
GPs enter dispute with Scottish Government in first step towards strikes
Scottish GPs have moved into formal dispute with the Scottish Government, the British Medical Association in Scotland has announced.
Doctors said 'enough is enough' as they took the first steps in preparation for a ballot on industrial action, such as striking.
'Today, the Scottish GPC (GP Committee) has written to the cabinet secretary for health and informed him we have entered into formal dispute with Scottish Government,' BMA Scotland leaders said.
'Legally, this is the next step in escalating our concerns in preparation for a ballot of the profession on taking disruptive action.
'I want to make it clear, no one wants this escalation to take place, and urgent talks with the cabinet secretary and Scottish Government continue to identify how they can work with us to provide full funding restoration and exit this dispute.'
In a BMA wellbeing survey, half of the practices questioned their sustainability, and 90% of the profession were willing to take disruptive action in response to the 'generation of neglect' of GP services.
The dispute comes down to what the professional association for GPs called the 'erosion' of funding provided to general practice since 2008.
The BMA Scotland said General Practice continues to face significant challenges delivering the core services doctors 'so dearly want to protect for our patients'.
The BMA hit out at the 'ridiculous paradox' of being forced to look at what hours can be cut from practices to balance the books at a time of 'more demand on services than ever'.
'The impact this is having on the locum market and job opportunities, especially for our newly qualified GPs is shockingly stark,' BMA Scotland said.
'These are the exact reasons we have launched our Stand with your Surgery Campaign and called for £290m full funding restoration to come direct to GP practices.'
The BMA said GPs need this funding to 'stabilise the situation and employ more GPs to meet demand'.
'It will provide the foundations from which we can then begin to look to a brighter future for our practices and our patients,' the letter stated.
The Scottish GP Committee of the BMA, on the back of the results and lack of progress in negotiations, have voted unanimously to enter a formal dispute with the Scottish Government.
'We have been told, time and time again, that resource must shift to the community, but with no attempt to even begin to plug the £290m gap in 2025/26 the lack of action to support the rhetoric continues,' the letter from the BMA stated.
The BMA slammed the Scottish Government for accepting the Doctors' and Dentists' Remuneration (DDRB) report while 'neglecting' the inflation of staff and non-staff costs for GPs.
'[It] means no practice in Scotland will be able to deliver upon the recommendations without impacting on services or Partners' bearing the cost, with little hope to realise the sub-inflationary pay uplift. Enough is enough,' BMA Scotland said.
The Scottish Government has been contacted for comment.
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Daily Mail
3 hours ago
- Daily Mail
Doctor who led British Medical Association's opposition to kids' puberty blocker ban elected as its new leader
The doctor who spearheaded the British Medical Association's opposition to the UK's puberty blocker ban has been elected as its new leader. Dr Tom Dolphin tabled the motion that led to the union controversially lobbying against the findings of the Cass Review into children's gender services. The BMA's governing council sparked fury in July last year when it voted to 'critique' the work, without consulting wider members. This set the BMA apart from the NHS, government and other leading medical organisations who universally backed the study, which took four years to complete and reviewed data from 113,000 children. Key among the recommendations was a ban on prescribing sex hormones to trans-identifying children outside of clinical trials. Critics described the BMA meeting where the vote took place as 'secretive and opaque'. The same council, consisting of 69 members, this week voted to oust sitting chair Professor Phil Banfield and replace him with Dr Dolphin. A source said: 'This shows the dominant ideological forces currently at play within the BMA. In order to get on, you have to embrace this way of thinking.' The BMA set up a rival 'task and finish group' to evaluate the methodology used by Cass and write a critique which they said would be completed by January. However, the report has still not been produced six months after the initial deadline and more than 1,000 members have now signed a letter calling on the union to 'abandon the pointless exercise'. Critics say the BMA is ill-equipped to match the rigour of the Cass review, which was published in April 2024, and describe the union's efforts as a 'waste of money and staff time'. Senior doctors warn that the BMA - which represents 190,000 doctors - has alienated itself, is 'no longer a democratic organisation' and has made itself 'irrelevant' after being taken over by 'ideologues and interest groups'. They highlight that the BMA leadership has consistently failed to select motions relating to the Cass Review at annual conferences, including that held in Liverpool this week, meaning gender-critical members are silenced. Meanwhile, topics including the Israel-Gaza conflict and climate change have been prioritised for debate. Fiona McAnena, director of campaigns at human rights charity Sex Matters, said Dr Dolphin's election as chair 'shows how gender ideology breaks previously respectable organisations'. She added: 'The Cass Review is a comprehensive, evidence-based report on so- called gender medicine for children by an independent paediatrician with impeccable credentials. 