GP Practice

Two Rivers Medical Centre

D83046

Compare to

Registered patients

29,614

NHS Digital list size

GP FTE

19.99

NHS Digital workforce

Patients per GP FTE

1,481

Items per patient

1.39

prescribing volume

GPPS overall good

80.0%

patient experience

Access KPIs · August 2025

Same-day %

55%

Month: August 2025

Appts per 1K patients

356

all bookings (incl. triage)

Patient contacts per 1K

327

F2F + phone + video only

28+ day backlog

9.2%

long-wait share

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

Operating model mix · August 2025

Face-to-face83.5%
Telephone8.4%
Triage24.2%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %55.0%43.0%+12.0%
Face-to-face %83.5%58.4%+25.1%
Telephone %8.4%21.9%-13.5%
Appts per 1K356.2479.7-123.5
Triage %24.2%8.7%+15.5%

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)

2023-092024-092025-080326597Same-day % · 2023-09: 42.3%Same-day % · 2023-10: 41.5%Same-day % · 2023-11: 45.0%Same-day % · 2023-12: 50.0%Same-day % · 2024-01: 45.6%Same-day % · 2024-02: 47.8%Same-day % · 2024-03: 47.6%Same-day % · 2024-04: 50.9%Same-day % · 2024-05: 49.9%Same-day % · 2024-06: 51.2%Same-day % · 2024-07: 52.5%Same-day % · 2024-08: 52.3%Same-day % · 2024-09: 50.1%Same-day % · 2024-10: 47.4%Same-day % · 2024-11: 51.6%Same-day % · 2024-12: 54.2%Same-day % · 2025-01: 54.8%Same-day % · 2025-02: 56.0%Same-day % · 2025-03: 55.1%Same-day % · 2025-04: 56.4%Same-day % · 2025-05: 58.5%Same-day % · 2025-06: 55.8%Same-day % · 2025-07: 54.3%Same-day % · 2025-08: 55.0%F2F % · 2023-09: 81.7%F2F % · 2023-10: 85.2%F2F % · 2023-11: 84.0%F2F % · 2023-12: 81.3%F2F % · 2024-01: 80.6%F2F % · 2024-02: 80.9%F2F % · 2024-03: 82.5%F2F % · 2024-04: 82.2%F2F % · 2024-05: 84.8%F2F % · 2024-06: 83.7%F2F % · 2024-07: 83.9%F2F % · 2024-08: 83.8%F2F % · 2024-09: 83.9%F2F % · 2024-10: 87.0%F2F % · 2024-11: 83.3%F2F % · 2024-12: 85.0%F2F % · 2025-01: 81.9%F2F % · 2025-02: 83.3%F2F % · 2025-03: 82.9%F2F % · 2025-04: 82.8%F2F % · 2025-05: 82.9%F2F % · 2025-06: 82.5%F2F % · 2025-07: 82.6%F2F % · 2025-08: 83.5%Phone % · 2023-09: 15.0%Phone % · 2023-10: 12.4%Phone % · 2023-11: 12.7%Phone % · 2023-12: 15.2%Phone % · 2024-01: 13.4%Phone % · 2024-02: 12.9%Phone % · 2024-03: 11.8%Phone % · 2024-04: 13.2%Phone % · 2024-05: 10.5%Phone % · 2024-06: 10.5%Phone % · 2024-07: 10.3%Phone % · 2024-08: 10.3%Phone % · 2024-09: 9.4%Phone % · 2024-10: 7.6%Phone % · 2024-11: 9.6%Phone % · 2024-12: 8.3%Phone % · 2025-01: 9.7%Phone % · 2025-02: 8.7%Phone % · 2025-03: 8.0%Phone % · 2025-04: 9.2%Phone % · 2025-05: 9.7%Phone % · 2025-06: 8.5%Phone % · 2025-07: 8.5%Phone % · 2025-08: 8.4%Video % · 2023-09: 0.5%Video % · 2023-10: 0.0%Video % · 2023-11: 0.0%Video % · 2023-12: 0.0%Video % · 2024-01: 0.0%Video % · 2024-02: 0.6%Video % · 2024-03: 0.2%Video % · 2024-04: 0.0%Video % · 2024-05: 0.0%Video % · 2024-06: 0.0%Video % · 2024-07: 0.0%Video % · 2024-08: 0.0%Video % · 2024-09: 0.0%Video % · 2024-10: 0.0%Video % · 2024-11: 0.0%Video % · 2024-12: 0.0%Video % · 2025-01: 0.0%Video % · 2025-02: 0.0%Video % · 2025-03: 0.0%Video % · 2025-04: 0.0%Video % · 2025-05: 0.0%Video % · 2025-06: 0.0%Video % · 2025-07: 0.0%Video % · 2025-08: 0.0%Triage % · 2023-09: 1.4%Triage % · 2023-10: 1.3%Triage % · 2023-11: 1.1%Triage % · 2023-12: 0.1%Triage % · 2024-01: 2.0%Triage % · 2024-02: 5.0%Triage % · 2024-03: 3.9%Triage % · 2024-04: 4.0%Triage % · 2024-05: 3.5%Triage % · 2024-06: 2.9%Triage % · 2024-07: 2.6%Triage % · 2024-08: 3.4%Triage % · 2024-09: 3.0%Triage % · 2024-10: 2.0%Triage % · 2024-11: 2.1%Triage % · 2024-12: 2.3%Triage % · 2025-01: 1.9%Triage % · 2025-02: 2.7%Triage % · 2025-03: 2.2%Triage % · 2025-04: 3.3%Triage % · 2025-05: 20.7%Triage % · 2025-06: 26.1%Triage % · 2025-07: 23.3%Triage % · 2025-08: 24.2%

