iiinova — where your digital self keeps evolving

Dr Katie Bramall @drkatie.bsky.social · 25/03/2026

BMA GP Referendum DONE ✅ ⏳Now the waiting game from Civica to check the data. 🙏In this window we want to THANK YOU for taking the effort to vote and use your voice. We are proud to represent you. GPCEngland meets tomorrow to determine next steps. Watch this space… 👀

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Dr Katie Bramall @drkatie.bsky.social · 25/03/2026

BMA GP REFERENDUM ⏰Closes TODAY 12 Noon ⏰ Have you voted yet? Yesterday saw 2,986 votes cast - the highest daily total since the referendum opened Turnout: 49.38% 🫸 ONE FINAL PUSH 🫷 📱Open yesterday’s BMA SMS 👉Click vote on your unique link ⏰ It takes 5 seconds

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Dr Katie Bramall @drkatie.bsky.social · 23/03/2026

GP REFERENDUM ⚠️ Last 4️⃣8️⃣ Hours To Vote⚠️ 0️⃣2️⃣Days Left ⏰Closes Weds 12 Noon ⏰ Every. Single. Vote. Counts. 🗳️ Search inbox & junk for bma@cesvotes.com🔎 ❌ No link? Email GPcontract@bma.org.uk now- do not delay! 📖 Info on campaign: bma.org.uk/GPContract @BMA_GP

bma.org.uk

Campaigning on the future of General Practice

It saddens us to confirm that the profession entered dispute with the Government on 1 October 2025 over its broken promises relating to GP contract renewal and investment and the 2025/26 GP contract c...

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Dr Katie Bramall @drkatie.bsky.social · 13/03/2026

Thanks to @bmj.com & & @kamranabbasi.bsky.social for having me on the podcast: bit.ly/4t1BjVR Our final new contract webinar is Weds lunchtime 12-1.30 Head to BMA.org.uk/GPcontract to register & don’t forget to vote in the GP referendum - it’s your decision re: the 26/27 contract

bma.org.uk

Campaigning on the future of General Practice

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Dr Katie Bramall @drkatie.bsky.social · 07/03/2026

Podcasts! This week: GP Online’s Talking General Practice: open.spotify.com/episode/6jwi... Today: eGPlearning with Andy & Gandhi www.youtube.com/live/-UMwjgk... Next week: BMJ with Kamran Abbasi Week after: Medics Money with AISMA’s Andy Pow and Dr Tommy Perkins

open.spotify.com

Dr Katie Bramall on why the new GP contract is unsafe and how GPs can fight back

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Dr Hussain Gandhi @drgandalf.bsky.social · 06/03/2026

Join Andy and @drgandalf.bsky.social of eGPlearning AND GPCE chair Dr @drkatie.bsky.social to hear how the GP contract will affect you in primary care and what you can do about it. Live from 11am Sat 7th March here: www.youtube.com/watch?v=-UMw...

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Dr Steve Taylor @drstevetaylor.bsky.social · 05/03/2026

This sums up the new ‘imposed’ GP contract @drkatie.bsky.social clearly tells @gponline.bsky.social what the problems are I will add it’s less than £1.50 per patient per year extra funding GP practice need £40-£50 to return to 2016 funding

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Dr Katie Bramall @drkatie.bsky.social · 05/03/2026

As ever, thanks to Emma for having me on the podcast Listen also on Spotify open.spotify.com/episode/6jwid6… Then go and VOTE in the referendum @BMA_GP

open.spotify.com

Spotify – Web Player

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Ben Goldacre @bengoldacre.bsky.social · 23/02/2026

OpenSAFELY is open from today! Huge thanks to all who supported this vast collaboration: whole population GP data; in a productive platform; innovative privacy protections; unprecedented support from professions, privacy campaigners; &c Now it's over to users! www.bennett.ox.ac.uk/blog/2026/02...

bennett.ox.ac.uk

OpenSAFELY news: you can apply to do non-COVID research, from today! | Bennett Institute for Applied Data Science

We are delighted to announce that - from today - you can submit applications to the OpenSAFELY service for non-COVID-19 studies.

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drcarolinegp.bsky.social @drcarolinegp.bsky.social · 01/10/2025

Our practice gets a minimum average of 44 online queries an hour on a Monday. 31 an hour the rest of the week We don’t have the resourcing to cope with this unless we cancel all other work. In the past two weeks we have had two sick babies put through on admin form. Despite our website saying don’t

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Dr Steve Taylor @drstevetaylor.bsky.social · 01/10/2025

GPs have done all they can to keep patients safe and provide as much as possible 1.4million people will consult today Compare this with 67,000 in A&E The reason for the concerns is we have a capacity problem & a funding crisis The 8 am rush (it’s bad) will be replaced by the GP waiting list (worse)

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

Pls RT if you care about - patient safety - speaking truth to power - want better access to your GP - worry about future of NHS GPs want to work WITH this govt Talk to us! @ShaunLintern @parthaskar @drlukeevans @Parody_RCGP @DailyMailUK @RoyLilley @doctor_oxford @bmj_latest

