GP Practice

Wymondham Medical Partnership

D82045

Compare to

Registered patients

19,425

NHS Digital list size

GP FTE

10.19

NHS Digital workforce

Patients per GP FTE

1,906

Items per patient

1.66

prescribing volume

GPPS overall good

68.5%

patient experience

Access KPIs · August 2025

Same-day %

20.6%

Month: August 2025

Appts per 1K patients

581

all bookings (incl. triage)

Patient contacts per 1K

542

F2F + phone + video only

28+ day backlog

25.4%

long-wait share

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

Operating model mix · August 2025

Face-to-face68.8%
Telephone23.9%
Video / online0.5%
Triage0.0%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %20.6%43.0%-22.4%
Face-to-face %68.8%58.4%+10.4%
Telephone %23.9%21.9%+2.0%
Appts per 1K581.3479.7+101.6
Triage %0.0%8.7%-8.7%

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)

2023-092024-092025-080316293Same-day % · 2023-09: 21.6%Same-day % · 2023-10: 21.3%Same-day % · 2023-11: 24.7%Same-day % · 2023-12: 24.1%Same-day % · 2024-01: 24.8%Same-day % · 2024-02: 24.8%Same-day % · 2024-03: 22.3%Same-day % · 2024-04: 24.0%Same-day % · 2024-05: 22.6%Same-day % · 2024-06: 21.7%Same-day % · 2024-07: 24.0%Same-day % · 2024-08: 23.6%Same-day % · 2024-09: 26.5%Same-day % · 2024-10: 27.9%Same-day % · 2024-11: 24.1%Same-day % · 2024-12: 25.4%Same-day % · 2025-01: 24.2%Same-day % · 2025-02: 23.7%Same-day % · 2025-03: 21.3%Same-day % · 2025-04: 22.1%Same-day % · 2025-05: 21.2%Same-day % · 2025-06: 20.7%Same-day % · 2025-07: 20.3%Same-day % · 2025-08: 20.6%F2F % · 2023-09: 82.6%F2F % · 2023-10: 80.7%F2F % · 2023-11: 74.4%F2F % · 2023-12: 74.5%F2F % · 2024-01: 72.7%F2F % · 2024-02: 70.8%F2F % · 2024-03: 72.4%F2F % · 2024-04: 72.0%F2F % · 2024-05: 73.1%F2F % · 2024-06: 70.4%F2F % · 2024-07: 71.9%F2F % · 2024-08: 74.6%F2F % · 2024-09: 73.5%F2F % · 2024-10: 74.6%F2F % · 2024-11: 72.1%F2F % · 2024-12: 71.7%F2F % · 2025-01: 72.2%F2F % · 2025-02: 71.8%F2F % · 2025-03: 70.9%F2F % · 2025-04: 72.6%F2F % · 2025-05: 71.9%F2F % · 2025-06: 68.0%F2F % · 2025-07: 65.3%F2F % · 2025-08: 68.8%Phone % · 2023-09: 9.4%Phone % · 2023-10: 11.1%Phone % · 2023-11: 19.1%Phone % · 2023-12: 17.2%Phone % · 2024-01: 19.6%Phone % · 2024-02: 21.1%Phone % · 2024-03: 19.8%Phone % · 2024-04: 21.3%Phone % · 2024-05: 19.3%Phone % · 2024-06: 21.6%Phone % · 2024-07: 19.7%Phone % · 2024-08: 19.2%Phone % · 2024-09: 19.1%Phone % · 2024-10: 17.1%Phone % · 2024-11: 20.0%Phone % · 2024-12: 20.3%Phone % · 2025-01: 20.5%Phone % · 2025-02: 19.9%Phone % · 2025-03: 21.4%Phone % · 2025-04: 19.9%Phone % · 2025-05: 21.1%Phone % · 2025-06: 24.7%Phone % · 2025-07: 26.9%Phone % · 2025-08: 23.9%Video % · 2023-09: 0.3%Video % · 2023-10: 0.3%Video % · 2023-11: 0.3%Video % · 2023-12: 0.3%Video % · 2024-01: 0.3%Video % · 2024-02: 0.2%Video % · 2024-03: 0.2%Video % · 2024-04: 0.3%Video % · 2024-05: 0.3%Video % · 2024-06: 0.4%Video % · 2024-07: 0.4%Video % · 2024-08: 0.2%Video % · 2024-09: 0.4%Video % · 2024-10: 0.4%Video % · 2024-11: 0.3%Video % · 2024-12: 0.4%Video % · 2025-01: 0.4%Video % · 2025-02: 0.4%Video % · 2025-03: 0.4%Video % · 2025-04: 0.4%Video % · 2025-05: 0.4%Video % · 2025-06: 0.5%Video % · 2025-07: 0.6%Video % · 2025-08: 0.5%Triage % · 2023-09: 0.0%Triage % · 2023-10: 0.0%Triage % · 2023-11: 0.0%Triage % · 2023-12: 0.0%Triage % · 2024-01: 0.0%Triage % · 2024-02: 0.0%Triage % · 2024-03: 0.0%Triage % · 2024-04: 0.0%Triage % · 2024-05: 0.0%Triage % · 2024-06: 0.0%Triage % · 2024-07: 0.0%Triage % · 2024-08: 0.0%Triage % · 2024-09: 0.0%Triage % · 2024-10: 0.0%Triage % · 2024-11: 0.0%Triage % · 2024-12: 0.0%Triage % · 2025-01: 0.0%Triage % · 2025-02: 0.0%Triage % · 2025-03: 0.0%Triage % · 2025-04: 0.0%Triage % · 2025-05: 0.0%Triage % · 2025-06: 0.1%Triage % · 2025-07: 0.2%Triage % · 2025-08: 0.0%

