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Published by GPonline.com
Brought to you by GPonline.com, this weekly podcast discusses the latest news from the world of UK general practice and talks to GPs and others about the big issues affecting primary care. We're also aiming to highlight some positive stories and inspiring people along the way. <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
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<p>The GPonline team discusses the key news stories affecting general practice.</p><br><p><em>Warning: This episode of the podcast includes discussion of suicide in the section about the GMC’s duty of care.</em></p><br><p>This week we look at what we know about GP earnings after the latest data based on GPs’ tax returns for 2024/25 were published. He outlines what the figures tell us about how much both salaried GPs and GP partners are being paid and differences in earnings across England and the UK more widely.</p><br><p>With NHS England’s consultation on new neighbourhood contracts set to close next week, the team discusses how these contracts could work in practice and what the BMA thinks about some of the proposals.</p><br><p>And they talk about a legal appeal that is arguing that the GMC has a duty of care to the doctors it is investigating and what this means for the profession more widely.</p><br><p>Our good news story this week is about how GPs in some parts of the country are leading the development of new neighbourhood services.</p><br><p>This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>● <a href="https://www.gponline.com/gp-income-slowed-england-2024-25-compared-rest-uk/article/1968490" rel="noopener noreferrer" target="_blank">GP income slowed in England in 2024/25 compared with rest of UK</a></p><p>● <a href="https://www.gponline.com/regional-income-gap-rising-partners-not-salaried-gps/article/1968706" rel="noopener noreferrer" target="_blank">Regional income gap rising for partners but not salaried GPs</a></p><p>● <a href="https://www.gponline.com/icbs-will-expected-put-services-funds-gp-neighbourhood-contracts/article/1968480" rel="noopener noreferrer" target="_blank">ICBs will be expected to put more services and funds into GP neighbourhood contracts</a></p><p>● <a href="https://www.gponline.com/pcn-des-variations-imminent-says-nhs-england/article/1968577" rel="noopener noreferrer" target="_blank">More PCN DES variations are imminent, says NHS England</a></p><p>● <a href="https://www.gponline.com/doctors-suicide-drives-legal-challenge-gmcs-duty-care/article/1968653" rel="noopener noreferrer" target="_blank">Doctor’s suicide drives legal challenge over GMC’s duty of care</a></p><p>● <a href="https://www.gponline.com/midlands-gps-agree-1m-deal-run-neighbourhood-model/article/1967117" rel="noopener noreferrer" target="_blank">Midlands GPs agree £1m deal to run neighbourhood model</a></p><p><a href="https://www.gponline.com/gps-lead-roll-multi-million-pound-neighbourhood-scheme/article/1968845" rel="noopener noreferrer" target="_blank">GPs lead roll out of multi-million pound neighbourhood scheme</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>This week Emma speaks to Dr Jess Court, the acting chair of Nottinghamshire LMC, about safe working limits in general practice.</p><p>In this conversation, Jess explains what safe working limits look like in day-to-day practice, why capping patient contacts and moving to 15-minute appointments is vital for patient safety, and how policies like unlimited online consultations are exacerbating GP workload and burnout.</p><p>She also talks about the safe working charter developed by Nottinghamshire LMC, how practices can push back against unresourced workload transfers from secondary care, and the practical steps practice managers and GP partners can take to start embedding a safe working culture.</p><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><p><strong>Useful links</strong></p><p>● <a href="https://www.bma.org.uk/news-and-opinion/safe-working-means-learning-to-say-no" rel="noopener noreferrer" target="_blank">A blog for the BMA by Jess on this</a></p><p>● <a href="https://www.bma.org.uk/advice-and-support/gp-practices/managing-workload/safe-working-in-general-practice" rel="noopener noreferrer" target="_blank">BMA safe working guidance</a></p><p>● <a href="https://mcusercontent.com/8170340cbab1e0c25530deba7/files/104ec0d6-573f-d9d8-4f1e-e429804e2cfb/Safer_working_charter_for_GP_practices_Document_A4_.pdf" rel="noopener noreferrer" target="_blank">Nottinghamshire Local Medical Committee Safe Working Charter</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>GP Money Matters is a series of special bonus episodes of Talking General Practice sponsored by Wesleyan where we look at key personal finance issues that affect GPs.</p><br><p>In this episode GPonline editor Emma Bower speaks to Wendy Baillie, a chartered financial planner and regional manager at Wesleyan Financial Services, about how to decode your NHS pension statement, and why taking a closer look at it is vital for your long-term financial planning. </p><br><p>Wendy explains what these statements actually tell you, including crucial details on your pensionable pay, service history, and spousal benefits.</p><br><p>She also outlines the most common misunderstandings around NHS pensions, how to navigate issues like the McCloud remedy and the annual allowance threshold, what you should be checking annually to spot errors, and when you may need to seek professional guidance.</p><br><p>This episode was produced by Czarina Deen.</p><br><p><strong><em>This podcast is intended for general information purposes only and does not constitute financial advice. Individual circumstances may vary.