Analysis of new figures shows the share of NHS spend going to general practice fell to its lowest point in 2024-25 - a decade on from NHS England vowing to shift the balance the other way.
The share of doctors in the English NHS who are GPs also fell.
Meanwhile, GP groups are among those crying foul over the latest “advice and guidance” reforms.
NHS England is asking systems to introduce blanket A&G for 10 “high volume specialties” chosen locally, for which it has set an ambition of a “diversion rate of at least 25 per cent by March 2027”. All of these referrals will flow via “single points of access”.
Some in general practice are worried they will have to carry the can for managing patients who are turned away from secondary care.
With HSJ deputy editor Dave West, bureau chief James Illman and correspondent Caitlin Tilley.
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