GP Practice

Lister House Surgery

C81072

Compare to

Registered patients

28,886

NHS Digital list size

GP FTE

16.13

NHS Digital workforce

Patients per GP FTE

1,791

Items per patient

1.06

prescribing volume

GPPS overall good

58.2%

patient experience

Access KPIs · August 2025

Same-day %

54%

Month: August 2025

Appts per 1K patients

701

all bookings (incl. triage)

Patient contacts per 1K

689

F2F + phone + video only

28+ day backlog

4%

long-wait share

Source: NHS Digital appointments dataset (latest published month).

Operating model mix · August 2025

Face-to-face27.1%
Telephone25.1%
Video / online46.0%
Triage2.0%

Share of appointments by delivery channel in the latest reporting month.

vs National average

KPIThis practiceNational avgΔ
Same-day %54.0%43.0%+11.0%
Face-to-face %27.1%58.4%-31.3%
Telephone %25.1%21.9%+3.2%
Appts per 1K701.0479.7+221.3
Triage %2.0%8.7%-6.7%

National averages computed across 6,144 GP practices. Green Δ = above national for "higher is better" KPIs; red = the opposite.

Access trend (last 12 months)

2023-082024-082025-080204161Same-day % · 2023-08: 40.4%Same-day % · 2023-09: 37.4%Same-day % · 2023-10: 40.1%Same-day % · 2023-11: 42.4%Same-day % · 2023-12: 49.3%Same-day % · 2024-01: 48.9%Same-day % · 2024-02: 49.9%Same-day % · 2024-03: 48.9%Same-day % · 2024-04: 48.4%Same-day % · 2024-05: 47.0%Same-day % · 2024-06: 45.0%Same-day % · 2024-07: 48.4%Same-day % · 2024-08: 50.8%Same-day % · 2024-09: 47.8%Same-day % · 2024-11: 49.6%Same-day % · 2024-12: 53.1%Same-day % · 2025-01: 53.5%Same-day % · 2025-02: 53.8%Same-day % · 2025-03: 52.5%Same-day % · 2025-04: 53.7%Same-day % · 2025-05: 54.9%Same-day % · 2025-06: 54.3%Same-day % · 2025-07: 51.9%Same-day % · 2025-08: 54.0%F2F % · 2023-08: 41.4%F2F % · 2023-09: 44.8%F2F % · 2023-10: 45.6%F2F % · 2023-11: 42.8%F2F % · 2023-12: 35.7%F2F % · 2024-01: 35.5%F2F % · 2024-02: 35.4%F2F % · 2024-03: 33.6%F2F % · 2024-04: 31.3%F2F % · 2024-05: 32.8%F2F % · 2024-06: 32.5%F2F % · 2024-07: 30.2%F2F % · 2024-08: 27.9%F2F % · 2024-09: 30.0%F2F % · 2024-11: 30.6%F2F % · 2024-12: 31.4%F2F % · 2025-01: 30.7%F2F % · 2025-02: 31.0%F2F % · 2025-03: 30.6%F2F % · 2025-04: 29.4%F2F % · 2025-05: 27.8%F2F % · 2025-06: 28.8%F2F % · 2025-07: 26.7%F2F % · 2025-08: 27.1%Phone % · 2023-08: 28.1%Phone % · 2023-09: 25.0%Phone % · 2023-10: 22.5%Phone % · 2023-11: 24.2%Phone % · 2023-12: 23.7%Phone % · 2024-01: 24.3%Phone % · 2024-02: 22.9%Phone % · 2024-03: 26.8%Phone % · 2024-04: 26.7%Phone % · 2024-05: 27.2%Phone % · 2024-06: 29.1%Phone % · 2024-07: 26.9%Phone % · 2024-08: 26.7%Phone % · 2024-09: 28.3%Phone % · 2024-11: 26.9%Phone % · 2024-12: 24.4%Phone % · 2025-01: 25.0%Phone % · 2025-02: 26.5%Phone % · 2025-03: 27.0%Phone % · 2025-04: 23.4%Phone % · 2025-05: 24.4%Phone % · 2025-06: 25.4%Phone % · 2025-07: 24.9%Phone % · 2025-08: 25.1%Video % · 2023-08: 25.8%Video % · 2023-09: 25.3%Video % · 2023-10: 27.3%Video % · 2023-11: 28.8%Video % · 2023-12: 36.2%Video % · 2024-01: 37.1%Video % · 2024-02: 38.3%Video % · 2024-03: 36.8%Video % · 2024-04: 38.1%Video % · 2024-05: 36.7%Video % · 2024-06: 34.6%Video % · 2024-07: 38.7%Video % · 2024-08: 41.5%Video % · 2024-09: 37.7%Video % · 2024-11: 37.8%Video % · 2024-12: 40.3%Video % · 2025-01: 41.2%Video % · 2025-02: 40.0%Video % · 2025-03: 38.8%Video % · 2025-04: 44.3%Video % · 2025-05: 45.3%Video % · 2025-06: 42.5%Video % · 2025-07: 44.3%Video % · 2025-08: 46.0%Triage % · 2023-08: 7.3%Triage % · 2023-09: 7.0%Triage % · 2023-10: 7.3%Triage % · 2023-11: 7.4%Triage % · 2023-12: 6.6%Triage % · 2024-01: 5.8%Triage % · 2024-02: 5.8%Triage % · 2024-03: 6.2%Triage % · 2024-04: 6.8%Triage % · 2024-05: 6.7%Triage % · 2024-06: 7.1%Triage % · 2024-07: 6.4%Triage % · 2024-08: 6.4%Triage % · 2024-09: 6.2%Triage % · 2024-11: 2.5%Triage % · 2024-12: 2.7%Triage % · 2025-01: 2.5%Triage % · 2025-02: 2.7%Triage % · 2025-03: 2.6%Triage % · 2025-04: 2.2%Triage % · 2025-05: 2.1%Triage % · 2025-06: 2.1%Triage % · 2025-07: 2.0%Triage % · 2025-08: 2.0%

