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.
- Guidance papers produced by GPC England (GPCE)/ BMA regarding:
- 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”.
- 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.