Luisa Pettigrew

'This is not a contract that transforms general practice, although it does contain signs of incremental change.' Luisa Pettigrew, Senior Policy Fellow and Nina Hemmings, Policy Fellow at the Health Foundation

The GP contract for 2026/27 is neither wholesale renegotiation nor transformative shift.

@luisaptg.bsky.social and @ninahemmings.bsky.social argue that while there are signs of incremental change, it falls short of what is needed to realise the ambitions of the 10-Year Health Plan⬇️
bit.ly/4rHm2Z6

Our latest survey completed with @ipsosintheuk.bsky.social​ tracking the UK public’s views on the NHS and social care shows nearly half of the public (48%) delayed or avoided contacting their GP practice about a health concern in the previous 12 months.

Read more findings 👇
https://bit.ly/4tTv1ru

Person with curly hair wearing a white shirt beside the text 'Once inflation is accounted for, the investment is modest given the scale of the task ahead and does not represent the shift in resources needed to deliver the government’s 10-Year Health Plan or the deep-rooted challenges around access.'

Responding to government's new GP contract, @luisaptg.bsky.social​​ says, while it includes welcome commitments, it does not represent the shift in resources needed to deliver 10-Year Health Plan or address challenges around access and continuity of care.

Full response ⬇️
https://bit.ly/4tYmwM0

👉New: Winter Pressures in General Practice
bjgp.org/content/bjgp...

⚠️50% of practices “very busy/burnt out” by Dec
📋Proactive planning & better data use needed

@bjgp.bsky.social @lshtm.bsky.social @rozeggo.bsky.social @ruthcostelloepi.bsky.social @bristoluni.bsky.social @bennettoxford.bsky.social

In this episode of the @bmj.com Medicine and Science podcast, @hughalderwick.bsky.social and @luisaptg.bsky.social discuss patient experiences of accessing primary care in England and what they mean for the 10-Year Health Plan.

Listen now ⬇️
thebmjpodcast.podbean.com/e/bmj-jan-30...

Experiences of access to general practice in England: qualitative study and implications for the NHS 10 year plan Objective To report experiences and views of patients, carers, and staff on access to general practice in England in the context of major government plans to reform NHS services. Design Qualitative i...

Great @bmj.com podcast thebmjpodcast.podbean.com/e/bmj-jan-30... featuring the mighty @hughalderwick.bsky.social and @luisaptg.bsky.social talking about our paper on experiences of access to general practice and the 10 year plan. www.bmj.com/content/392/...

Policies to increase access to general practice may have unintended consequences Strengthening primary care is central to the three shifts set out in the government’s 10 year health plan for England: from hospital to community, sickness to prevention, and analogue to digital. New ...

New opinion piece in @bmj.com by @hughalderwick.bsky.social and @luisaptg.bsky.social with colleagues from @thisinstitute.cam.ac.uk​ sets out some of the potential unintended consequences of policies to increase access to general practice in England.

Read more ⬇️
bit.ly/4jNOAwN

New paper in @bjgp.bsky.social by @luisaptg.bsky.social @jaketreenotsea.bsky.social @hughalderwick.bsky.social and me, exploring the implications of the NHS Ten Year Plan ambition to shift care from hospital to community, and what it means for general practice👇🏻

Will today's changes to the GP contract in England requiring online access all day mark the end of the '8am scramble' or the start of GP waiting lists and further dissatisfaction, on all sides?

I explore the issue in this @healthfoundation.bsky.social blog www.health.org.uk/features-and...

'The NHS is not losing GPs because they are not being trained, it is losing them because they are not staying or are reducing their hours. Addressing this shift is essential to building resilient, equitable and effective primary care.' Jake Beech, Policy Fellow Luisa Pettigrew, Senior Policy Fellow

In this blog, @jaketreenotsea.bsky.social​ and @luisaptg.bsky.social​ look at the paradox of more GPs being trained but proportionally fewer working in NHS general practice, asking what is driving the shift and what are its implications.

Read more ⬇️
https://bit.ly/46r6y22

New BMJ Research finds a growing difference has emerged between the number of GMC licensed GPs and those actively working in NHS general practice in England.

A third of licensed GPs in England are not working in the NHS @luisaptg.bsky.social
www.bmj.com/content/390/...

'The NHS is not losing GPs because they are not being trained, it is losing them because they are not staying or are reducing their hours. Addressing this shift is essential to building resilient, equitable and effective primary care.' Jake Beech, Policy Fellow Luisa Pettigrew, Senior Policy Fellow

In this new blog, @jaketreenotsea.bsky.social​ and @luisaptg.bsky.social​ look at the paradox of more GPs being trained but proportionally fewer working in NHS general practice, asking what is driving the shift and what are its implications.

Read more ⬇️
https://bit.ly/46r6y22

'The changes to the GP contract and new patient charter are a step forward, but without clear expectations and ongoing investment into general practice, these changes risk fuelling further dissatisfaction, on all sides.' Luisa Pettigrew, Senior Policy Fellow at the Health Foundation

Improving access to GPs remains the public's top priority for the NHS, and a central concern for policymakers.

@luisaptg.bsky.social​ explores whether changes to the GP contract and the new general practice patient charter will really spell the end of the ‘8am scramble’ ⬇️

https://bit.ly/4mbcyS4

'The changes to the GP contract and new patient charter are a step forward, but without clear expectations and ongoing investment into general practice, these changes risk fuelling further dissatisfaction, on all sides.' Luisa Pettigrew, Senior Policy Fellow at the Health Foundation

Improving access to GPs remains the public's top priority for the NHS, and a central concern for policymakers.

@luisaptg.bsky.social​ explores whether changes to the GP contract and the new general practice patient charter will really spell the end of the ‘8am scramble’ ⬇️

https://bit.ly/4mbcyS4

'Learning from the experiences and mistakes of the past will be key to making "neighbourhood health" a reality this time.' Jake Beech, Policy Fellow and Luisa Pettigrew, Senior Policy Fellow at the Health Foundation

Alongside tech, the 10-Year Health Plan sees Labour betting big on establishing a ‘neighbourhood health service’ to reduce costs and improve care.

In this blog, @jaketreenotsea.bsky.social​‪ and @luisaptg.bsky.social​ ask how will it happen, and will it work?

Read more ⬇️
https://bit.ly/4evb4jo

'Learning from the experiences and mistakes of the past will be key to making ‘neighbourhood health’ a reality this time.' Jake Beech, Policy Fellow and Luisa Pettigrew, Senior Policy Fellow at the Health Foundation

Alongside tech, the 10-Year Health Plan sees Labour betting big on establishing a ‘neighbourhood health service’ to reduce costs and improve care.

In this blog, @jaketreenotsea.bsky.social​‪ and @luisaptg.bsky.social​ ask how will it happen, and will it work?

Read more ⬇️
https://bit.ly/4evb4jo

Illustrative

The first systematic review of practice and population factors associated with the Quality and Outcomes Framework, the most widespread national pay-for-performance initiative in general practice in the UK to date

➡️ doi.org/10.3399/BJGP...
@luisaptg.bsky.social #SystematicReview