Emma Bower

speaker

1,286 appearances 13 recordings 1 series first heard May 2026 last heard 14 Aug

Emma Bower’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 13 in all, peaking in Jun 2026 with 5.

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Talking General Practice · GPs push back on list cleaning, QOF obesity flaws, ARRS underspend · 26 Jun 2026 podcast

And from GP's point of view, in the context of the QF matched

There'll be quite a big expansion on who is eligible from this financial year. matched

So from 2025-26 to 2026-27 to next year, way more people are going to be eligible from next year. matched

But the funding isn't going to go up because it will probably be the same number of points available next year. matched

So that's the BMA's big concern. matched

The guidance we're talking about says that this year practices could at best break even, but only if they operated under highly constrained conditions. matched

Conditions with optimised workforce models. matched

So that sounds quite complicated for them to do. matched

And next year, the number of eligible patients, as I said, will go up a lot. matched

The BMA says it will double and that will leave practices facing an increased financial deficit. matched

The BMA says also says that given the complexity of the patients involved, it's going to require quite a lot of clinical input. matched

And that's because the first cohorts eligible for Mountjaro on the NHS are those who have four or more. matched

comorbidities and those eligible next year will have three or more. matched

So that they are going to be complex patients. matched

And the BMA says that the level of clinical input that will be required is is just not reflected in the funding. matched

And the funding also doesn't really reflect the training and admin that practices are going to have to undertake to do this. matched

The thing to remember here is that the COF is optional. matched

It's part of the GP contract but practices aren't required to do this. matched

It's optional whether they do this work or not. matched

Yeah, I think actually that's one of the big worries about all of this, to be honest. matched

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