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Kyle Roys @drkroys.bsky.social · 04/09/2026

@bma.org.uk I just do not understand the BMAs approach to the GP negotiations. Are there negotiations taking place, are we making any progress? It feels like we have laid down and are being left behind by the BMA. The collection action strategy is extremely low key

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Kyle Roys @drkroys.bsky.social · 03/09/2026

Ski Sunday was the spark that got so many of us into snowsports. But right now, there's hardly any free-to-air coverage to inspire the next generation. Let’s get the BBC to bring back this iconic show and celebrate our winter athletes! Add your name here: you.38degrees.org.uk/petitions/sa...

you.38degrees.org.uk

Bring back Ski Sunday

For generations, Ski Sunday inspired us to hit the slopes and follow British athletes. Let's tell the BBC to bring back this iconic show so the next generation doesn't miss out on the magic of the mou...

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Kyle Roys @drkroys.bsky.social · 01/07/2026

We should consider going back to what was done last time. This steady escalation is not causing any ripples locally and I don’t think anyone’s really engaging with it.

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Kyle Roys @drkroys.bsky.social · 01/07/2026

@bma.org.uk is there any data you have to show that GP surgeries are engaging with collective action? I do not feel the approach this time round is having any measurable impact, and bearing in mind the new health sec has not even replied to the BMAs letters it’s fair to be sceptical.

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Kyle Roys @drkroys.bsky.social · 21/06/2026

Yep. Within 6 months of becoming PM there will be cries of “you failed” etc. I really feel sorry for Keir, I’m not a fan of how they have approached the NHS, particularly primary care where some significant assurances were broken, but I dislike how he has been blamed for all the countries ills

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Kyle Roys @drkroys.bsky.social · 05/06/2026

I don’t know why the health sec would be party to evidence such as this and be the one telling the prime minister? It feels very implausible.

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Kyle Roys @drkroys.bsky.social · 01/06/2026

Indeed. This is a very bold and unsubstantiated statement. How is having records available going to prevent someone going in to A&E? Tell you what does, primary care working. Not the starved resourcing that is constantly being defended and surrounded in spin to make good PR

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Kyle Roys @drkroys.bsky.social · 01/06/2026

This is just fracturing Labour, he cannot best Starmer and he cannot beat Burnham. So all this achieves is division and media focus when there’s far more important things to be focusing on

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Kyle Roys @drkroys.bsky.social · 26/05/2026

If you watched start trek (bear with me), then you will probably recognise that AI can be an incredibly useful tool if you use it as that, rather than a solution to the problems that you come across. It can really speed up and broaden your understanding if you use it responsibly, not as a substitute

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Kyle Roys @drkroys.bsky.social · 14/05/2026

Or. Or. Maybe. It's because he spies an opportunity to try be PM and duck out of health care bearing in mind GPs consultants and junior doctors are all up in arms despite him boasting about resovig the issue. It was all words and no substance sadly. Just career moves.

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Kyle Roys @drkroys.bsky.social · 10/05/2026

bsky.app/profile/drst... Shaun is usually very one sided when discussing health care. You cannot ignore primary care when it does ~80% of health care. Health care is not just hospitals.

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Kyle Roys @drkroys.bsky.social · 10/05/2026

Agreed but needs more than the vague description given so far. There are real worries about how this is implemented and who holds the can when it goes wrong. GP surgeries are currently in a very vulnerable position. What would be better is a shared system for health care, one we all use.

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Kyle Roys @drkroys.bsky.social · 10/05/2026

Already though you see the old narrative from gov that the issue is primary care not hospitals. whole joined up documents is something we want, they leave a lot of cost and legal burden with us, because why would you risk you own money and licence. When we raise this, we are called luddites

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Kyle Roys @drkroys.bsky.social · 10/05/2026

Instead it still relies on sending letters to primary care, at the moment we get flooded because electronic letters and paper are sent at different times. Floods our inboxes as everything is communicated twice, which ironically barriers efficient communication.

