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Agenda

• Pharmacy First: Five new conditions added to pharmacist prescribing scope.
• Collective Action Paused: BMA pauses escalation to 1 December for contract funding talks.
• AI Regulation & Training: National Commission report release and MHRA call for mandatory GP training.
• AI-Generated Complaints: Addressing administrative burdens and introducing structured patient forms.
• Upcoming Events: Registration links for GP5T-12 and the Best Practice Show.

Pharmacy First Expansions

• Pharmacists can now treat five additional common conditions, including acne and migraines.
• Pulse: Migraines and acne among five more conditions pharmacists can treat
  https://t.co/mnTNfQgonC
• NHS Inform Scotland: Pharmacy First Conditions
  https://www.nhsinform.scot/care-support-and-rights/nhs-services/pharmacy/nhs-pharmacy-first-scotland#conditions_you_can_get_help_for

BMA Collective Action Escalation Paused

• GPC paused action until 1 December to negotiate an extra £50 per patient funding uplift and halt practice list removals.
• Pulse: BMA postpones GP collective action escalation
  https://www.pulsetoday.co.uk/news/breaking-news/bma-postpones-gp-collective-action-escalation-as-it-re-enters-bilateral-contract-talks/

Healthcare AI Regulation & GP Training

• The National Commission published safety framework recommendations, while the MHRA advised mandatory AI training for GPs.
• Pulse: GPs should receive mandatory training on AI tools
  https://www.pulsetoday.co.uk/news/education-and-training/gps-should-receive-mandatory-training-on-ai-tools-mhra-recommends/
• UK Government: National Commission Report (PDF)
  https://assets.publishing.service.gov.uk/media/6aa2662962ec7fe7bedf52b9/Full_National_Commission_Report_-Publication__1.pdf
• GOV.UK: AI Healthcare Regulatory Framework Recommendations
  https://www.gov.uk/government/publications/national-commission-into-the-regulation-of-ai-in-healthcare-recommendations-for-a-future-regulatory-framework/national-commission-into-the-regulation-of-ai-in-healthcare-recommendations-for-a-future-regulatory-framework

Managing AI-Generated Complaints

• LMCs urge patients to avoid AI-generated complaint letters; practices are advised to use structured digital forms with word limits to streamline reviews.
• Pulse: Patients warned against lengthy AI complaints
  https://www.pulsetoday.co.uk/news/technology/patients-warned-against-lengthy-ai-generated-complaints-to-gp-practices/
• Cambridgeshire LMC: Template Resource
  https://cambslmcltd.sharepoint.com/:w:/s/PublicAccessResources2/IQD8-AXae2I1TaIPxFY3nfSyAZDoMEBt7nTdHh4oHMZ7luQ?rtime=YgZsxuoU30g
• PHSO: AI Prompts for Complaints
  https://www.ombudsman.org.uk/making-complaint/complain-us-getting-started/filling-our-complaint-form/useful-prompts-artificial-intelligence-ai-tools-help-your-complaint?utm_source=chatgpt.com
• Care Management Matters: AI Complaints Guidance
  https://www.caremanagementmatters.co.uk/blog/ai-generated-complaints-and-how-to-deal-with-them/

Events

• GP5T-12 GP Trainers Conference: https://events.ringcentral.com/events/gp5t12/registration
• Best Practice Birmingham: https://www.bestpracticeshow.co.uk/birmingham

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**eGPlearning Update: RCGP Open Letter, Tech Registries, and System Reform**

In this episode, we break down the latest macro shifts hitting primary care—from national policy posturing and contract negotiations to digital health transparency and supply chain disruptions.

**Key Topics Covered**

* **The RCGP Open Letter:** Analyzing the College’s 5 commitments, the urgent call to protect relational continuity, and whether the letter actually goes far enough to safeguard the partnership model and GP professional integrity.
* **Funding and Structural Reform:** Why matching ambition with investment requires overhauling outdated mechanisms like the Carr-Hill formula, contrasting policy rhetoric with front-line clinical leadership perspectives, and asking whether NHS decision-making can ever genuinely be depoliticized.
* **Neighbourhood Care & Clinical Leadership:** Placing properly resourced general practice at the heart of integrated neighbourhood teams without letting top-down restructuring dilute autonomy.
* **The 6B NHS Tech Registry:** A look at the crowd-sourced/FOI-driven health tech registry—why independent transparency exists, why central NHS systems fail to provide it, and how social validation shapes clinical procurement.
* **Drug Shortages:** The ongoing operational reality and clinical risk of supply chain instability in day-to-day practice.

---

**Links & Resources Mentioned**

* **RCGP Open Letter for a Stronger NHS:** [https://www.rcgp.org.uk/getmedia/39a9c5ae-c41b-4c89-84f0-1f8c7fe6a6f4/Open-Letter-for-a-Stronger-NHS-formatted.pdf](https://www.rcgp.org.uk/getmedia/39a9c5ae-c41b-4c89-84f0-1f8c7fe6a6f4/Open-Letter-for-a-Stronger-NHS-formatted.pdf)
* **6B NHS Tech Registry:** [https://nhs-tech.6b.health/](https://nhs-tech.6b.health/)
* **GP5T12 Conference Registration:** [https://events.ringcentral.com/events/gp5t12/registration](https://events.ringcentral.com/events/gp5t12/registration)

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Unpacking the GP Patient Survey 2026: Methodology, Insights & Actionable Takeaways

In this episode, we break down the newly released GP Patient Survey 2026 for England. We take a close look behind the headline numbers to examine the survey’s methodology, analyze what the results actually mean for general practice, and share practical ways you can leverage these insights within your own practice.