NHS Digital appointments dataset · last 24 months (2023-09 → 2025-08). Click a chip to toggle a series; the y-axis re-zooms to fit.

Total appointments (last 12 months)

2023-092024-092025-0810,62211,93413,24714,5592023-09: 12,456 appointments2023-10: 14,178 appointments2023-11: 13,029 appointments2023-12: 11,107 appointments2024-01: 13,924 appointments2024-02: 12,812 appointments2024-03: 12,597 appointments2024-04: 12,172 appointments2024-05: 12,895 appointments2024-06: 11,678 appointments2024-07: 13,000 appointments2024-08: 11,003 appointments2024-09: 11,294 appointments2024-10: 12,324 appointments2024-11: 12,115 appointments2024-12: 11,355 appointments2025-01: 13,208 appointments2025-02: 11,364 appointments2025-03: 12,670 appointments2025-04: 11,546 appointments2025-05: 12,307 appointments2025-06: 12,433 appointments2025-07: 12,937 appointments2025-08: 11,291 appointments

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

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

2023-092024-092025-085476146827502023-09: 641.2 appts per 1,000 patients2023-10: 729.9 appts per 1,000 patients2023-11: 670.7 appts per 1,000 patients2023-12: 571.8 appts per 1,000 patients2024-01: 716.8 appts per 1,000 patients2024-02: 659.6 appts per 1,000 patients2024-03: 648.5 appts per 1,000 patients2024-04: 626.6 appts per 1,000 patients2024-05: 663.8 appts per 1,000 patients2024-06: 601.2 appts per 1,000 patients2024-07: 669.2 appts per 1,000 patients2024-08: 566.4 appts per 1,000 patients2024-09: 581.4 appts per 1,000 patients2024-10: 634.4 appts per 1,000 patients2024-11: 623.7 appts per 1,000 patients2024-12: 584.6 appts per 1,000 patients2025-01: 679.9 appts per 1,000 patients2025-02: 585 appts per 1,000 patients2025-03: 652.3 appts per 1,000 patients2025-04: 594.4 appts per 1,000 patients2025-05: 633.6 appts per 1,000 patients2025-06: 640.1 appts per 1,000 patients2025-07: 666 appts per 1,000 patients2025-08: 581.3 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%September 2023 · Same day: 21.6%September 2023 · 1 day: 4.5%September 2023 · 2–7 days: 16.2%September 2023 · 8–14 days: 18.2%September 2023 · 15–21 days: 12.7%September 2023 · 22–28 days: 8.9%September 2023 · > 28 days: 18.0%October 2023 · Same day: 21.3%October 2023 · 1 day: 4.5%October 2023 · 2–7 days: 17.1%October 2023 · 8–14 days: 19.4%October 2023 · 15–21 days: 11.5%October 2023 · 22–28 days: 8.0%October 2023 · > 28 days: 18.3%November 2023 · Same day: 24.7%November 2023 · 1 day: 5.7%November 2023 · 2–7 days: 16.4%November 2023 · 8–14 days: 16.8%November 2023 · 15–21 days: 12.1%November 2023 · 22–28 days: 9.5%November 2023 · > 28 days: 14.9%December 2023 · Same day: 24.1%December 2023 · 1 day: 5.7%December 2023 · 2–7 days: 16.8%December 2023 · 8–14 days: 15.0%December 2023 · 15–21 days: 9.8%December 2023 · 22–28 days: 10.7%December 2023 · > 28 days: 18.0%January 2024 · Same day: 24.8%January 2024 · 1 day: 5.1%January 2024 · 2–7 days: 16.8%January 2024 · 8–14 days: 16.0%January 2024 · 15–21 days: 10.0%January 2024 · 22–28 days: 8.0%January 2024 · > 28 days: 19.3%February 2024 · Same day: 24.8%February 2024 · 1 day: 4.8%February 2024 · 2–7 days: 15.8%February 2024 · 8–14 days: 16.2%February 2024 · 15–21 days: 11.7%February 2024 · 22–28 days: 9.1%February 2024 · > 28 days: 17.6%March 2024 · Same day: 22.3%March 2024 · 1 day: 4.7%March 2024 · 2–7 days: 17.1%March 2024 · 8–14 days: 15.1%March 2024 · 15–21 days: 11.4%March 2024 · 22–28 days: 11.5%March 2024 · > 28 days: 18.0%April 2024 · Same