An experience in my own family has underlined the growing risks in outsourced clinical pathways and the importance of primary care recognising the warning signs.

From 30th September 2026, providers will be required to show their compliance with the new information standard for the reasonable adjustment digital flag. FPM has just published a new policy to help providers do this on our market-leading compliance software FPM Core. 

General practice in England has entered one of its most turbulent periods in over a decade. Recently, two major developments have reshaped the national conversation.

When the Physician Associate (PA) crisis erupted across the NHS in late 2024, public debate quickly turned towards GP surgeries. Critics suggested that practices had acted unfairly, dismissed PAs without due process, or panicked in response to professional pressure. But as more evidence emerges — including legal action, union statements, and the government commissioned Leng Review (July 2025) — a clearer picture is forming.