NHS Digital appointments dataset · last 24 months (2023-08 → 2025-08). Click a chip to toggle a series; the y-axis re-zooms to fit.

Total appointments (last 12 months)

2023-082024-082025-0815,41118,23221,05223,8732023-08: 16,556 appointments2023-09: 16,230 appointments2023-10: 19,063 appointments2023-11: 18,969 appointments2023-12: 18,078 appointments2024-01: 21,894 appointments2024-02: 20,110 appointments2024-03: 20,625 appointments2024-04: 19,309 appointments2024-05: 19,015 appointments2024-06: 18,442 appointments2024-07: 21,639 appointments2024-08: 18,970 appointments2024-09: 20,577 appointments2024-11: 22,175 appointments2024-12: 19,567 appointments2025-01: 22,445 appointments2025-02: 19,991 appointments2025-03: 21,414 appointments2025-04: 19,784 appointments2025-05: 21,051 appointments2025-06: 21,689 appointments2025-07: 23,054 appointments2025-08: 20,249 appointments

Raw appointment count per month, last 24 months. Single-practice count.

Demand — appointments per 1,000 patients (last 12 months)

2023-082024-082025-085346317298262023-08: 573.1 appts per 1,000 patients2023-09: 561.9 appts per 1,000 patients2023-10: 659.9 appts per 1,000 patients2023-11: 656.7 appts per 1,000 patients2023-12: 625.8 appts per 1,000 patients2024-01: 757.9 appts per 1,000 patients2024-02: 696.2 appts per 1,000 patients2024-03: 714 appts per 1,000 patients2024-04: 668.5 appts per 1,000 patients2024-05: 658.3 appts per 1,000 patients2024-06: 638.4 appts per 1,000 patients2024-07: 749.1 appts per 1,000 patients2024-08: 656.7 appts per 1,000 patients2024-09: 712.4 appts per 1,000 patients2024-11: 767.7 appts per 1,000 patients2024-12: 677.4 appts per 1,000 patients2025-01: 777 appts per 1,000 patients2025-02: 692.1 appts per 1,000 patients2025-03: 741.3 appts per 1,000 patients2025-04: 684.9 appts per 1,000 patients2025-05: 728.8 appts per 1,000 patients2025-06: 750.8 appts per 1,000 patients2025-07: 798.1 appts per 1,000 patients2025-08: 701 appts per 1,000 patients

Monthly appointments per 1,000 registered patients — list-size-normalised demand. Last 24 months.

