Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, in relation to the GP contract 2026/27, how his Department plans to support hospitals in dealing with the increased caseloads generated by mandating Advice and Guidance.

Advice and Guidance (A&G) is a clinical collaboration tool that supports timely specialist input and helps patients receive care in the right setting, enabling best use of clinical time.

The GP Contract 2026/27 sets out that practices will be required to use A&G prior to, or in place of, a planned care referral where clinically appropriate. It also sets out the expectation for practices to follow locally agreed referral pathways, including single point of access (SPoA) models once introduced. Similarly, our Medium-term Planning Framework, published in October 2026, introduced plans to support increased A&G by moving to an elective SPoA model. All appropriate referrals and requests, other than those for urgent suspected cancer, will be directed through a single ‘front door’ to support triage to the most appropriate next step or outcome for the patient. This will help reduce unnecessary appointments, making the best use of clinical time. The Medium-Term Planning Framework set the aim for all referrals to go via a SPoA for at least 10 specialties determined at provider level by October 2026, which provides flexibility for local teams to deliver where there is the most potential for the model to be effective, including ensuring timely responses.

Integrated care boards are expected to support the introduction of expanded A&G and SPoA through their strategic commissioning for 2026/27. National Health Service trusts will continue to be funded to deliver A&G through a fixed payment negotiated locally to ensure predictable and sufficient funding to cover increased A&G use. NHS England will continue to work with systems to monitor performance, share good practice, and support timely responses, including through job planning guidance that supports clinicians to manage A&G safely and appropriately.