From today (Monday 1 June), GP practices across England will be asked to begin the next phase of collective action by removing or ignoring any non-contractual medicines optimisation software for new prescriptions.  

Medicines optimisation software is often built into GP IT systems by commissioners to cut costs, reduce waste and limit unnecessary prescribing. The NHS currently asks GPs to use this software, which recommends cheaper medicines at the point of prescribing, even when they may not be in a patient’s best interests. Asking GPs to remove or ignore this function puts patient care ahead of cost savings. 
 
BMA GPs committee chair Dr Katie Bramall said: “Medicines optimisation software can be a nuisance for GPs. Its recommendations are not always in patients’ best interests and can instead reflect commissioners’ prescribing budgets. 

“While this will be expensive for Integrated Care Boards (ICBs) it will give GPs the freedom to give patients what they deem clinically appropriate with no cost to the practice. 

“GPs want to serve their communities, protect practices and provide patients with the care they deserve. They cannot do that if the systems meant to support them instead make that job more difficult. We want the Government to deliver for the profession and work with us on a solution that protects practices and supports patient care but the current situation is unsustainable and that is why collective action is in place.”  

The 2026/27 GP contract, rejected by 99% of BMA GP members, did not address two immediate concerns: the mandated use of Advice and Guidance (A&G) and online consultation software. As a result, the BMA launched collective action, beginning with GPs ending voluntary data-sharing agreements. 

Collective action will not advise or instruct any practices to breach their contract or obligations as part of their 2026/27 arrangements. However, unless the Government can deliver greater flexibility to reassure the profession, the BMA may continue to escalate by introducing further actions in future months. 

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Notes to editors

The BMA is a professional association and trade union representing and negotiating on behalf of all doctors in the UK. A leading voice advocating for outstanding health care and a healthy population. An association providing members with excellent individual services and support throughout their lives.