Wait time distribution · last 24 months

0%25%50%75%100%August 2023 · Same day: 40.4%August 2023 · 1 day: 9.2%August 2023 · 2–7 days: 18.0%August 2023 · 8–14 days: 14.5%August 2023 · 15–21 days: 7.7%August 2023 · 22–28 days: 5.5%August 2023 · > 28 days: 4.6%September 2023 · Same day: 37.4%September 2023 · 1 day: 8.5%September 2023 · 2–7 days: 21.3%September 2023 · 8–14 days: 15.6%September 2023 · 15–21 days: 6.9%September 2023 · 22–28 days: 5.7%September 2023 · > 28 days: 4.6%October 2023 · Same day: 40.1%October 2023 · 1 day: 8.9%October 2023 · 2–7 days: 20.8%October 2023 · 8–14 days: 11.4%October 2023 · 15–21 days: 7.7%October 2023 · 22–28 days: 6.6%October 2023 · > 28 days: 4.5%November 2023 · Same day: 42.4%November 2023 · 1 day: 9.5%November 2023 · 2–7 days: 20.4%November 2023 · 8–14 days: 10.5%November 2023 · 15–21 days: 6.0%November 2023 · 22–28 days: 5.3%November 2023 · > 28 days: 5.9%December 2023 · Same day: 49.3%December 2023 · 1 day: 9.2%December 2023 · 2–7 days: 16.7%December 2023 · 8–14 days: 10.3%December 2023 · 15–21 days: 5.6%December 2023 · 22–28 days: 4.9%December 2023 · > 28 days: 4.1%January 2024 · Same day: 48.9%January 2024 · 1 day: 8.1%January 2024 · 2–7 days: 19.4%January 2024 · 8–14 days: 8.3%January 2024 · 15–21 days: 5.5%January 2024 · 22–28 days: 5.1%January 2024 · > 28 days: 4.7%February 2024 · Same day: 49.9%February 2024 · 1 day: 8.2%February 2024 · 2–7 days: 19.5%February 2024 · 8–14 days: 9.2%February 2024 · 15–21 days: 4.4%February 2024 · 22–28 days: 5.7%February 2024 · > 28 days: 3.2%March 2024 · Same day: 48.9%March 2024 · 1 day: 9.3%March 2024 · 2–7 days: 19.1%March 2024 · 8–14 days: 8.7%March 2024 · 15–21 days: 5.0%March 2024 · 22–28 days: 5.8%March 2024 · > 28 days: 3.2%April 2024 · Same day: 48.4%April 2024 · 1 day: 7.5%April 2024 · 2–7 days: 17.2%April 2024 · 8–14 days: 10.6%April 2024 · 15–21 days: 5.1%April 2024 · 22–28 days: 6.1%April 2024 · > 28 days: 5.1%May 2024 · Same day: 47.0%May 2024 · 1 day: 8.0%May 2024 · 2–7 days: 17.7%May 2024 · 8–14 days: 10.1%May 2024 · 15–21 days: 5.6%May 2024 · 22–28 days: 5.7%May 2024 · > 28 days: 5.8%June 2024 · Same day: 45.0%June 2024 · 1 day: 7.9%June 2024 · 2–7 days: 17.6%June 2024 · 8–14 days: 11.7%June 2024 · 15–21 days: 6.4%June 2024 · 22–28 days: 6.4%June 2024 · > 28 days: 5.1%July 2024 · Same day: 48.4%July 2024 · 1 day: 5.8%July 2024 · 2–7 days: 16.7%July 2024 · 8–14 days: 11.6%July 2024 · 15–21 days: 6.1%July 2024 · 22–28 days: 6.6%July 2024 · > 28 days: 4.9%August 2024 · Same day: 50.8%August 