With significant changes introduced in the 2025/26 GP contract, there’s a lot of speculation and uncertainty about what these updates really mean for practices. This guide tackles some of the most frequently asked questions, debunks common myths, and provides clear, actionable insights.
Reality: While the contract introduces mandatory online appointment requests during core hours from October 2025, it does not guarantee an end to the 8am bottleneck. It does, however, shift demand to digital platforms, which may improve phone access for patients with urgent needs.
Reality: Yes, the Global Sum per patient increases to £121.90, and there is £889m additional investment into GP services. However, some of this funding comes from the redistribution of QOF indicators and other efficiency measures, rather than completely new money.
Reality: Practices must comply with online booking mandates by October 2025. Failure to do so could lead to contractual breaches. ICBs will be monitoring compliance closely.
Reality: No, but 32 QOF indicators are permanently retired, and £298m has been reinvested into the Global Sum and CVD prevention initiatives. Some practices may see changes in how they earn QOF income, depending on their patient population and performance.
Reality: While admin workload may decrease, practices still need to meet CVD prevention targets to ensure funding isn't lost. The focus has shifted from box-ticking to proactive patient care.
Reality: Yes, and it's been expanded. GPs and practice nurses can now be recruited under ARRS, and there are no hiring caps for these roles.
Reality: Yes, practices must enable GP Connect to share records with NHS and private providers (with patient consent). Compliance is required by October 2025.
Reality: No, but online access must be available for those who prefer it. The aim is to reduce pressure on phone lines, but traditional booking methods will still be available.
Reality: The expansion of ARRS means that PCNs can hire more staff, including GPs and nurses, to ease workload. The removal of hiring caps provides greater flexibility in workforce planning.
Reality: No, but it offers £20 per pre-referral request, which can help reduce unnecessary hospital referrals while generating additional practice income.
Reality: Yes, minimum salaried GP pay rises to £82,418, with reimbursement available under ARRS.
📌 April 2025: Contract changes come into effect.
📌 October 2025: Practices must be compliant with online booking and GP Connect.
📢 Have more questions? Let us know, and we’ll update this guide as more details emerge!