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

And so too support your ICBs & teams under huge pressure & redundancy threats to work WITH their practices again supporting patient safety Again this is the need for co-production not top-down diktat Trust your 6,331 neighbourhood health services = Your GP practices! 10/11

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

Pls, @wesstreeting @SKinnock Let us talk Let’s support your ambition but give us a guarantee that you won’t breach practices that are trying their best to deliver this Get @NHSEngland to engage with @theHSSIB recommendations in interest of pt safety @PatientsAssoc 9/x

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

@Accurx @KlinikUK @TPP_SystmOne @econsult keen to work with practices to make this safe @NHSEngland @DHSCgovuk why won’t you join us? 8/x

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

Patients deserve safe & quick access to their GP Any economics student will explain if you need quick + safe, it won’t be cheap But GP costs under £140 per pt per year - less than your pet insurance Less than the cost of 🍎 a day! & we know continuity of care saves lives 7/x

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

We lack the resources, capacity and capabilities to meet the needs of our patients if we can’t switch off online requests when we are full Not to mention mandating we MUST contact the patient THAT SAME DAY no matter how many patients contact us 🤯 Not safe 6/x

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

Not just opinion of @BMA_GP but also @theHSSIB I wonder what @CQCProf & @gmcuk think? This break’s Jess’ Rule 5/x

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

On average 88.9 submissions per 1,000 patients in August 2025 The range = 0 to 884.8 online consults, per day, per practice Why do @NHSEngland @DHSCgovuk insist on treating all practices the same? Why can’t we temporarily pause online when we are full? This is not safe 4/x

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

According to this data 💥5,967 (over 96%) of practices in England have at least one online consultation system 💥5.1 million patient online submissions occurred in August 💥3.5 million clinical, the rest admin (For context every A&E nationwide offers 67,000/day) 3/x

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

And guess what? @NHSEngland own data from August: I’ve just found the following dataset: digital.nhs.uk/data-and-infor… “Submissions via Online Consultation Systems in General Practice, August 2025” Well well well… 🕵️‍♀️ 2/x

digital.nhs.uk

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Dr Katie Bramall @drkatie.bsky.social · 30/09/2025

If @wesstreeting thinks GPs are stuck in 20thC, visit a hospital We are the science museum! ➡️Electronic records since 1991 ➡️Online triage ➡️Ambient scribes ➡️SMS ➡️Online bookings ➡️Electronic prescribing ➡️Online referrals ➡️Video consults DAYS after 1st lockdown…. 1/x

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Dr Katie Bramall @drkatie.bsky.social · 14/09/2025

Govt now need to *listen* to our solutions for how to avoid potential disputes, and how this won’t cost Treasury a penny.

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Dr Katie Bramall @drkatie.bsky.social · 14/09/2025

@BMA_GP have articulated our concerns professionally & in good faith GPs have been labelled “laggards” & “blockers of progress” despite eRS; EPS; GPSoC; GPC-UR read access; 99% surgeries on cloud-based telephony; & access higher than any point in 77 yr Hx of NHS: 1.5m pts/day

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Dr Katie Bramall @drkatie.bsky.social · 14/09/2025

Equally true: @TheBMA warns Secretary of State the NHS will die, should Labour lose the next election, because they refused to work with Drs & imposed unevidenced top-down reforms & dangerous contracts risking patient safety… theguardian.com/society/2025/s… @BMA_GP @rcgp @TheDA_UK

theguardian.com

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Dr Katie Bramall @drkatie.bsky.social · 15/08/2025

4. Extend NHSResolution for IG liabilities 5. Govt explicit preference GPs lead SNP & parity of opportunity @ MNP level This is a critical juncture for the profession We want to work w Govt to secure solutions, not create problems But GPs need to see action

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Dr Katie Bramall @drkatie.bsky.social · 15/08/2025

GPCE clear what’s needed to ⬇️doubt ⬆️confidence & avoid disputes: 1. Roadmap & timelines for GMS contract renewal & transparency of investment 2. ARRS > practice-level reimbursement 3. Additional practice-level scheme to reduce GP under/unemployment asap….

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Dr Katie Bramall @drkatie.bsky.social · 15/08/2025

Support is appreciated but actions count most Re: 10YP that means ICBs pushing back on Trusts to ensure GP influence @ N’hood level Govt must listen to GPs to meet the 3 objectives GPs can support principles whilst pointing to where 10YP fails in described implementation.