What We Cover
- Beyond the Headlines: Addressing the "lazy" media narratives around GP performance versus the real data published by NHS England and Ipsos on July 9, 2026 (based on ~654,000 patient responses collected between January and April 2026).

- Key Findings: Continuous improvements in patient satisfaction and digital access across the country.

- Understanding the Methodology: How data is collected. Sampling techniques. Response rates and statistical validity

- Putting the Results to Work for Your Practice:
Navigating the official portal to look up your practice
Benchmarking against your Integrated Care Board (ICB) and neighbouring practices. Exporting data to Excel and generating presentation-ready infographic slides

- Why Are Scores Improving?
The hard work of primary care teams
The impact of Primary Care Network (PCN) funding and expanded role flexibility (including GP and nurse support alongside physios, pharmacists, and personalized care teams)

Resources & Links Mentioned
GP Patient Survey Official Portal:
https://gp-patient.co.uk/
GP Patient Survey 2026 Methodology & Technical Annex:
https://gp-patient.co.uk/technical-annex-introduction-2026
Media Article Discussed:
https://www.mirror.co.uk/news/health/gp-doctor-general-practice-survey-37413432

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In this episode, we break down the latest news affecting primary care and general practice in the UK. We cover the appointment of the new Health & Social Care Secretary, updates on BMA collective action steps for August, calls from grassroots GP groups, and newly released official guidance on Ambient Voice Technology (AVT).

🔑 Key Topics & Links Mentioned

1. New Health & Social Care Secretary: Yvette Cooper

• Yvette Cooper becomes the 9th Health Secretary in just over 5 years, replacing James Murray.
• Background: MP for Pontefract, Castleford & Knottingley since 1997. Previous cabinet roles include Home Secretary, Chief Secretary to the Treasury, and Work & Pensions Secretary.
• Discussion: What does this appointment mean for social care, major reform follow-through, and the relationship reset with new GPC Chair Dr Clare Bannon?
• 🔗 Pulse Today Article
• 🔗 Voting Record on Health (TheyWorkForYou)

2. Grassroots GPs Urge Focus on Family Doctor Model

• Rebuild General Practice and DAUK urge the new administration to ensure "neighborhood health" is built on strong, resourced local practices.
• 🔗 Pulse Today Coverage

3. BMA GP Collective Action Update

• No further escalation of action is planned for August, but practices are encouraged to participate in public-facing activism:
  • Patient Petition: Encourage patients to sign the petition protecting family GP services.
  • MP Action Tool: Write to your MP using practice-specific data regarding contract pressures.
• 🔗 Sign/Share the Petition
• 🔗 BMA MP Writing Tool & Spreadsheet
• 🔗 Pulse Today Article

4. Ambient Voice Technology (AVT) Guidance

• New guidance published on AVT-enabled products in general practice.
• We dive into key questions: Can you start using AVT now? What governance is required? When is an AVT considered a medical device vs a administrative tool?
• 🔗 Gov.uk AVT Guidance Document

5. Reminder: Neighborhood Contract Consultation

• Don't forget to submit your feedback on the proposed MNP and SNP contracting models.
• 🔗 NHS England Consultation Overview
• 🔗 Watch our previous deep-dive episode on YouTube

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Find out more about GP Triage here: https://www.gptriage.com/

Join DrGandalf and the team from GP Triage to learn how they have a smart AI triage and booking tool for General Practice

00:00 Meet GP Triage team
01:30 What GP Triage does
07:54 Bespoke Creation around you
09:22 Data Governance
12:05 Integration
12:30 Cost
13:05 GP Triage patient View
17:30 GP Triage Practice view
20:08 DrGandalf Summary
20:40 Onboarding
23:10 Skills matrix and setup
24:55 Patient allocations
25:50 GP Triage System Integration
27:55 Support and training
29:30 Data Governance of GP Triage
31:04 Cost of GP Triage
32:30 Bold Claim of GP Triage!
33:18 Viewer Questions
36:28 Complex patient bookings
37:20 a USP of GP Triage
39:00 Patient experience
42:40 GP Triage automated booking and mapping
44:26 More granular questions
45:35 Non-digital patients
48:55 Spoilers from GP Triage
50:14 Contact GP Triage
50:25 Time saved with GP Triage

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Fill in this form on MNP and SNPs : https://www.engage.england.nhs.uk/con...

