Talking General Practice

Why online access triggered a new GP dispute, workforce plan priorities, GP premises crisis

Oct 3, 2025
Disputes arise as the BMA challenges the government's online access plans, questioning safety protocols. Listeners learn about workforce shortages and the delayed NHS plan, along with the need for urgent improvements in dilapidated GP premises. The BMA's survey reveals the dire conditions faced by practices. Amidst the challenges, a GP's incredible endurance run around Cornwall shines a light on early-onset dementia, raising funds and awareness for a touching cause.
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ADVICE

Enforce Structured Online Triage

  • Remove free-text boxes and force structured tick-box options to prevent urgent cases bypassing warnings.
  • Require patients to call or attend if their issue isn’t listed to protect safety and limit inappropriate submissions.
ADVICE

Implement But Document Risks

  • Implement the contractual change but flag it as unsafe and seek ICB support to avoid breach penalties.
  • Monitor workload impacts and document risks to support legal or collective action if harms materialise.
INSIGHT

Dispute Could Escalate To Stronger Action

  • Re-entering dispute could lead to stepped-up legal action or a new ballot for industrial measures.
  • Possible actions include waiting lists, reduced face-to-face access, or even contract-breaching strikes if talks fail.
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