FAQs: Understanding the 2025/26 GP Contract Changes

FAQs: Understanding the 2025/26 GP Contract Changes

Overview

With the 2025/26 GP contract introducing significant changes, many GP practices have common concerns and misconceptions. This FAQ guide aims to clarify key updates, financial implications, and compliance requirements to help practices adapt effectively.

Frequently Asked Questions

1️ Does the 2025/26 Contract Really Reduce GP Workload?

Answer: While the contract removes some bureaucratic requirements (e.g. reducing QOF reporting obligations), it also introduces new compliance areas, such as digital access mandates. Practices will need to ensure efficient workflows to balance these changes.

Key Takeaways:

·      Presented as less admin burden with QOF streamlining.

·      More flexibility in ARRS workforce deployment.

·      Additional digital access requirements may increase initial workload.


2️ What Happens if My Practice Misses the Online Booking Deadline?

Answer: From October 2025, all practices must offer online appointment requests throughout core hours. Practices that fail to comply risk funding reductions linked to digital access initiatives.

Key Takeaways:

·      Check your clinical system (EMIS/SystmOne/Medicus) to enable online booking.

·      Train admin teams to manage online requests efficiently.

·      Ensure phone lines remain available for non-digital patients.

 

3️ Will QOF Changes Impact My Practice’s Financial Stability?

Answer: Yes, QOF funding has been reallocated towards prevention (e.g. CVD indicators), and some indicators have been retired. Practices that do not adjust clinical focus and workflows may see a drop in QOF income.

Key Takeaways:

·      Review QOF indicators and prioritise high-value areas.

·      Ensure coding accuracy to capture eligible patients.

·      Use automated recalls to optimise patient reviews.


4️ Are There Penalties for Not Meeting Digital Access Requirements?

Answer: While no direct financial penalties have been announced, practices that fail to comply with online booking and access standards may lose out on funding opportunities linked to digital transformation initiatives.

Key Takeaways:

·      Enable online appointment booking as soon as possible.

·      Ensure a smooth patient experience to prevent dissatisfaction.

·      Monitor NHS England guidance for potential funding risks.


5️ What Support is Available for Implementing These Changes?

Answer: Practices can access support from ICBs and PCNs to assist with implementation. NHS England will also provide guidance documents, webinars, and training resources.

Key Takeaways:

·      Engage with your PCN/ICB for funding and implementation support.

·      Utilise guidance for system configuration.

·      Train practice staff on new requirements before deadlines.

 

Next Steps & Deadlines

🗓 April 2025 – QOF and funding changes take effect.

🗓 October 2025 – Online appointment requests must be live.


Immediate Actions:

·      Review contract changes and identify at-risk funding areas.

·      Ensure compliance with digital and workforce mandates.

·      Develop a financial strategy to mitigate QOF funding risks.

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