'Creating doubt around it without robust evidence is irresponsible, misleading, and not in the best interests of patients. 'We've said before that the transactivist doctors at the BMA are an embarrassment to their profession. 'Their false assertions about biology can be disproven with primary school science. 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In July 2022, he posted photos of himself at a Trans Pride march, adding: 'About to set off to let London know that trans rights are human rights!' He has described Brexit as a 'failure' and 'one of the worst foreign policy decisions by the UK in decades'. The union this week passed a motion at its annual conference urging members to offer patients 'identity-based care', despite warnings this risks going against the law on single sex spaces. It follows the Supreme Court ruling in April that the terms woman and sex in the 2010 Equality Act 'refer to a biological woman and biological sex'. Dr Dolphin is an anaesthetic consultant, who has been a member of BMA council since 2012 and lives in London with his husband. 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Telegraph
3 hours ago
- Telegraph
How the BMA became a vessel for Middle East politics
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Meeting in Liverpool for three days to establish policies and priorities for the industry in the coming year – of which, given the state of the NHS, there would have been lots to discuss – members instead found that 43 motions, around 10 per cent of the total, related to Israel, Gaza, Palestine, anti-Semitism or Zionism. One claimed that Israel is establishing a 'system of apartheid', another called for a boycott of Israeli medical institutions and universities. A third called on the BMA to support doctors who refuse to pay taxes because the UK is 'complicit in genocide'. The slew of motions prompted the Jewish Medical Association (JMA) to warn that Jewish members attending the conference felt 'intimidated, unsafe and excluded'. Speaking anonymously for fear of reprisals, several other BMA members The Telegraph has spoken to were, at best, perplexed and exasperated so much attention was being paid to global politics ahead of matters relating to British medicine. Others saw it as typical of a union they view as 'institutionally anti-Semitic ', and now 'overtaken by Left-wing entryists'. 'It was a disappointing conference in lots of ways, especially in relation to how much time was given to talking about Gaza,' says one doctor and longstanding BMA member, after returning from Liverpool. 'There are so many other conflicts around the world where doctors and healthcare professionals are involved, so it seems a shame we didn't think about them as well. 'Also, because it was spoken about at such length, it stopped us getting on with some of the work I hoped we might have done as a trade union. And then there's the question of how welcome our Jewish colleagues might have felt, when there's so much emphasis given to a subject like that.' The answer to that final question can be given by Prof David Katz, professor of immunopathology at University College London, and executive chairman of the JMA, who also attended. 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'When it [the union] used to stray into international issues, it did so with an equal hand,' says one retired GP, who was a BMA member for 45 years. '[But] it doesn't involve itself much now in Ukraine, or Sudan, or with the Uyghurs, or any other oppressed minority. It doesn't comment on US aid cuts. No, it is absolutely obsessed with the Palestinian cause.' It is, he alleges, a situation that has developed 'rapidly in the last four or five years, when the junior doctors committee [now known as the resident doctors committee] started to become very radical, and those making policy were very Left-wing. This was roughly at the end of the Corbyn years, when that sort of politics was becoming very mainstream.' Though it's often characterised as 'student politics' largely conducted online, the retired GP stresses that 'many of the very Left-wing older members are fully signed-up as well'. Just last week, the BMA was accused of a 'cover-up' when it dropped an investigation into its president, the highly experienced GP Dr Mary McCarthy, for social media posts about the Middle East conflict. Having initially decided there was a case for McCarthy to answer, after an independent review into a complaint by Labour Against Antisemitism, the BMA decided not to take it further because the issue had not been raised by a member or employee of the union. She is one of several BMA leaders who have had their online posts scrutinised. In 2023, Dr Martin Whyte, a paediatrician and then deputy co-chair of the BMA's junior doctors' committee, was suspended after joking online about 'gas[sing] the Jews', the 'holohoax', and writing that people should boycott Israel 'out of spite'. One London-based consultant – who was a BMA member until a year ago, when he was one of several doctors to resign his membership after the union published a controversial open letter to the Foreign Secretary urging the Government to call for an 'immediate ceasefire' in Gaza – claims the union is now practically run by its far-Left members. 