00:00 Back from a break
01:49 MNP and SNP contracts
05:20 Contract details
14:27 MNP - Multi-Neighbourhood Provider Contracts
25:20 SNP - Single Neighbourhood Provider Contracts
32:30 PCNs change to SNPs
37:45 Commissioning other services
39:26 GP Share your views on new contracts
42:20 Comments
43:25 Our views on new contracts
46:30 Dr Clare Bannon New GPC chair
49:50 New GPC chair agenda
01:00:30 AVT procurement
01:03:01 Summary


A consultation on proposed Multi-Neighbourhood Provider (MNP) and Single Neighbourhood Provider (SNP) contracting models to support neighbourhood health services

https://www.engage.england.nhs.uk/con...


The new GPC chair is asking a question few GP leaders have dared to ask
https://www.pulsetoday.co.uk/views/ed...

Midlands leads the way on ambient voice technology
https://www.england.nhs.uk/midlands/2...

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Andy flies solo to dive into what is arguably the most critical and headline-grabbing issue in general practice right now. Following the imposed contract in April, collective action is already underway—but the conversation has rapidly shifted. We are now seeing serious high-level discussions, BMA ballots, and even parliamentary motions exploring a "Plan B": a move toward a means-tested, subscription-based private GP model reminiscent of NHS dentistry.

Andy breaks down how we got here, the shifting appetite for private work among GPs, and what this means for the future of the profession and patient access.

⏱️ Timeline & Episode Markers

• 00:00 – Welcome & Intro: Andy solo update.
• 01:15 – The Backstory: The imposed April contract and why the profession rejected it.
• 03:00 – Collective Action So Far: Data Sharing Agreements (DSAs) and medicine optimisation software.
• 04:45 – The Rise of "Plan B": The LMC Conference vote and the GPDF funding resolutions.
• 07:20 – The Upcoming BMA Plan B Ballot: What a "subscription-based" GP service could look like.
• 09:40 – Parliamentary Traction: The Early Day Motion (EDM) and the DHSC's response.
• 11:15 – Data Check: Just how many GPs are looking to scale up private work? (The Wesleyan Poll).
• 13:30 – Andy’s Reflections: How the BMA using private care as a bargaining chip marks a massive generational shift.

🔗 Resources & Links Mentioned

• Pulse Article: UK GP leaders vote to explore dentist model outside the NHS
• Pulse Article: Proposal to cut BMA GP committee funding voted down
• Pulse Article: General practice 'Plan B' ballot will be open to all GPs
• UK Parliament: Early Day Motion 66054: General Practice Funding and Model
• Pulse Article: Two-thirds of GPs likely to increase private work due to imposed contract

💬 What are your thoughts on "Plan B"? Are you considering increasing your private portfolio, or do you feel we must protect the core NHS model at all costs? Let us know in the comments or tweet us at @eGPlearning.

Don't forget to subscribe and leave a review if you found this solo update valuable!

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Andy flies solo to dive into what is arguably the most critical and headline-grabbing issue in general practice right now. Following the imposed contract in April, collective action is already underway—but the conversation has rapidly shifted. We are now seeing serious high-level discussions, BMA ballots, and even parliamentary motions exploring a "Plan B": a move toward a means-tested, subscription-based private GP model reminiscent of NHS dentistry.

Andy breaks down how we got here, the shifting appetite for private work among GPs, and what this means for the future of the profession and patient access.

⏱️ Timeline & Episode Markers
00:00 – Welcome & Intro: Andy solo update.
01:15 – The Backstory: The imposed April contract and why the profession rejected it.
03:00 – Collective Action So Far: Data Sharing Agreements (DSAs) and medicine optimisation software.
04:45 – The Rise of "Plan B": The LMC Conference vote and the GPDF funding resolutions.
07:20 – The Upcoming BMA Plan B Ballot: What a "subscription-based" GP service could look like.
09:40 – Parliamentary Traction: The Early Day Motion (EDM) and the DHSC's response.
11:15 – Data Check: Just how many GPs are looking to scale up private work? (The Wesleyan Poll).
13:30 – Andy’s Reflections: How the BMA using private care as a bargaining chip marks a massive generational shift.

💬 What are your thoughts on "Plan B"? Are you considering increasing your private portfolio, or do you feel we must protect the core NHS model at all costs? Let us know in the comments or tweet us at @eGPlearning.
Don't forget to subscribe and leave a review if you found this solo update valuable!


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Question -



Disclaimer: Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...

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See how GP Automate can help clear your pathology inbox: https://www.gpautomate.com

00:00 Meet GP Automate Team
02:10 Admin Challenges
04:34 Practice processes
06:30 Result filing experience
10:00 GP admin conundrum
11:30 GP Automate in action
11:50 GP Automate integration
13:30 Lab report certainty
15:48 Hidden GP Path result costs
17:03 Practice configurations and protocols
19:30 Automating your QoF and LES outcomes
21:30 Safety at its core
25:50 Automating 80+ abnormal  GP results
29:35 What GP automate doesnt do
30:10 When GP results are normal but not normal
32:00 GP Automate Clinical Safety
34:40 Results Trend analysis
36:20 QoF benefits
38:05 LES benefits
40:05 GP Automate Case examples
42:30 How is time saved calculated
46:25 What is a result?
48:15 GP Automate cost
51:20 GP automate what is next
53:08 Practice impact with GP automate
55:20 Contact GP Automate free trial
56:50 GP Automate onboarding
58:20 Data Governance
59:50 More questions




See their channel ‪@gpautomate3165‬ 

GP partners. Your lab inbox — how much of your week does it eat? Five
hours? Ten?
Stop. There is a legal way to automate abnormal results now. Not normal — abnormals.
Built by a GP, MHRA Class 1 registered, used by 200+ practices across 23 ICBs.
If you are still manually filing bloods in 2026, you are losing money and burning out your team.

