England GP contract agreement
The GP contract changes in England for 2021/22 have now been agreed. There are minimal changes, including delays to previously agreed elements, to provide stability during the pandemic.
COVID-19 toolkit for GP practices
Comprehensive guidance for GPs, partners and practice managers to manage employment, contractual issues and service provision during the pandemic.
COVID-19 vaccination programme
Guidance about what the COVID-19 vaccination programme service in England involves, what is expected of practices and what funding is available to help you to prioritise the programme.
Controlling workload in general practice
We are proposing a workload control strategy to enable general practice to improve quality and safety, publicise reasonable safe workload limits and provide practices with practical tools to control workload.
COVID-19: trust GPs to lead
A set of principles addressing the need for change in general practice in England following the response to the first wave of the COVID-19 pandemic.
COVID-19: general practice during the second wave
Calling on NHS England, NHS Improvement and Government as we moved into a second wave of the COVID-19 pandemic. As well as during the biggest flu programme ever delivered and on top of ongoing workload and workforce pressures.
Saving general practice
The Saving general practice report, published in November 2017, sets out the BMA’s proposed solutions to address significant challenges within general practice. It lays out the areas that need to be addressed, such as workforce strategy, underfunding and workload pressures.
COVID-19 has highlighted that these issues still need to be addressed urgently.
GP performance management
NHSEI have agreed commitments with GPC on performance management systems. These commitments will improve the current performance management process and support just decision making by all those involved in the handling of performance concerns.
GPC England policy and guidance is set out by the GPC UK policy groups below and the LMC England conference.
By gathering your views and feedback, GPC is able to use surveys during negotiations and in discussions with the government, civil service and other organisations.
The BMA published the first edition of its PCN clinical directors survey in 2020. We wanted to hear directly from these new clinical leaders about the challenges and opportunities around the creation of PCNs. The survey showed that:
- 76% said their PCNs contain at least some practices that have previous history of working at scale, although around a quarter said there were no prior arrangements
- 63% are confident in providing strategic and clinical leadership to their network.
However, the results also showed that around half of clinical directors classed their workload as unmanageable, whilst almost two thirds said the same about the workload of practices in their network.
In our second annual survey, published in 2021, we asked clinical directors about the challenges of delivering new services, operating under the testing circumstances of a global public health crisis and about the future of PCNs. The survey showed that:
- a significant number of clinical directors were confident that by the end of the DES in 2023/24, PCNs will have contributed to providing better support for patients in care homes, increasing the wider GP workforce and improving the quality of prescribing
- 44% of clinical directors thought that provision of adequate funding is the most important condition for the success of PCNs.
The results of the survey also revealed that both PCN clinical directors and member practices are still facing a high level of workload which they are managing with increased difficulty. This is also having an impact on workforce morale across their network.
Following a resolution at the 2020 conference of LMCs in England, calling for a ballot before negotiating any extension or changes to the PCN DES for the year 2021 / 2022, we held a vote in January 2021 of the GP profession on whether GPC England should continue negotiations on the PCN DES.
The results show that 80% voted yes to giving GPC England a mandate for the PCN directed enhanced service.
The BMA has undertaken over 10 COVID-19 tracker surveys since April 2020 to ensure the voice and experiences of UK doctors are heard by the public and Government.
The GP specific results of the fifth tracker survey, published on 1 June 2020, showed that the vast majority (85%) reported that the changes that they had made in the way that they were working had been very or somewhat effective at combatting the pandemic. The survey also indicated that a large majority (88%) wanted to maintain the greater use of remote consultations and 77% want to use video technology to a greater extent for clinical and MDT meetings in the future.
The following survey, published 21 June 2020, highlighted the scale of extra work being taken on by GPs during the pandemic, something that is continuing to increase. The survey showed that a lack of robust IT systems and digital solutions to help secondary care colleagues to complete necessary tasks and which can lead to work being transferred to general practice without sustainable services being put in place.
The seventh tracker survey, published 9 July 2020, revealed a significant increase in requests for practices to do additional activity without the necessary funding or workforce being made available to make this change sustainable.
The impact of the delay in releasing national COVID-19 funding for general practices was also highlighted in the survey which showed that significant numbers of practices were not being reimbursed by their CCGs for out of pocket expenses directly linked to tackling COVID-19.
See all our COVID tracker and vaccine surveys.
In November 2016, GPC England published the results of a survey of all GPs in England about workload, workforce, working at scale and possible elements of contract negotiations. This was to inform GPC negotiations and to inform GPC position on future developments.
The combined results showed that it is no longer the case that one model fits all; while there is support for the current independent contractor model (47%), over 52% indicated their support for collaborative working such as federations/networks, super-practices and MCPs with 32% saying they wished to work as a partner within an at scale GP organisation.
The survey also clearly showed that most GPs are overburdened with workload, most surgeries find it difficult to recruit staff and salaried and locum GPs are put off becoming a partner because of a workload without limits.
GPC England is represented by the chair, the deputy chair, the executive team and the committee policy leads.
Chair: Richard Vautrey
Mark Sanford-Wood (deputy chair)
Forest/City and E London - Terry John
GPC's policy groups focus on specific workstreams, and deliver work on behalf of GPC. You can find out more about our policy groups and their work below.
Clinical and prescribing
The clinical and prescribing policy group leads on matters relating to drugs and prescribing, which includes vaccinations and immunisations policy, and the Quality and Outcomes Framework (QOF).
Commissioning and provider development
The commissioning and working at scale policy group leads on all matters relating to the commissioning and provision of services including CCG commissioning and practice based commissioning, enhanced services, out of hour (OOH), new providers and the internal market.
Contracts and regulation
The contracts and regulation policy group leads on regulatory and contractual issues relating to GPs working within the NHS, as well as the interface with private practice, and matters relating to prison doctors.
Education, training and workforce
The Education, training and workforce policy group leads on all education issues and the recruitment and retention of the general practice workforce.
Information, management, technology and information governance
The information management, technology and information governance policy group leads on all matters relating to NHS GP information, management and technology and all other relevant initiatives such as primary and secondary care IT interface, training and change management.
Premises and practice finance
The premises and practice finance policy group leads on financial and resource issues relating to GP practices as businesses and GP-specific payments including: pensions, tax and accountancy, premises and geography related costs.
The representation policy group work to ensure there is adequate representation of all GPs on GPC and within the NHS.
Take part in one of our free courses designed to give you the right skills to:
- break down equality and inclusion bias (CPD-accredited)
- value difference and inclusivity
- live out BMA behaviour principles.
GPC England meets four times a year to discuss the latest issues facing general practice. These meetings are open to GPC members, but the committee also welcomes observers from local medical committees (LMCs). LMCs interested in sending an observer to a GPC meeting should contact the GPC office to arrange a suitable date.
- Thursday 15 July 2021
- Thursday 18 November 2021
- Thursday 20 January 2022
- Thursday 19 May 2022
- Thursday 21 July 2022
All meetings take place from 10am to 5pm either virtually or at:
For more information please contact [email protected].
How to join GPC England
There are many advantages to becoming involved in our committees. You can actively influence BMA policy-making and negotiations, represent your colleagues' voices and develop your leadership skills.
Each committee has a few routes to becoming an elected member. In the case of GPC England, all elected members of GPC UK based in England automatically get a seat on GPC England.
Please check the election section of GPC UK for details about any running elections.
Get in touch
If you are interested in finding out more about the work of the GPC England, email [email protected].