day: 24.0%April 2024 · 1 day: 5.3%April 2024 · 2–7 days: 15.9%April 2024 · 8–14 days: 16.2%April 2024 · 15–21 days: 13.2%April 2024 · 22–28 days: 9.4%April 2024 · > 28 days: 16.0%May 2024 · Same day: 22.6%May 2024 · 1 day: 4.6%May 2024 · 2–7 days: 11.9%May 2024 · 8–14 days: 15.7%May 2024 · 15–21 days: 11.9%May 2024 · 22–28 days: 11.1%May 2024 · > 28 days: 22.3%June 2024 · Same day: 21.7%June 2024 · 1 day: 4.7%June 2024 · 2–7 days: 14.3%June 2024 · 8–14 days: 13.5%June 2024 · 15–21 days: 12.6%June 2024 · 22–28 days: 12.1%June 2024 · > 28 days: 21.0%July 2024 · Same day: 24.0%July 2024 · 1 day: 4.3%July 2024 · 2–7 days: 14.5%July 2024 · 8–14 days: 14.0%July 2024 · 15–21 days: 12.2%July 2024 · 22–28 days: 9.2%July 2024 · > 28 days: 21.8%August 2024 · Same day: 23.6%August 2024 · 1 day: 3.7%August 2024 · 2–7 days: 15.3%August 2024 · 8–14 days: 15.2%August 2024 · 15–21 days: 11.7%August 2024 · 22–28 days: 8.5%August 2024 · > 28 days: 22.0%September 2024 · Same day: 26.5%September 2024 · 1 day: 4.5%September 2024 · 2–7 days: 14.1%September 2024 · 8–14 days: 15.5%September 2024 · 15–21 days: 11.1%September 2024 · 22–28 days: 9.7%September 2024 · > 28 days: 18.6%October 2024 · Same day: 27.9%October 2024 · 1 day: 4.7%October 2024 · 2–7 days: 12.3%October 2024 · 8–14 days: 10.8%October 2024 · 15–21 days: 10.1%October 2024 · 22–28 days: 10.8%October 2024 · > 28 days: 23.3%November 2024 · Same day: 24.1%November 2024 · 1 day: 4.7%November 2024 · 2–7 days: 15.1%November 2024 · 8–14 days: 12.3%November 2024 · 15–21 days: 8.8%November 2024 · 22–28 days: 11.2%November 2024 · > 28 days: 23.8%December 2024 · Same day: 25.4%December 2024 · 1 day: 3.8%December 2024 · 2–7 days: 14.2%December 2024 · 8–14 days: 12.3%December 2024 · 15–21 days: 8.6%December 2024 · 22–28 days: 11.4%December 2024 · > 28 days: 24.4%January 2025 · Same day: 24.2%January 2025 · 1 day: 4.3%January 2025 · 2–7 days: 15.2%January 2025 · 8–14 days: 13.7%January 2025 · 15–21 days: 11.9%January 2025 · 22–28 days: 8.0%January 2025 · > 28 days: 22.8%February 2025 · Same day: 23.7%February 2025 · 1 day: 3.9%February 2025 · 2–7 days: 14.5%February 2025 · 8–14 days: 11.2%February 2025 · 15–21 days: 13.1%February 2025 · 22–28 days: 13.7%February 2025 · > 28 days: 20.0%March 2025 · Same day: 21.3%March 2025 · 1 day: 4.0%March 2025 · 2–7 days: 13.9%March 2025 · 8–14 days: 12.7%March 2025 · 15–21 days: 12.6%March 2025 · 22–28 days: 11.8%March 2025 · > 28 days: 23.7%April 2025 · Same day: 22.1%April 2025 · 1 day: 4.2%April 2025 · 2–7 days: 12.9%April 2025 · 8–14 days: 13.8%April 2025 · 15–21 days: 11.8%April 2025 · 22–28 days: 11.3%April 2025 · > 28 days: 23.9%May 2025 · Same day: 21.2%May 2025 · 1 day: 4.5%May 2025 · 2–7 days: 13.8%May 2025 · 8–14 days: 15.0%May 2025 · 15–21 days: 10.8%May 2025 · 22–28 days: 11.0%May 2025 · > 28 days: 23.7%June 2025 · Same day: 20.7%June 2025 · 1 day: 3.9%June 2025 · 2–7 days: 12.2%June 2025 · 8–14 days: 13.3%June 2025 · 15–21 days: 12.6%June 2025 · 22–28 days: 11.9%June 2025 · > 28 days: 25.4%July 2025 · Same day: 20.3%July 2025 · 1 day: 3.7%July 2025 · 2–7 days: 12.9%July 2025 · 8–14 days: 13.1%July 2025 · 15–21 days: 11.7%July 2025 · 22–28 days: 10.7%July 2025 · > 28 days: 27.5%August 2025 · Same day: 20.6%August 2025 · 1 day: 4.2%August 2025 · 2–7 days: 14.5%August 2025 · 8–14 days: 15.5%August 2025 · 15–21 days: 9.2%August 2025 · 22–28 days: 10.7%August 2025 · > 28 days: 25.4%Sep '23Dec '23Mar '24Jun '24Sep '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