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In this episode…

• GP Collective Action Month 2 - Medication Optimisation Software
• A “hyper focus” on GP access at the expense of frailty management is discussed at the Public Accounts Committee at Westminster
• GPCE Committee funding at risk as GPDF debate motion to cease funding in favour of an alternative  way to secure a “Plan B” dentistry like model for General Practice

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Vote for your winner here: https://us22.list-manage.com/survey?u...

Join the TPP conference: https://mailchi.mp/tpp-uk/tpp-systmon...

Join DrGandalf and Team GP in primary care as they show off how to use TPP SystmOne to innovate care and support Neighbourhoods with the chance to win £1000 for each award.

00:00 TPP Awards intro
01:13 Previous Award WINNERS
02:30 Meet the Nominees
04:16 CLAS by Countesthorpe Health Centre
15:56 Majic NAV by Kings Medical Practice
27:30 Cancer workflow by Parkside Medical Centre
38:29 INT with Spen Health PCN
48:35 Frailty and CGA by Pathfields Medical Group
56:40 Vote and Major news

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Grab the free profiles here ➡️ https://egplearning.kit.com/streamdeck

Grab your Stream Deck here ➡️ https://bit.ly/eGPLStreamDeck

Subscribe to our Podcast: https://link.chtbl.com/egplearning

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Ways to Work with Us: contact me:   / dr-hussain-gandhi 

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Question - what do you want to do with your stream deck?


Disclaimer: Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...

⏰ Timecodes ⏰

00:00 My Unicorn Video
00:38 What is a Stream Deck
01:40 Types of Stream Deck
02:55 Before you get a Stream Deck
03:50 Shareable Stream Deck profiles
04:45 Stream Deck Demo
06:00 Timers in Stream Deck
06:35 Launch websites with Stream Deck

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Join Andy and Gandhi for the latest on GP reimbursement scheme, and collective action in General practice

SFE details: https://assets.publishing.service.gov...

PCN DES contract: https://www.england.nhs.uk/publicatio...

Guidance B:  https://www.england.nhs.uk/publicatio...

BMA response: https://www.bma.org.uk/gpcontract?utm...

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Dr Manik Arora, Nottingham City Coach for the NHS National Neighbourhood Health Innovation Programme (NNHIP) talk to andy about the progress and learning on the programme as Nottingham develops it's Neighbourhood Health offer.

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GP Contract SFE document: https://assets.publishing.service.gov.uk/media/69cbe5032d120d9d5ec0f352/general-medical-services-statement-of-financial-entitlements-directions-2026.pdf

Pulse story… https://www.pulsetoday.co.uk/news/practice-personal-finance/global-sum-increases-by-5-4-for-gp-practices-in-2026-27/ 

One of the key documents for understanding GP contractual obligations… Alongside the GMS contract

• Andy POW summary 2023 SFE: 0% increase, uncertain costs, and workload surge | Andy Pow posted on the topic | LinkedIn
• Other summary/points and thoughts
• Discussed a lot as part of earlier review of contract changes…
• What should practices do - budget setting and pay reviews…

PCN PLUS: bit.ly/PCNPLUS26

eSPoA technical guidance has also landed

https://www.pulsetoday.co.uk/news/clinical-areas/dermatology-and-wound-care/trusts-must-respond-to-gp-ag-requests-within-five-working-days-says-nhs-england/ 

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Join Andy and Gandhi as they review the PCN DES 2026-27 join us at PCN Plus 2026: bit.ly/PCNPLUS26

PCN DES guidance: https://www.england.nhs.uk/long-read/...

Bilal Ahmed's cheat Sheets: https://pcninsights.lovable.app/

QoF guidance 2026-27: https://www.england.nhs.uk/wp-content...

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Join us for PCN Plus 2026: https://bit.ly/PCNPLUS26

Neighbourhood Health explained by PCN Plus

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Rules and application here, submissions by 18th March: https://tpp-uk.com/systmone-gp-excellence-awards-categories/

Join DrGandalf and Team GP in primary care as they show off how to use TPP SystmOne to support caring and long-term condition (LTC) efficiency in practice and excellence in prescribing safely, with the chance to win £1000 for each award.

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Register for PCN Plus while you can: https://bit.ly/PCNPLUS26

Join Andy and Gandhi of eGPlearning as they explain what the new Neighbourhood Health Framework and Fit for Future plans mean for General Practice live.

Neighbourhood Health Framework guidance: https://www.gov.uk/government/publica...

Fit for the Future - towards population healthcare: https://www.gov.uk/government/publica...

GPAD update on clinically urgent appointment mapping:    • GPAD clinically urgent GP appointment data... 

