The BMA is ‘no longer in dispute’ with the Government and NHS England and has paused collective action after accepting a GP contract deal for 2025/26.
Yesterday, the union’s GP Committee England agreed a deal ‘in principle’ which will see almost £800m invested into the global sum, as part of a £969m total funding uplift for general practice.
This means the GPCE ‘will now pause collective action’ to work with the Government over the coming weeks to ‘secure the necessary assurances’, including a commitment by mid-March for a wholesale renegotiation of the GMS contract within this parliamentary term.
The BMA said many of the options on its GP collective action menu ‘will potentially be superseded by the 25/26 contract agreement’, and so the union will publish updated guidance to ‘provide the necessary clarity’ for practices.
Despite this pause to national collective action, GP leaders encouraged practices to continue to work safely and to address commissioning gaps, which should be ‘renegotiated locally’.
In an update to its guidance today, the union said: ‘GPCE’s dispute with Government may be over – contingent upon written assurances around the renegotiation of the national GP practice contract for England in this Parliament, but the focus at a local and system-level continues.
‘Patient care must be protected from gaps in local commissioning arrangements. Practices who are undertaking such work should either be resourced, to ensure patient care is sustainable or consider serving notice on them to ICBs.’
The GPCE said its agreement to the 2025/26 contract is conditional on the Government’s commitment to a ‘full renegotiation of the new national contract’ by the end of Labour’s parliamentary term.
National GP leaders said: ‘We have stipulated that this commitment must be confirmed in writing ahead of the Special LMC Conference on Wednesday, 19 March 2025.
‘The BMA is no longer in dispute with the Government and NHS England and more guidance around this will be forthcoming in the weeks ahead.
‘As you’d expect from your union, the BMA continues to recommend ways for practices to manage patient care safely and ensure long-term sustainability.’
The union did however warn that if negotiations for a totally new GP contract fail, the GPCE ‘will need to potentially discuss re-entering dispute and action escalation again’, noting that this outcome is ‘in nobody’s interest’.
In October, the BMA set out a list of demands for the Government to meet in order to bring collective action to an end, including a ‘cast-iron commitment’ to agree a new national GP contract and for practice core funding to rise by at least £40 per patient in 2025/26.
Since collective action began in August, GPs in several areas have come together to serve notice to their ICBs on ‘unfunded work’, with LMCs coordinating such action.
Some options on the BMA’s collective action menu are also part of its long-standing safe working guidance for practices, which advises GPs to cap patient contacts at 25 per day and to cease ‘all non-contractual work’.
England’s LMCs had previously called on the BMA to ballot the GP profession on taking ‘more significant’ industrial action’, arguing that it is ‘not having enough impact’.
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Total surrender. No real improvement in pay.
We are working harder, more intensely and doing more than ever with this contact going no way to helping.
The BMA should have said “enough’s enough”.
We’ve improved our productivity with no extra funding. Hospitals get more and more and more.
Great I’m looking forward to restart voluntarily signing up to underfunded enhanced services again and just accepting any workload dumps and referral rejections without push back!
Collective action was only ever doing what some
of us have tried to do for years for work unilaterally and unsafely dumped or incentive schemes that make no financial sense and divert resources from core patient care.
No sorry. Collective action will stay in place until the BMA comes up with an acceptable contract approved by grass-roots GPs (not just cardigans waiting for gongs)
ad that includes NI? I don’t think so
Agree Simon and Rogue 1. The collective action was only ever working to contract and saying no to junk, dumps and bureaucracy.
Nothing to stop us continuing to do this ?
How many of the GP workforce are in the BMA eh!
Most of the collective action is nothing to do with a “dispute” it is simply businesses stopping work that they were not getting paid for – certainly continuing here.