Talking General Practice

This week Emma speaks to the RCGP’s registrar co-chairs, Dr Tom France and Dr Molly Dineen about the issues currently facing GP registrars across the UK.Tom and Molly talk about the ongoing GP jobs crisis and the intense frustration surrounding underemployment and unemployment at the end of training.They explain their concerns about the GP jobs available under the additional roles reimbursement scheme and stress the importance of a fully funded, detailed workforce plan from the government to address the mismatch between rising training numbers and available jobs.Tom and Molly also outline their key priorities for the year ahead, including the need for greater consistency in training and the urgent requirement for better visa sponsorship support for international medical graduates.And they discuss how GP training might need to change and what they would like to see from policymakers to ensure that general practice remains an attractive and viable career for the next generation of doctors.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful links●     RCGP registrar committee●     GP training resources on GPonline●     Why a 'heartbroken' new GP gave up his dream career in UK general practice - Former RCGP registrar co-chair speaks to GPonline Hosted on Acast. See acast.com/privacy for more information.

This week Emma, Nick and Kimberley talk about the government’s plans for neighbourhoods - after the long-awaited neighbourhood health framework was published this week - and what it all means for general practice.They also look in more detail at how GP contract changes to advice and guidance link into this and whether these changes could impede GPs’ right to refer, what they could mean for workload in general practice and concerns about patient safety.And they discuss the results of our annual GP locum rates survey and what it tells us about rates of pay for locum GPs and how the jobs crisis has impacted on locums.Our good news story this week is about a new ADHD service set up by the GP federation in Leeds which is helping to cut waiting times for assessment and treatment.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksGovernment reveals how neighbourhood model will fit with GP contractNeighbourhood plans ramp up focus on GP access and advice and guidanceMinister outlines timetable for 'new Carr-Hill formula'Mandatory advice and guidance adds to patient safety risks, warns LMCGP locum rates fall in England but rise in rest of UKLocum GP earnings hit as most struggle to find enough workUncoordinated NHS reforms causing 'widespread disruption' Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to the co-chairs of the BMA sessional GP committee Dr Amy Small and Dr Kim Rollinson about the jobs crisis and how they hope to better represent sessional GPs.In this conversation they discuss how the shortage of jobs is affecting locum and salaried GPs across the country and what needs to be done to address this issue.They explain what salaried GPs should look out for when signing contracts, and what GP partners can do to be good employers and ensure their staff and locum GPs feel valued. They also talk about the push towards a neighbourhood NHS and what that could mean for sessional GPs, as well as how the rise in portfolio working is helping many doctors manage the intense pressures associated with being a GP.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksBMA sessional GP committee websiteGPs in Scotland end dispute as £531m funding deal agreedRaid on PCN cash to fund practice-level recruitment as ARRS rules changed Hosted on Acast. See acast.com/privacy for more information.

Dr Katie Bramall, Chair of the BMA England GP Committee and practising GP, explains why she believes the 2026/27 GP contract is unsafe. She discusses risks from same-day access rules, funding and recruitment pressures, and mandatory advice-and-guidance requirements. She outlines the referendum, possible timelines for collective action, and how neighbourhood NHS plans could reshape local general practice.

Nick and Emma explain how the GP contract for 2026/27 in England is set to change, how it will impact on practices and what it means for the current dispute between the BMA and the government.In this episode they talk about what the contract changes mean for practice and PCN finances, and whether the funding increase will make a difference, or boost jobs available for GPs.They also look at a new requirement for same day access for urgent patients, plus changes to the QOF, additional roles reimbursement scheme and how practices are paid for advice and guidance.And they talk about the reaction to the deal and what happens next in the ongoing dispute with the government.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock, It was produced by Czarina Deen.Useful linksWhat's in the GP contract for 2026/27? - full details of all the changesContract uplift leaves practices 'treading water' and risks cashflow crisisGP contract funding to rise by £485m in 2026/27Raid on PCN cash to fund practice-level recruitment as ARRS rules changedNew targets on same-day access and obesity in 2026/27 GP contract Hosted on Acast. See acast.com/privacy for more information.