Medium Term planning framework:    • NHS Medium Term Planning Framework guide  

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Immediately after our interview with BMS GPC Chair Dr Katie Bramall-Stainer about the GP Contract for 26-27, we recorded our thoughts about the chat. We cover what we learned about the contract, what collective active for GPs could look like this time around, and what the “end game” might be for General Practice and DoH. 

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Vote for your winner: https://us22.list-manage.com/survey?u...

Join DrGandalf and Team GP in primary care as they show off how to use TPP SystmOne to tackle triage and access and improve your operational efficiency in practice with the chance to win £1000 for each award.

00:00 Intro to awards
02:12 Upcoming awards

The Access & Triage Excellence Award

03:50 Ocimum Healthcare Limited
14:55 Harewood Medical Practice
22:40 Health Care First

33:50 The Operational Efficiency Award

34:12 Steel City General Practice
46:14 Leylands Medical Centre
54:50 Topsham Surgery

01:04:30 Vote now

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Book a call: https://meetings-eu1.hubspot.com/ioana-negrila/bookdemo?uuid=270b908b-a0d0-43be-a58f-5d9b448bf1da

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See more at https://medicsmoney.co.uk/

Disclaimer: Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...

⏰ Timecodes ⏰

00:00 Intro
00:38 Who are Medics Money?
02:07 Finance of GP
04:00 What's changing?
08:15 Smarter GP income
16:25 Understand GP finance
20:50 Practice vs PCN finance
25:27 GP NHS pensions
33:35 GPs reduce your tax
40:30 How Medics Money can help

#primarycare #generalpractice 

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In this episode we discuss the recent visit by BMA GPC Chair Katie Bramal-Stainer to a Derbyshire-Lincolnshire-Nottinghamshire LMC event. 

What were some of the questions in the room and what did we learn about contract timelines, content and the future of collective action for General Practice? 

We also discuss news stories covering some sudden and disruptive changes to GP Trainee assessment software, the shortage of yet another common drug (Aspirin!), and additional funding for cancer screening in areas of high deprivation.

And… opportunities to join Gandhi and Andy at two upcoming eGPlearning events…

GP5T11 Online GP Trainer Conference https://events.ringcentral.com/events/gp5t-11/registration 

PCNPlus26 Conference in Nottingham or online https://www.thcprimarycare.co.uk/pcnplus2026 

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Register your interest to deliver intelligent care navigation: https://fmgwh.share-eu1.hsforms.com/2...

Register for X-on Health AI Roadshow: https://event.x-on.co.uk/safe-secure-...

X-on Health's Intelligent Care Navigation System: https://app-eu1.hubspotdocuments.com/...

Time codes:

00:00 Intro
00:49 Team X-on Health
03:15 Intelligent Care Navigation Systems
04:40 X-on health components
06:20 Delivering Intelligent Care Navigation Systems
08:30 X-On Surgery Assist
13:50 Practice view of Forms
14:30 Omni-Consult
16:20 X-on Voice Agents
18:45 Some questions from eGPlearners
23:55 X-on Surgery Intellect
28:22 What's Next from X-on
29:56 Hyperlocalisation impact
33:25 Surgery Assist Practice signposting
37:00 Surgery Insights
38:50 Questions and comments
39:00 Data Governance
41:15 X-on Nottingham Roadshow
Register for X-on Health AI Roadshow: https://event.x-on.co.uk/safe-secure-...
45:20 Onboarding with X-On
48:45 Cost
50:50 Find out more

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GP surgeries are being asked to display posters promoting Jess’s Rule. Developed together with the profession, this rule asks GP teams pause, reflect, review and rethink the assessment and management of patients if they have been seen three times with the same or escalating symptoms.

In this episode we discuss Jess’s rule and how it might be received and implemented in practices.

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BONUS EPISODE – Gandhi and Andy take time to reflect after a visit to Nottingham by Dr Minal Bakhai MBE from NHSE to explore how Neighbourhood Health is developing in the City and what progress is being made here as one of the 43 National Neighbourhood Health Implementation Programme (NNHIP) sites.

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Join Andy and Gandhi of eGPlearning as they review the latest guidance on vaccinations and immunisations for 2026 and more

Service specification: General practice seasonal vaccination services – COVID-19 and influenza vaccination enhanced services
19/1/26
https://www.england.nhs.uk/publicatio...

Letter…
For the first time, we have combined the COVID-19 and adult influenza service specifications into 1 document
practices can still sign up to deliver only the adult influenza vaccination service
streamlined and further aligned the COVID-19 and adult influenza vaccination requirements

See bullet points in letter…
PRactice individualy, not just as part of PCN
No housebound covid vacs fee (was £10)



Thoughts
Welcome change to be able to sign up individually - less hassle = more uptake
Cost effective to combine


Main Doc… Can look at sections
Sign up process and dates

COVID 19 Vaccine - centrally provided by commissioner - via FDP


Government’s current vaccination strategy is ‘a failure’ and must be replaced, say MPs
https://www.pulsetoday.co.uk/news/cli...

Cocodamol shortage:

https://primarycare.lancashireandsout...


Wavelength

New 10-year plan contracts should not be created without GP approval, says BMA
https://www.pulsetoday.co.uk/news/nhs...

