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Register your interest to deliver intelligent care navigation: https://fmgwh.share-eu1.hsforms.com/2...

Register for X-on Health AI Roadshow: https://event.x-on.co.uk/safe-secure-...

X-on Health's Intelligent Care Navigation System: https://app-eu1.hubspotdocuments.com/...

Time codes:

00:00 Intro
00:49 Team X-on Health
03:15 Intelligent Care Navigation Systems
04:40 X-on health components
06:20 Delivering Intelligent Care Navigation Systems
08:30 X-On Surgery Assist
13:50 Practice view of Forms
14:30 Omni-Consult
16:20 X-on Voice Agents
18:45 Some questions from eGPlearners
23:55 X-on Surgery Intellect
28:22 What's Next from X-on
29:56 Hyperlocalisation impact
33:25 Surgery Assist Practice signposting
37:00 Surgery Insights
38:50 Questions and comments
39:0

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GP surgeries are being asked to display posters promoting Jess’s Rule. Developed together with the profession, this rule asks GP teams pause, reflect, review and rethink the assessment and management of patients if they have been seen three times with the same or escalating symptoms.

In this episode we discuss Jess’s rule and how it might be received and implemented in practices.

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. 

Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. 

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BONUS EPISODE – Gandhi and Andy take time to reflect after a visit to Nottingham by Dr Minal Bakhai MBE from NHSE to explore how Neighbourhood Health is developing in the City and what progress is being made here as one of the 43 National Neighbourhood Health Implementation Programme (NNHIP) sites.

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. 

Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. 

Elevate your ability to manage primary care challenges effec

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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Join Andy and Gandhi of eGPlearning as they review the latest guidance on vaccinations and immunisations for 2026 and more

Service specification: General practice seasonal vaccination services – COVID-19 and influenza vaccination enhanced services
19/1/26
https://www.england.nhs.uk/publicatio...

Letter…
For the first time, we have combined the COVID-19 and adult influenza service specifications into 1 document
practices can still sign up to deliver only the adult influenza vaccination service
streamlined and further aligned the COVID-19 and adult influenza vaccination requirements

See bullet points in letter…
PRactice individualy, not just as part of PCN
No housebound covid vacs fee (was £10)



Thoughts
Welcome change to be able to sign up individually - less hassle = more uptake
Cost effective to combine


Main Doc… Can look at sections
Sign up process and dates

COVID 19 Vaccine - centrally provided by commissioner - via FDP


Government’s current vaccination strategy is ‘a failure’ and must be replaced, say MPs
https://www.pulsetoday.co.uk/news/cli...

Cocodamol shortage:

https://primarycare.lancashireandsout...


Wavelength

New 10-year plan contracts should not be created without GP approval, says BMA

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

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Join DrGandalf and the team from Tempo to see how they can sort your rota, HR, finance and more. See Tempo: https://tempo.gpnetworks.co.uk/

00:00 GP rota solved?
01:00 Who are Tempo
02:30 What is Tempo?
06:18 Tempo journey
07:40 Tempo coverage
08:13 Tempo integrations
09:45 Tempo HR support
11:55 Tempo improving your practice
13:40 Tempo platforms
14:05 Tempo forecasting
15:15 Tempo live demo
23:19 Tempo GP Rota made easy
25:48 Tempo GP Benchmarking
27:58 Tempo and GPNetworks
28:44 Contact Tempo
29:25 TPP and EMIS integration
30:45 Room planner?
32:15 NHS Pensions integration
34:30 Cost of Tempo
36:30 Onboarding with Tempo
39:06 Annual leave rules?
43:05 Tempo in brief..

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. 

Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. 

Elevate your ability to manage primary care challenges effec

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Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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Join Andy and Gandhi as they cover the impact of local and national events in General Practice as we kick off 2026

Join Andy and Gandhi for the first update of 2026 in General Practice

Welcome to 2026

Waiting for Neighbourhood Guidance

???GP suspended after blocking out appointments to collect children???
https://www.pulsetoday.co.uk/news/reg...

5m suspension
Specific facts available if you want to explore this
Links to public record of the hearing
Many suggest sanction is excessive
We will discuss the issues around it
Long hours
Lack of flexibility
Culture of not being able to admit or address pressures
To pick up kids - pressure, child care, culture…



Calls to end GP-issued fit notes after 40,000 per day issued in 2025
https://www.pulsetoday.co.uk/news/cli...

Some 40,000 people were signed off with fit notes each working day last year
Centre for Social Justice (CSJ) estimated 11 million fit notes were issued in 2025 – the majority by GPs.
The CSJ recommended fit note responsibility be moved away from ‘overstretched’ GPs and into a new Work and Health Service and ‘embed employment and occupational health support at the point of sign-off’.
See box
They also said the total includes fit notes signed off as ‘may be fit for work’ as well as ‘not fit for work’.
This is despite the Government introducing legislation in 2022 which expanded fit note certification to other professionals such as nurses, physiotherapists, and occupational therapists. Last year, Government-commissioned research found limited take up of healthcare professionals other than GPs writing fit notes since the 2022 reforms.