</em></strong></p><br><p><strong>Useful links</strong></p><p><br></p><ul><li>To learn more about the financial considerations discussed in this podcast, you can book an appointment with a specialist financial adviser at Wesleyan Financial Services. Charges may apply. If you want to find out more about Wesleyan following this podcast, you can visit <a href="http://wesleyan.co.uk/gppodcast." rel="noopener noreferrer" target="_blank">wesleyan.co.uk/gppodcast</a></li></ul><p><br></p><p><strong>About Wesleyan</strong></p><p>Wesleyan Financial Services supports doctors with advice shaped around the realities of the profession.</p><br><p>From complex income structures and portfolio careers to the NHS Pension Scheme and retirement options, its Specialist Financial Advisers work closely with doctors every day. Recognised by the NHS as able to give guidance on the NHS Pension Scheme, Wesleyan brings trusted expertise to key financial decisions. Combining financial planning, investment advice and protection, it helps doctors make confident, informed choices.</p><br><p>96% of doctors rated their specialist financial adviser as very good or excellent, reflecting a focused service that helps doctors protect their income, grow wealth and plan ahead with confidence.</p><br><p><strong>Remember: </strong>The value of investments can go down as well as up, and you may get back less than you invest.</p><br><p><em>Wesleyan Financial Services Ltd (Registered in England and Wales No. 1651212) is authorised and regulated by the Financial Conduct Authority. Registered Office: Colmore Circus, Birmingham B4 6AR. Telephone: 0345 351 2352. Calls may be recorded to help us provide, monitor and improve our services to you.</em></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>Our regular news review is back! In this week’s episode Emma, Nick and Kimberley look at advice and guidance and single point of access for referrals after our own survey found that most GPs have seen a referral rejected inappropriately and nearly one in 10 have seen a patient harmed as a result. Meanwhile an interim report by the Health Services Safety Investigations Body (HSSIB) has linked advice and guidance to two patient deaths.</p><br><p>They discuss list clearing after an analysis by Nick found that deprived areas have been hit hardest by this process, and figures showed 200,000 patients were cut from GP lists in a single month. Nick explains what this all means for practices and GP funding.</p><br><p>And they look at the roll out of tirzepatide or Mounjaro, after an investigation by Kimberley suggested that less than a quarter of eligible patients were prescribed the drug on the NHS over the past year.</p><br><p>This week’s good news story is about a fall in ICU admissions for infants after roll out of the RSV vaccine.</p><br><p>This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.</p><p><strong> </strong></p><p><strong>Useful links</strong></p><p>● <a href="https://www.gponline.com/gps-report-patient-harm-referral-reforms-kick/article/1966210" rel="noopener noreferrer" target="_blank">GPs report patient harm as referral reforms kick in</a></p><p>● <a href="https://www.gponline.com/ai-responses-patronising-advice-work-gp-verdict-advice-guidance/article/1966632" rel="noopener noreferrer" target="_blank">AI responses, patronising advice, more work: GP verdict on advice and guidance</a></p><p>● <a href="https://www.gponline.com/watchdog-links-advice-guidance-patient-deaths/article/1967680" rel="noopener noreferrer" target="_blank">Watchdog links advice and guidance to patient deaths</a></p><p>● <a href="https://www.gponline.com/deprived-areas-hit-hardest-reckless-list-cleaning/article/1967575" rel="noopener noreferrer" target="_blank">Deprived areas hit hardest by 'reckless' list cleaning</a></p><p>● <a href="https://www.gponline.com/huge-acceleration-list-cleaning-cuts-200000-patients-single-month/article/1967302" rel="noopener noreferrer" target="_blank">Huge acceleration in list cleaning cuts 200,000 patients in a single month</a></p><p>● <a href="https://www.gponline.com/just-1-4-eligible-patients-prescribed-tirzepatide-gponline-investigation-suggests/obesity/article/1966366" rel="noopener noreferrer" target="_blank">Just 1 in 4 eligible patients prescribed tirzepatide, GPonline investigation suggests</a></p><p>● <a href="https://www.gponline.com/gps-need-support-speed-nhs-tirzepatide-rollout-says-mp/article/1967192" rel="noopener noreferrer" target="_blank">GPs need support to speed up NHS tirzepatide rollout, says MP</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>This week Emma speaks to the new chair of the BMA England GP committee Dr Clare Bannon.</p><br><p>Clare has been in the role for just over a month and, in this conversation, she sets out her priorities and her plans to reset the BMA’s relationship with the government and NHS England.</p><br><p>She discusses the committee’s key demands, including an extra £40 to £50 per patient in core funding and meaningful GP contract reform - and the importance of establishing a roadmap to meet those aims.</p><br><p>She also talks about the underemployment crisis facing sessional GPs, the controversy surrounding NHS England’s list cleaning exercise, and concerns over single point of access referral pathways. And she shares her thoughts on neighbourhood health contracts and where the committee stands on further collective action - and a potential Plan B ballot.