New contracts announced as part of the 10-year health plan should not be created ‘without the approval and consent of GPs’, the BMA has told the Government.

Treasury launches review into how to shift investment to primary care
https://www.pulsetoday.co.uk/news/pra...

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Join DrGandalf and the team from Tempo to see how they can sort your rota, HR, finance and more. See Tempo: https://tempo.gpnetworks.co.uk/

00:00 GP rota solved?
01:00 Who are Tempo
02:30 What is Tempo?
06:18 Tempo journey
07:40 Tempo coverage
08:13 Tempo integrations
09:45 Tempo HR support
11:55 Tempo improving your practice
13:40 Tempo platforms
14:05 Tempo forecasting
15:15 Tempo live demo
23:19 Tempo GP Rota made easy
25:48 Tempo GP Benchmarking
27:58 Tempo and GPNetworks
28:44 Contact Tempo
29:25 TPP and EMIS integration
30:45 Room planner?
32:15 NHS Pensions integration
34:30 Cost of Tempo
36:30 Onboarding with Tempo
39:06 Annual leave rules?
43:05 Tempo in brief..

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Join Andy and Gandhi as they cover the impact of local and national events in General Practice as we kick off 2026

Join Andy and Gandhi for the first update of 2026 in General Practice

Welcome to 2026

Waiting for Neighbourhood Guidance

???GP suspended after blocking out appointments to collect children???
https://www.pulsetoday.co.uk/news/reg...

5m suspension
Specific facts available if you want to explore this
Links to public record of the hearing
Many suggest sanction is excessive
We will discuss the issues around it
Long hours
Lack of flexibility
Culture of not being able to admit or address pressures
To pick up kids - pressure, child care, culture…



Calls to end GP-issued fit notes after 40,000 per day issued in 2025
https://www.pulsetoday.co.uk/news/cli...

Some 40,000 people were signed off with fit notes each working day last year
Centre for Social Justice (CSJ) estimated 11 million fit notes were issued in 2025 – the majority by GPs.
The CSJ recommended fit note responsibility be moved away from ‘overstretched’ GPs and into a new Work and Health Service and ‘embed employment and occupational health support at the point of sign-off’.
See box
They also said the total includes fit notes signed off as ‘may be fit for work’ as well as ‘not fit for work’.
This is despite the Government introducing legislation in 2022 which expanded fit note certification to other professionals such as nurses, physiotherapists, and occupational therapists. Last year, Government-commissioned research found limited take up of healthcare professionals other than GPs writing fit notes since the 2022 reforms.

Thoughts
Difficult to treat, maintain relationship, trust whilst enforcing a need to return to work?
Move to online consultations removing direct engagement with patients and losing opportunities to support back to work - something thats good for patients
Talk of removing this responsibility from GP s for some time
Used to be that 3-6m sickness DWP service assessed - this was removed at some point. Sounds like bringing that back
Behaviour of job centre
Also financial and societal/social pressure to return - presenteeism


EMIS set to be bought by US private equity firm in deal worth over £1bn
https://www.pulsetoday.co.uk/news/tec...

The largest supplier of GP IT systems in England could be bought by a US private equity firm in deal worth more than £1bn.
TPG is set to buy Optum UK, the company that owns the EMIS electr

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Its prediction time for General Practice in 2026!

We review our review previous predictions from our New Year’s episode 2020 to present, and whether they came true, are available in our last video. 

And make our predictions for General Practice in 2026. We cover what will be the key themes in GP Technology, and AI, and the policy and contracting landscape.

Will there be an imposed contract on general practice in April?

Find out what we are expecting!

As ever we are looking forward to tech enhancing your primary care and learning in 2026!

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A BONUS episode to welcome you to 2026!

Will there be an imposed contract on general practice in April 2026?!

Gandhi and I make our predictions for General Practice in 2026. We cover what will be the key themes in GP Technology, and AI, and the policy and contracting landscape

Our review of previous predictions from our New Year’s episode 2020 to present, and whether they came true, are available in our last video. This is the last segment of that video – published separately for those who just want to get down to what we think is coming up this year.

As ever we are looking forward to tech enhancing your primary care and learning in 2026!

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Join Andy and Gandhi as they cover the impact of the budget, the BMA being out of GP negotiations and other plans for GPs by the DAUK

Agenda
Wes Letter 27/11/25
BMA lose exclusive negotiating role in GP contract
Budget 25 - impact for GP?
DAUK Your GP here for you campaign

BMA set to lose exclusive GP contract negotiating role in England
https://www.pulsetoday.co.uk/news/breaking-news/bma-set-to-lose-exclusive-gp-contract-negotiating-role-in-england/ 


Not our role to negotiate GP contract’, says RCGP
https://www.pulsetoday.co.uk/news/contract/not-our-role-to-negotiate-gp-contract-says-rcgp/ 

NHSE primary care director Dr Amanda Doyle: Patients deserve consistent online access - by Amanda Doyle
https://www.pulsetoday.co.uk/views/2025-26-contract/nhse-primary-care-director-dr-amanda-doyle-patients-deserve-consistent-online-access/ 

Budget 2025

Context
Long wait
Lots of leaks and kite flying
Not least OBR leak on the day

https://www.nhsconfed.org/publications/autumn-budget-2025#:~:text=The%20overall%20budget%20for%20health,in%20the%20OBR's%20inflation%20projection. 

