GP Practice

The Shrubbery Surgery

G82021

Compare to

Registered patients

17,166

NHS Digital list size

GP FTE

6.27

NHS Digital workforce

Patients per GP FTE

2,738

Items per patient

1.56

prescribing volume

GPPS overall good

73.0%

patient experience

Access KPIs · August 2025

Same-day %

62.4%

Month: August 2025

Appts per 1K patients

477

all bookings (incl. triage)

Patient contacts per 1K

477

F2F + phone + video only

28+ day backlog

1%

long-wait share

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

Operating model mix · August 2025

Face-to-face46.3%
Telephone53.7%
Triage41.1%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %62.4%43.0%+19.4%
Face-to-face %46.3%58.4%-12.1%
Telephone %53.7%21.9%+31.8%
Appts per 1K476.9479.7-2.8
Triage %41.1%8.7%+32.4%

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)

2023-092024-092025-080255176Same-day % · 2023-09: 60.0%Same-day % · 2023-10: 57.7%Same-day % · 2023-11: 63.8%Same-day % · 2023-12: 65.2%Same-day % · 2024-01: 60.2%Same-day % · 2024-02: 56.9%Same-day % · 2024-03: 57.8%Same-day % · 2024-04: 62.8%Same-day % · 2024-05: 63.8%Same-day % · 2024-06: 66.5%Same-day % · 2024-07: 64.0%Same-day % · 2024-08: 63.3%Same-day % · 2024-09: 61.3%Same-day % · 2024-10: 65.0%Same-day % · 2024-11: 62.9%Same-day % · 2024-12: 67.2%Same-day % · 2025-01: 65.0%Same-day % · 2025-02: 61.2%Same-day % · 2025-03: 62.8%Same-day % · 2025-04: 62.3%Same-day % · 2025-05: 63.4%Same-day % · 2025-06: 68.0%Same-day % · 2025-07: 63.3%Same-day % · 2025-08: 62.4%F2F % · 2023-09: 45.2%F2F % · 2023-10: 47.5%F2F % · 2023-11: 43.1%F2F % · 2023-12: 44.2%F2F % · 2024-01: 44.5%F2F % · 2024-02: 48.6%F2F % · 2024-03: 49.3%F2F % · 2024-04: 45.3%F2F % · 2024-05: 46.2%F2F % · 2024-06: 43.2%F2F % · 2024-07: 45.9%F2F % · 2024-08: 45.7%F2F % · 2024-09: 46.6%F2F % · 2024-10: 48.0%F2F % · 2024-11: 48.6%F2F % · 2024-12: 45.3%F2F % · 2025-01: 45.7%F2F % · 2025-02: 44.7%F2F % · 2025-03: 46.3%F2F % · 2025-04: 45.6%F2F % · 2025-05: 45.6%F2F % · 2025-06: 42.7%F2F % · 2025-07: 46.9%F2F % · 2025-08: 46.3%Phone % · 2023-09: 54.6%Phone % · 2023-10: 51.7%Phone % · 2023-11: 56.3%Phone % · 2023-12: 55.8%Phone % · 2024-01: 55.5%Phone % · 2024-02: 51.4%Phone % · 2024-03: 50.7%Phone % · 2024-04: 54.7%Phone % · 2024-05: 53.8%Phone % · 2024-06: 56.7%Phone % · 2024-07: 54.1%Phone % · 2024-08: 54.3%Phone % · 2024-09: 53.4%Phone % · 2024-10: 52.0%Phone % · 2024-11: 51.4%Phone % · 2024-12: 54.7%Phone % · 2025-01: 54.3%Phone % · 2025-02: 55.3%Phone % · 2025-03: 53.7%Phone % · 2025-04: 54.4%Phone % · 2025-05: 54.4%Phone % · 2025-06: 57.3%Phone % · 2025-07: 53.1%Phone % · 2025-08: 53.7%Video % · 2023-09: 0.2%Video % · 2023-10: 0.7%Video % · 2023-11: 0.6%Video % · 2023-12: 0.0%Video % · 2024-01: 0.0%Video % · 2024-02: 0.0%Video % · 2024-03: 0.0%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: 36.8%Triage % · 2023-10: 34.3%Triage % · 2023-11: 32.3%Triage % · 2023-12: 38.7%Triage % · 2024-01: 38.8%Triage % · 2024-02: 36.1%Triage % · 2024-03: 36.6%Triage % · 2024-04: 40.6%Triage % · 2024-05: 37.0%Triage % · 2024-06: 38.7%Triage % · 2024-07: 36.2%Triage % · 2024-08: 39.0%Triage % · 2024-09: 39.3%Triage % · 2024-10: 39.7%Triage % · 2024-11: 37.5%Triage % · 2024-12: 42.0%Triage % · 2025-01: 41.6%Triage % · 2025-02: 43.5%Triage % · 2025-03: 40.1%Triage % · 2025-04: 41.3%Triage % · 2025-05: 40.1%Triage % · 2025-06: 43.4%Triage % · 2025-07: 39.0%Triage % · 2025-08: 41.1%