</p><br><p>This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><a href="https://www.gponline.com/gp-funding-has-not-kept-pace-expanding-nhs-role/article/1967197" rel="noopener noreferrer" target="_blank">GP funding ‘has not kept pace’ with exp[anding NHS role</a></p><p><a href="https://www.gponline.com/gps-report-patient-harm-referral-reforms-kick/article/1966210" rel="noopener noreferrer" target="_blank">GPs report patient harm as referral reforms kick in</a></p><p><a href="https://www.gponline.com/bma-sets-next-step-collective-action-august/article/1966091" rel="noopener noreferrer" target="_blank">BMA sets out next step in collective action for August</a></p><p><a href="https://www.gponline.com/gps-denied-billions-hospital-funding-grows-50-faster-primary-care/article/1965810" rel="noopener noreferrer" target="_blank">GPs denied billions as hospital funding grows 50% faster than primary care</a></p><p><a href="https://www.gponline.com/half-gps-say-nhs-general-practice-not-financially-viable-ahead-plan-b-vote/article/1963876" rel="noopener noreferrer" target="_blank">Half of GPs say NHS general practice not financially viable ahead of 'Plan B' vote</a></p><p><a href="https://www.gponline.com/aggressive-list-cleaning-run-four-year-cycle-reinvestment-plans-emerge/article/1966768" rel="noopener noreferrer" target="_blank">Aggressive list cleaning to run over four-year cycle as reinvestment plans emerge</a></p><br><p><br></p><br><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p><strong>GP Money Matters is a series of special bonus episodes of Talking General Practice sponsored by Wesleyan where we look at key personal finance issues that affect GPs.</strong></p><br><p>In this episode GPonline editor Emma Bower speaks to Wendy Baillie, a chartered financial planner and regional manager at Wesleyan Financial Services, about the rise of portfolio careers in general practice and what this means for GPs’ finances.</p><br><p>New research from Wesleyan reveals that holding multiple roles has become the norm, with over two-thirds of doctors having portfolio careers. Wendy explains the hidden complexities of juggling multiple roles, including the risk of unexpected tax bills, NHS pension headaches and the surprising hurdles GPs face when trying to secure a mortgage.</p><br><p>She also offers some practical guidance about to approach your finances holistically to avoid these pitfalls.</p><br><p>This episode was produced by Czarina Deen.</p><br><p><strong><em>This podcast is intended for general information purposes only and does not constitute financial advice. Individual circumstances may vary.</em></strong></p><br><p><strong>Useful links</strong></p><ul><li>The research mentioned in this podcast has been commissioned by Wesleyan Assurance Society and you can visit <a href="http://wesleyan.co.uk/portfolio-careers" rel="noopener noreferrer" target="_blank">wesleyan.co.uk/portfolio-careers</a> for more information. </li><li>To learn more about the financial considerations discussed in this podcast, you can book an appointment with a specialist financial adviser at Wesleyan Financial Services. Charges may apply. If you want to find out more about Wesleyan following this podcast, you can visit <a href="http://wesleyan.co.uk/gppodcast." rel="noopener noreferrer" target="_blank">wesleyan.co.uk/gppodcast</a></li></ul><p><br></p><p><strong>About Wesleyan</strong></p><p>Wesleyan Financial Services supports doctors with advice shaped around the realities of the profession.</p><br><p>From complex income structures and portfolio careers to the NHS Pension Scheme and retirement options, its Specialist Financial Advisers work closely with doctors every day. Recognised by the NHS as able to give guidance on the NHS Pension Scheme, Wesleyan brings trusted expertise to key financial decisions. Combining financial planning, investment advice and protection, it helps doctors make confident, informed choices.</p><br><p>96% of doctors rated their specialist financial adviser as very good or excellent, reflecting a focused service that helps doctors protect their income, grow wealth and plan ahead with confidence.</p><br><p><strong><em>Remember</em></strong>: The value of investments can go down as well as up, and you may get back less than you invest.</p><br><p><em>'WESLEYAN' is the trading name of the Wesleyan Group of companies. Financial advice is provided by Wesleyan Financial Services Ltd.</em></p><br><p><em>Wesleyan Assurance Society is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Wesleyan Financial Services Ltd and Wesleyan Unit Trust Managers Ltd are authorised and regulated by the Financial Conduct Authority. </em><a href="https://www.wesleyan.co.uk/about/our-companie" rel="noopener noreferrer" target="_blank"><em>Read more information about the Wesleyan group of companies</em></a><em>.</em></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>This week we’re sharing a conversation that was originally recorded for our sister podcast, MIMS Learning’s Clinical Update.</p><p> </p><p>MIMS Learning deputy editor Rhiannon Ashman speaks with Dr Michael Blackmore, a GP partner, chair of the RCGP West Scotland Faculty, and a recovering addict, about the often hidden issue of addiction and recovery within the medical profession.</p><p> </p><p>In this candid and powerful conversation, Michael shares his personal journey of struggling with addiction while practicing medicine, his path to recovery with support from services like NHS Practitioner Health, and how his lived experience now shapes his clinical work. He also offers insightful advice on spotting unhealthy coping mechanisms, breaking down stigma, and where healthcare professionals can turn for help.</p><p> </p><p><em>Warning: This podcast includes discussion of addiction and suicide.</em></p><p> </p><p>This episode was produced by Jude Owen and Czarina Deen.