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Kyle Roys @drkroys.bsky.social · 10/05/2026

It’s interesting that they aren’t, and the reason is usually because of fragmentation within the hospitals, who is happy holding more responsibility, and costs. Imagine you go to hospital apt or are discharged (god forbid) and all your meds are issued straight to your local pharmacy and note updated

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Kyle Roys @drkroys.bsky.social · 10/05/2026

I have felt for years that we should all document in something like EMIS (UK could develop its own national one if it wanted), the most commonly used GP system. It can store everything, when you go to hospital they document there. The see all your records and can adjust. You can see it via the app.

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Kyle Roys @drkroys.bsky.social · 10/05/2026

But it is possible to get these systems to talk together. The question you need to ask is where does your hospital document consultations? I bet you find even within same hospital, different depts have different systems. Some will be largely paper, some more digital (usually ITU).

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Kyle Roys @drkroys.bsky.social · 10/05/2026

Your hospital sounds like it is prescribe to its own internal pharmacy and delivering. That’s usually a hospital specific choice and means they use their own internal systems. Data breaches in GP usually associated with human error when trying to move info from external system

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Kyle Roys @drkroys.bsky.social · 10/05/2026

There is certainly variation nationally, which in itself is unacceptable isn’t it. But generally speaking, most hospitals are not able to do things like this, where as ALL GP surgeries use either EMIS or System One for records. So it’s fairly standardised in primary care nationally.

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Kyle Roys @drkroys.bsky.social · 10/05/2026

This example seems very strange and really think you need to scrutinise more Shaun. I have worked in renal medicine and I can tell you the run up to a transplant is long and well planned. The chances a whole procedure was cancelled because of weekend access to GP records are very low.

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Kyle Roys @drkroys.bsky.social · 10/05/2026

Yes it’s an old issue. As medicine has become more complex, what you GP is doing and hospital is doing is closer together, and can impact each other. Hospital records are largely still paper, GP were digitalised in the 90s.A shared care record is a good thing, but your data within needs protection

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Kyle Roys @drkroys.bsky.social · 10/05/2026

It depends how you utilise it. I have felt for years that primer and secondary care should have a joint care record. It would be easier that we all document on to “your notes” rather than your “hospital notes”. The issue with gov is that they leave the litigation risk with GPs sadly when goes wrong

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Kyle Roys @drkroys.bsky.social · 10/05/2026

It’s actually the other way around. GPs IT systems have been for more modern than the hospitals for decades even. The hospitals have only recently digitalised some parts of their documentation, and can’t even send prescriptions to pharmacies from outpatients. Instead this is passed to GP, without £

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Kyle Roys @drkroys.bsky.social · 09/05/2026

Yeah agree it’s Westminster not London, it’s rarely the people. Guess that’s the point, the talk about wales Scotland etc is understandable but it’s too easy to just focus on them, a lot feel dissociated from Westminster.

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Kyle Roys @drkroys.bsky.social · 09/05/2026

To be honest, I think a lot of the country, particularly the north, can feel similar dissociation from London

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Kyle Roys @drkroys.bsky.social · 01/05/2026

@bma.org.uk @drkatie.bsky.social I have to say, the proposed plan of tackling contract imposition by non engaging with DSAs is very low bar. I cannot see this causing any shift for th government and all the while we will be vulnerable to financial ruin and closure.

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Kyle Roys @drkroys.bsky.social · 30/04/2026

@drkatie.bsky.social @bma.org.uk any updates for us? Deadline has passed so assume no movement?

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Kyle Roys @drkroys.bsky.social · 24/04/2026

But I guess it was always going to be a car crash. So I guess there's a difference between pushing the agenda and being the one who is left trying to make it work.

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Kyle Roys @drkroys.bsky.social · 24/04/2026

Not necessarily disagreeing, but I remember what labour were like pre-election, particularly on the NHS, really felt like we were going to start getting somewhere, but in practice there are the same with us as the tories were. So I'm sceptical about one party really investing ony he way needed

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Kyle Roys @drkroys.bsky.social · 24/04/2026

I think the way forward is not to target these individuals with “this is your fault”, I mean it is, but it's prob best to acknowledge that some people had opinions at the time and now we need to help them feel they can openly support returning to Europe. I can see them digging heels in again is not

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Kyle Roys @drkroys.bsky.social · 23/04/2026

If you want both preventive and increased urgent care, pay for it. They say are but they are not and the new neighbourhood system is just a reimagining of old strategies, it will only dilute primary care and isn't nearly well funded enough as an idea.