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)

2023-092024-092025-089,53412,63815,74218,8462023-09: 16,302 appointments2023-10: 17,316 appointments2023-11: 14,833 appointments2023-12: 12,810 appointments2024-01: 15,759 appointments2024-02: 14,150 appointments2024-03: 13,772 appointments2024-04: 14,347 appointments2024-05: 13,930 appointments2024-06: 13,413 appointments2024-07: 15,307 appointments2024-08: 12,096 appointments2024-09: 13,489 appointments2024-10: 17,945 appointments2024-11: 14,476 appointments2024-12: 13,108 appointments2025-01: 13,674 appointments2025-02: 11,002 appointments2025-03: 11,260 appointments2025-04: 10,435 appointments2025-05: 11,050 appointments2025-06: 11,611 appointments2025-07: 12,902 appointments2025-08: 10,549 appointments

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

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

2023-092024-092025-083224275326362023-09: 550.5 appts per 1,000 patients2023-10: 584.7 appts per 1,000 patients2023-11: 500.9 appts per 1,000 patients2023-12: 432.6 appts per 1,000 patients2024-01: 532.1 appts per 1,000 patients2024-02: 477.8 appts per 1,000 patients2024-03: 465.1 appts per 1,000 patients2024-04: 484.5 appts per 1,000 patients2024-05: 470.4 appts per 1,000 patients2024-06: 452.9 appts per 1,000 patients2024-07: 516.9 appts per 1,000 patients2024-08: 408.5 appts per 1,000 patients2024-09: 455.5 appts per 1,000 patients2024-10: 606 appts per 1,000 patients2024-11: 488.8 appts per 1,000 patients2024-12: 442.6 appts per 1,000 patients2025-01: 461.7 appts per 1,000 patients2025-02: 371.5 appts per 1,000 patients2025-03: 380.2 appts per 1,000 patients2025-04: 352.4 appts per 1,000 patients2025-05: 373.1 appts per 1,000 patients2025-06: 392.1 appts per 1,000 patients2025-07: 435.7 appts per 1,000 patients2025-08: 356.2 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: 42.3%September 2023 · 1 day: 4.8%September 2023 · 2–7 days: 13.2%September 2023 · 8–14 days: 9.0%September 2023 · 15–21 days: 5.8%September 2023 · 22–28 days: 5.0%September 2023 · > 28 days: 19.9%October 2023 · Same day: 41.5%October 2023 · 1 day: 5.2%October 2023 · 2–7 days: 14.1%October 2023 · 8–14 days: 10.7%October 2023 · 15–21 days: 6.8%October 2023 · 22–28 days: 4.7%October 2023 · > 28 days: 16.9%November 2023 · Same day: 45.0%November 2023 · 1 day: 6.0%November 2023 · 2–7 days: 17.2%November 2023 · 8–14 days: 10.5%November 2023 · 15–21 days: 5.9%November 2023 · 22–28 days: 3.7%November 2023 · > 28 days: 11.6%December 2023 · Same day: 50.0%December 2023 · 1 day: 5.9%December 2023 · 2–7 days: 13.3%December 2023 · 8–14 days: 8.6%December 2023 · 15–21 days: 5.5%December 2023 · 22–28 days: 4.5%December 2023 · > 28 days: 12.3%January 2024 · Same day: 45.6%January 2024 · 1 day: 6.2%January 2024 · 2–7 days: 16.1%January 2024 · 8–14 days: 9.6%January 2024 · 15–21 days: 5.7%January 2024 · 22–28 days: 5.4%January 2024 · > 28 days: 11.4%February 2024 · Same day: 47.8%February 2024 · 1 day: 5.5%February 2024 · 2–7 days: 17.1%February 2024 · 8–14 days: 10.0%February 2024 · 15–21 days: 5.6%February 2024 · 22–28 days: 4.6%February 2024 · > 28 days: 9.5%March 2024 · Same day: 47.6%March 2024 · 1 day: 4.9%March 2024 · 2–7 days: 15.3%March 2024 · 8–14 days: 10.1%March 2024 · 15–21 days: 6.4%March 2024 · 22–28 days: 4.7%March 2024 · > 28 days: 10.9%April 2024 · Same day: 50.9%April 2024 · 1 day: 