GP Practice

The Alexandra Surgery

F85675

Compare to

Registered patients

5,580

NHS Digital list size

GP FTE

1.6

NHS Digital workforce

Patients per GP FTE

3,488

Items per patient

1.54

prescribing volume

GPPS overall good

82.7%

patient experience

Access KPIs · August 2025

Same-day %

57.4%

Month: August 2025

Appts per 1K patients

509

all bookings (incl. triage)

Patient contacts per 1K

506

F2F + phone + video only

28+ day backlog

0.5%

long-wait share

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

Operating model mix · August 2025

Face-to-face53.2%
Telephone35.6%
Video / online10.7%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %57.4%43.0%+14.4%
Face-to-face %53.2%58.4%-5.2%
Telephone %35.6%21.9%+13.7%
Appts per 1K508.6479.7+28.9
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)

2023-092024-092025-080316394Same-day % · 2023-09: 68.2%Same-day % · 2023-10: 62.3%Same-day % · 2023-11: 68.0%Same-day % · 2023-12: 70.9%Same-day % · 2024-01: 72.6%Same-day % · 2024-02: 75.1%Same-day % · 2024-03: 71.7%Same-day % · 2024-04: 70.6%Same-day % · 2024-05: 72.5%Same-day % · 2024-06: 73.9%Same-day % · 2024-07: 72.1%Same-day % · 2024-08: 73.1%Same-day % · 2024-09: 73.2%Same-day % · 2024-10: 69.1%Same-day % · 2024-11: 65.0%Same-day % · 2024-12: 66.4%Same-day % · 2025-01: 60.5%Same-day % · 2025-02: 64.9%Same-day % · 2025-03: 60.7%Same-day % · 2025-04: 58.4%Same-day % · 2025-05: 61.9%Same-day % · 2025-06: 61.0%Same-day % · 2025-07: 59.3%Same-day % · 2025-08: 57.4%F2F % · 2023-09: 80.0%F2F % · 2023-10: 83.6%F2F % · 2023-11: 84.0%F2F % · 2023-12: 82.7%F2F % · 2024-01: 80.5%F2F % · 2024-02: 80.1%F2F % · 2024-03: 78.4%F2F % · 2024-04: 64.5%F2F % · 2024-05: 66.7%F2F % · 2024-06: 66.9%F2F % · 2024-07: 63.5%F2F % · 2024-08: 52.1%F2F % · 2024-09: 35.2%F2F % · 2024-10: 36.8%F2F % · 2024-11: 43.4%F2F % · 2024-12: 46.5%F2F % · 2025-01: 50.6%F2F % · 2025-02: 48.4%F2F % · 2025-03: 49.3%F2F % · 2025-04: 49.0%F2F % · 2025-05: 44.4%F2F % · 2025-06: 45.8%F2F % · 2025-07: 46.8%F2F % · 2025-08: 53.2%Phone % · 2023-09: 20.0%Phone % · 2023-10: 16.4%Phone % · 2023-11: 16.0%Phone % · 2023-12: 17.3%Phone % · 2024-01: 19.5%Phone % · 2024-02: 19.9%Phone % · 2024-03: 18.5%Phone % · 2024-04: 19.4%Phone % · 2024-05: 19.2%Phone % · 2024-06: 19.6%Phone % · 2024-07: 20.7%Phone % · 2024-08: 24.2%Phone % · 2024-09: 26.5%Phone % · 2024-10: 33.8%Phone % · 2024-11: 35.5%Phone % · 2024-12: 35.4%Phone % · 2025-01: 33.1%Phone % · 2025-02: 33.1%Phone % · 2025-03: 31.2%Phone % · 2025-04: 35.2%Phone % · 2025-05: 39.9%Phone % · 2025-06: 37.7%Phone % · 2025-07: 37.6%Phone % · 2025-08: 35.6%Video % · 2023-09: 0.0%Video % · 2023-10: 0.0%Video % · 2023-11: 0.0%Video % · 2023-12: 0.0%Video % · 2024-01: 0.0%Video % · 2024-02: 0.0%Video % · 2024-03: 0.7%Video % · 2024-04: 9.7%Video % · 2024-05: 7.7%Video % · 2024-06: 6.4%Video % · 2024-07: 10.3%Video % · 2024-08: 13.5%Video % · 2024-09: 26.8%Video % · 2024-10: 15.4%Video % · 2024-11: 9.4%Video % · 2024-12: 8.8%Video % · 2025-01: 9.4%Video % · 2025-02: 9.8%Video % · 2025-03: 10.4%Video % · 2025-04: 10.1%Video % · 2025-05: 11.1%Video % · 2025-06: 10.8%Video % · 2025-07: 11.0%Video % · 2025-08: 10.7%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: 0.0%Triage % · 2025-07: 0.0%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)