</p><p><strong> </strong></p><p><strong>Useful links</strong></p><p>● <a href="https://sick-doctors-trust.co.uk/" rel="noopener noreferrer" target="_blank">Sick Doctors Trust</a> - support and help for doctors with dependence on drugs or alcohol</p><p>● <a href="https://www.practitionerhealth.nhs.uk/" rel="noopener noreferrer" target="_blank">Practitioner Health</a> - a free, confidential NHS primary care-led mental health and addiction service for doctors and other NHS staff</p><p>● <a href="https://www.bddg.org/" rel="noopener noreferrer" target="_blank">British Doctors & Dentists Group</a> - recovery group for doctors and dentists with addictions</p><p>● <a href="https://www.mimslearning.co.uk/" rel="noopener noreferrer" target="_blank">MIMS Learning</a></p><p> </p><p>You can listen to this episode, complete a learning log and export this to your appraisal folder on <a href="https://www.mimslearning.co.uk/courses/podcast-pursuing-a-gp-career-after-addiction-recovery-with-dr-michael-blackmore" rel="noopener noreferrer" target="_blank">MIMS Learning here</a>.</p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>This week Emma speaks to Dr Stephanie Cook, clinical lead for the Women's Health Hubs in Liverpool, a GP with a special interest in women's health, and a director of the Primary Care Women's Health Society.</p><p>Stephanie discusses how women’s health hubs can bring care closer to home, slash waiting times, and help tackle health inequalities - and explains how the Liverpool hub model works in practice,</p><p>We also discuss the systemic barriers facing women’s health services, including the lack of sustainable funding, the impact of removing women's health from the NHS planning guidance, and the importance of moving care from hospitals and into the community.</p><p>This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><p>Useful links</p><p><a href="https://www.gov.uk/government/publications/renewed-womens-health-strategy-for-england" rel="noopener noreferrer" target="_blank">Renewed Women's Health Strategy for England</a></p><p><a href="https://www.pcwhs.co.uk/resources/toolkit" rel="noopener noreferrer" target="_blank">Primary Care Women’s Health Society women’s health hub toolkit</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>Emma speaks with Dr Ruth Abrams, an organisational psychologist and associate professor at the University of Surrey School of Health Sciences , about her recent research published in the BJGP on the conditions in which women GPs thrive.</p><br><p>Ruth discusses why women GPs experience disproportionate rates of stress and lower career progression. She talks about the medical gender pay gap and outlines five practical actions individual GP practices can take right now to foster a fairer, more flexible, and supportive environment.</p><br><p>Ruth also highlights critical gaps in current research and explains why we need national, systemic policy changes to ensure workforce sustainability, rather than simply telling individuals to be more resilient.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><a href="https://bjgp.org/content/early/2026/05/06/BJGP.2025.0785" rel="noopener noreferrer" target="_blank">Investigating the conditions in which women GPs thrive in General Practice: A realist review </a>- Ruth’s paper in the BJGP</p><p><a href="https://www.workplacethriving.co.uk/conditions-where-women-gps-thrive" rel="noopener noreferrer" target="_blank">Workplace Thriving</a> - the website Ruth mentions in this conversation</p><p><a href="https://www.bmj.com/content/392/bmj.s553.abstract" rel="noopener noreferrer" target="_blank">Easing parenting challenges in primary care workforce</a> - an article by Ruth in the BMJ</p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>This week Emma, Nick and Kimberley look at the government’s 10-year health plan one year on and ask how much progress has been made, whether it is on track and what needs to happen next. They also talk about PCN contract variations after every practice in Kent signed up to the first deal of this kind.</p><br><p>They look at GP premises after the government announced its 10-year capital investment plan for the NHS and NHS England chair Dr Penny Dash angered GPs after saying that GP practices have ‘twice as much floor space’ as they need. They also discuss some of the challenges of getting new premises developments off the ground.</p><br><p>And they look at whether or not the GP jobs crisis is beginning to ease as thousands of GP registrars prepare to qualify in the coming weeks.</p><br><p>This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen</p><br><p><strong>Useful links</strong></p><p><a href="https://www.gponline.com/one-year-on-10-year-health-plan-track/article/1963252" rel="noopener noreferrer" target="_blank">One year on, is the 10-year health plan on track?</a></p><p><a href="https://www.gponline.com/kent-des-variation-hands-gps-arrs-cash-upfront/article/1963966" rel="noopener noreferrer" target="_blank">Kent DES variation hands GPs ARRS cash upfront</a></p><p><a href="https://www.gponline.com/ai-triage-rollout-fast-tracked-gp-surgeries/article/1963784" rel="noopener noreferrer" target="_blank">AI triage rollout fast-tracked for GP surgeries</a></p><p><a href="https://www.gponline.com/gp-premises-fund-falls-short-upgrade-target/article/1963915" rel="noopener noreferrer" target="_blank">GP premises fund falls short of upgrade target</a></p><p><a href="https://www.gponline.com/gp-fury-nhs-boss-claims-practices-twice-space-need/article/1963472" rel="noopener noreferrer" target="_blank">GP fury as NHS boss claims practices have twice the space they need</a></p><p><a href="https://www.gponline.com/there-arent-enough-jobs-new-gps-face-waiting-lists-shifts/article/1963672" rel="noopener noreferrer" target="_blank">'There aren't enough jobs': new GPs face waiting lists for shifts</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>Emma speaks to BMA England GP committee chair Dr Katie Bramall about her decision not to stand for re-election when her three-year term ends this month and the highs and lows of her time in the role.</p><p> </p><p>Katie reflects on an extraordinary three years for general practice, including navigating challenging GP contract negotiations during a tight funding climate and leading historic collective action by the profession.