4.7%April 2024 · 2–7 days: 13.0%April 2024 · 8–14 days: 10.2%April 2024 · 15–21 days: 6.1%April 2024 · 22–28 days: 5.6%April 2024 · > 28 days: 9.4%May 2024 · Same day: 49.9%May 2024 · 1 day: 5.0%May 2024 · 2–7 days: 15.5%May 2024 · 8–14 days: 9.1%May 2024 · 15–21 days: 5.2%May 2024 · 22–28 days: 4.3%May 2024 · > 28 days: 11.0%June 2024 · Same day: 51.2%June 2024 · 1 day: 4.7%June 2024 · 2–7 days: 15.3%June 2024 · 8–14 days: 8.9%June 2024 · 15–21 days: 6.0%June 2024 · 22–28 days: 4.2%June 2024 · > 28 days: 9.7%July 2024 · Same day: 52.5%July 2024 · 1 day: 5.2%July 2024 · 2–7 days: 15.6%July 2024 · 8–14 days: 8.8%July 2024 · 15–21 days: 4.7%July 2024 · 22–28 days: 4.1%July 2024 · > 28 days: 9.2%August 2024 · Same day: 52.3%August 2024 · 1 day: 5.9%August 2024 · 2–7 days: 14.7%August 2024 · 8–14 days: 10.0%August 2024 · 15–21 days: 5.9%August 2024 · 22–28 days: 3.7%August 2024 · > 28 days: 7.5%September 2024 · Same day: 50.1%September 2024 · 1 day: 5.4%September 2024 · 2–7 days: 15.6%September 2024 · 8–14 days: 9.8%September 2024 · 15–21 days: 5.6%September 2024 · 22–28 days: 3.7%September 2024 · > 28 days: 9.8%October 2024 · Same day: 47.4%October 2024 · 1 day: 5.1%October 2024 · 2–7 days: 13.4%October 2024 · 8–14 days: 8.3%October 2024 · 15–21 days: 4.6%October 2024 · 22–28 days: 3.4%October 2024 · > 28 days: 17.7%November 2024 · Same day: 51.6%November 2024 · 1 day: 4.3%November 2024 · 2–7 days: 14.8%November 2024 · 8–14 days: 9.9%November 2024 · 15–21 days: 5.9%November 2024 · 22–28 days: 3.8%November 2024 · > 28 days: 9.7%December 2024 · Same day: 54.2%December 2024 · 1 day: 3.7%December 2024 · 2–7 days: 13.3%December 2024 · 8–14 days: 9.9%December 2024 · 15–21 days: 4.7%December 2024 · 22–28 days: 3.1%December 2024 · > 28 days: 11.2%January 2025 · Same day: 54.8%January 2025 · 1 day: 3.9%January 2025 · 2–7 days: 14.8%January 2025 · 8–14 days: 7.4%January 2025 · 15–21 days: 4.2%January 2025 · 22–28 days: 3.4%January 2025 · > 28 days: 11.4%February 2025 · Same day: 56.0%February 2025 · 1 day: 4.4%February 2025 · 2–7 days: 13.7%February 2025 · 8–14 days: 8.2%February 2025 · 15–21 days: 4.6%February 2025 · 22–28 days: 4.1%February 2025 · > 28 days: 9.0%March 2025 · Same day: 55.1%March 2025 · 1 day: 3.0%March 2025 · 2–7 days: 11.7%March 2025 · 8–14 days: 9.2%March 2025 · 15–21 days: 5.2%March 2025 · 22–28 days: 4.6%March 2025 · > 28 days: 11.1%April 2025 · Same day: 56.4%April 2025 · 1 day: 3.4%April 2025 · 2–7 days: 11.0%April 2025 · 8–14 days: 7.8%April 2025 · 15–21 days: 6.6%April 2025 · 22–28 days: 4.5%April 2025 · > 28 days: 10.3%May 2025 · Same day: 58.5%May 2025 · 1 day: 4.5%May 2025 · 2–7 days: 10.4%May 2025 · 8–14 days: 9.4%May 2025 · 15–21 days: 5.2%May 2025 · 22–28 days: 4.0%May 2025 · > 28 days: 8.0%June 2025 · Same day: 55.8%June 2025 · 1 day: 7.3%June 2025 · 2–7 days: 12.7%June 2025 · 8–14 days: 8.4%June 2025 · 15–21 days: 4.9%June 2025 · 22–28 days: 3.4%June 2025 · > 28 days: 7.6%July 2025 · Same day: 54.3%July 2025 · 1 day: 5.8%July 2025 · 2–7 days: 12.6%July 2025 · 8–14 days: 8.3%July 2025 · 15–21 days: 5.4%July 2025 · 22–28 days: 3.6%July 2025 · > 28 days: 9.9%August 2025 · Same day: 55.0%August 2025 · 1 day: 6.9%August 2025 · 2–7 days: 10.7%August 2025 · 8–14 days: 7.3%August 2025 · 15–21 days: 5.6%August 2025 · 22–28 days: 5.2%August 2025 · > 28 days: 9.2%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

