The reforming elective care plans are a complete fail. Nothing could illustrate it more than this NHS England example. #unsafemedicine #pieinthesky #creatingentitlement #neednotwant #outoftouch Wes Streeting

NHPs are very much the focus of attention but, whether they succeed or fail depends on the control being retained by GP Partners. The partnership model is the healthcare systems biggest strength and neighbourhood health should be an extension of this not a means to control it.

Geekdom got a Netflix upgrade. Social chameleons copy the look, never the soul. I’ll keep my intellect, integrity, and authenticity intact—blending in is for the weak.

And the money to do this already exists in the system!

NHS dentistry didn’t fragment overnight. When funding fails to keep pace, workload and risk rise, and hospital work shifts into primary care, pressure builds. Contract reform that effectively reduces funding while increasing obligation makes a split model more likely.

Exactly! If we took these services with their funding and 111 in core hours we would have a realistic chance of delivering the same day service demands of the new contract…and we would deliver more holistic care!

If the organisations meant to represent patients are structurally and financially tied to government, isn’t the system just consulting itself?

A large part of the pressure in general practice is work shifting from secondary care. Waiting lists and Advice & Guidance mean complexity sits in primary care. GP time is spent prescribing for specialists, navigating referral forms and doing hospital follow-up.

Five years? Probably. Look in ten and that quote may be spot on. It’s a slow burn destruction not an overnight collapse.

The problem with the contract is simple. It expects significantly more work from general practice without providing the funding to deliver it. Not Safe. Not sustainable. Vote No.

Note this, rightly, says nothing about urgent same day problems. General Practice is not an emergency service nor should its capacity be wasted on large volumes of minor illness. Yet here we are with a contract forcing is away from the patients that truly NEED us.

This is spot on. If you want us to do urgent on the day as per the contract then give us the pharmacy first contract funding.

I think general practice has reached a fork in the road. Both of these are legitimate choices. But whichever path people take, it has to be one they can survive. There is no middle ground.

Sick notes shouldn’t sit with us, patients come to us for help, not judgement about their ability to work. It turns a clinical consultation into a work capability assessment, which isn’t really what general practice is designed for. This is for DWP.

This should worry every GP. Hospital-led GP contracts = loss of independence, loss of voice, loss of the partnership model. This isn’t integration it’s absorption.

2026 brings the loss of autonomy over referrals and access. Will 2028 be the end of all autonomy for general practice? The choice may be yours. Vote now. Reject the contract.

Linking GP funding to patient consultation ratings will reward bad medicine. Good care isn’t always popular.

Now let’s see this through! Give general practice the funding and control it needs to deliver healthcare at its best. Preventative medicine and proper holistic care.