Female GP in surgery Female GP in surgery

National insurance blow for GPs

The autumn budget statement significantly increased employment costs for GP partners. Read how the BMA is putting pressure on the Government to guarantee reimbursement and use our new calculator to estimate the impact on your practice.

About our campaign

The autumn budget announcement has left GP partners concerned about the significant rise in employment costs from April 2025 and the impact this will have on their practice. For many the cost of these changes to National Insurance contributions and the lowering of the threshold will be devastating. Previously, these cost increases have been fully compensated, but Treasury officials have said there will no reimbursement this time. This is completely unacceptable.

We are NHS GPs and have been in partnerships since the inception of the NHS – all we are asking is to be treated like all other parts of the NHS who will see these costs reimbursed. General practice is not like traditional businesses who can increase their costs when increased expenses arise, and we are making this quite clear to Government and their officials.

The Chancellor has publicly committed to ‘no reduction in spending powers across the NHS’, which, we have been told, includes NHS general practice. However, at the same time the Treasury have been saying that GP practices may not be refunded in full. We need clarity and certainty, not promises and conjecture. We have been in contact with the Government and will continue to lobby hard. By working together and using the data you submit, we stand the best chance of securing a funding uplift to cover this cost increase.

Use our NI calculator

Calculate the cost of the NI changes to your practice

Members may use our new calculator to estimate the impact of these increases to employer National Insurance contributions and the national minimum wage on general practice in England. 

Member access

Sign-in now

Not a member?

Join the BMA and be part of this campaign, as well as taking advantage of access to expert employment advisers as well as contract, rota and pension support.

 

Raise concerns with your MP

We need the Government to rapidly change its mind, and you can help us put pressure on them by writing to your local MP using our online tool.

 

Raise concerns with your Members of the Senedd

Help us to put pressure on the Welsh Government to protect GMS practices in Wales, by writing to your MSs using our online tool

 

We are on your side, and we are doing all we can to sort this problem out and make the Government see sense.