LOWscore 25/100
  • Moderate demand
  • Elevated long-wait rate

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

6-month trends

KPIDirectionSlope (rel %)
Total appointments+1.1%
Face-to-face %+0.1%
Telephone %-0.4%
Same-day %-0.5%
Appts per 1K+1.1%
Triage %+30.1%

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 DNA rate at Two Rivers Medical Centre has risen significantly compared to the practice's trailing average. The rate has increased by 6.6% from the previous month, reaching 1.3%. This is a notable rise and should be monitored closely.

Several trends have emerged from the data. The triage percentage has shown a consistent upward trend, with a significant increase of 30.1% in the latest month. Additionally, there has been a substantial step change in the triage percentage in May 2025, with a 528.6% increase from the previous month. These trends suggest a potential shift in workflow or recording policies.

To investigate these trends, it would be beneficial to review the triage process and any recent changes in the system that may have influenced the data. Additionally, examining the DNA rate and its correlation with the triage percentage could provide further insights into the practice's performance.

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 23.3 · avg 6 ± 7.9
triagePct2025-06
value 26.1 · avg 4.1 ± 5
dnaRate2025-06
value 1.6 · avg 1.2 ± 0.1
triagePct2025-05
value 20.7 · avg 2.7 ± 0.5
sameDayPct2025-05
value 58.5 · avg 52.6 ± 2.6
sameDayPct2025-02
value 56 · avg 50.9 ± 2.3
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

triagePct2025-05
3.3 → 20.7 (+528.6%)
dnaRate2025-05
1 → 1.3 (+30%)
triagePct2025-04
2.2 → 3.3 (+48.5%)
triagePct2025-02
1.9 → 2.7 (+41.8%)
triagePct2024-10
3 → 2 (-31.1%)
triagePct2024-08
2.6 → 3.4 (+30.4%)
Month-on-month KPI changes greater than 30% — typically signal an operational or recording-policy shift.

CQC inspection likelihood

lowscore 37/100medium confidence
Last inspection: 2025-03-10 · 13 months ago
  • Current rating is requires improvement, and the latest CQC assessment date is 2025-03-10 (13 months ago).
  • Current rating is outside the Good/Outstanding focused-assessment profile, which lowers this specific cohort 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

19.99

Nurse FTE

10.12

Direct Patient Care FTE

6.35

Admin FTE

29.53

1 practices reporting · 100.0% coverage

Staff group mix

GP20.0 FTE · 30%
Nurse10.1 FTE · 15%
Direct Patient Care6.3 FTE · 10%
Admin29.5 FTE · 45%

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

Workforce composition

GP19.99 FTE · 26 headcount
Partner2.81 FTE (14%) · 3 hc
Salaried6.94 FTE (35%) · 12 hc
Training (ST/F)10.24 FTE (51%) · 11 hc
Nurses10.12 FTE · 13 headcount
Practice Nurse5.17 FTE (51%) · 7 hc
Advanced / Specialist4.95 FTE (49%) · 6 hc
Admin / Non-clinical29.53 FTE · 46 headcount
Management1.56 FTE (5%) · 2 hc
Reception / Admin20.93 FTE (71%) · 32 hc
Other7.04 FTE (24%) · 12 hc
Direct Patient Care6.36 FTE · 8 headcount
Pharmacist2.00 FTE (31%) · 2 hc
HCA / Nursing Assistant1.94 FTE (31%) · 3 hc
Paramedic1.99 FTE (31%) · 2 hc
Other0.43 FTE (7%) · 1 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