</p><p> </p><p>She explains the personal and organisational reasons behind her decision to pass on the baton, and how she managed the intense internal and external challenges facing the committee.</p><p> </p><p>Katie also outlines what her departure means for the ongoing dispute with the government, updates us on the next phases of collective action, and shares her advice for her successor as well as her hopes for the future of general practice.</p><p> </p><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><p> </p><p><strong>Useful links</strong></p><p><a href="https://www.gponline.com/gps-refuse-shared-care-agreements-third-phase-collective-action/article/1963341" rel="noopener noreferrer" target="_blank">GPs to refuse shared care agreements in third phase of collective action</a></p><p><a href="https://www.gponline.com/bma-ballot-gps-switch-plan-b-semi-private-contract/article/1959526" rel="noopener noreferrer" target="_blank">BMA to ballot GPs on switch to 'Plan B' semi-private contract</a></p><br><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p><strong>GP Money Matters is a series of special bonus episodes of Talking General Practice sponsored by Wesleyan where we look at key personal finance issues that affect GPs.</strong></p><br><p>In this episode GPonline editor Emma Bower talks to Wendy Baillie, a chartered financial planner and the retirement lead for the medical division at Wesleyan, about research the company recently undertook looking at GP career trends and GPs’ views on various personal finance issues.</p><br><p>Wendy explains how GPs’ attitude to work has changed in recent years, the impact workload and future uncertainty about the GP contract has had on decisions to retire early or move towards a portfolio career, and what that means for GPs’ finances.</p><br><p>She also offers some practical guidance for GPs on financial planning and ensuring they have the money they need for the future that they want.</p><p>This episode was produced by Czarina Deen.</p><br><p><em>This podcast is intended for general information purposes only and does not constitute financial advice. Individual circumstances may vary.</em></p><p><br></p><h3>Useful links</h3><ul><li>The research mentioned in this podcast was commissioned by Wesleyan Assurance Society – visit <a href="http://wesleyan.co.uk/theory-in-practice" rel="noopener noreferrer" target="_blank">wesleyan.co.uk/theory-in-practice</a> for more information. </li><li>To learn more about the financial considerations discussed in this podcast, you can book an appointment with a specialist financial adviser at Wesleyan Financial Services. Charges may apply. If you want to find out more about Wesleyan following this podcast, you can visit <a href="http://wesleyan.co.uk/gppodcast." rel="noopener noreferrer" target="_blank">wesleyan.co.uk/gppodcast</a></li></ul><p><br></p><p><strong>About Wesleyan</strong></p><p>Wesleyan Financial Services supports doctors with advice shaped around the realities of the profession.</p><br><p>From complex income structures and portfolio careers to the NHS Pension Scheme and retirement options, its Specialist Financial Advisers work closely with doctors every day. Recognised by the NHS as able to give guidance on the NHS Pension Scheme, Wesleyan brings trusted expertise to key financial decisions. Combining financial planning, investment advice and protection, it helps doctors make confident, informed choices.</p><br><p>96% of doctors rated their specialist financial adviser as very good or excellent, reflecting a focused service that helps doctors protect their income, grow wealth and plan ahead with confidence.</p><br><p><strong><em>Remember</em></strong>: The value of investments can go down as well as up, and you may get back less than you invest.</p><br><p><em>'WESLEYAN' is the trading name of the Wesleyan Group of companies. Financial advice is provided by Wesleyan Financial Services Ltd.</em></p><p><em>Wesleyan Assurance Society is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Wesleyan Financial Services Ltd and Wesleyan Unit Trust Managers Ltd are authorised and regulated by the Financial Conduct Authority. </em><a href="https://www.wesleyan.co.uk/about/our-companie" rel="noopener noreferrer" target="_blank"><em>Read more information about the Wesleyan group of companies</em></a><em>.</em></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>Nick and Emma look at the impact the current list cleaning drive has had on GP practices and explain why GP leaders have called for a pause in the process amid fears of inappropriate removals and a huge loss of funding for the profession.</p><p>They talk about prescribing for obesity, after the BMA warned that the funding practices will receive for new QOF targets on this is unlikely to cover the cost of the work involved, and the union warned that some ICBs are cutting back on locally commissioned services related to prescribing Mounjaro since it has been added to the QOF.</p><p>And they look at the additional roles reimbursement scheme after we found that millions of pounds earmarked for the scheme went unspent in 2025/26.</p><p>Our good news story this week is about those GPs who received awards in the King’s Birthday Honours List.