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Kyle Roys @drkroys.bsky.social · 23/04/2026

Still not budging on unlikites urgent capacity. Turns us all in to urgent care centers at the expense or all other care. To think the UK, that created primary care and concept of preventative medicine early, is turning the very clinicians who do that in to A&E depts for votes.

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Kyle Roys @drkroys.bsky.social · 19/04/2026

Well until someone offers a valid alternative explanation, that is backed up with data, I think it’s fair for us to feel that way rather than it being cynicism. It is so one sided, I genuinely fear people will be harmed. All we at left with the is conclusion that this is solely meant to block refs

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Kyle Roys @drkroys.bsky.social · 19/04/2026

Is there days to show that the reason for the waiting lists being so long is significantly due to poor GP referrals? If so then we have to accept SC may take this step, if not the how can you justify it.

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Kyle Roys @drkroys.bsky.social · 01/04/2026

@drkatie.bsky.social thank you and your colleagues for standing up for primary care and the partnerships. I don’t think we’ve ever been so close to going the same way the dentist did, I can see that we’re straightening has said that he’ll talk but I really respect putting expectations in place first

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Kyle Roys @drkroys.bsky.social · 26/03/2026

The government, and country at large, really need to understand that if you want a nationalised health service, you must look after primary care. That means work WITH primary care. Bring back NHS dentist, this went quiet when they realised they are gone for good, it will be GP next.

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Kyle Roys @drkroys.bsky.social · 22/03/2026

This is potentially going to be a disaster. Low BMA turn out, suspect because partners will be voting but salaries less likely. Don't want to assume but doubt many who aren't partners are following the contract discussions. This is a one way ticket to private GP service in the UK

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Kyle Roys @drkroys.bsky.social · 21/03/2026

That’s appreciated thank you, however, I am really concerned that the reason for the low turn out is because it's only partners voting.

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Kyle Roys @drkroys.bsky.social · 20/03/2026

@bma.org.uk @drkatie.bsky.social Can the BMA please consider allowing non member GPs a vote in the referendum. I feel Jon GP partners will be less lieply to vote and may not be looking at the contract changes with the scrutiny needed. We need as many involves as possible.

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Kyle Roys @drkroys.bsky.social · 08/03/2026

Thanks Lucy, yes I emailed them last week and haven’t heard anything.

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Kyle Roys @drkroys.bsky.social · 08/03/2026

@drkatie.bsky.social @bma.org.uk I still haven’t received an invite to vote on the imposed contract. I am a GP partner and BMA member, this isn’t the time to be dropping ball getting members to vote.

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Kyle Roys @drkroys.bsky.social · 05/03/2026

@bma.org.uk i have not yet received a link to vote on the GP contract. Has there been a delay?

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Kyle Roys @drkroys.bsky.social · 24/02/2026

@drkatie.bsky.social @bma.org.uk So if this new contract the outcome of negotiations with primary care? Is there no option to put it to the membership? I doubt everyone is happy, and it is yet another one year contract with nothing to assist transformational change.

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Kyle Roys @drkroys.bsky.social · 16/02/2026

Yes. High end. Cheaper ones tend to roam around, get distracted by chair legs. Or they do not stay in the room you want. Higher end ones let you map out the room. They are good for keeping up with daily cleaning, and avoiding that situation where you’ve just cleaned then kids drop crumbs everywhere

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Kyle Roys @drkroys.bsky.social · 27/01/2026

But GP surgeries are still subject to NI hikes. Pubs good, doctors surgeries bad….apparently.

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Kyle Roys @drkroys.bsky.social · 22/01/2026

We have patients threatening violence to staff in the past, and we have been not been authorised to take any action by the NHS. The current policy puts out staff in harms way in the name of the NHS protecting access. You can stop violent behaviour without affecting access. NHSE will never see this

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Kyle Roys @drkroys.bsky.social · 22/01/2026

@bma.org.uk @drkatie.bsky.social I would really like to see some consideration for how we protect our staff be included in the negotiations. NHSE policies are not zero tolerance, and our staff pay the price. We should be allowed to develop a stand GP policy for this andnjot be dictated to by NHSE

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