2024-032025-032026-032173146GP · 2024-03: 20 FTEGP · 2024-04: 20 FTEGP · 2024-05: 20 FTEGP · 2024-06: 20 FTEGP · 2024-07: 20 FTEGP · 2024-08: 21 FTEGP · 2024-09: 21 FTEGP · 2024-10: 21 FTEGP · 2024-11: 21 FTEGP · 2024-12: 20 FTEGP · 2025-01: 19 FTEGP · 2025-02: 17 FTEGP · 2025-03: 16 FTEGP · 2025-04: 15 FTEGP · 2025-05: 16 FTEGP · 2025-06: 17 FTEGP · 2025-07: 18 FTEGP · 2025-08: 21 FTEGP · 2025-09: 22 FTEGP · 2025-10: 22 FTEGP · 2025-11: 22 FTEGP · 2025-12: 22 FTEGP · 2026-01: 22 FTEGP · 2026-02: 20 FTEGP · 2026-03: 20 FTENurse · 2024-03: 13 FTENurse · 2024-04: 14 FTENurse · 2024-05: 14 FTENurse · 2024-06: 15 FTENurse · 2024-07: 15 FTENurse · 2024-08: 15 FTENurse · 2024-09: 14 FTENurse · 2024-10: 14 FTENurse · 2024-11: 13 FTENurse · 2024-12: 13 FTENurse · 2025-01: 13 FTENurse · 2025-02: 13 FTENurse · 2025-03: 13 FTENurse · 2025-04: 13 FTENurse · 2025-05: 13 FTENurse · 2025-06: 13 FTENurse · 2025-07: 13 FTENurse · 2025-08: 12 FTENurse · 2025-09: 12 FTENurse · 2025-10: 12 FTENurse · 2025-11: 12 FTENurse · 2025-12: 12 FTENurse · 2026-01: 12 FTENurse · 2026-02: 12 FTENurse · 2026-03: 10 FTEDPC · 2024-03: 8 FTEDPC · 2024-04: 7 FTEDPC · 2024-05: 7 FTEDPC · 2024-06: 7 FTEDPC · 2024-07: 7 FTEDPC · 2024-08: 6 FTEDPC · 2024-09: 6 FTEDPC · 2024-10: 6 FTEDPC · 2024-11: 6 FTEDPC · 2024-12: 6 FTEDPC · 2025-01: 6 FTEDPC · 2025-02: 6 FTEDPC · 2025-03: 6 FTEDPC · 2025-04: 6 FTEDPC · 2025-05: 6 FTEDPC · 2025-06: 6 FTEDPC · 2025-07: 6 FTEDPC · 2025-08: 6 FTEDPC · 2025-09: 6 FTEDPC · 2025-10: 6 FTEDPC · 2025-11: 6 FTEDPC · 2025-12: 6 FTEDPC · 2026-01: 6 FTEDPC · 2026-02: 7 FTEDPC · 2026-03: 6 FTEAdmin · 2024-03: 38 FTEAdmin · 2024-04: 39 FTEAdmin · 2024-05: 39 FTEAdmin · 2024-06: 40 FTEAdmin · 2024-07: 42 FTEAdmin · 2024-08: 41 FTEAdmin · 2024-09: 40 FTEAdmin · 2024-10: 40 FTEAdmin · 2024-11: 40 FTEAdmin · 2024-12: 40 FTEAdmin · 2025-01: 40 FTEAdmin · 2025-02: 41 FTEAdmin · 2025-03: 40 FTEAdmin · 2025-04: 39 FTEAdmin · 2025-05: 37 FTEAdmin · 2025-06: 38 FTEAdmin · 2025-07: 39 FTEAdmin · 2025-08: 40 FTEAdmin · 2025-09: 40 FTEAdmin · 2025-10: 40 FTEAdmin · 2025-11: 40 FTEAdmin · 2025-12: 40 FTEAdmin · 2026-01: 37 FTEAdmin · 2026-02: 38 FTEAdmin · 2026-03: 30 FTE

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

Patient experience (GPPS)

Overall good80.0%
Phone easy18.3%
Website easy40.1%
100.0% coverage

Prescribing volume

1.39

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.