</p><p>This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><a href="https://www.gponline.com/gp-funding-siphoned-off-unprecedented-scale-patient-removals-warns-bma/article/1962219" rel="noopener noreferrer" target="_blank">GP funding 'siphoned off' by unprecedented scale of patient removals, warns BMA</a></p><p><a href="https://www.gponline.com/lmcs-demand-urgent-list-cleaning-review-fears-rise-inappropriate-removals/article/1962287" rel="noopener noreferrer" target="_blank">LMCs demand urgent list cleaning review as fears rise over inappropriate removals</a></p><p><a href="https://www.gponline.com/list-cleaning-chaos-leaves-popular-gp-practice-brink/article/1961969" rel="noopener noreferrer" target="_blank">List cleaning chaos leaves popular GP practice on the brink</a></p><p><a href="https://www.gponline.com/gp-practices-hit-hardest-list-cleaning/article/1961722" rel="noopener noreferrer" target="_blank">Where have GP practices been hit hardest by list cleaning?</a></p><p><a href="https://www.gponline.com/gp-practices-boycott-underfunded-qof-obesity-target/article/1962339" rel="noopener noreferrer" target="_blank">GP practices could boycott underfunded QOF obesity target</a></p><p><a href="https://www.gponline.com/81m-arrs-cash-unclaimed-2025-26/article/1962269" rel="noopener noreferrer" target="_blank">More than £81m of ARRS cash unclaimed in 2025/26</a></p><p><a href="https://www.gponline.com/gps-recognised-kings-birthday-honours-list/article/1961577" rel="noopener noreferrer" target="_blank">GPs recognised in King's Birthday Honours List</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>This week Emma speaks to GP Dr Emma Watts, a dispensing doctor based in Surrey and the chair of the RCGP's Rural Forum, about the distinct challenges facing rural general practice.</p><p> </p><p>Emma discusses how urban-centric policies, mounting financial constraints, and operational pressures are driving rural practice closures. She also highlights hidden health inequalities in rural areas, such as homelessness, and explains why the government's proposed framework for a neighbourhood NHS fails to consider the reality facing remote, rural, and dispensing practices.</p><p> </p><p>And she explains the Rural Minds Project, an innovative training programme using virtual reality headsets to support mental health in UK farming communities.</p><p> </p><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><p> </p><p><strong>Useful links</strong></p><p><a href="https://www.rcgp.org.uk/about/communities-groups/rural-forum" rel="noopener noreferrer" target="_blank">RCGP Rural Forum</a></p><p><a href="https://www.revolvelabs.co.uk/rural-minds" rel="noopener noreferrer" target="_blank">Rural Minds Project</a></p><p><a href="https://shows.acast.com/talking-general-practice/episodes/how-to-address-the-challenges-facing-dispensing-gp-practices" rel="noopener noreferrer" target="_blank">Talking General Practice episode with Dr Richard West from the Dispensing Doctors’ Association</a></p><p><a href="https://www.dispensingdoctor.org/" rel="noopener noreferrer" target="_blank">Dispensing Doctors’ Association</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>This week Nick and Emma talk about list cleaning, after an analysis by Nick showed that 350,000 patients have been removed from GP practice lists, resulting in a loss of around £45m from practice funding. Nick explains why this happens and the impact it has on individual practices.</p><br><p>They discuss GP contracts, looking at the first area in England that has agreed a local variation to PCN contracts, BMA fears about what neighbourhood and integrated health organisation contracts could mean for general practice and whether financial pressures on the current GP contract could make GPs back an alternative model.</p><br><p>And they look at the impact successive governments’ obsession with GP access has had, after a report from the House of Commons public accounts committee found that practices struggle to provide the care frail, older patients need because they are overwhelmed with targets linked to improving access.</p><br><p>Our good news story this week is about an initiative in Greater Manchester that has helped cut hazardous prescribing.</p><br><p>This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><a href="https://www.gponline.com/aggressive-list-cleaning-drive-strips-350000-patients-gp-practices/article/1959202" rel="noopener noreferrer" target="_blank">'Aggressive' list-cleaning drive strips 350,000 patients from GP practices</a></p><p><a href="https://www.gponline.com/were-overwhelmed-practices-swamped-scale-patient-removals/article/1960871" rel="noopener noreferrer" target="_blank">'We're overwhelmed' - practices swamped by scale of patient removals</a></p><p><a href="https://www.gponline.com/gps-agree-first-local-pcn-contract-variation-10m-neighbourhood-deal/article/1960539" rel="noopener noreferrer" target="_blank">GPs agree first local PCN contract variation in £10m neighbourhood deal</a></p><p><a href="https://www.gponline.com/hospital-led-general-practice-likely-outcome-government-nhs-plans-warns-bma/article/1960796" rel="noopener noreferrer" target="_blank">Hospital-led general practice 'likely' outcome of government NHS plans, warns BMA</a></p><p><a href="https://www.gponline.com/nhs-england-overloaded-gps-access-targets-mps-warn/article/1960098" rel="noopener noreferrer" target="_blank">NHS England has overloaded GPs with access targets, MPs warn</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p><strong>GP Money Matters is a series of special bonus episodes of Talking General Practice sponsored by Wesleyan where we look at key personal finance issues that affect GPs.</strong></p><br><p>In this episode GPonline editor Emma Bower talks to Wendy Baillie, a chartered financial planner and the retirement lead for the medical division at Wesleyan, about the complexities of the NHS pension scheme and the specific challenges currently facing GPs.</p><br><p>Wendy provides a recap on the McCloud judgment, the high court ruling about unfair changes to public pension schemes, and explains why the resulting administrative backlog is making it difficult for doctors to get the finalised numbers they need to plan their retirement.