GP Contract

Jonathan Brash Excerpts

Monday 16th March 2026 Commons Chamber

[Stephen Kinnock]

I thank the hon. Member for his question, but it is pretty clear to us, based on the experience of advice and guidance—I think it is advice and guidance that he is referring to specifically—that the £80 million we invested in advice and guidance under the last contract has been extraordinarily successful, with very high take-up right across the country. As a result, we have kept 1.3 million people out of electives who did not need to go to those out-patient appointments. What we are doing now is embedding that in the contract, because it has been such a success.

By embedding it in the contract, we are giving more flexibility and less bureaucracy, because there will be a single point of access in the trust. GPs will be able to access the high-level consultant expertise and specialism that they need in order to assess whether or not a particular patient needs to go to an out-patient appointment. It will mean more flexibility, high-level triage and much better outcomes for patients.

[Mr Jonathan Brash (Hartlepool) (Lab)]

My dad was a GP in Hartlepool for 33 years. He worked through the improvements brought in by the last Labour Government and, until his retirement, through the destruction that the last Conservative Government oversaw—most notably the inability to get a same-day urgent appointment, which saw far too many patients ending up at the door of their local hospital. Does the Minister agree that ensuring that people can access same-day urgent appointments gets treatment out of hospitals and back into communities, where it belongs?

[Stephen Kinnock]

I thank my hon. Friend for that question; I can feel the passion with which he asks it, particularly because of his family connection. It is vital that clinically urgent patients get treatment on day one. We are confident that that is happening in many cases, but embedding it in the contract means an additional level of transparency and commitment from all sides of the equation. That is really important, because it recognises the good performance that is already happening in many cases but will also drive up performance in areas where it is not at the level at which it should be.