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.
The 2008 financial crisis remains one of the most significant events in modern economic history. Triggered by reckless lending practices and a collapse in the global banking sector, the crisis left a deep and lasting scar on the global economy. In the UK, the effects of the crash have rippled across society, most notably in the public sector, which has seen extensive cuts in funding for crucial services, including healthcare and social care. While the direct economic damage from the crash is well-documented, less attention has been paid to its enduring impact on public health and social care.
The National Health Service (NHS) has long been considered one of the UK’s greatest achievements. Founded in 1948, it was built on the principles of universal healthcare, free at the point of use. However, in recent years, the NHS has faced mounting pressures, with declining performance, longer waiting times, underfunded infrastructure, and growing staff shortages. While domestic policies play a significant role in shaping the healthcare system, the broader context of global politics and economics cannot be ignored.
General practice is the bedrock of the NHS, handling over 90% of patient interactions while receiving less than 10% of the NHS budget. Yet despite its pivotal role, GP services are at breaking point. Practices are operating at full capacity, with increasing demand, workforce shortages and administrative burdens placing an ever-growing strain on the system.
However, despite these pressures, general practice has the potential to deliver more. With the right funding, resources and structural support, it could expand its capacity, improve patient care and play a greater role in reducing pressures elsewhere in the healthcare system.