</p><br><p>She discusses the risks of making decisions about retirement without full information on your pension and practical steps GPs can take at different stages of their careers to ensure their pension is in good health.</p><br><p>Wendy outlines what you need to consider to ensure you have the retirement you want, particularly if you hope to retire early.</p><br><p>This episode was produced by Czarina Deen.</p><h3><br></h3><h3>Useful links</h3><ul><li><a href="https://www.wesleyan.co.uk/campaigns/gp-podcast" rel="noopener noreferrer" target="_blank">Find out more about Wesleyan</a> </li></ul><p><br></p><p><strong>About Wesleyan</strong></p><p>Wesleyan Financial Services supports doctors with advice shaped around the realities of the profession.</p><br><p>From complex income structures and portfolio careers to the NHS Pension Scheme and retirement options, its Specialist Financial Advisers work closely with doctors every day. Recognised by the NHS as able to give guidance on the NHS Pension Scheme, Wesleyan brings trusted expertise to key financial decisions. Combining financial planning, investment advice and protection, it helps doctors make confident, informed choices.</p><br><p>96% of doctors rated their specialist financial adviser as very good or excellent, reflecting a focused service that helps doctors protect their income, grow wealth and plan ahead with confidence.</p><br><p><strong><em>Remember</em></strong>: The value of investments can go down as well as up, and you may get back less than you invest.</p><br><p><em>Wesleyan Financial Services Ltd (Registered in England and Wales No. 1651212) is authorised and regulated by the Financial Conduct Authority. Registered Office: Colmore Circus, Birmingham B4 6AR. Telephone: 0345 351 2352. Calls may be recorded to help us provide, monitor and improve our services to you.</em></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>Emma speaks to Dr Nada Khan, a GP in Exeter and clinical lecturer in general practice at Exeter University, about her recent study on GP retention.</p><br><p>In this conversation, Nada explains how GP workload has become increasingly intense, fragmented, and risk-laden, and she describes the impact of hybrid access models and moral distress on GPs - all of which is causing experienced doctors to cut back on sessions they work or leave the profession altogether.</p><br><p>She also highlights the critical factors that help GPs stay in practice, including the importance of continuity of care, supportive practice teams, and establishing clear workload boundaries .</p><br><p>And Nada describes what national policymakers need to understand to address the retention crisis among mid-to-late career GPs, and the practical changes individual practices can make on the ground to support their staff.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><strong> </strong></p><p><a href="https://bjgp.org/content/early/2026/03/25/BJGP.2025.0674" rel="noopener noreferrer" target="_blank">Sustaining a career in general practice: A qualitative study of experienced GPs in South West England</a></p><p><a href="https://www.gponline.com/advice-guidance-ping-pong-fuelling-gp-retention-crisis/article/1954375" rel="noopener noreferrer" target="_blank">Advice and guidance 'ping-pong' fuelling the GP retention crisis</a></p><p><a href="https://www.gponline.com/viewpoint-why-experienced-gps-leaving-nhs-keep/article/1954486" rel="noopener noreferrer" target="_blank">Viewpoint: Why experienced GPs are leaving the NHS and how we can keep them</a></p><p> </p><p> </p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>Emma and Nick talk about the ongoing dispute between the BMA and the government about this year’s GP contract and what the BMA will be asking GP practices to do from 1 June as it steps up collective action. They discuss a vote at the UK LMCs conference earlier this month, which saw LMC representatives back exploring the radical step of moving towards a hybrid NHS/private model for general practice - and the BMA’s confirmation that it plans to ballot the profession on this.</p><br><p>They look at an update NHS England published on the GP contract at the end of last week as well as looking ahead to the government’s new NHS workforce plan, which is expected to be published next month, and what that needs to do to ensure there are enough GPs to meet the demands of an ageing population.</p><p> </p><p>And they talk about the government’s new Health Bill and what that means for general practice - in particular the plans for a single patient record. And we’ll be talking at </p><br><p>This episode is presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen</p><br><p><strong>Useful links</strong></p><br><p><a href="https://www.gponline.com/bma-sets-next-steps-gps-ramp-collective-action/article/1959259" rel="noopener noreferrer" target="_blank">BMA sets out next steps as GPs ramp up collective action</a></p><p><a href="https://www.gponline.com/bma-ballot-gps-switch-plan-b-semi-private-contract/article/1959526" rel="noopener noreferrer" target="_blank">BMA to ballot GPs on switch to 'Plan B' semi-private contract</a></p><p><a href="https://www.gponline.com/gp-leaders-vote-explore-nhs-private-dentist-model-general-practice/article/1958191" rel="noopener noreferrer" target="_blank">GP leaders vote to explore NHS/private 'dentist model' for general practice</a></p><p><a href="https://www.gponline.com/wes-streetings-legacy-health-social-care-secretary/article/1958233" rel="noopener noreferrer" target="_blank">Wes Streeting’s legacy as health and social care secretary</a></p><p><a href="https://www.gponline.com/nhs-clarifies-locum-rules-gp-reimbursement-contract-update/article/1959090" rel="noopener noreferrer" target="_blank">NHS clarifies locum rules on GP reimbursement in contract update</a></p><p><a href="https://www.gponline.com/does-new-health-bill-mean-gps/article/1958829" rel="noopener noreferrer" target="_blank">What does the new Health Bill mean for GPs?