Published paper proving that #ChatGPT will always make things up.
Not sometimes. Not until the next update. Always. They proved it with math.
Even with perfect data and unlimited computing power, AI models will still confidently tell you things that are completely false.
arxiv.org/abs/2509.04664
The ‘murky’ world of GP finance
This is an example of a 10,000 Patient practice
Average patient will have 7 GP practice appts/year, 1 A&E attendance every 3 years, 2 hospital appts/year
£169/patient/year goes GP
£3079 goes to hospitals
£40pa would solve GP crisis
@rthonwesstreeting.bsky.social
Why can’t GP practices as independent providers provide ‘Pharmacy FIRST’ ?
£1000 for 30 a month plus £17 per consult
Or BP monitoring £10 for every check
Ambulatory blood pressure monitoring £50.85
Currently GPs get…..
I have good news and bad news about my friend Schrödinger's Cat...
This sums up the new ‘imposed’ GP contract
@drkatie.bsky.social clearly tells @gponline.bsky.social
what the problems are
I will add it’s less than £1.50 per patient per year extra funding
GP practice need £40-£50 to return to 2016 funding
This year @rthonwesstreeting.bsky.social imposed a new GP contract
Provided an extra £1.50 to uncap the number of calls or requests per day & stand by the phone or computer
And if the job isn’t completed within 24hours the GP will be sanctioned
Job specifications below - can’t see a problem🤷🏻♂️
This sums up the new ‘imposed’ GP contract
@drkatie.bsky.social clearly tells @gponline.bsky.social
what the problems are
I will add it’s less than £1.50 per patient per year extra funding
GP practice need £40-£50 to return to 2016 funding
If I was a Consultant in Chelsea and Westminster Hospital NHS Foundation Trust, The Hillingdon Hospitals NHS Foundation Trust, Imperial College Healthcare NHS Trust and London North West University Healthcare NHS Trust….I would be asking the CEO to resign over this #Palantir
archive.is/9EB63
Let’s really ‘Bring back the Family Doctor’ Wes Streeting with a real patient focused contract & real funding to make it happen
Patients want to see GPs & GPs want to see patients
Your GP, here for you - time to make it happen, it’s in your hands
dauk.org/our-call-for...
This year @rthonwesstreeting.bsky.social imposed a new GP contract
Provided an extra £1.50 to uncap the number of calls or requests per day & stand by the phone or computer
And if the job isn’t completed within 24hours the GP will be sanctioned
Job specifications below - can’t see a problem🤷🏻♂️
Or Contraceptive care
Pharmacies
£400 paid 30 days after signing up
£250 paid after claiming the first 5 consultations
£250 paid after claiming a further 5 consultations, up to a total of 10 consults
£25 per consultation
£20 For oral emergency contraception
GPs get….
GPs get paid a fixed amount for an ‘all you can use buffett’ £123 per patient per year
@rthonwesstreeting.bsky.social would rather spend Tax payers money on more expensive options
Pharmacies have had serious underfunding but these fees show how poorly GP practices are funded
Fund both
GPs get paid a fixed amount for an ‘all you can use buffett’ £123 per patient per year
@rthonwesstreeting.bsky.social would rather spend Tax payers money on more expensive options
Pharmacies have had serious underfunding but these fees show how poorly GP practices are funded
Fund both
Or Contraceptive care
Pharmacies
£400 paid 30 days after signing up
£250 paid after claiming the first 5 consultations
£250 paid after claiming a further 5 consultations, up to a total of 10 consults
£25 per consultation
£20 For oral emergency contraception
GPs get….
Why can’t GP practices as independent providers provide ‘Pharmacy FIRST’ ?
£1000 for 30 a month plus £17 per consult
Or BP monitoring £10 for every check
Ambulatory blood pressure monitoring £50.85
Currently GPs get…..
