinvested into the global sum and cardiovascular prevention.
  • Uplift in vaccination item service charge.

Details of GPC and NHS Discussion

• Importance of reducing bureaucracy and improving GP access.
• Integration and alignment with NHS England’s priorities.
• Concerns about the practical implications of the changes.

PCN Changes

• Additional Roles Reimbursement Scheme (ARRS)

  • Increased flexibility in funding allocation.
  • No restrictions on the type or number of staff.

• Capacity and Access Improvement Plan (CAIP)

  • Continued funding of £87.6 million.
  • Focus on modern general practice access and population health management.

Concerns and Reflections

• Patient Safety and Data Sharing

  • Concerns over third-party access to patient records and data sharing guidelines.
  • Need for clear patient consent processes.

• Collective Action and GP Negotiations

  • Contract contingent on further negotiations and assurances for 2026.
  • Emphasis on reducing GP burden and improving working conditions.

Future Considerations

• Need for ongoing negotiations to address changes for the next contract.
• Potential impact of broader NHS and governmental policy changes.

Conclusion

• Current changes are a step towards broader contract reform.
• Assurance and written confirmation from government are critical for future developments.
• Emphasis on ensuring sustainable funding and working conditions for GPs.

Additional Resources

• Link to Katie Bramall-Stainer's response video.
• Further reading on NHS England’s policy changes and implications for GP practices.