2024 · 1 day: 5.4%August 2024 · 2–7 days: 17.8%August 2024 · 8–14 days: 9.7%August 2024 · 15–21 days: 5.2%August 2024 · 22–28 days: 5.8%August 2024 · > 28 days: 5.2%September 2024 · Same day: 47.8%September 2024 · 1 day: 5.7%September 2024 · 2–7 days: 18.7%September 2024 · 8–14 days: 11.8%September 2024 · 15–21 days: 5.6%September 2024 · 22–28 days: 5.7%September 2024 · > 28 days: 4.7%November 2024 · Same day: 49.6%November 2024 · 1 day: 5.1%November 2024 · 2–7 days: 15.2%November 2024 · 8–14 days: 12.1%November 2024 · 15–21 days: 7.2%November 2024 · 22–28 days: 5.6%November 2024 · > 28 days: 5.2%December 2024 · Same day: 53.1%December 2024 · 1 day: 4.8%December 2024 · 2–7 days: 14.1%December 2024 · 8–14 days: 10.8%December 2024 · 15–21 days: 6.4%December 2024 · 22–28 days: 5.6%December 2024 · > 28 days: 5.2%January 2025 · Same day: 53.5%January 2025 · 1 day: 5.3%January 2025 · 2–7 days: 14.4%January 2025 · 8–14 days: 10.6%January 2025 · 15–21 days: 5.6%January 2025 · 22–28 days: 4.3%January 2025 · > 28 days: 6.3%February 2025 · Same day: 53.8%February 2025 · 1 day: 5.2%February 2025 · 2–7 days: 14.3%February 2025 · 8–14 days: 11.8%February 2025 · 15–21 days: 6.7%February 2025 · 22–28 days: 4.6%February 2025 · > 28 days: 3.5%March 2025 · Same day: 52.5%March 2025 · 1 day: 4.7%March 2025 · 2–7 days: 13.9%March 2025 · 8–14 days: 11.0%March 2025 · 15–21 days: 7.5%March 2025 · 22–28 days: 6.5%March 2025 · > 28 days: 3.9%April 2025 · Same day: 53.7%April 2025 · 1 day: 5.0%April 2025 · 2–7 days: 12.4%April 2025 · 8–14 days: 10.5%April 2025 · 15–21 days: 7.3%April 2025 · 22–28 days: 6.3%April 2025 · > 28 days: 4.8%May 2025 · Same day: 54.9%May 2025 · 1 day: 4.5%May 2025 · 2–7 days: 11.5%May 2025 · 8–14 days: 12.2%May 2025 · 15–21 days: 6.6%May 2025 · 22–28 days: 5.2%May 2025 · > 28 days: 5.1%June 2025 · Same day: 54.3%June 2025 · 1 day: 4.1%June 2025 · 2–7 days: 13.6%June 2025 · 8–14 days: 10.9%June 2025 · 15–21 days: 7.2%June 2025 · 22–28 days: 6.6%June 2025 · > 28 days: 3.3%July 2025 · Same day: 51.9%July 2025 · 1 day: 5.2%July 2025 · 2–7 days: 13.3%July 2025 · 8–14 days: 12.2%July 2025 · 15–21 days: 6.2%July 2025 · 22–28 days: 5.9%July 2025 · > 28 days: 5.3%August 2025 · Same day: 54.0%August 2025 · 1 day: 5.5%August 2025 · 2–7 days: 14.7%August 2025 · 8–14 days: 10.9%August 2025 · 15–21 days: 6.1%August 2025 · 22–28 days: 4.8%August 2025 · > 28 days: 4.0%Aug '23Nov '23Feb '24May '24Aug '24Dec '24Mar '25Jun '25Aug '25
Same day
1 day
2–7 days
8–14 days
15–21 days
22–28 days
> 28 days

