Nick Bostock
speaker
491 appearances
3 recordings
1 series
first heard May 2026
last heard 10 Jul
Nick Bostock’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 3 in all, peaking in Jul 2026 with 1.
Appearances
And the reason for that is that general practice funding is based on their registered patient lists.
So if you suddenly remove large numbers of patients, some perhaps appropriately, some not, what that means is that total funding for
General practice goes down, and that reduction in funding means practices can't afford rising costs for staff, for energy bills, and other things that have gone up faster than their income from their contract.
Practices want that money to be recycled into general practice, potentially through a rise in funding per patient, which practices say is far too low anyway and hasn't kept pace with inflation over the years.
But the the BMA says it seems to have been set.
Aside for unknown purposes.
I mean, the fear being obviously that it'll end up covering costs in another part of the health service, meaning ultimately a sort of reverse left shift.
A specialist medical accountant I spoke to, Katie Collin, said the list cleaning process essentially is silent cuts dressed up as housekeeping.
And I feel that's a quite a neat way to sum up the sense that GPs have of this process generally.
So moving on, Emma, you wanted to talk about obesity this week.
Why is that?
What does the BMA guidance say?
The BMA's also worried about what's happening with locally commissioned services, isn't it?
It's interesting, isn't it?
I mean, it just when you think about a service where in some parts of the country there was already something commissioned to pay GPs for a particular service and then a national version comes along that pays them less.
Real echoes of what happened with advice and guidance when initially the government set up an advice and guidance des in 2025-26, which only ran for a year in the end.
But in most of the country, people were expected to use advice and guidance for no money, but some areas had agreed a
Local an arts service to pay GPs for each advice and guidance request.
And when the National DES came along, it set the price per advice and guidance request at £20.
But some of those local deals that practices agreed previously were worth a fair bit more.
Showing 261–280 of 491 · page 14 of 25
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