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)

2023-092024-092025-087,8578,99010,12311,2562023-09: 9,536 appointments2023-10: 9,190 appointments2023-11: 9,954 appointments2023-12: 8,274 appointments2024-01: 10,927 appointments2024-02: 9,598 appointments2024-03: 9,951 appointments2024-04: 9,803 appointments2024-05: 9,845 appointments2024-06: 8,872 appointments2024-07: 10,304 appointments2024-08: 8,447 appointments2024-09: 9,491 appointments2024-10: 9,708 appointments2024-11: 9,827 appointments2024-12: 8,917 appointments2025-01: 10,198 appointments2025-02: 9,409 appointments2025-03: 9,822 appointments2025-04: 8,972 appointments2025-05: 8,336 appointments2025-06: 8,884 appointments2025-07: 9,816 appointments2025-08: 8,186 appointments

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

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

2023-092024-092025-084585245906562023-09: 555.5 appts per 1,000 patients2023-10: 535.4 appts per 1,000 patients2023-11: 579.9 appts per 1,000 patients2023-12: 482 appts per 1,000 patients2024-01: 636.5 appts per 1,000 patients2024-02: 559.1 appts per 1,000 patients2024-03: 579.7 appts per 1,000 patients2024-04: 571.1 appts per 1,000 patients2024-05: 573.5 appts per 1,000 patients2024-06: 516.8 appts per 1,000 patients2024-07: 600.3 appts per 1,000 patients2024-08: 492.1 appts per 1,000 patients2024-09: 552.9 appts per 1,000 patients2024-10: 565.5 appts per 1,000 patients2024-11: 572.5 appts per 1,000 patients2024-12: 519.5 appts per 1,000 patients2025-01: 594.1 appts per 1,000 patients2025-02: 548.1 appts per 1,000 patients2025-03: 572.2 appts per 1,000 patients2025-04: 522.7 appts per 1,000 patients2025-05: 485.6 appts per 1,000 patients2025-06: 517.5 appts per 1,000 patients2025-07: 571.8 appts per 1,000 patients2025-08: 476.9 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: 60.0%September 2023 · 1 day: 6.5%September 2023 · 2–7 days: 13.5%September 2023 · 8–14 days: 11.5%September 2023 · 15–21 days: 5.3%September 2023 · 22–28 days: 2.2%September 2023 · > 28 days: 0.9%October 2023 · Same day: 57.7%October 2023 · 1 day: 7.2%October 2023 · 2–7 days: 17.8%October 2023 · 8–14 days: 10.4%October 2023 · 15–21 days: 3.5%October 2023 · 22–28 days: 1.8%October 2023 · > 28 days: 1.4%November 2023 · Same day: 63.8%November 2023 · 1 day: 7.0%November 2023 · 2–7 days: 14.4%November 2023 · 8–14 days: 8.0%November 2023 · 15–21 days: 3.0%November 2023 · 22–28 days: 2.1%November 2023 · > 28 days: 1.7%December 2023 · Same day: 65.2%December 2023 · 1 day: 6.2%December 2023 · 2–7 days: 13.9%December 2023 · 8–14 days: 8.7%December 2023 · 15–21 days: 2.6%December 2023 · 22–28 days: 1.6%December 2023 · > 28 days: 1.7%January 2024 · Same day: 60.2%January 2024 · 1 day: 7.3%January 2024 · 2–7 days: 17.6%January 2024 · 8–14 days: 8.6%January 2024 · 15–21 days: 3.4%January 2024 · 22–28 days: 1.7%January 2024 · > 28 days: 1.2%February 2024 · Same day: 56.9%February 2024 · 1 day: 7.3%February 2024 · 2–7 days: 13.7%February 2024 · 8–14 days: 11.7%February 2024 · 15–21 days: 5.5%February 2024 · 22–28 days: 3.4%February 2024 · > 28 days: 1.5%March 2024 · Same day: 57.8%March 2024 · 1 day: 6.7%March 2024 · 2–7 days: 10.9%March 2024 · 8–14 days: 11.9%March 2024 · 15–21 days: 6.4%March 2024 · 22–28 days: 3.4%March 2024 · > 28 days: 2.9%April 2024 · Same day: 62.8%April 2024 · 1 day: 6.6%April 