Share of booked appointments by booking-to-appointment wait, one stacked bar per published month. Greener bars = stronger same-day access; redder bars = longer-wait backlog. Defaults to the last 24 months (max 24 on the public surface).

Demand pressure

MEDIUMscore 41/100
  • Very high demand (>500 appts/1K)

Composite score across appointment volume, same-day access and long-wait share over the last 3 months.

6-month trends

KPIDirectionSlope (rel %)
Total appointments+0.6%
Face-to-face %-2.5%
Telephone %-0.5%
Same-day %+0.1%
Appts per 1K+0.6%
Triage %-4.2%

Linear regression slope over the last 6 months, expressed as a percentage of the trailing average. Up arrows on triage / waits are unfavourable; up arrows on F2F / same-day are favourable.

Trends & anomalies — AI summary

This month, Lister House Surgery saw a notable increase in the number of appointments per 1,000 patients, reaching 701, which is above their trailing average. This rise suggests a higher demand for services, possibly due to seasonal factors or increased patient needs.

Several trends and shifts in the data indicate potential workflow changes or operational pressures. The face-to-face percentage has been decreasing, with a significant drop of 2.5% in 2025-08. Additionally, the triage percentage has been declining, with a steep drop of 4.2% over the period. These changes could reflect adjustments in how appointments are being managed or a shift in patient preferences.

To investigate these trends, the practice manager should review the scheduling processes for face-to-face and triage appointments to understand the reasons behind these shifts. Additionally, examining the data from 2025-07, where the face-to-face percentage was notably lower than the trailing average, could provide insights into any recording policy changes or operational issues.

AI-generated from the analytics below (Amazon Nova Lite · data as of August 2025 · written today). The raw anomalies and step-change tables follow below for verification.

Anomalies detected (6)

f2fPct2025-07
value 26.7 · avg 30.1 ± 1.3
f2fPct2025-05
value 27.8 · avg 30.7 ± 1.3
phonePct2025-04
value 23.4 · avg 26.8 ± 1.2
triagePct2025-01
value 2.5 · avg 5.8 ± 1.5
sameDayPct2025-01
value 53.5 · avg 48.9 ± 1.9
triagePct2024-12
value 2.7 · avg 6.1 ± 1.2
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

triagePct2024-11
6.2 → 2.5 (-59.5%)
videoPct2023-07
16.2 → 24.5 (+51.2%)
phonePct2023-07
12.5 → 29 (+132%)
phonePct2023-06
7.9 → 12.5 (+58.2%)
videoPct2023-05
1.4 → 12.6 (+800%)
phonePct2023-05
13.1 → 7.9 (-39.7%)
Month-on-month KPI changes greater than 30% — typically signal an operational or recording-policy shift.

CQC inspection likelihood

highscore 95/100medium confidence
Last inspection: 2019-01-24 · 87 months ago
  • Current rating is good, and the latest CQC assessment date is 2019-01-24 (87 months ago).
  • This matches the current focused-assessment cohort profile (Good/Outstanding with report window 2017–2022).
  • Model is directional: 2 supporting signals are currently unavailable.
  • CQC focused assessments reference 10 non-clinical quality statements and typically provide at least 5 working days notice.

Modelled likelihood of a CQC inspection in the next 12 months. Combines current rating, time since last inspection, and recent regulatory activity. Not an official CQC indicator.

Workforce capacity

GP FTE

16.13

Nurse FTE

18.03

Direct Patient Care FTE

13.75

Admin FTE

66.05

1 practices reporting · 100.0% coverage

Staff group mix

GP16.1 FTE · 14%
Nurse18.0 FTE · 16%
Direct Patient Care13.8 FTE · 12%
Admin66.0 FTE · 58%

Share of total FTE across reporting practices (excludes ARRS roles, which are surfaced separately at the PCN level).

Workforce composition

GP16.13 FTE · 24 headcount
Partner3.93 FTE (24%) · 5 hc
Salaried7.08 FTE (44%) · 14 hc
Training (ST/F)5.12 FTE (32%) · 5 hc
Nurses18.03 FTE · 23 headcount
Practice Nurse13.56 FTE (75%) · 18 hc
Advanced / Specialist4.47 FTE (25%) · 5 hc
Admin / Non-clinical66.05 FTE · 87 headcount
Management3.65 FTE (6%) · 4 hc
Reception / Admin16.24 FTE (25%) · 23 hc
Apprentice1.00 FTE (2%) · 1 hc
Other45.16 FTE (68%) · 59 hc
Direct Patient Care13.75 FTE · 16 headcount
Pharmacist4.85 FTE (35%) · 5 hc
HCA / Nursing Assistant3.23 FTE (23%) · 4 hc
Physiotherapist2.87 FTE (21%) · 4 hc
Other2.80 FTE (20%) · 3 hc

Per-role breakdown of each staff group from the latest NHS Digital quarterly snapshot. GP roles split into Partner / Salaried / Training (ST1-ST4 / Foundation) / Locum / Retainer. Practice-level only — parent-level rollup planned.

