GPs in England have voted by 98.9% to reject the government’s imposed changes to their contract for 2026-27.Almost 17 000 GPs and GP registrars voted in the BMA’s referendum on the deal, a 55% turnout. They are now calling on the government to return to negotiation with the BMA’s GP Committee for England (GPC England) to jointly develop and agree a brand new contract.The union has described the imposed deal—which expects practices to deal with all clinically urgent requests on the same day and requires GPs to seek remote specialist advice for every referral they make to selected specialties1— as “unrealistic” and “unsafe.”Katie Bramall, GPC England chair, said, “This is an unequivocal rejection from GPs across England. The government cannot ignore the strength of feeling from a profession that is already at breaking point. These proposals heap unsafe, unfunded additional workload onto practices, forcing GPs to deliver more with less,…