2024 · 2–7 days: 9.1%April 2024 · 8–14 days: 8.5%April 2024 · 15–21 days: 6.8%April 2024 · 22–28 days: 4.8%April 2024 · > 28 days: 1.4%May 2024 · Same day: 63.8%May 2024 · 1 day: 5.7%May 2024 · 2–7 days: 13.0%May 2024 · 8–14 days: 8.9%May 2024 · 15–21 days: 4.4%May 2024 · 22–28 days: 2.3%May 2024 · > 28 days: 1.8%June 2024 · Same day: 66.5%June 2024 · 1 day: 6.3%June 2024 · 2–7 days: 12.2%June 2024 · 8–14 days: 8.6%June 2024 · 15–21 days: 3.8%June 2024 · 22–28 days: 1.4%June 2024 · > 28 days: 1.2%July 2024 · Same day: 64.0%July 2024 · 1 day: 6.9%July 2024 · 2–7 days: 13.2%July 2024 · 8–14 days: 9.3%July 2024 · 15–21 days: 3.3%July 2024 · 22–28 days: 1.8%July 2024 · > 28 days: 1.5%August 2024 · Same day: 63.3%August 2024 · 1 day: 7.6%August 2024 · 2–7 days: 14.3%August 2024 · 8–14 days: 8.6%August 2024 · 15–21 days: 3.1%August 2024 · 22–28 days: 1.7%August 2024 · > 28 days: 1.4%September 2024 · Same day: 61.3%September 2024 · 1 day: 6.5%September 2024 · 2–7 days: 17.0%September 2024 · 8–14 days: 8.8%September 2024 · 15–21 days: 3.8%September 2024 · 22–28 days: 0.9%September 2024 · > 28 days: 1.8%October 2024 · Same day: 65.0%October 2024 · 1 day: 6.4%October 2024 · 2–7 days: 11.0%October 2024 · 8–14 days: 10.2%October 2024 · 15–21 days: 3.9%October 2024 · 22–28 days: 2.0%October 2024 · > 28 days: 1.5%November 2024 · Same day: 62.9%November 2024 · 1 day: 6.3%November 2024 · 2–7 days: 10.7%November 2024 · 8–14 days: 12.1%November 2024 · 15–21 days: 4.4%November 2024 · 22–28 days: 1.9%November 2024 · > 28 days: 1.9%December 2024 · Same day: 67.2%December 2024 · 1 day: 5.4%December 2024 · 2–7 days: 12.8%December 2024 · 8–14 days: 7.7%December 2024 · 15–21 days: 4.3%December 2024 · 22–28 days: 1.6%December 2024 · > 28 days: 1.0%January 2025 · Same day: 65.0%January 2025 · 1 day: 6.1%January 2025 · 2–7 days: 14.4%January 2025 · 8–14 days: 7.7%January 2025 · 15–21 days: 3.8%January 2025 · 22–28 days: 2.0%January 2025 · > 28 days: 0.8%February 2025 · Same day: 61.2%February 2025 · 1 day: 6.0%February 2025 · 2–7 days: 10.6%February 2025 · 8–14 days: 11.2%February 2025 · 15–21 days: 6.3%February 2025 · 22–28 days: 3.4%February 2025 · > 28 days: 1.4%March 2025 · Same day: 62.8%March 2025 · 1 day: 4.9%March 2025 · 2–7 days: 9.5%March 2025 · 8–14 days: 10.6%March 2025 · 15–21 days: 6.6%March 2025 · 22–28 days: 4.3%March 2025 · > 28 days: 1.4%April 2025 · Same day: 62.3%April 2025 · 1 day: 6.0%April 2025 · 2–7 days: 9.7%April 2025 · 8–14 days: 10.0%April 2025 · 15–21 days: 7.4%April 2025 · 22–28 days: 3.0%April 2025 · > 28 days: 1.6%May 2025 · Same day: 63.4%May 2025 · 1 day: 5.0%May 2025 · 2–7 days: 12.1%May 2025 · 8–14 days: 9.6%May 2025 · 15–21 days: 5.8%May 2025 · 22–28 days: 2.7%May 2025 · > 28 days: 1.3%June 2025 · Same day: 68.0%June 2025 · 1 day: 5.4%June 2025 · 2–7 days: 10.3%June 2025 · 8–14 days: 8.8%June 2025 · 15–21 days: 4.1%June 2025 · 22–28 days: 2.5%June 2025 · > 28 days: 0.9%July 2025 · Same day: 63.3%July 2025 · 1 day: 6.4%July 2025 · 2–7 days: 13.4%July 2025 · 8–14 days: 10.6%July 2025 · 15–21 days: 3.6%July 2025 · 22–28 days: 1.9%July 2025 · > 28 days: 0.9%August 2025 · Same day: 62.4%August 2025 · 1 day: 6.1%August 2025 · 2–7 days: 15.2%August 2025 · 8–14 days: 9.5%August 2025 · 15–21 days: 3.8%August 2025 · 22–28 days: 1.9%August 2025 · > 28 days: 1.0%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