Wimslow practice video
https://www.youtube.com/watch?v=1zNQN8VJLVI 

Medics Money
https://www.youtube.com/watch?v=u0KEiv6cR8U 

Doctors demand new GP contract and £40-per-patient funding uplift
https://www.pulsetoday.co.uk/news/contract/doctors-demand-new-gp-contract-and-40-per-patient-funding-uplift/

Doctors’ Association UK (DAUK) has demanded that the Government increase core GP funding per patient by £40 a year as part of a new ‘patient-centred’ GP contract. 


The group’s ‘Your GP, here for you’ campaign proposes funding these changes by increasing per-patient funding by £40 a year to £209 – a move it says would bring the figure in line with inflation over the last decade. 


Advocate for a patient centred GP contract

https://dauk.org/our-call-for-new-patient-centred-gp-contract/ 



Wes Letter 27/11/25

Dear Colleagures… To GPs and bypassing the GPC

Firstly, I want to say a heartfelt thank you to you and your teams

Patient satisfaction with general practice is improving, with 73.9% reporting a good overall experience, up from 67.4% in July 2024. This is a significant achievement, and the credit is all yours.

Background to previous negotiation milestones with labour …
We struck the first contract deal with the BMA GPCE in 4 years last year, backed by £1.1billion in 2025/26 (an 8.9% cash uplift), the biggest in over a decade.
Within months of entering government, we invested an additional £82 million into the ARRS scheme and removed red tape to allow you to recruit over 2,500 extra GPs. I am now actively looking at ways I can introduce further flexibilities into the scheme to continue boosting GP employment.
To ensure general practice is rewarded for the additional work you take on through advice and guidance, we have introduced a financial incentive backed by additional funding.

GPs at forefront of developing INTs

Amidst all this brilliant work, you will be aware that the BMA GPCE has launched a formal dispute with the government over the 1st October online access contract changes which they agreed to, and which the vast majority of practices have now adopted.

Accuses KBS of unprofessional behviour regarding speech at LMC conference

I sincerely hope the BMA GPCE will choose to de-escalate their dispute.

I will shortly be writing to the BMA GPCE and a range of general practice stakeholders to begin consultation for the 2026/27 GMS contract, ensuring we reflect the diversity of views amongst the profession and patients as we establish our next steps to get general practice back on its feet and make it fit for the future.

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Join eGPlearning as we take a look at the NHS Medium Term Planning Framework. This document was published by NHS England on 24 October 25 and provides more detail on how DoH and NHSE will deliver on the aspirations outlined in the NHS 10 year plan.

This summary will help you understand where your ICB, Place, PCN and Practice are being asked to focus over the next 4 years.

The document covers how responsibilities for delivery will be distributed across different levels of within the system from the centre down to neighbourhoods and the layers in between, how aspirations will align with the three darzi shifts, and describes specific targets in the areas of; elective care, cancer and diagnostics, urgent and emergency care, primary care, community health services, mental health, learning disabilities and workforce.

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Ambient Voice Scribes are part of the NHSE plan to increase productivity in General Practice by providing an AI assistant who listens in on consultations and then provides documentation of encounters and can even convert what it has heard into referral letters and reports.

Andy and Gandhi discuss this technology, moving from a brief introduction to practical tips for getting started with this technology in your practice with the right governance in place.

Listen to the end and you might even know your DCB0129s from your DCB0160s…

Thanks to Dr Devin Gray & Wandsworth GP Federation who’s guidance we explore.

NHSE comprehensive guidance on AVS implementation in Health Care from April 2025 can be found here… https://www.england.nhs.uk/long-read/guidance-on-the-use-of-ai-enabled-ambient-scribing-products-in-health-and-care-settings/ 

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What is going on and will General Practice stop in October with the threat of industrial action and contract changes..find out with Andy and Gandhi of eGPlearning

BMA letter…
https://bma-mail.org.uk/t/cr/AQiEtRUQ...

The contract variation notice
https://www.england.nhs.uk/wp-content...

Original variation from April 2023… https://drive.google.com/drive/folder...

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What is happening in General Practice? Find out with Andy and Gandhi...

Join GP5TX: https://bit.ly/GP5TX

Streeting announces 43 neighbourhood pilots of which GPs will be ‘cornerstone’
https://www.pulsetoday.co.uk/news/con...


GP contract changed to require premises and phones remain open during core hours
https://www.pulsetoday.co.uk/news/202...

GPs need to triage patient requests but not give next-day clinical advice, NHSE clarifies

https://www.pulsetoday.co.uk/news/bre...

GPC England chair could face vote of no confidence amid contract changes row
https://www.pulsetoday.co.uk/news/pol...

BMA leaders to debate whether GPs should re-enter dispute over 10-year plan
https://www.pulsetoday.co.uk/news/spe...


