Emma and Nick discuss the results of the BMA referendum on the GP contract and what happens next, including whether GPs will take action and what health and social care secretary Wes Streeting has said about this.

They talk about this year’s GP contract deal after the DDRB recommended a 3.5% pay increase for GPs and practice staff and updated contract guidance for PCNs was published - highlighting some of the key challenges facing practices as the new financial year begins.

Our good news story this week is about the annual British Social Attitudes survey, which showed satisfaction with general practice has risen to its highest point since 2021.

This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.

Useful links

GPs vote overwhelmingly to reject 2026/27 contract

GPs could start collective action in April if contract talks fail

GP pay rise 'could fall short' amid rising inflation

Government reveals details of 2026/27 GP contract funding

GPs already hired with PCN cash can move to new practice-level scheme

Lack of detail on new GP reimbursement scheme ‘completely unacceptable’

Public satisfaction with general practice highest since 2021

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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

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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 links

Government reveals how neighbourhood model will fit with GP contract

Neighbourhood plans ramp up focus on GP access and advice and guidance

Minister outlines timetable for 'new Carr-Hill formula'

Mandatory advice and guidance adds to patient safety risks, warns LMC

GP locum rates fall in England but rise in rest of UK

Locum GP earnings hit as most struggle to find enough work

Uncoordinated NHS reforms causing 'widespread disruption'

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