Workforce trend

2024-032025-032026-033295581GP · 2024-03: 15 FTEGP · 2024-04: 14 FTEGP · 2024-05: 14 FTEGP · 2024-06: 14 FTEGP · 2024-07: 14 FTEGP · 2024-08: 16 FTEGP · 2024-09: 15 FTEGP · 2024-10: 15 FTEGP · 2024-11: 16 FTEGP · 2024-12: 15 FTEGP · 2025-01: 14 FTEGP · 2025-02: 13 FTEGP · 2025-03: 13 FTEGP · 2025-04: 14 FTEGP · 2025-05: 14 FTEGP · 2025-06: 14 FTEGP · 2025-07: 14 FTEGP · 2025-08: 15 FTEGP · 2025-09: 15 FTEGP · 2025-10: 15 FTEGP · 2025-11: 15 FTEGP · 2025-12: 14 FTEGP · 2026-01: 12 FTEGP · 2026-02: 16 FTEGP · 2026-03: 16 FTENurse · 2024-03: 14 FTENurse · 2024-04: 14 FTENurse · 2024-05: 14 FTENurse · 2024-06: 14 FTENurse · 2024-07: 15 FTENurse · 2024-08: 15 FTENurse · 2024-09: 15 FTENurse · 2024-10: 15 FTENurse · 2024-11: 15 FTENurse · 2024-12: 15 FTENurse · 2025-01: 16 FTENurse · 2025-02: 16 FTENurse · 2025-03: 16 FTENurse · 2025-04: 16 FTENurse · 2025-05: 17 FTENurse · 2025-06: 18 FTENurse · 2025-07: 18 FTENurse · 2025-08: 18 FTENurse · 2025-09: 18 FTENurse · 2025-10: 18 FTENurse · 2025-11: 18 FTENurse · 2025-12: 18 FTENurse · 2026-01: 18 FTENurse · 2026-02: 18 FTENurse · 2026-03: 18 FTEDPC · 2024-03: 11 FTEDPC · 2024-04: 11 FTEDPC · 2024-05: 11 FTEDPC · 2024-06: 13 FTEDPC · 2024-07: 13 FTEDPC · 2024-08: 13 FTEDPC · 2024-09: 13 FTEDPC · 2024-10: 15 FTEDPC · 2024-11: 14 FTEDPC · 2024-12: 14 FTEDPC · 2025-01: 14 FTEDPC · 2025-02: 14 FTEDPC · 2025-03: 14 FTEDPC · 2025-04: 14 FTEDPC · 2025-05: 14 FTEDPC · 2025-06: 14 FTEDPC · 2025-07: 14 FTEDPC · 2025-08: 14 FTEDPC · 2025-09: 14 FTEDPC · 2025-10: 14 FTEDPC · 2025-11: 14 FTEDPC · 2025-12: 14 FTEDPC · 2026-01: 14 FTEDPC · 2026-02: 14 FTEDPC · 2026-03: 14 FTEAdmin · 2024-03: 69 FTEAdmin · 2024-04: 69 FTEAdmin · 2024-05: 69 FTEAdmin · 2024-06: 69 FTEAdmin · 2024-07: 70 FTEAdmin · 2024-08: 71 FTEAdmin · 2024-09: 68 FTEAdmin · 2024-10: 67 FTEAdmin · 2024-11: 70 FTEAdmin · 2024-12: 70 FTEAdmin · 2025-01: 72 FTEAdmin · 2025-02: 71 FTEAdmin · 2025-03: 74 FTEAdmin · 2025-04: 73 FTEAdmin · 2025-05: 71 FTEAdmin · 2025-06: 71 FTEAdmin · 2025-07: 72 FTEAdmin · 2025-08: 72 FTEAdmin · 2025-09: 73 FTEAdmin · 2025-10: 73 FTEAdmin · 2025-11: 73 FTEAdmin · 2025-12: 70 FTEAdmin · 2026-01: 67 FTEAdmin · 2026-02: 66 FTEAdmin · 2026-03: 66 FTE

Source: NHS Digital General Practice Workforce — 25 snapshots (2024-03 → 2026-03). Y-axis zoomed to data range.

Patient experience (GPPS)

Overall good58.2%
Phone easy25.2%
Website easy40.1%
100.0% coverage

Prescribing volume

1.06

items per registered patient (latest published period)

1 practices · 100.0% coverage

Data sources: NHS Digital (patient list, appointments, workforce, QOF, GPPS, screening, prescribing), CQC API. Aggregations refreshed 5/26/2026.

Aggregate NHS data only · No individual patient data · No named-person contact details.Source: NHS Digital + NHS England open publications.