Thoughts
Difficult to treat, maintain relationship, trust whilst enforcing a need to return to work?
Move to online consultations removing direct engagement with patients and losing opportunities to support back to work - something thats good for patients
Talk of removing this responsibility from GP s for some time
Used to be that 3-6m sickness DWP service assessed - this was

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. 

Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. 

Elevate your ability to manage primary care challenges effec

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A BONUS episode to welcome you to 2026!

Will there be an imposed contract on general practice in April 2026?!

Gandhi and I make our predictions for General Practice in 2026. We cover what will be the key themes in GP Technology, and AI, and the policy and contracting landscape

Our review of previous predictions from our New Year’s episode 2020 to present, and whether they came true, are available in our last video. This is the last segment of that video – published separately for those who just want to get down to what we think is coming up this year.

As ever we are looking forward to tech enhancing your primary care and learning in 2026!

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. 

Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. 

Elevate your ability to manage primary care challenges effec

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

bit.ly/EMIScourse

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Its prediction time for General Practice in 2026!

We review our review previous predictions from our New Year’s episode 2020 to present, and whether they came true, are available in our last video. 

And make our predictions for General Practice in 2026. We cover what will be the key themes in GP Technology, and AI, and the policy and contracting landscape.

Will there be an imposed contract on general practice in April?

Find out what we are expecting!

As ever we are looking forward to tech enhancing your primary care and learning in 2026!

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. 

Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. 

Elevate your ability to manage primary care challenges effec

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

bit.ly/EMIScourse

Contact us and share your opinion

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. 

Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. 

Elevate your ability to manage primary care challenges effec

Subscribe and hear the latest EPIC episode. 

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

bit.ly/EMIScourse

Contact us and share your opinion

Join Andy and Gandhi as they cover the impact of the budget, the BMA being out of GP negotiations and other plans for GPs by the DAUK

Agenda
Wes Letter 27/11/25
BMA lose exclusive negotiating role in GP contract
Budget 25 - impact for GP?
DAUK Your GP here for you campaign

BMA set to lose exclusive GP contract negotiating role in England
https://www.pulsetoday.co.uk/news/breaking-news/bma-set-to-lose-exclusive-gp-contract-negotiating-role-in-england/ 


Not our role to negotiate GP contract’, says RCGP
https://www.pulsetoday.co.uk/news/contract/not-our-role-to-negotiate-gp-contract-says-rcgp/ 

NHSE primary care director Dr Amanda Doyle: Patients deserve consistent online access - by Amanda Doyle
https://www.pulsetoday.co.uk/views/2025-26-contract/nhse-primary-care-director-dr-amanda-doyle-patients-deserve-consistent-online-access/ 

Budget 2025

Context
Long wait
Lots of leaks and kite flying
Not least OBR leak on the day

https://www.nhsconfed.org/publications/autumn-budget-2025#:~:text=The%20overall%20budget%20for%20health,in%20the%20OBR's%20inflation%20projection. 

Wimslow practice video
https://www.youtube.com/watch?v=1zNQN8VJLVI 

Medics Money
https://www.youtube.com/watch?v=u0KEiv6cR8U 

Doctors demand new GP contract and £40-per-patient funding uplift
https://www.pulsetoday.co.uk/news/contract/doctors-demand-new-gp-contract-and-40-per-patient-funding-uplift/

Doctors’ Association UK (DAUK) has demanded that the Government increase core GP funding per patient by £40 a year as part of a new ‘patient-centred’ GP contract. 


The group’s ‘Your GP, here for you’ campaign proposes funding these changes by increasing per-patient funding by £40 a year to £209 – a move it says would bring the figure in line with inflation over the last decade. 


Advocate for a patient centred GP contract

https://dauk.org/our-call-for-new-patient-centred-gp-contract/ 



Wes Letter 27/11/25

Dear Colleagures… To GPs and bypassing the GPC

Firstly, I want to say a heartfelt thank you to you and your teams

Patient satisfaction with general practice is improving, with 73.9% reporting a good overall experience, up from 67.4% in July 2024. This is a significant achievement, and the credit is all yours.

Background to previous negotiation milestones with labour …
We struck the first contract deal with the BMA GPCE in 4 years last year, backed by £1.1billion in 2025/26 (an 8.9% cash uplift), the biggest in over a decade.
Within months of entering government, we invested an additional £82 million into the ARRS scheme and removed red tape to allow you to recruit over 2,500 extra GPs. I am now actively looking at ways I can introduce further flexibilities into the scheme to continue boosting GP employment.
To ensure general practice is rewarded for the additional work you take on through advice and guidance, we have introduced a financial

Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. 

Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. 

Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. 

Elevate your ability to manage primary care challenges effec

Subscribe and hear the latest EPIC episode. 

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

bit.ly/EMIScourse