</a></p><p><a href="https://www.gponline.com/gps-fastest-growing-part-nhs-workforce-experts-say/article/1958750" rel="noopener noreferrer" target="_blank">GPs should be fastest-growing part of NHS workforce, experts say</a></p><br><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>This week Talking General Practice is looking at the National Neighbourhood Health Implementation Programme - or NNHIP. This is the NHS England and government programme to support the development of neighbourhood health with 43 pioneer sites across England leading the way to test how integrated neighbourhood teams and neighbourhood approaches can better support patients.</p><br><p>To find out what this looks like on the frontline, Emma speaks to leaders from two of those pioneer sites. </p><br><p>Dr Zalan Alam, a GP in Rochdale, discusses his work in intermediate care and the importance of building trust across care boundaries to tackle frailty and reduce unnecessary hospital admissions.</p><br><p>Meanwhile, Rachel Stead, strategic PCN manager for South Sefton PCN, shares the success of their innovative adverse childhood experiences programme and highlights the need for infrastructure and funding to ensure neighbourhood working is sustainable for general practice.</p><br><p>Zalan and Rachel discuss the reality of integrated working, what the future could hold, and why general practice must remain the cornerstone of any successful neighbourhood model.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen</p><br><p><strong>Useful links</strong></p><ul><li>As part of the MIMS Healthcare Network, GPonline has produced a new report for our subscribers on neighbourhood health - <a href="https://www.mims.co.uk/article/1956551" rel="noopener noreferrer" target="_blank">view the report here</a>.</li><li><a href="https://neighbourhood-health.co.uk/" rel="noopener noreferrer" target="_blank">National Neighbourhood Health Implementation Programme website</a></li><li><a href="https://southseftonpcn.nhs.uk/what-we-do/aces-programme/" rel="noopener noreferrer" target="_blank">Sefton’s adverse childhood experiences programme</a></li><li><a href="https://www.gponline.com/new-pcn-rules-neighbourhood-contracts-redundant/article/1956846" rel="noopener noreferrer" target="_blank">Could new PCN rules make neighbourhood contracts redundant?</a></li></ul><p><br></p><p><strong>MIMS Learning Live</strong></p><p>MIMS Learning Live South is returning to London on Friday 12 June 2026, and tickets are free to book.</p><br><p>This is your chance to boost your clinical know-how, connect with peers from across the UK, and gain fresh insights that can make a real difference in your patients’ lives. This year’s clinical programme covers issues including obesity management, paediatrics, women's health and cardiology.</p><br><p>We’re also running a GP Business hub stream aimed at GP partners, practice managers and PCN managers, which will cover practice finance, neighbourhood working, using AI in practice and how to meet the challenges of rising patient demand.</p><br><p>Get your tickets here <a href="http://www.mimslearninglive.com/south" rel="noopener noreferrer" target="_blank">www.mimslearninglive.com/south</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
<p>The GPonline team talks about collective action, after the BMA GP committee narrowly voted in favour of the move, what that action involves and what needs to happen to resolve the dispute.</p><br><p>They look at the practice-level reimbursement scheme for GPs, how that is going to work and some of the issues and challenges the scheme could present.</p><br><p>And they discuss some late changes to the network contract DES - the contract that governs how primary care networks work - which will allow ICBs to introduce local variations to help develop neighbourhoods and what that could all mean in practice.</p><br><p>In our good news story this week, Emma reflects on a conference on tackling health inequalities she attended this week and the great work going on in many local communities.</p><br><p>This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><a href="https://www.gponline.com/bma-lays-collective-action-roadmap-escalation-plan/article/1957696" rel="noopener noreferrer" target="_blank">BMA lays out collective action roadmap and escalation plan</a></p><p><a href="https://www.gponline.com/will-gps-unite-behind-collective-action/article/1957730" rel="noopener noreferrer" target="_blank">Will GPs unite behind collective action?</a></p><p><a href="https://www.gponline.com/nhs-modernisation-bill-introduce-single-patient-record/article/1958072" rel="noopener noreferrer" target="_blank">NHS Modernisation Bill to introduce single patient record</a></p><p><a href="https://www.gponline.com/practice-level-gp-reimbursement-scheme-limited-salaried-gps/article/1956660" rel="noopener noreferrer" target="_blank">Practice-level GP reimbursement scheme limited to salaried GPs</a></p><p><a href="https://www.gponline.com/restrictive-gp-contract-changes-will-not-boost-access/article/1956967" rel="noopener noreferrer" target="_blank">Restrictive GP contract changes 'will not boost access'</a></p><p><a href="https://www.gponline.com/new-pcn-rules-neighbourhood-contracts-redundant/article/1956846" rel="noopener noreferrer" target="_blank">Could new PCN rules make neighbourhood contracts redundant?</a></p><p><a href="https://www.gponline.com/pcns-refuse-contract-variations-work-not-properly-funded-says-bma/article/1957664" rel="noopener noreferrer" target="_blank">PCNs should refuse contract variations if work is not properly funded, says BMA</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
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