Join Gandhi at The FIX, use discount code EGPLEARNING for 15% off: https://thefix.io/tickets/

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Join Andy and Gandhi for their reunion after a Summer break and loads of updates, including the 'You and Your Practice' review

You and Your General Practice Charter: https://www.england.nhs.uk/long-read/...

Digital Transformation summit:  https://bit.ly/MPDIGITAL25

GP5TX sign up: https://bit.ly/GP5TX

Feedback form:  https://bit.ly/eGPlearningF2025

Games from eGPlearning: https://egplearning.podia.com/egplear...

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Join Andy and Gandhi as they review the Leng Review and share other updates in General Practice, including the new chair of the RCGP and more

Leng review: https://assets.publishing.service.gov...

New RCGP Chair: https://www.pulsetoday.co.uk/news/bre...

GP partnerships here to stay? : https://www.pulsetoday.co.uk/news/spe...

GPs may strike again?? https://www.pulsetoday.co.uk/news/con...

IT chaos by miscoding:  https://www.pulsetoday.co.uk/news/cli...

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How to use autoreview with TPP and the new features, too. Watch here

Join Team ‪@TPPSystm1‬ and ‪@ArdensHealth‬ with Dr Mo Bhamani as we share what is now possible with the SystmOne auto-review features and a sneak peak into what is coming in the next few months.

Join the TPP Clinical AI webinar on 30th July:

Ardens Autoreview guide: https://support.ardens.org.uk/support...

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Join Andy and Gandhi as they review the long-awaited NHS 10-year plan link here: https://assets.publishing.service.gov...


00:05 - NHS 10-year plan outlines transformative healthcare strategies.
05:39 - Discussion on the NHS 10-year plan and its context.
11:25 - Shift from hospital to community
13:20 - NHS  neighborhood health centre models impacting general practices.
19:20 - Multi-neighborhood providers enhance healthcare delivery and support local practices.
23:01 - Discussion on the role and potential of primary care networks (PCNs) in neighborhood services.
24:47 - Community services with GP collaboratives addressing local healthcare needs.
28:15 - Enhancing neighborhood health centers is crucial for integrated healthcare.
29:53 - Enhancing GP estate utilisation for better healthcare delivery.
34:48 - NHS analogue to digital.
38:14 - NHS aims to enhance digital healthcare access through AI and technology.
39:54 - AI implementations in healthcare capacity vs quality
43:29 - UK aims to lead in personalised and genomic-based healthcare.
50:26 - Enhanced care plans aim to improve patient access and management through the NHS app.
53:45 - Digital transformation in NHS care faces challenges and requires clear communication.
55:18 - Discussion on improving NHS data sharing and patient engagement.
58:44 - NHS 10-year plan emphasises proactive measures for public health.
1:04:01 - NHS shifts power towards patients and local communities.
1:05:53 - NHS plans to integrate care models and enhance performance-based funding.
1:11:16 - Focus on patient empowerment and personalised care in NHS 10-year plan.
1:15:13 - NHS workforce changes
1:16:46 - NHS zero tolerance for workplace violence.
1:22:28 - Payment reforms in the NHS
1:27:28 - Concerns over NHS plan's delivery, funding, and potential risks to general practice.
1:31:11 - NHS's ambitious plan faces funding

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Join Andy and Gandhi for some significant updates in General Practice and more

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We explore and discuss the UK Health Security Agency (UKHSA) report on the impact of health equity and inequalities on individual and population health. 

This is the first time the agency has published a report about how health equity impacts rates and costs of communicable disease and ill health arising from environmental hazards. 

A really useful report for anyone with an interest in health equity, population health or caring for patient in disadvantaged areas or groups.

Read the report here... https://www.gov.uk/government/publications/health-inequalities-in-health-protection-report

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Join Andy and Gandhi for an update on the BMA, DDRB and impact for General Practice

England GPs to receive 4% pay uplift backdated to April
https://www.pulsetoday.co.uk/news/bre...

What is actually in the Doctors and Dentist Review Body Report?

   • What is actually in the Doctors and Dentis...  187 pages!

Review Body on  Doctors’ and Dentists’  Remuneration Fifty Third Report – 2025
https://assets.publishing.service.gov...

ICB imposes GP call response targets as part of £6.6m access funding
https://www.pulsetoday.co.uk/news/pra...

Capita to run GP support services for another three years
https://www.pulsetoday.co.uk/news/pra...


Capita slammed by former home secretary over ‘unacceptable’ GP pension errors
https://www.pulsetoday.co.uk/news/pra...


GPs could be liable for third-party errors in patient records, BMA warns
https://www.pulsetoday.co.uk/news/202...


GPs criticise juniors for ‘protectionist policy’ against international graduates

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Join Andy and Gandhi as they review the latest updates in General Practice, including Model ICBs, the BMA Value of a GP and some cool tech news. PCIT details: https://bit.ly/pcit2025

Find out more from our episode sponsor Primary Care IT: https://bit.ly/pcit2025

BMA Value of a GP: https://cdn.intelligencebank.com/eu/s...

Surgery Intellect by Tortus and Xon : https://www.digitalhealth.net/2025/05...

Neighbourhood Health in London: https://www.england.nhs.uk/london/wp-...

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