MEDIUMscore 50/100
  • Very high demand (>500 appts/1K)
  • High DNA rate (8.3%)

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

6-month trends

KPIDirectionSlope (rel %)
Total appointments-1.6%
Face-to-face %+0.1%
Telephone %-0.1%
Same-day %+0.3%
Appts per 1K-1.6%
Triage %+0.1%

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

In 2025-08, The Shrubbery Surgery saw a notable drop in total appointments per thousand patients, down by 1.6% from the trailing average. This decrease is accompanied by a 1.6% decline in appointments per thousand patients, indicating a broader trend in reduced patient contact.

Several trends are worth noting. The DNA rate increased by 54% in 2025-08, following a 50.6% rise in 2025-02. Additionally, the same-day appointment percentage increased by 0.3% in 2025-08, while the phone consultation percentage decreased by 0.1%. These shifts suggest potential workflow changes or operational pressures.

To investigate these trends, review the DNA rate increase in 2025-08 to understand if it aligns with any system changes or patient behavior shifts. Also, verify if the rise in same-day appointments in 2025-08 correlates with changes in patient demand or practice policies.

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)

dnaRate2025-07
value 6.3 · avg 10.5 ± 1.5
sameDayPct2025-06
value 68 · avg 63.7 ± 1.8
phonePct2025-06
value 57.3 · avg 54.1 ± 1.3
f2fPct2025-06
value 42.7 · avg 45.9 ± 1.3
total2025-05
value 8336 · avg 9484.3 ± 550.3
triagePct2025-02
value 43.5 · avg 38.7 ± 2
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

dnaRate2025-08
6.3 → 9.7 (+54%)
dnaRate2025-02
8.3 → 12.5 (+50.6%)
dnaRate2024-06
10 → 13.1 (+31%)
dnaRate2024-03
7.5 → 11.3 (+50.7%)
dnaRate2024-02
11.1 → 7.5 (-32.4%)
videoPct2023-12
0.6 → 0 (-100%)
Month-on-month KPI changes greater than 30% — typically signal an operational or recording-policy shift.

CQC inspection likelihood

highscore 71/100medium confidence
Last inspection: 2022-11-01 · 41 months ago
  • Current rating is requires improvement, and the latest CQC assessment date is 2022-11-01 (41 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

6.27

Nurse FTE

5.52

Direct Patient Care FTE

5.97

Admin FTE

23.28

1 practices reporting · 100.0% coverage

Staff group mix

GP6.3 FTE · 15%
Nurse5.5 FTE · 13%
Direct Patient Care6.0 FTE · 15%
Admin23.3 FTE · 57%

