The news that NHS England is to be disbanded has sent ripples across the healthcare sector. For years, it was the face of national healthcare management, implementing government directives and shaping policies that affected millions of patients and healthcare professionals. But as we reflect on its legacy, we must ask a difficult question: how did so many good people, dedicated professionals, become part of a system that often acted against the very principles of care and service they set out to uphold?
The NHS is increasingly focused on improving patient care by ensuring that specialist advice is available at the right time, without unnecessary delays or referrals. The Advice and Guidance (A&G) service has been developed as part of this wider strategy, allowing GPs to seek specialist input electronically before deciding whether a full referral is necessary.
When it comes to shaping the future of the NHS, few voices carry as much weight as Professor Ara Darzi. A world-renowned surgeon, researcher, and health policy expert, Darzi has spent years advocating for smarter, more efficient, and patient-centered healthcare. With reports that he is drafting a 10-year plan for the NHS, we might not expect radical surprises—but we can certainly expect a roadmap that builds on what we already know works. So, what might be in it?
The latest changes to the GP contract for 2025/26, as outlined by the BMA, are yet another disappointment for general practice. While the headline figures might suggest a significant investment, the reality is that this contract fails to address the deepening crisis in primary care. Instead of providing meaningful support to struggling practices, it adds complexity, increases workload, and shifts money around without solving the fundamental issues that GPs face every day.