Sadly the new GP Contract provided just £1.50 per patient per year of additional funding
The Govt & Wes Streeting have raised your expectations
However they won’t help patients get better care
We need more GPs & more funding
This is the new reality speak to GPs
@healthwatchengland.bsky.social
Urgent?
Dr Doyle ‘strongly resisted’ including a definition in the contract of what is ‘clinically urgent’ as this is up to practices to determine
I think you all know exactly what’s clinically urgent and what isn’t. There’s lots of things that might be “soon”
www.pulsetoday.co.uk/news/2026-27...
Sadly the new GP Contract provided just £1.50 per patient per year of additional funding
The Govt & Wes Streeting have raised your expectations
However they won’t help patients get better care
We need more GPs & more funding
This is the new reality speak to GPs
@healthwatchengland.bsky.social
@royalcollegeofgps.bsky.social
Why the decision to leave X?
We understand why it’s not a great place but there are quite a few social media savvy GPs who aren’t seeing it as a good thing
2 posts on Bluesky
Threads one or 2 likes /post
LinkedIn max 73 likes but mostly low 10s & same on Facebook
On the day BMA launches a campaign
On the day BMA launches a campaign
@royalcollegeofgps.bsky.social
Why the decision to leave X?
We understand why it’s not a great place but there are quite a few social media savvy GPs who aren’t seeing it as a good thing
2 posts on Bluesky
Threads one or 2 likes /post
LinkedIn max 73 likes but mostly low 10s & same on Facebook
The ‘murky’ world of GP finance
This is an example of a 10,000 Patient practice
Average patient will have 7 GP practice appts/year, 1 A&E attendance every 3 years, 2 hospital appts/year
£169/patient/year goes GP
£3079 goes to hospitals
£40pa would solve GP crisis
@rthonwesstreeting.bsky.social
GP Crisis
NHS GP contract needs massive funding increase as it’s been cut £40/patient/year (20%) in 10yrs but given £1.50
Adverts for Private GP £100
#NHS GPs get £169/yr/patient for everything, appts, staff, buildings, admin
@rthonwesstreeting.bsky.social
dentistry.co.uk/2022/06/05/a...
In the five years to the end of 2025, the CQC received 1,238 new registrations for "independent consulting doctors" in England, compared with 396 in the previous five years – a 212% increase.
Between 2024 and 2025, new registrations rose by 58%.
www.bbc.co.uk/news/article...
In the five years to the end of 2025, the CQC received 1,238 new registrations for "independent consulting doctors" in England, compared with 396 in the previous five years – a 212% increase.
Between 2024 and 2025, new registrations rose by 58%.
www.bbc.co.uk/news/article...
GP Crisis
NHS GP contract needs massive funding increase as it’s been cut £40/patient/year (20%) in 10yrs but given £1.50
Adverts for Private GP £100
#NHS GPs get £169/yr/patient for everything, appts, staff, buildings, admin
@rthonwesstreeting.bsky.social
dentistry.co.uk/2022/06/05/a...
Patients NEED GPs NOT Doors
£485m minus inflation is … £85m ….£1.50 per patent additional funding
But wait…added staff costs £40m … added demands …top down imposed contract
Can’t see a GP?
The problem …. MPs @rthonwesstreeting.bsky.social NHSEngland DHSC
Treatment £40/patient/year
Patients NEED GPs NOT Doors
£485m minus inflation is … £85m ….£1.50 per patent additional funding
But wait…added staff costs £40m … added demands …top down imposed contract
Can’t see a GP?
The problem …. MPs @rthonwesstreeting.bsky.social NHSEngland DHSC
Treatment £40/patient/year
GP Referrals cannot be blocked by NHS Trusts due to Jess’s Rule
england.nhs.uk/long-read/jess…
The new GP contract stipulation of the use of Advice & Guidance pre-referral is null and void
Add to any referral ‘In accordance with Jess’s Rule & Patient choice’ #TeamGP
Thoughts?
