Neighbourhoods: 'Lead or Be Led' guidance

BMA England GP committee chair Dr Katie Bramall speaks to Emma about the 2026/27 GP contract and the BMA’s referendum on the deal, which launched this week.

Katie explains why she thinks the 2026/27 contract is a bad deal for general practice and some of the problems around same-day access, advice and guidance and practice funding.

She talks about what happens if GPs reject the deal in the referendum, which may mean the profession begins taking action from as early as 1 April. Katie raises the prospect of a ballot on more serious action that could put practices in breach of their contract later in the summer if there is no movement from the government on the contract.

She also talks about the government’s plans for a neighbourhood NHS and how this will affect general practice and explains new BMA guidance on what practices and GPs should be doing now.

This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.

Useful links

BMA briefing paper on neighbourhoods

What's in the GP contract for 2026/27?

GP referral change revealed as NHS plays down same-day access impact

Viewpoint: Why mandatory advice and guidance risks a patient safety fiasco

Why the 2026/27 contract risks increased financial pressure for practices

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