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General Practitioners: Contracts

Asked by Helen MorganLiberal DemocratDepartment of Health and Social CareTabled Answered 30 March 2026UIN 121029

The question

To ask the Secretary of State for Health and Social Care, whether his Department has undertaken a risk assessment for changes to the GP contract regarding Advice and Guidance due to be implemented from 1 April 2026.

Answered by Stephen Kinnock

The Department has not undertaken a formal risk assessment for the changes made to the GP Contract regarding Advice and Guidance (A&G) due to be implemented from 1 April 2026. However, in developing this policy, the Department and NHS England have carefully considered the potential risks, benefits, and wider impact as part of the standard policy-development process.

As part of the 2026/27 GP Contract, we are embedding the current A&G enhanced service funding within core practice funding. Practices will be required to use A&G prior to or in place of a planned care referral where clinically appropriate and to follow locally agreed referral pathways.

Between April 2025 and December 2025, A&G has avoided 1.3 million patients being unnecessarily added to hospital waiting lists by providing them with expert advice in their community.

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