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Helen Salisbury @helensalisbury.bsky.social · 04/07/2025

Newsnight last night. I had more to say but it wasn't easy. We already have Neighbourhood health centres - they are called GP surgeries. Invest in GP - we know it works if funded properly youtu.be/mDEDXFQfqIk?...

youtu.be

Helen Salisbury Newsnight July 2025

YouTube video by Christina Pagel

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Dr Katie Bramall @drkatie.bsky.social · 30/05/2025

…in this model, as a precaution, while the facts can be established Patients shouldn’t have to worry that what they tell their GP will get fed to AI models without the full range of safeguards in place to dictate how that data is shared @bma_gp

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Dr Katie Bramall @drkatie.bsky.social · 30/05/2025

We appreciate @NHSEngland’s verbal commitment yesterday to improve on these processes going forward The joint GP IT committee has asked NHS England to refer itself to the @ICOnews so the full circumstances can be understood, & to pause ongoing processing of data

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Dr Katie Bramall @drkatie.bsky.social · 30/05/2025

As such, we are unclear as to whether the correct processes were followed to ensure that data was shared in line with patients’ expectations and established governance processes We have raised our concerns with NHS England through the Joint GP IT Committee

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Dr Katie Bramall @drkatie.bsky.social · 30/05/2025

For GPs, focus is always on maintaining patient trust in how their confidential data is handled We were not aware that GP data, collected for Covid-19 research, was being used to train an AI model, “Foresight”….

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Stuart Hoddinott @stuarthoddinott.bsky.social · 22/04/2025

NEW REPORT: How does patient satisfaction with general practice vary in England? And what do patients value in their practice? We find that patients prefer: - More GP partners - More GP appts - More F2F appts - Smaller list sizes Other findings👇 www.instituteforgovernment.org.uk/publication/...

instituteforgovernment.org.uk

General practice across England | Institute for Government

What does patient satisfaction across England tell us about GPs surgeries' performance?

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BK. Titanji @boghuma.bsky.social · 29/12/2024

Science affords us the luxury of forgetting the impact of infectious diseases - In the 1st half of the 19th century 40-50% of children in US did not make it past the age of 5 - TB killed 1 in 7 people in US and Europe - smallpox killed 80% of infected children theconversation.com/infectious-d...

theconversation.com

Infectious diseases killed Victorian children at alarming rates — their novels highlight the fragility of public health today

Between 40% and 50% of children didn’t live past 5 in the US during the 19th century. Popular authors like Charles Dickens documented the common but no less gutting grief of losing a child.

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Helen Salisbury @helensalisbury.bsky.social · 21/12/2024

@drkatie.bsky.social was great on R4 Today (7.50 if you missed it) We want not just to stop practices closing but to improve the service they can offer to patients (timely access to a GP they know) and this will cost more than is currently on the table - but it's a start.

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Doctors in Unite @doctorsinunite.com · 21/12/2024

A great explainer from GPCE chair @drkatie.bsky.social on exactly what is at stake with the upcoming negotiations for the new General Practice contract. From 11:24 on Matt Frei's LBC show today 👇 www.globalplayer.com/live/lbc/lon...

globalplayer.com

LBC London - Listen Live | Global Player

Leading Britain's Conversation. Access your favourite LBC shows now!

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Victoria Tzortziou Brown @victoriatb.bsky.social · 15/12/2024

“Replacing the Carr-Hill formula with a needs-based formula is the best and most sustainable way to make general practice funding more equitable.” @becksfisher.bsky.social @nuffieldtrust.bsky.social @rcgp.bsky.social @drkatie.bsky.social @qmul.ac.uk

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Dr Steve Taylor @drstevetaylor.bsky.social · 16/11/2024

Can’t get an appt with a GP? Yet there are 1000s of GPs out of work or struggling to find work NHS England have cut the equivalent of 2 full-time GPs in funding from an average practice, whilst funding ‘additional’ roles via ARRS £2bn cut in real term Not additional then🤷🏻‍♂️ youtu.be/tI69wqP1_3g?...

youtu.be

Over 80% of locum GPs in England are struggling to find work

YouTube video by Channel 4 News

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Ben Goldacre @bengoldacre.bsky.social · 16/11/2024

If you've been wondering where I went: my team in Oxford (60 of us!) build beautiful tools for NHS data. We help researchers work on the whole nation's GP records while protecting - provably - everyone's privacy. It's big potatoes! www.youtube.com/watch?v=GRjR...

youtube.com

OpenSAFELY in a nutshell

YouTube video by Bennett Institute for Applied Data Science

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Carole Cadwalladr @carolecadwalla.bsky.social · 17/11/2024

NEW: The great Trump-Musk crackdown is coming. And it will hit hard & fast. Journalists will be first. But everyone else is next. I urge you to read my 20 lessons in How to Survive the Broligarchy, inspired by & featuring the great @timothysnyder.bsky.social 1/ www.theguardian.com/commentisfre...

theguardian.com

How to survive the broligarchy: 20 lessons for the post-truth world | Carole Cadwalladr

In the wake of Trump’s unnerving appointees, the investigative journalist and veteran of the libel court offers pointers on coping in an age of surveillance

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Dr Steve Taylor @drstevetaylor.bsky.social · 16/11/2024

Let me help you Wes Streeting @teamlabouruk.bsky.social GP partnerships are providing 5m more appointments a month compared to 2019 30million half the population 2million is the total A&E attendances a month End the partnership model & I can guarantee A&E waits will double/treble 📌 this post

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