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

Workforce composition

GP6.26 FTE · 8 headcount
Partner3.69 FTE (59%) · 4 hc
Salaried2.57 FTE (41%) · 4 hc
Nurses5.52 FTE · 9 headcount
Practice Nurse3.36 FTE (61%) · 5 hc
Advanced / Specialist1.68 FTE (30%) · 3 hc
Other0.48 FTE (9%) · 1 hc
Admin / Non-clinical23.29 FTE · 51 headcount
Management1.39 FTE (6%) · 2 hc
Reception / Admin13.75 FTE (59%) · 33 hc
Estates / Ancillary0.47 FTE (2%) · 2 hc
Other7.68 FTE (33%) · 14 hc
Direct Patient Care5.97 FTE · 6 headcount
Pharmacist2.00 FTE (34%) · 2 hc
HCA / Nursing Assistant1.97 FTE (33%) · 2 hc
Paramedic1.00 FTE (17%) · 1 hc
Social Prescriber1.00 FTE (17%) · 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

2024-032025-032026-03091928GP · 2024-03: 5 FTEGP · 2024-04: 5 FTEGP · 2024-05: 6 FTEGP · 2024-06: 6 FTEGP · 2024-07: 6 FTEGP · 2024-08: 6 FTEGP · 2024-09: 6 FTEGP · 2024-10: 6 FTEGP · 2024-11: 6 FTEGP · 2024-12: 6 FTEGP · 2025-01: 6 FTEGP · 2025-02: 6 FTEGP · 2025-03: 6 FTEGP · 2025-04: 6 FTEGP · 2025-05: 6 FTEGP · 2025-06: 6 FTEGP · 2025-07: 6 FTEGP · 2025-08: 6 FTEGP · 2025-09: 6 FTEGP · 2025-10: 6 FTEGP · 2025-11: 6 FTEGP · 2025-12: 6 FTEGP · 2026-01: 6 FTEGP · 2026-02: 6 FTEGP · 2026-03: 6 FTENurse · 2024-03: 4 FTENurse · 2024-04: 5 FTENurse · 2024-05: 5 FTENurse · 2024-06: 5 FTENurse · 2024-07: 5 FTENurse · 2024-08: 5 FTENurse · 2024-09: 5 FTENurse · 2024-10: 5 FTENurse · 2024-11: 5 FTENurse · 2024-12: 5 FTENurse · 2025-01: 5 FTENurse · 2025-02: 5 FTENurse · 2025-03: 5 FTENurse · 2025-04: 5 FTENurse · 2025-05: 5 FTENurse · 2025-06: 5 FTENurse · 2025-07: 5 FTENurse · 2025-08: 5 FTENurse · 2025-09: 4 FTENurse · 2025-10: 4 FTENurse · 2025-11: 4 FTENurse · 2025-12: 4 FTENurse · 2026-01: 6 FTENurse · 2026-02: 6 FTENurse · 2026-03: 6 FTEDPC · 2024-03: 3 FTEDPC · 2024-04: 2 FTEDPC · 2024-05: 2 FTEDPC · 2024-06: 2 FTEDPC · 2024-07: 2 FTEDPC · 2024-08: 2 FTEDPC · 2024-09: 2 FTEDPC · 2024-10: 2 FTEDPC · 2024-11: 2 FTEDPC · 2024-12: 2 FTEDPC · 2025-01: 2 FTEDPC · 2025-02: 2 FTEDPC · 2025-03: 2 FTEDPC · 2025-04: 2 FTEDPC · 2025-05: 2 FTEDPC · 2025-06: 2 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: 6 FTEDPC · 2026-03: 6 FTEAdmin · 2024-03: 25 FTEAdmin · 2024-04: 25 FTEAdmin · 2024-05: 24 FTEAdmin · 2024-06: 24 FTEAdmin · 2024-07: 22 FTEAdmin · 2024-08: 24 FTEAdmin · 2024-09: 23 FTEAdmin · 2024-10: 23 FTEAdmin · 2024-11: 23 FTEAdmin · 2024-12: 24 FTEAdmin · 2025-01: 24 FTEAdmin · 2025-02: 24 FTEAdmin · 2025-03: 24 FTEAdmin · 2025-04: 23 FTEAdmin · 2025-05: 23 FTEAdmin · 2025-06: 23 FTEAdmin · 2025-07: 23 FTEAdmin · 2025-08: 23 FTEAdmin · 2025-09: 23 FTEAdmin · 2025-10: 23 FTEAdmin · 2025-11: 23 FTEAdmin · 2025-12: 23 FTEAdmin · 2026-01: 23 FTEAdmin · 2026-02: 23 FTEAdmin · 2026-03: 23 FTE

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

Patient experience (GPPS)

Overall good73.0%
Phone easy19.4%
Website easy63.2%
100.0% coverage

Prescribing volume

1.56

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.