The GPonline team discusses the latest news affecting general practice.This week Emma and Nick look at how the GP workforce is changing across England and which areas are moving quickest towards what’s considered a safe GP patient ratio.They also discuss what we know and don’t know about this year’s GP contract, rounding up a number of stories GPonline has published recently that cover issues including childhood vaccinations, staff pay rises, the GP funding formula review and what forthcoming guidance on neighbourhoods could mean for general practice.For this week’s good news story senior reporter Kimberley Hackett highlights the winners of the London General Practice Awards, which were presented in the Houses of Parliament earlier this month.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksWhich areas are moving fastest towards a safe GP-patient ratio?NHS to ramp up GP contract focus on diabetes and child vaccinationWhich parts of England are furthest behind as child vaccine PR campaign begins?Funding cuts could force GP practices to pull out of flu jab campaignGP contract uplift 'meaningless' without clarity on future of PCNsMPs raise concerns over GP funding formula reviewLondonwide LMCs award winners Hosted on Acast. See acast.com/privacy for more information.

Emma speaks to Professor Bola Owolabi, a practising GP in the Midlands and the chief inspector of primary care and community services at the CQC. Before this she director of the National Healthcare Inequalities Improvement Programme at NHS England, where she led the Core20PLUS5 approach to tackling healthcare inequalities.Bola took on her role at the CQC in July last year at a particularly turbulent time for the regulator.In this conversation, she discusses how the CQC is working to turn things around after facing significant criticism about its work, the development of a new sector-specific assessment framework for primary care, and how she hopes inspections will become a less stressful experience for GPs, practice managers and the rest of the practice team.Bola also talks about her own experience of leading the turnaround of a GP practice in a deprived area that was rated inadequate, the role of the CQC in improving care and tackling health inequalities, and how the regulator views the move towards neighbourhood health and the use of AI in general practice.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksCQC regulators pioneers’ fund informationLack of investment in community services will hit plans to shift care out of hospitals, says CQCCQC mythbuster on AI in general practice Hosted on Acast. See acast.com/privacy for more information.

Nick and Emma discuss how the BMA plans to respond when details of the 2026/27 GP contract are published, which are expected at some point this month, confusion about the time frame for neighbourhoods and how plans to ramp up advice and guidance could bring even more work to general practice in the coming year.They also look at a couple of stories GPonline has published over the past week or so that show the increasing pressures GPs are under, including the difficulties many doctors have managing childcare arrangements as a result of work.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksBMA reveals stance on 2026/27 GP contract referendum and collective actionNHS reveals commissioning plan for multi-neighbourhood providersWhy advice and guidance could pile more unsustainable work on GPs next yearUptake of £80m advice and guidance DES falling shortWhat the Health Survey for England shows about pressure on GPsSixth of GPs have quit a job because of childcare pressures Hosted on Acast. See acast.com/privacy for more information.

Emma talks to Robert McCartney, a senior associate in the corporate commercial team at the law firm Hempsons to discuss the shift toward a neighborhood NHS and what this means for the future of general practice.In this conversation, Robert outlines the potential impact new single and multi-neighborhood provider contracts could have and discusses the growing trend of PCNs incorporating as limited companies in response to possible changes and the practicalities of doing this.He also sets out some practical steps practices and PCNs can take now to prepare for the the reform ahead. This episode is an extract from a recent video Robert and I did for our sister site GP Business’s Monthly Briefing series. You can watch the full video, which also includes Roberts thoughts on the future of the partnership model, by visiting https://www.gpbusiness.co.uk/article/1945845/video-neighbourhoods-will-affect-practices-gp-contracts If you are a registered user of GPonline you can use the same login details to access a limited amount of content on GP Business each month.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.  Hosted on Acast. See acast.com/privacy for more information.

This week Emma and Nick discuss a significant fall in the number of young GP partners, the reasons behind this and what the long term impact of this workforce shift might be.They look at the exodus of UK-trained international medical graduate doctors to other countries and talk about why this group has been particularly hard hit by the GP jobs crisis. They also highlight the impact new legislation that will prioritise UK-trained doctors for specialty training posts could have in general practice.And they discuss the latest on legal actions physician assistants are taking against GP practices, the RCGP and the BMA, after new scope of practice guidance lead to many practices reviewing their PAs’ roles and responsibilities.Our good news story this week is about the national rollout of the WorkWell scheme which could help to reduce demand for GP appointments.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksYoung GP partners in freefall as risk and uncertainty take tollWhy a 'heartbroken' new GP gave up his dream career in UK general practiceHow prioritising UK graduates will transform competition for GP trainingDozens of PAs bid for £7.5m damages from practices, RCGP and BMA Hosted on Acast. See acast.com/privacy for more information.