HIGHscore 75/100
  • Very high demand (>500 appts/1K)
  • Low same-day access (20.5%)
  • High long-wait rate (26.1% over 28d)

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 %-1.5%
Telephone %+4.6%
Same-day %-1.3%
Appts per 1K-0.6%
Triage %+48.7%

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, the face-to-face percentage dropped to 68.8%, which is 3.3% below the practice's trailing average. This is a notable decrease and may indicate a shift in patient preference or operational challenges.

Several trends are worth noting. The telephone percentage increased by 4.6% month-on-month, while the face-to-face percentage decreased by 1.5%. Additionally, the triage percentage saw a significant increase of 48.7% in July, followed by an 80.9% decrease in August. These shifts could suggest changes in workflow or recording policies.

To investigate these trends, review whether the increase in telephone appointments in 2025-08 aligns with any changes in staff availability or patient communication preferences. Also, verify if the sharp decrease in triage appointments in 2025-08 is due to a system change or a policy adjustment.

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)

triagePct2025-07
value 0.2 · avg 0 ± 0
phonePct2025-07
value 26.9 · avg 20.2 ± 1.7
f2fPct2025-07
value 65.3 · avg 72.1 ± 1.7
phonePct2025-06
value 24.7 · avg 20 ± 1.2
f2fPct2025-06
value 68 · avg 72.4 ± 1.2
sameDayPct2024-10
value 27.9 · avg 23.7 ± 1.4
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

triagePct2025-08
0.2 → 0 (-80.9%)
triagePct2025-07
0.1 → 0.2 (+220.3%)
dnaRate2025-04
2.1 → 2.8 (+33.3%)
videoPct2024-12
0.3 → 0.4 (+33.3%)
dnaRate2024-10
2.5 → 3.4 (+36%)
videoPct2024-09
0.2 → 0.4 (+100%)
Month-on-month KPI changes greater than 30% — typically signal an operational or recording-policy shift.

CQC inspection likelihood

mediumscore 51/100medium confidence
Last inspection: 2018-01-15 · 33 months ago
  • Using CQC review date (2023-07-06) as last assessment. Original inspection date: 2018-01-15.
  • Current rating is good, and the latest CQC assessment date is 2023-07-06 (33 months ago).
  • Report date falls outside the 2017–2022 focused-assessment window signal.
  • 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

10.19

Nurse FTE

7.38

Direct Patient Care FTE

14.12

Admin FTE

32.17

1 practices reporting · 100.0% coverage

Staff group mix

GP10.2 FTE · 16%
Nurse7.4 FTE · 12%
Direct Patient Care14.1 FTE · 22%
Admin32.2 FTE · 50%

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

Workforce composition

GP10.19 FTE · 14 headcount
Partner4.37 FTE (43%) · 6 hc
Salaried4.75 FTE (47%) · 7 hc
Training (ST/F)1.07 FTE (11%) · 1 hc
Nurses7.38 FTE · 10 headcount
Practice Nurse4.21 FTE (57%) · 6 hc
Advanced / Specialist3.17 FTE (43%) · 4 hc
Admin / Non-clinical32.17 FTE · 39 headcount
Management2.84 FTE (9%) · 3 hc
Reception / Admin17.76 FTE (55%) · 21 hc
Apprentice3.69 FTE (11%) · 4 hc
Other7.88 FTE (24%) · 11 hc
Direct Patient Care14.13 FTE · 17 headcount
Pharmacist1.11 FTE (8%) · 2 hc
HCA / Nursing Assistant6.20 FTE (44%) · 7 hc
Other6.82 FTE (48%) · 8 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

