GP Practice

Meopham Medical Centre

G82073

Compare to

Registered patients

10,324

NHS Digital list size

GP FTE

6.4

NHS Digital workforce

Patients per GP FTE

1,613

Items per patient

1.96

prescribing volume

GPPS overall good

86.8%

patient experience

Access KPIs · August 2025

Same-day %

35.5%

Month: August 2025

Appts per 1K patients

393

all bookings (incl. triage)

Patient contacts per 1K

374

F2F + phone + video only

28+ day backlog

5.8%

long-wait share

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

Operating model mix · August 2025

Face-to-face52.7%
Telephone22.2%
Video / online20.3%
Triage16.3%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %35.5%43.0%-7.5%
Face-to-face %52.7%58.4%-5.7%
Telephone %22.2%21.9%+0.3%
Appts per 1K392.8479.7-86.9
Triage %16.3%8.7%+7.6%

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)

2023-092024-092025-080295786Same-day % · 2023-09: 52.0%Same-day % · 2023-10: 49.3%Same-day % · 2023-11: 50.0%Same-day % · 2023-12: 54.6%Same-day % · 2024-01: 49.4%Same-day % · 2024-02: 42.7%Same-day % · 2024-03: 46.0%Same-day % · 2024-04: 46.9%Same-day % · 2024-05: 47.4%Same-day % · 2024-06: 51.1%Same-day % · 2024-07: 49.9%Same-day % · 2024-08: 46.1%Same-day % · 2024-09: 45.2%Same-day % · 2024-10: 44.2%Same-day % · 2024-11: 43.1%Same-day % · 2024-12: 45.5%Same-day % · 2025-01: 44.6%Same-day % · 2025-02: 40.6%Same-day % · 2025-03: 45.5%Same-day % · 2025-04: 39.0%Same-day % · 2025-05: 37.8%Same-day % · 2025-06: 36.8%Same-day % · 2025-07: 35.5%Same-day % · 2025-08: 35.5%F2F % · 2023-09: 72.3%F2F % · 2023-10: 73.5%F2F % · 2023-11: 73.3%F2F % · 2023-12: 75.6%F2F % · 2024-01: 76.7%F2F % · 2024-02: 76.4%F2F % · 2024-03: 74.5%F2F % · 2024-04: 72.2%F2F % · 2024-05: 54.5%F2F % · 2024-06: 44.4%F2F % · 2024-07: 41.0%F2F % · 2024-08: 42.4%F2F % · 2024-09: 43.9%F2F % · 2024-10: 45.1%F2F % · 2024-11: 47.3%F2F % · 2024-12: 46.0%F2F % · 2025-01: 46.8%F2F % · 2025-02: 46.7%F2F % · 2025-03: 42.0%F2F % · 2025-04: 47.4%F2F % · 2025-05: 50.4%F2F % · 2025-06: 51.5%F2F % · 2025-07: 51.7%F2F % · 2025-08: 52.7%Phone % · 2023-09: 24.5%Phone % · 2023-10: 23.5%Phone % · 2023-11: 23.5%Phone % · 2023-12: 21.9%Phone % · 2024-01: 21.0%Phone % · 2024-02: 20.6%Phone % · 2024-03: 20.4%Phone % · 2024-04: 21.5%Phone % · 2024-05: 22.2%Phone % · 2024-06: 25.0%Phone % · 2024-07: 24.5%Phone % · 2024-08: 24.4%Phone % · 2024-09: 24.1%Phone % · 2024-10: 22.6%Phone % · 2024-11: 23.5%Phone % · 2024-12: 23.3%Phone % · 2025-01: 22.9%Phone % · 2025-02: 24.0%Phone % · 2025-03: 26.1%Phone % · 2025-04: 22.9%Phone % · 2025-05: 24.3%Phone % · 2025-06: 27.5%Phone % · 2025-07: 26.6%Phone % · 2025-08: 22.2%Video % · 2023-09: 0.4%Video % · 2023-10: 0.4%Video % · 2023-11: 0.2%Video % · 2023-12: 0.1%Video % · 2024-01: 0.2%Video % · 2024-02: 0.3%Video % · 2024-03: 0.4%Video % · 2024-04: 3.1%Video % · 2024-05: 19.4%Video % · 2024-06: 27.2%Video % · 2024-07: 31.2%Video % · 2024-08: 29.2%Video % · 2024-09: 29.0%Video % · 2024-10: 28.5%Video % · 2024-11: 26.1%Video % · 2024-12: 27.1%Video % · 2025-01: 27.0%Video % · 2025-02: 25.5%Video % · 2025-03: 28.5%Video % · 2025-04: 26.1%Video % · 2025-05: 20.7%Video % · 2025-06: 17.6%Video % · 2025-07: 17.5%Video % · 2025-08: 20.3%Triage % · 2023-09: 32.7%Triage % · 2023-10: 33.0%Triage % · 2023-11: 28.2%Triage % · 2023-12: 33.4%Triage % · 2024-01: 33.1%Triage % · 2024-02: 29.5%Triage % · 2024-03: 28.1%Triage % · 2024-04: 29.4%Triage % · 2024-05: 29.7%Triage % · 2024-06: 30.6%Triage % · 2024-07: 30.4%Triage % · 2024-08: 29.6%Triage % · 2024-09: 28.9%Triage % · 2024-10: 26.6%Triage % · 2024-11: 27.0%Triage % · 2024-12: 26.3%Triage % · 2025-01: 25.8%Triage % · 2025-02: 24.9%Triage % · 2025-03: 27.9%Triage % · 2025-04: 23.5%Triage % · 2025-05: 19.9%Triage % · 2025-06: 24.2%Triage % · 2025-07: 22.4%Triage % · 2025-08: 16.3%

