Articles & Insights
How a 10,000 Patient GP Practice Works Financially — 2026/27 View
2026-05-10 1 min read
A practical explanation of how NHS general practice funding flows into income, expenditure, workforce, premises, digital systems and operating surplus.
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Elective SPoA: What NHS England's Letter Means for Your Practice
2026-04-25 1 min read
NHS England has written to GP practices, ICBs and trusts to clarify how the elective single point of access model should work — and what secondary care is now required to deliver. We break down the key commitments, the operational standards you can hold trusts to, and what to do if your local SPoA isn't working.
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Is Your GPAD Data Ready for the 2026/27 Contract Changes?
2026-04-22 1 min read
The new GP Contract requires clinically urgent patients to be seen same day — and ICBs will now monitor this monthly through your GPAD data. But NHS England has flagged that slot mapping drift is widespread, meaning many practices are delivering the access without it showing in their numbers. This article explains what's changed and how you can upload your GPAD CSV to find out exactly where you stand in under 30 seconds.
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Advice & Guidance Changes from April 2026: What GP Practices Need to Know
2026-04-16 1 min read
From 1 April 2026, Advice & Guidance is no longer an optional enhanced service and is now built into the core GP contract. The £20 fee per request has gone, participation is effectively mandatory where clinically appropriate, and practices now face growing hidden workload when referrals are diverted back into primary care. This article explains what changed, where the operational pressure sits, and what practices should do now to protect capacity, document impact, and manage risk.
Read Article21st April is National Practice Manager Day — and Here's Why It Matters
2026-04-14 Benjamin Haresign 1 min read
Practice Manager Day comes around once a year, and most of us spend it the same way we spend every other day — holding everything together. This year I wanted to stop, just for a moment, and say what we don't say to each other nearly enough: what we do is extraordinary, and we deserve to hear it.
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BMA: New GP reimbursement scheme could be formalised in May
2026-04-08 1 min read
The Government is expected to formalise a new GP practice reimbursement scheme in May, allowing practices to claim funding backdated for the full financial year. The £292m scheme, moved from PCN Capacity and Access Payments, is intended to help practices recruit more GPs or increase GP sessions, but PCN leaders have warned it could force cuts to network services and create uncertainty for staff and patient care
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GMS SFE 2026/27: The Key Funding, QOF and Contract Changes Every Practice Needs to Know
2026-04-01 1 min read
The 2026/27 GMS Statement of Financial Entitlements brings a meaningful reset for general practice, with a higher Global Sum, an expanded and restructured QOF, new obesity and cardiovascular disease indicators, changes to vaccination provisions including MenB, and updated dispensing feescales. For practices, the real story is not just the uplift in funding, but the operational work needed to update searches, templates, recalls, coding and financial models so the new contract rules translate into
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PCN DES and QOF Changes for 2026/27
2026-03-26 1 min read
The 2026/27 updates to the Network Contract Directed Enhanced Service and the Quality and Outcomes Framework are not minor housekeeping edits. Between them, they change how practices can deploy GP capacity, how PCNs are expected to evidence continuity and screening delivery, and how QOF points are earned across a number of high-value indicators.
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CQC to revisit older Good and Outstanding GP ratings under new focused assessment programme
2026-03-25 1 min read
From March 2026, lower-risk NHS GP practices with historic Good and Outstanding ratings will begin to face focused reassessment under CQC’s new Returning to Good and Outstanding programme, with inspections centred on 10 non-clinical quality statements rather than a full clinically led review.
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