Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to help reduce the need for patients to contact GP practices at 8am in order to secure a same-day appointment.

We have pledged to end the 8:00am scramble by introducing a modern booking system. As part of this, we have introduced a new requirement for general practices to make online appointment requests available throughout the duration of core opening hours, which will help reduce pressure on phone lines for patients who prefer to call.

General practices are independent businesses that hold contracts with the National Health Service to provide essential services. The contracts are clear that patients must be offered an assessment of need or signposting to a different service on the day they contact their practice. This is to ensure that we move away from a ‘first come, first served’ approach to a more equitable one that benefits all patients.

NHS England published the Medium‑Term Planning Framework in October, setting a new requirement for all urgent appointments to be delivered on the same day, ensuring that patients needing urgent care are prioritised. Building on this, the 2026/27 GP Contract makes it explicit that any requests identified as clinically urgent, as determined by the general practice, must be dealt with on the same day.