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.

March 2026 has brought a series of developments that feel less like isolated events and more like a pattern we can no longer ignore. The near‑unanimous rejection of the GP contract, the escalation of doctors’ strikes, the late publication of the PCN DES, and the stark findings of the Covid Inquiry all point to a system that is still struggling to find its footing.