The British Medical Association (BMA) has urged the government to establish protective measures to prevent GP practices from becoming overwhelmed due to modifications in online consultation access.

Key Changes to GP Contract

• As per the new GP contract changes announced in February 2025, practices are required to keep online consultation tools available for non-urgent requests, medication inquiries, and administrative tasks during core hours starting from 1 October 2025.
• Currently, practices have the flexibility to deactivate these tools to manage patient demand.
• The BMA has expressed concerns that allowing patients to book online GP appointments throughout the day may lead to increased workloads for doctors and longer waiting times for patients.

Additional Requirements

A contract variation notice released in August 2025 mandates that practices also provide in-person and telephone access during core hours.

Government’s Response

During a Q&A session at a BMA special representative meeting on the government’s 10-year health plan on 14 September 2025, Health Secretary Wes Streeting addressed questions regarding the changes. He stated:

“We will do everything we can to support practices in terms of the change to online access from 1 October,” but acknowledged that “in any kind of reform or change programme you’ll have your leaders and your laggards.”

BMA’s Position

Dr. David Wrigley, deputy chair of the BMA GP committee, emphasized the need for the government to listen to healthcare professionals. He stated:

“Rather than placing blame on individual GPs, it is crucial for the government to recognize the significant challenges practices will face in implementing these changes.”

He further noted that GPs are committed to providing the best possible care for patients while focusing on local population needs. Dr. Wrigley added:

“GPs are not opposed to technological innovation; we have been at the forefront of NHS digital advancements for decades. What we require is a careful and safe transition that enhances patient care without overwhelming practices, especially as we approach another challenging winter for the NHS.”

The BMA has reached out to the Department of Health and Social Care for further comments regarding these developments.