string(9) "resources" Londonwide LMCs

October 2025 contract changes

  • GP contracts

The main changes are around requirements to have practice doors, telephone systems and online consultation platforms open for longer.

Update 22 September: two days after this guidance was published GPCE voted to enter into a dispute with the Government over the content of the changes, effective from 1 October 2025.

Practices may wish to refer to the following information when looking at how the should implement the changes set out in NHS England’s contract variation notice.

  1. Guidance papers produced by GPC England (GPCE)/ BMA regarding:
  2. Londonwide LMCs’ summary of the changes affecting practices, as introduced by the new measures. Please note this relates to all the contract changes; we draw your attention to:
    • Part 7-para 5 “Contact with the practice”;
    • Part 13-para 5 “Application for inclusion in list of patients”;
    • Part 13-para 13 “Removals from the list of patients who have moved”;
    • Part 16-para 2 “Summary care record”;
    • Part 16-para 7 ”Practice leaflet”;
    • Part 16-para 8 “Recording and reviewing patient safety events (new clause);
    • Part 26-para 3 “Variation provisions specific to a contact with a partnership”.
  3. London Digital First Team webinar from 23 September 2025 covering three clinical systems: EMIS (Optum), TPP and Medicus. The presentation is also available as a PDF.