2024-032025-032026-033142537GP · 2024-03: 10 FTEGP · 2024-04: 10 FTEGP · 2024-05: 10 FTEGP · 2024-06: 10 FTEGP · 2024-07: 10 FTEGP · 2024-08: 10 FTEGP · 2024-09: 10 FTEGP · 2024-10: 10 FTEGP · 2024-11: 10 FTEGP · 2024-12: 10 FTEGP · 2025-01: 10 FTEGP · 2025-02: 10 FTEGP · 2025-03: 10 FTEGP · 2025-04: 10 FTEGP · 2025-05: 10 FTEGP · 2025-06: 10 FTEGP · 2025-07: 10 FTEGP · 2025-08: 10 FTEGP · 2025-09: 10 FTEGP · 2025-10: 10 FTEGP · 2025-11: 11 FTEGP · 2025-12: 11 FTEGP · 2026-01: 11 FTEGP · 2026-02: 11 FTEGP · 2026-03: 10 FTENurse · 2024-03: 7 FTENurse · 2024-04: 7 FTENurse · 2024-05: 7 FTENurse · 2024-06: 7 FTENurse · 2024-07: 7 FTENurse · 2024-08: 7 FTENurse · 2024-09: 7 FTENurse · 2024-10: 7 FTENurse · 2024-11: 7 FTENurse · 2024-12: 7 FTENurse · 2025-01: 7 FTENurse · 2025-02: 7 FTENurse · 2025-03: 6 FTENurse · 2025-04: 6 FTENurse · 2025-05: 7 FTENurse · 2025-06: 7 FTENurse · 2025-07: 7 FTENurse · 2025-08: 7 FTENurse · 2025-09: 7 FTENurse · 2025-10: 7 FTENurse · 2025-11: 7 FTENurse · 2025-12: 7 FTENurse · 2026-01: 7 FTENurse · 2026-02: 7 FTENurse · 2026-03: 7 FTEDPC · 2024-03: 10 FTEDPC · 2024-04: 10 FTEDPC · 2024-05: 10 FTEDPC · 2024-06: 10 FTEDPC · 2024-07: 10 FTEDPC · 2024-08: 10 FTEDPC · 2024-09: 11 FTEDPC · 2024-10: 12 FTEDPC · 2024-11: 12 FTEDPC · 2024-12: 12 FTEDPC · 2025-01: 12 FTEDPC · 2025-02: 12 FTEDPC · 2025-03: 12 FTEDPC · 2025-04: 12 FTEDPC · 2025-05: 12 FTEDPC · 2025-06: 13 FTEDPC · 2025-07: 13 FTEDPC · 2025-08: 13 FTEDPC · 2025-09: 13 FTEDPC · 2025-10: 13 FTEDPC · 2025-11: 14 FTEDPC · 2025-12: 14 FTEDPC · 2026-01: 14 FTEDPC · 2026-02: 14 FTEDPC · 2026-03: 14 FTEAdmin · 2024-03: 27 FTEAdmin · 2024-04: 27 FTEAdmin · 2024-05: 27 FTEAdmin · 2024-06: 27 FTEAdmin · 2024-07: 27 FTEAdmin · 2024-08: 27 FTEAdmin · 2024-09: 33 FTEAdmin · 2024-10: 33 FTEAdmin · 2024-11: 33 FTEAdmin · 2024-12: 33 FTEAdmin · 2025-01: 33 FTEAdmin · 2025-02: 33 FTEAdmin · 2025-03: 31 FTEAdmin · 2025-04: 31 FTEAdmin · 2025-05: 30 FTEAdmin · 2025-06: 30 FTEAdmin · 2025-07: 30 FTEAdmin · 2025-08: 30 FTEAdmin · 2025-09: 30 FTEAdmin · 2025-10: 30 FTEAdmin · 2025-11: 31 FTEAdmin · 2025-12: 31 FTEAdmin · 2026-01: 31 FTEAdmin · 2026-02: 31 FTEAdmin · 2026-03: 32 FTE

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

Patient experience (GPPS)

Overall good68.5%
Phone easy20.7%
Website easy35.0%
100.0% coverage

Prescribing volume

1.66

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.