GPC webinars on Contract Changes 2025-26

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The GPC England team have been running a series of webinars to explain the contract changes for 2025/26 and highlight considerations for practices.

The final webinar was held on Thursday 24 April and when slides/further information are made available we will provide links on this page.

The next phase of general practice contract negotiation will take place alongside the Government’s Comprehensive Spending Review process and the publication of the Department of Health and Social Care’s 10 Year Plan for the NHS, both of which are anticipated around May or June. You can read the Londonwide LMCs’ response to the 10 Year Plan consultation here.

Key headlines from the 25/26 GP contract changes

  • £969 million new investment uplift – comprises £889m additional core contract funding and £80m for use of e-RS advice and guidance between GPs and consultants.
  • This investment is on top of the £433m added to the contract during autumn last year.
  • Enhancement of ARRS, with GPs and practice nurses added in to the main scheme, minimum GP salary + on-cost reimbursement increased in line with the BMA salaried GP pay range and with no caps on numbers
  • Enhanced service for ‘pre-referral’ advice and guidance with a £20 item of service fee payment per request by GPs
  • Restoration / uplift of SFE payments (sickness/parental leave cover) in line with 2025-26 real-terms values (compared to 2018/19), including locum reimbursements and childhood vaccination payments.
  • Changes to requirements for patient online e-consultation access to general practice from October 2025

Funding

There will be £969 million of new investment into the 2025/26 contract – comprising £889m additional core contract funding and £80m for use of e-RS advice and guidance between GPs and consultants. The Global Sum payment per weighted patient will be £121.79 per patient, an uplift of £9.29 (8.26%). In addition £100m of QOF funding will be recycled into core GMS – summarised on the BMA website.

Whilst the contract negotiations continue, we would urge London practices to continue to use our safe working pack to help manage your workload and avoid unsafe situations for both practitioners and patients.