'I was very fond of the BMA. My father was a doctor, his obituary was published in the British Medical Journal [owned by the BMA], but it seems to have been hijacked in the last few years. It's probably been under the surface for a long time, but they seem to prioritise things that aren't health-related.' he says. 'I would consider myself left-of-centre, but I don't really have a home in the BMA any more, and I think a lot of Jewish doctors feel that. The whole situation in the Middle East is tragic, I have every sympathy with Palestinians, as I do with the victims of October 7. But it's far from the only conflict going on in the world where innocent people are being killed, yet the BMA seems to have an obsession with the Palestinian issue, such that they are alienating a lot of Jewish doctors. They will end up having an organisation with very few Jewish doctors. And maybe some people in the BMA want that, I don't know. 'I can't really say exactly why they're so focused on Israel and Gaza, but it's a bit like the way that Jeremy Corbyn's Labour Party was. They just don't seem to have a neutral approach to it, which I find very sad, and it does smack of anti-Semitism, the way they seem to be quite obsessed with this particular issue. The fact is: the huge number of motions at the BMA conference [to do with Israel] means Jewish doctors don't feel that safe in the BMA. I'm talking to you anonymously, and I'm not even a member any more. It's just not a safe or friendly environment for Jewish doctors.' As it is, many Jewish members of the BMA are now resigning in protest. One letter, shared with The Telegraph, accuses the union of being 'institutionally anti-Semitic [and] unable to represent me fairly or safely' any more. 'As an adult and a professional, I expect to be represented by an organisation that engenders respect, and represents me with professionalism and gravitas in keeping with the serious responsibilities and obligations we as doctors have to our patients, our colleagues and the wider community,' the doctor writes. 'Being represented by a group of irresponsible militants playing dog whistle student politics, indulging in rank and toxic racism (in the form of Jew hatred) and infusing this old and venerable institution with both, is not something I am prepared to be associated with.' The BMA points out that one of the motions put forward in Liverpool this week specifically called for support for Jewish people, and was proposed by a Jewish medical student, who urged that members 'differentiate between pro-Palestinianism and anti-Semitism'. That said, quite how the BMA came to have its annual conference so dominated by geopolitics and activism – as one member put it, 'in the same week that Nato is meeting, has the BMA picked up the wrong agenda?' – is a question many members might recall asking last year, too. It was reported in 2024 that one in 10 motions put forward for the Belfast-hosted event had to be removed from debates on legal grounds because they related to the Israel and Palestine conflict, and 'risked being perceived as discriminatory, more specifically, anti-Semitic'. At the time, Prof Katz wrote to the BMA to say JMA members 'are deeply concerned that the meeting environment could become itself a vehicle for discrimination and Jew hatred.' A year on, members attending the BMA conference were met with not only another agenda with a heavy emphasis on the situation in the Middle East, but a protest staged by the activist group Health Workers 4 Palestine outside the venue in Liverpool. The demonstration featured 'old shoes' representing healthcare workers killed in Gaza – a visual statement synonymous with the shoes of Jewish people killed at concentration camps during the Holocaust, and considered anti-Semitic by the International Holocaust Remembrance Alliance. Inside, often hostile debates raged. Prof Katz, in attendance as ever, strode around attending as many as he could. A well-known figure at BMA conferences, he has never been shy to speak out about anti-Semitism in his profession, regardless of the crowd. One day this week, he says, he was having a quiet coffee when suddenly he had company. Sikh, Hindu and Christian colleagues in turn took seats next to him. 'We just wanted to make sure you didn't feel on your own here,' they told him. 'Under such circumstances,' Prof Katz says, 'small gestures count.' A BMA spokesperson said: 'We are totally clear that anti-Semitism is completely unacceptable. There is no place for it in the BMA, NHS, or wider society and we condemn anti-Semitism in the strongest possible terms, as we do with all discrimination based on race, religion, sexuality, gender or disability. 'The BMA's annual representative meeting is an inclusive space, where wellbeing of members and staff is our priority and we've put in place a number of measures and sources of support to ensure this. We are also confident that we are complying with all of our obligations under the Equality Act and our own EDI policies. 'The BMA has a long and proud history of advocating for human rights and access to healthcare around the world, and motions submitted to this year's conference by grassroots members from across the UK reflect the grave concerns doctors in the UK have about the Gaza conflict and the impact on civilians and healthcare. Resolutions passed at the conference made clear calls around the principles of medical neutrality and the need to respect international humanitarian law that are applicable to all conflicts. 'Motions were also submitted on the crises in Ukraine, Yemen, and Sudan, all of which the BMA has spoken out about and taken action on in recent years.'