2023-092024-092025-082,6373,3304,0244,7172023-09: 3,811 appointments2023-10: 4,516 appointments2023-11: 4,040 appointments2023-12: 3,664 appointments2024-01: 4,221 appointments2024-02: 4,514 appointments2024-03: 4,101 appointments2024-04: 4,515 appointments2024-05: 4,126 appointments2024-06: 4,308 appointments2024-07: 3,820 appointments2024-08: 3,767 appointments2024-09: 4,118 appointments2024-10: 3,860 appointments2024-11: 3,462 appointments2024-12: 3,086 appointments2025-01: 3,602 appointments2025-02: 3,507 appointments2025-03: 3,312 appointments2025-04: 3,142 appointments2025-05: 3,229 appointments2025-06: 3,456 appointments2025-07: 3,707 appointments2025-08: 2,838 appointments

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

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

2023-092024-092025-084735977218452023-09: 683 appts per 1,000 patients2023-10: 809.3 appts per 1,000 patients2023-11: 724 appts per 1,000 patients2023-12: 656.6 appts per 1,000 patients2024-01: 756.5 appts per 1,000 patients2024-02: 809 appts per 1,000 patients2024-03: 734.9 appts per 1,000 patients2024-04: 809.1 appts per 1,000 patients2024-05: 739.4 appts per 1,000 patients2024-06: 772 appts per 1,000 patients2024-07: 684.6 appts per 1,000 patients2024-08: 675.1 appts per 1,000 patients2024-09: 738 appts per 1,000 patients2024-10: 691.8 appts per 1,000 patients2024-11: 620.4 appts per 1,000 patients2024-12: 553 appts per 1,000 patients2025-01: 645.5 appts per 1,000 patients2025-02: 628.5 appts per 1,000 patients2025-03: 593.5 appts per 1,000 patients2025-04: 563.1 appts per 1,000 patients2025-05: 578.7 appts per 1,000 patients2025-06: 619.4 appts per 1,000 patients2025-07: 664.3 appts per 1,000 patients2025-08: 508.6 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: 68.2%September 2023 · 1 day: 12.6%September 2023 · 2–7 days: 12.9%September 2023 · 8–14 days: 2.7%September 2023 · 15–21 days: 1.5%September 2023 · 22–28 days: 0.5%September 2023 · > 28 days: 1.4%October 2023 · Same day: 62.3%October 2023 · 1 day: 14.4%October 2023 · 2–7 days: 17.1%October 2023 · 8–14 days: 4.4%October 2023 · 15–21 days: 0.9%October 2023 · 22–28 days: 0.4%October 2023 · > 28 days: 0.5%November 2023 · Same day: 68.0%November 2023 · 1 day: 13.9%November 2023 · 2–7 days: 12.5%November 2023 · 8–14 days: 3.7%November 2023 · 15–21 days: 0.8%November 2023 · 22–28 days: 0.5%November 2023 · > 28 days: 0.5%December 2023 · Same day: 70.9%December 2023 · 1 day: 11.0%December 2023 · 2–7 days: 13.6%December 2023 · 8–14 days: 3.1%December 2023 · 15–21 days: 0.4%December 2023 · 22–28 days: 0.3%December 2023 · > 28 days: 0.8%January 2024 · Same day: 72.6%January 2024 · 1 day: 11.0%January 2024 · 2–7 days: 12.6%January 2024 · 8–14 days: 2.1%January 2024 · 15–21 days: 0.5%January 2024 · 22–28 days: 0.5%January 2024 · > 28 days: 0.7%February 2024 · Same day: 75.1%February 2024 · 1 day: 12.0%February 2024 · 2–7 days: 9.7%February 2024 · 8–14 days: 2.1%February 2024 · 15–21 days: 0.4%February 2024 · 22–28 days: 0.4%February 2024 · > 28 days: 0.4%March 2024 · Same day: 71.7%March 2024 · 1 day: 13.9%March 2024 · 2–7 days: 11.8%March 2024 · 8–14 days: 1.6%March 2024 · 15–21 days: 0.3%March 2024 · 22–28 days: 0.3%March 2024 · > 28 days: 0.4%April 2024 · Same day: 70.6%April 2024 · 1 day: 17.0%April 2024 · 2–7 days: 10.4%April 2024 · 8–14 days: 0.9%April 2024 · 15–21 days: 0.5%April 2024 · 22–28 days: 0.3%April 2024 · > 28 days: 0.3%May 2024 · Same day: 72.5%May 2024 · 1 day: 14.7%May 2024 · 2–7 days: 10.5%May 2024 · 8–14 days: 1.4%May 2024 · 15–21 days: 0.4%May 2024 · 22–28 days: 0.1%May 2024 · > 28 days: 0.4%June 2024 · Same day: 73.9%June 2024 · 1 day: 13.3%June 2024 · 2–7 days: 10.1%June 2024 · 8–14 days: 1.7%June 2024 · 15–21 days: 0.3%June 2024 · 22–28 days: 0.4%June 2024 · > 28 days: 0.3%July 2024 · Same day: 72.1%July 2024 · 1 day: 12.9%July 2024 · 2–7 days: 11.7%July 2024 · 8–14 days: 1.8%July 2024 · 15–21 days: 0.6%July 2024 · 22–28 days: 0.5%July 2024 · > 28 days: 0.4%August 2024 · Same day: 73.1%August 2024 · 1 day: 13.3%August 2024 · 2–7 days: 11.5%August 2024 · 8–14 days: 1.6%August 2024 · 15–21 days: 0.3%August 2024 · 22–28 days: 0.1%August 2024 · > 28 days: 0.2%September 2024 · Same day: 73.2%September 2024 · 1 day: 11.3%September 2024 · 2–7 days: 11.8%September 2024 · 8–14 days: 2.6%September 2024 · 15–21 days: 0.4%September 2024 · 22–28 days: 0.3%September 2024 · > 28 days: 0.5%October 2024 · Same day: 69.1%October 2024 · 1 day: 13.6%October 2024 · 2–7 days: 9.9%October 2024 · 8–14 days: 5.7%October 2024 · 15–21 days: 1.2%October 2024 · 22–28 days: 0.3%October 2024 · > 28 days: 0.2%November 2024 · Same day: 65.0%November 2024 · 1 day: 16.5%November 2024 · 2–7 days: 13.1%November 2024 · 8–14 days: 3.6%November 2024 · 15–21 days: 0.8%November 2024 · 22–28 days: 0.5%November 2024 · > 28 days: 0.5%December 2024 · Same day: 66.4%December 2024 · 1 day: 16.6%December 2024 · 2–7 days: 13.9%December 2024 · 8–14 days: 2.0%December 2024 · 15–21 days: 0.5%December 2024 · 22–28 days: 0.4%December 2024 · > 28 days: 0.2%January 2025 · Same day: 60.5%January 2025 · 1 day: 20.4%January 2025 · 2–7 days: 16.1%January 2025 · 8–14 days: 1.6%January 2025 · 15–21 days: 0.5%January 2025 · 22–28 days: 0.4%January 2025 · > 28 days: 0.3%February 2025 · Same day: 64.9%February 2025 · 1 day: 18.4%February 2025 · 2–7 days: 13.3%February 2025 · 8–14 days: 2.4%February 2025 · 15–21 days: 0.5%February 2025 · 22–28 days: 0.3%February 2025 · > 28 days: 0.2%March 2025 · Same day: 60.7%March 2025 · 1 day: 19.9%March 2025 · 2–7 days: 16.3%March 2025 · 8–14 days: 1.8%March 2025 · 15–21 days: 0.8%March 2025 · 22–28 days: 0.3%March 2025 · > 28 days: 0.2%April 2025 · Same day: 58.4%April 2025 · 1 day: 17.4%April 2025 · 2–7 days: 20.6%April 2025 · 8–14 days: 2.1%April 2025 · 15–21 days: 0.8%April 2025 · 22–28 days: 0.4%April 2025 · > 28 days: 0.3%May 2025 · Same day: 61.9%May 2025 · 1 day: 20.4%May 2025 · 2–7 days: 15.2%May 2025 · 8–14 days: 1.2%May 2025 · 15–21 days: 0.5%May 2025 · 22–28 days: 0.5%May 2025 · > 28 days: 0.2%June 2025 · Same day: 61.0%June 2025 · 1 day: 18.4%June 2025 · 2–7 days: 17.5%June 2025 · 8–14 days: 2.1%June 2025 · 15–21 days: 0.3%June 2025 · 22–28 days: 0.4%June 2025 · > 28 days: 0.2%July 2025 · Same day: 59.3%July 2025 · 1 day: 22.4%July 2025 · 2–7 days: 14.6%July 2025 · 8–14 days: 2.6%July 2025 · 15–21 days: 0.3%July 2025 · 22–28 days: 0.4%July 2025 · > 28 days: 0.3%August 2025 · Same day: 57.4%August 2025 · 1 day: 20.0%August 2025 · 2–7 days: 18.8%August 2025 · 8–14 days: 2.1%August 2025 · 15–21 days: 0.7%August 2025 · 22–28 days: 0.5%August 2025 · > 28 days: 0.5%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 33/100
  • 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-0.4%
Face-to-face %+0.8%
Telephone %+2.1%
Same-day %-0.7%
Appts per 1K-0.4%
Triage %0%

