Hospital Deficits Block The Left Shift

This week Emma and Nick look at a whole host of GP contract issues, including changes to the GP reimbursement scheme, an update on list cleaning, NHS England threatening possible contractual action over same-day access and what GPs want from next year’s contract.

They also discuss how specialist waiting lists and problems elsewhere in the system are piling pressure on general practice, following a recent survey of the public by the RCGP.

And they talk about why the so-called ‘left shift’ of resources from hospitals to secondary care is so difficult and how the NHS is hoping neighbourhoods will enable the change this time around.

Our good news story this week is about a practice that closed for four years due to short-staffing which is set to reopen.

This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.

Useful resources

Full details of practice-level GP reimbursement scheme

Multimillion-pound list cleaning cuts 'will be reinvested in core general practice'

What can GPs expect from the 2027/28 contract?

GPs slam impact on capacity and safety after a year of unlimited online demand

How NHS delays are piling extra work on GPs

Hospital deficits block funding shift to neighbourhoods, NHS official admits

Practice to reopen and hire more GPs after £336,000 boost

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