Edinburgh Reporter
4 hours ago
- Edinburgh Reporter
Inaugural Edinburgh Prize presented to the World Health Organisation
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Funding also came from The Wolfson Foundation. Dr Tedros Ghebreyesus of @ officially opens the £50 million + Usher Building in Edinburgh today — The Edinburgh Reporter (@ 2025-06-26T11:59:30.076Z This building is part of the Data-Driven Innovation part of the City Region Deal and is one of six hubs supported by the initiative. The building is a co-location hub where more than 900 researchers and scientists will work alongside health and social care providers and industry leaders to use data to provide healthcare solutions. Professor Sir Peter Mathieson, Principal and Vice-Chancellor of the University of Edinburgh said that with his background as a medical doctor he does have some understanding of the work to be carried out in the Usher Building. He said: 'I'm no longer an active researcher, but the ethos of the building is very multidisciplinary. It's the product of a collaboration between the two governments in Westminster and Holyrood in terms of funding, and also the Wolfson Foundation, which is also a very important contributor. But the work itself is very collaborative and across disciplines, across areas and subjects, and also across nations. Sir Peter explained that what the research will provide is facts and data. He cited the example of NHS waiting lists which were 'already under strain prior to the pandemic'. He said: 'it's not as if the pandemic caused all the problems, but what the pandemic did is it brought the problems of the pandemic, but it also put everything else into second place, if you like. So there was then a backlog built up, and we now have this extraordinary number of people on NHS waiting lists in Scotland and in the rest of the UK, with the NHS struggling to keep up. So researchers here will are providing facts and that is really useful for governments to understand where the priorities are. Good policy is formed from good data and good data is formed from multidisciplinary collaborations.' The Rt Hon Ian Murray explained that he is an alumnus of the University of Edinburgh and that it was especially good to be at the opening of the new building. He explained that the UK Government involvement in the City Region Deal had contributed significantly towards the building with a contribution of £48.5 million. He said: 'The real reason for that kind of contribution was to provide buildings like this that can innovate, provide us with the research and development of the future, to bring financiers, partners, institutions, organisations, businesses and researchers all together to collaborate under one roof, to give us that healthcare of the future.' WHO funding Asked about the ongoing challenged of funding the WHO, (In May the WHO reduced its management team and scaled back its operations after the United States announced it was leaving the agency and cutting its financial support leading to a 21% cut in the organisation's budget), Dr Tedros said that they had 'seen it coming' in 2017 when they started the transformation of the WHO. He said: 'The major risk we identified was reliance on a few traditional donors – because if any one of them reduces their funding, the same situation could happen, and the organisation cannot absorb it. 'Not only that, when you rely on only a few traditional donors that also can affect your independence. So at that time, we said we have to broaden our donor base, and that can help us get flexible funding, long term funding. At the same time, it will make WHO more independent, because we rely on almost all 194 countries. 'Our funding started to be broadened out, and it's helping us to minimise the pain due to the current crisis. The contribution that was provided during the last two to three years is helping us to save jobs. We are seeing this as an opportunity. It's a crisis but as an opportunity we will emerge better.' In this imposing building looking down on the Royal Infirmary of Edinburgh there is pioneering work taking place with researchers leveraging artificial intelligence to improve surgical outcomes and scientists exploring diagnostic potential through routine retina imaging. WHO Director-General, Dr Tedros Adhanom Ghebreyesus L-R The Rt Hon Ian Murray MP Secretary of State for Scotland, Maree Todd MSP. Minister for Drug and Alcohol Policy and Sport and WHO Director-General, Dr Tedros Adhanom Ghebreyesus who officially opened the Usher Building Some of the 900 academics and researchers who work in the building at the official launch The Rt Hon Ian Murray Secretary of State for Scotland Professor Sir Peter Mathieson, Principal and Vice-Chancellor of the University of Edinburgh WHO Director-General, Dr Tedros Adhanom Ghebreyesus Professor Sir Peter Mathieson, Principal and Vice-Chancellor of the University of Edinburgh speaking to members of the Usher family on the left of the photo Like this: Like Related