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 total number of appointments was significantly lower than the practice's trailing average, with 2838 appointments compared to the average of 3520.7. This represents a notable decrease and should be investigated further.

Several trends and step changes are worth noting. The DNA rate saw a substantial decrease of 43.6% in 2025-07, which could indicate improved patient attendance or changes in appointment scheduling. Additionally, the telephone percentage has been increasing, rising by 2.1% this month, suggesting a shift in patient preference or operational adjustments.

To understand these changes, it would be beneficial to review the DNA rate fluctuations and the increase in telephone appointments. Verify whether the dip in same-day appointments in 2025-08 aligns with any system changes or operational shifts.

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)

total2025-08
value 2838 · avg 3520.7 ± 294.8
sameDayPct2025-04
value 58.4 · avg 68.5 ± 4.7
sameDayPct2025-03
value 60.7 · avg 69.4 ± 4.1
sameDayPct2025-01
value 60.5 · avg 71.3 ± 2.9
dnaRate2025-01
value 9.2 · avg 3.9 ± 1.8
sameDayPct2024-12
value 66.4 · avg 71.7 ± 2.5
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

dnaRate2025-08
3.1 → 4.4 (+41.9%)
dnaRate2025-07
5.5 → 3.1 (-43.6%)
dnaRate2025-06
4.1 → 5.5 (+34.1%)
dnaRate2025-05
9.3 → 4.1 (-55.9%)
dnaRate2024-12
5.4 → 9 (+66.7%)
videoPct2024-11
15.4 → 9.4 (-39%)
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: 2024-01-31 · 27 months ago
  • Current rating is good, and the latest CQC assessment date is 2024-01-31 (27 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

1.6

Nurse FTE

0.59

Direct Patient Care FTE

0

Admin FTE

4.27

1 practices reporting · 100.0% coverage

Staff group mix

GP1.6 FTE · 25%
Nurse0.6 FTE · 9%
Direct Patient Care0.0 FTE · 0%
Admin4.3 FTE · 66%

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

Workforce composition

GP1.60 FTE · 1 headcount
Partner1.60 FTE (100%) · 1 hc
Nurses0.59 FTE · 1 headcount
Practice Nurse0.59 FTE (100%) · 1 hc
Admin / Non-clinical4.26 FTE · 8 headcount
Management1.33 FTE (31%) · 2 hc
Reception / Admin2.40 FTE (56%) · 5 hc
Other0.53 FTE (12%) · 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

