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

It's not just about the flooding in the COF. matched

In an update to its members, the BMA said it was hearing reports that some um ICBs were starting to withdraw locally commissioned services for prescribing and monitoring tazepatides since these indicators have been added to the COAF. matched

So these are local enhanced services that ICBs have commissioned GPs to deliver around rolling out these medications because matched

NHS England has obviously made sure ICBs have got some budget to spend to make sure that these drugs are available to patients because they have to, because NICE has told them they have to. matched

So obviously, in areas where practices are commissioned to do these services, they're likely to be getting a lot more money than that just over four grand they would do under the coff for this work. matched

So, you know, this is basically a really good example of GPs being potentially expected to do. matched

do the same amount of work for less money. matched

The BMA actually said it had raised concerns about this issue in particular with NHS England and the government during the consultation for this year's GPU. matched

contract and and it was said it was really disappointed to see that some ICBs had actually done what they feared they would do, which was withdraw these locally commissioned services. matched

Definitely. matched

And the other thing, you know, the BMA pointed out, you know, as I mentioned earlier, the COF is voluntary, you know, it it's designed to reward quality of care. matched

It's not designed to be a tool to commission services. matched

And the BMA's point is if this is something the government really wants to drive forward and it's serious about doing it equitably, then it should be doing it through a properly resourced enhanced service rather than allocating a handful of points from the COF and matched

Expecting that practices will all just undertake this work. matched

But I also think the real problem is that practices can decide not to actively chase those quaff points. matched

But the fact of the matter is that more and more people are going to become eligible for these drugs on the NHS in the coming years. matched

And they will be coming to their GPs to get these prescriptions and they will need monitoring. matched

The big question is, should this just be part of core general practice? matched

Or do practices need more funding to deliver this? matched

Arguably it's the latter. matched

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