Act now to stop your GP practice from closing from NI increases

Опубликовано: 11 Май 2026
на канале: eGPlearning
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Email template

Dear [MP Name]

I am writing to flag a profound concern around NHS GP Practices and the Autumn Statement announcements on Employers’ NICs.

We have lost over 1000 NHS GP practices in the past decade. If Darren Jones’ comments on BBC QT and the BBC are correct (here: https://x.com/BBCBreakfast/status/185..., we shall see many more hand back their contracts overnight.

NHS GP Practices are excluded from employer support for small businesses - and previous Conservative governments have offered full recovery for NICs rises.

GPs are very clearly defined in the past 25 years of law as "public authorities". The recent assertion by Darren Jones above flies in the face of various legislation, including:
Freedom of Information Act
The Equalities Act
GDPR
IR35
Presumably, the Treasury does not intend to amend hundreds of pieces of major legislation in order to claim an extra 1.2%?

Such poorly thought through comments are sending practice owners like myself into a tailspin. This needs absolute clarity as soon as possible. This video may explain my concerns in more detail:    • The budget National Insurance impact on Ge...  

Likewise, the methodology for recent uplifts is out of date, and has failed to deliver. Any repeat of a Global Sum % uplift will not work with the NICs change proposed, because of the ‘fixed per employee’ element. The Association of Specialist Medical Accountants has flagged this concern too.

The Treasury and DHSC need to take immediate steps to correct Mr Jones’ comments and assure the profession that they have no intention of threatening the viability of thousands of NHS GP Practices, lest Labour kills the family doctor.

Yours


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