2024-032025-032026-030369GP · 2024-03: 2 FTEGP · 2024-04: 2 FTEGP · 2024-05: 2 FTEGP · 2024-06: 2 FTEGP · 2024-07: 2 FTEGP · 2024-08: 2 FTEGP · 2024-09: 2 FTEGP · 2024-10: 2 FTEGP · 2024-11: 2 FTEGP · 2024-12: 2 FTEGP · 2025-01: 2 FTEGP · 2025-02: 2 FTEGP · 2025-03: 2 FTEGP · 2025-04: 2 FTEGP · 2025-05: 2 FTEGP · 2025-06: 2 FTEGP · 2025-07: 2 FTEGP · 2025-08: 2 FTEGP · 2025-09: 2 FTEGP · 2025-10: 2 FTEGP · 2025-11: 2 FTEGP · 2025-12: 2 FTEGP · 2026-01: 2 FTEGP · 2026-02: 2 FTEGP · 2026-03: 2 FTENurse · 2024-03: 0 FTENurse · 2024-04: 0 FTENurse · 2024-05: 0 FTENurse · 2024-06: 1 FTENurse · 2024-07: 1 FTENurse · 2024-08: 1 FTENurse · 2024-09: 1 FTENurse · 2024-10: 1 FTENurse · 2024-11: 1 FTENurse · 2024-12: 1 FTENurse · 2025-01: 1 FTENurse · 2025-02: 1 FTENurse · 2025-03: 1 FTENurse · 2025-04: 1 FTENurse · 2025-05: 1 FTENurse · 2025-06: 1 FTENurse · 2025-07: 1 FTENurse · 2025-08: 1 FTENurse · 2025-09: 1 FTENurse · 2025-10: 1 FTENurse · 2025-11: 1 FTENurse · 2025-12: 1 FTENurse · 2026-01: 1 FTENurse · 2026-02: 1 FTENurse · 2026-03: 1 FTEDPC · 2024-03: 0 FTEDPC · 2024-04: 0 FTEDPC · 2024-05: 0 FTEDPC · 2024-06: 0 FTEDPC · 2024-07: 0 FTEDPC · 2024-08: 0 FTEDPC · 2024-09: 0 FTEDPC · 2024-10: 0 FTEDPC · 2024-11: 0 FTEDPC · 2024-12: 0 FTEDPC · 2025-01: 0 FTEDPC · 2025-02: 0 FTEDPC · 2025-03: 0 FTEDPC · 2025-04: 0 FTEDPC · 2025-05: 0 FTEDPC · 2025-06: 0 FTEDPC · 2025-07: 0 FTEDPC · 2025-08: 0 FTEDPC · 2025-09: 0 FTEDPC · 2025-10: 0 FTEDPC · 2025-11: 0 FTEDPC · 2025-12: 0 FTEDPC · 2026-01: 0 FTEDPC · 2026-02: 0 FTEDPC · 2026-03: 0 FTEAdmin · 2024-03: 6 FTEAdmin · 2024-04: 4 FTEAdmin · 2024-05: 4 FTEAdmin · 2024-06: 8 FTEAdmin · 2024-07: 6 FTEAdmin · 2024-08: 6 FTEAdmin · 2024-09: 6 FTEAdmin · 2024-10: 6 FTEAdmin · 2024-11: 6 FTEAdmin · 2024-12: 6 FTEAdmin · 2025-01: 6 FTEAdmin · 2025-02: 6 FTEAdmin · 2025-03: 6 FTEAdmin · 2025-04: 6 FTEAdmin · 2025-05: 4 FTEAdmin · 2025-06: 4 FTEAdmin · 2025-07: 4 FTEAdmin · 2025-08: 4 FTEAdmin · 2025-09: 4 FTEAdmin · 2025-10: 4 FTEAdmin · 2025-11: 4 FTEAdmin · 2025-12: 4 FTEAdmin · 2026-01: 4 FTEAdmin · 2026-02: 4 FTEAdmin · 2026-03: 4 FTE

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

Patient experience (GPPS)

Overall good82.7%
Phone easy20.4%
Website easy70.0%
100.0% coverage

Prescribing volume

1.54

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.