Wes Streeting Faces Urgent Call to Action from GPs Over Appointment Booking Challenges As the pressure mounts, Wes Streeting is urged to address the pressing issues surrounding appointment booking systems in general practice. With healthcare professionals highlighting the urgent need for effective solutions, the time for action is now.

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General practitioners (GPs) have issued an ultimatum to Wes Streeting, demanding resolution of ongoing disputes regarding the patient appointment booking system within 48 hours. Failure to address these concerns may result in further industrial action, which could include limiting daily consultations and refusing to conduct routine tests on behalf of hospitals.
Starting Wednesday, GP practices across England are required to maintain online appointment request forms accessible throughout their operating hours. This directive, introduced by the Department of Health and Social Care and NHS England in February, aims to reduce the rush for appointments at 8 a.m., a situation that many patients find frustrating.
Concerns over implementation and patient safety
The new regulations are part of a broader contract for GPs set to take effect in 2025/26. However, officials asserted that necessary safeguards would be established to prevent urgent medical requests from being submitted online.
The British Medical Association (BMA) has raised alarms regarding the lack of these protections and the absence of additional staff to handle what they anticipate to be a significant influx of online requests.
According to the BMA, without these safeguards, the system may inadvertently create hospital-style waiting lists within general practices, potentially decreasing the availability of in-person appointments. The organization expressed concerns that the time required to sort through online requests could compromise patient safety, as staff may struggle to identify urgent cases amid a deluge of submissions.
Government response and justification
In response to the criticisms, Wes Streeting defended the initiative, asserting that clear safeguards are in place. He highlighted the absurdity of the situation where individuals can book hair appointments online while many GP offices resist offering similar conveniences for patients. Streeting’s comments align with growing evidence indicating that government attempts to improve GP access are faltering, resulting in diminished patient care, widening disparities, and increased staff burnout.
Current state of GP appointment systems
Many GP surgeries have already begun utilizing online appointment request systems, allowing patients to submit their needs digitally, which staff then manage to schedule appropriate consultations. However, the Department of Health and Social Care noted that inconsistency remains, with some practices disabling online requests during peak periods.
Last week, the BMA’s GP Committee voted to initiate a formal dispute regarding these changes. This action will only be formalized if the health secretary does not respond adequately by Wednesday, a timeframe coinciding with the conclusion of the Labour Party Conference currently underway in Liverpool.
Impact on GP staff and patient experiences
Dr. Katie Bramall, Chairwoman of the BMA GP Committee, voiced strong concerns, emphasizing that the government’s failure to adhere to promised safeguards could lead to a significant decline in patient safety. She remarked, “We’re not opposed to change, but not at the expense of patient welfare and practice staff safety.” The government has a mere 48 hours to reverse its course and uphold its commitments, she warned.
A recent report by the GP trade publication, Pulse, highlights the challenges faced by GP staff. Disturbingly, 55% reported experiencing verbal abuse from frustrated patients unable to secure timely appointments, while 15% faced physical aggression. Furthermore, nearly 70% of practice staff noted an increase in complaints since the onset of the COVID-19 pandemic.
Continuity of care versus accessibility
According to the report, a significant 46% of GP staff believe that patients prioritize seeing the same doctor consistently. However, governmental policies promoting extended hours, redirecting patients to pharmacies, and enhancing roles outside traditional GP services seem to undermine this continuity of care. While the number of appointments in GP practices has increased, patient satisfaction regarding access has steadily declined over the past eight years, with fewer individuals reporting timely access to appointments.
Starting Wednesday, GP practices across England are required to maintain online appointment request forms accessible throughout their operating hours. This directive, introduced by the Department of Health and Social Care and NHS England in February, aims to reduce the rush for appointments at 8 a.m., a situation that many patients find frustrating.0
Starting Wednesday, GP practices across England are required to maintain online appointment request forms accessible throughout their operating hours. This directive, introduced by the Department of Health and Social Care and NHS England in February, aims to reduce the rush for appointments at 8 a.m., a situation that many patients find frustrating.1




