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GP contract wording initiates BMA audit, vote of no confidence

11th September 2025 by NASGP

GP contract wording initiates BMA audit, vote of no confidence

The BMA has announced an audit after GPs found changes in the final contract wording, GP Online reports, and the General Practitioners’ Committee chair could now face a vote of no confidence, Pulse reports.

A contract variation notice published last month told practices they must be available to patients throughout core hours:

  • At the premises.
  • By phone.
  • Through the practice’s online consultation tool.

Practices and GP partners responded to the unexpected changes with surprise and disappointment.

The contract is due to come into force in just a fortnight’s time on Wednesday 1 October.

In a letter to LMC officers seen by Pulse, chair Dr Katie Bramall-Stainer acknowledged the changes had been missed.

Dr Richard Fieldhouse, NASGP chair and founder, said: “These unexpected changes in the final GP contract wording have understandably caused significant frustration for practice managers and partners, who are already navigating immense pressures from chronic underfunding and escalating workloads, and our sympathy and support are with them.

“In this challenging climate, Dr Katie Bramall-Stainer and the GPC are under immense pressure, and her acknowledgement of the missed changes is welcome, and the BMA’s decision to audit these events is a positive step towards clarity and accountability.

“While the DHSC and Health Secretary have been supportive, the current situation for GPs and the GPC is intense, so we are urging for a united and constructive approach to ensure stability for primary care.”

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Anon nurse, Frimley

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