Are GPs Expected to Do More Work Under the 2025/26 Contract?

Are GPs Expected to Do More Work Under the 2025/26 Contract?

Overview

The 2025/26 GP contract aims to reduce bureaucracy and increase funding, but some clinicians are concerned it may actually increase workload. This guide explores whether the contract changes create additional work for GPs or improve efficiency.


Common Concerns & Reality

Concern 1: "Fewer Targets Mean More Unstructured Work"

Reality: The removal of 32 unnecessary targets actually reduces administrative burden, allowing GPs to focus on patient care.

What GPs Need to Know:

·      Practices no longer need to report on redundant indicators, reducing paperwork.

·      More flexibility means GPs can prioritise clinical care over data entry.

·      Admin teams should be trained to handle digital triage, reducing GP workload.


Concern 2: "Online Access Will Lead to More Appointments & Demand"

Reality: While digital access increases convenience, it does not necessarily create more work—effective triage can manage demand.

What GPs Need to Know:

·      Online requests must go through triage, so practices can prioritise cases.

·      Reception and admin teams can handle more routine queries digitally, reducing GP involvement.

·      Increased automation (e.g., patient messaging and self-service booking) helps manage patient flow.

 

Concern 3: "Continuity of Care Requirements Will Increase GP Pressure"

Reality: Continuity of care is encouraged but not mandated for all patients—practices have flexibility in how they implement it.

What GPs Need to Know:

·      Patients who benefit most from continuity will be prioritised—not every patient needs the same GP.

·      Practices can use longer-term appointment planning to balance continuity with access.

·      PCNs may support continuity by offering multi-disciplinary team (MDT) models.


Concern 4: "Workload Will Increase Due to New Clinical Focus Areas"

Reality: While the contract shifts focus to CVD prevention and proactive care, these areas are now better funded, supporting workload management.

What GPs Need to Know:

·      Increased QOF funding means better reimbursement for proactive care.

·      ARRS funding flexibility allows practices to expand their workforce, shifting work from GPs to additional roles.

·      Enhanced Services funding can help practices invest in additional clinical support.

 


Strategies to Manage Workload Under the New Contract

Utilise ARRS roles effectively – Expand use of pharmacists, care coordinators, and paramedics.

Optimise triage and digital pathways – Reduce unnecessary GP appointments by using automation.

Leverage team-based care models – Work with PCN partners to share clinical responsibilities.

Plan ahead for QOF & Enhanced Services – Align workforce planning with financial incentives.

 


Final Thoughts

While the 2025/26 contract introduces changes, it also provides funding and structural flexibility to help manage workload effectively. Practices that proactively adapt their workflows can benefit from reduced admin burden and better financial support.

📢 Understanding how to implement contract changes strategically will help GPs manage workload more efficiently!

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