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)

2023-092024-092025-083,7584,7815,8056,8282023-09: 5,769 appointments2023-10: 6,226 appointments2023-11: 6,242 appointments2023-12: 5,209 appointments2024-01: 6,531 appointments2024-02: 5,827 appointments2024-03: 5,409 appointments2024-04: 5,827 appointments2024-05: 5,760 appointments2024-06: 5,413 appointments2024-07: 5,873 appointments2024-08: 5,093 appointments2024-09: 5,549 appointments2024-10: 5,983 appointments2024-11: 5,887 appointments2024-12: 5,165 appointments2025-01: 6,097 appointments2025-02: 5,243 appointments2025-03: 5,492 appointments2025-04: 5,791 appointments2025-05: 5,113 appointments2025-06: 4,854 appointments2025-07: 5,123 appointments2025-08: 4,055 appointments

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

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

2023-092024-092025-083644635626612023-09: 558.8 appts per 1,000 patients2023-10: 603.1 appts per 1,000 patients2023-11: 604.6 appts per 1,000 patients2023-12: 504.6 appts per 1,000 patients2024-01: 632.6 appts per 1,000 patients2024-02: 564.4 appts per 1,000 patients2024-03: 523.9 appts per 1,000 patients2024-04: 564.4 appts per 1,000 patients2024-05: 557.9 appts per 1,000 patients2024-06: 524.3 appts per 1,000 patients2024-07: 568.9 appts per 1,000 patients2024-08: 493.3 appts per 1,000 patients2024-09: 537.5 appts per 1,000 patients2024-10: 579.5 appts per 1,000 patients2024-11: 570.2 appts per 1,000 patients2024-12: 500.3 appts per 1,000 patients2025-01: 590.6 appts per 1,000 patients2025-02: 507.8 appts per 1,000 patients2025-03: 532 appts per 1,000 patients2025-04: 560.9 appts per 1,000 patients2025-05: 495.3 appts per 1,000 patients2025-06: 470.2 appts per 1,000 patients2025-07: 496.2 appts per 1,000 patients2025-08: 392.8 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: 52.0%September 2023 · 1 day: 6.4%September 2023 · 2–7 days: 17.8%September 2023 · 8–14 days: 11.7%September 2023 · 15–21 days: 5.6%September 2023 · 22–28 days: 2.5%September 2023 · > 28 days: 4.0%October 2023 · Same day: 49.3%October 2023 · 1 day: 7.9%October 2023 · 2–7 days: 20.3%October 2023 · 8–14 days: 12.2%October 2023 · 15–21 days: 4.8%October 2023 · 22–28 days: 2.0%October 2023 · > 28 days: 3.5%November 2023 · Same day: 50.0%November 2023 · 1 day: 8.3%November 2023 · 2–7 days: 22.0%November 2023 · 8–14 days: 10.8%November 2023 · 15–21 days: 3.5%November 2023 · 22–28 days: 1.8%November 2023 · > 28 days: 3.7%December 2023 · Same day: 54.6%December 2023 · 1 day: 9.1%December 2023 · 2–7 days: 19.7%December 2023 · 8–14 days: 9.1%December 2023 · 15–21 days: 2.6%December 2023 · 22–28 days: 1.4%December 2023 · > 28 days: 3.6%January 2024 · Same day: 49.4%January 2024 · 1 day: 8.4%January 2024 · 2–7 days: 17.6%January 2024 · 8–14 days: 11.3%January 2024 · 15–21 days: 6.0%January 2024 · 22–28 days: 3.3%January 2024 · > 28 days: 4.1%February 2024 · Same day: 42.7%February 2024 · 1 day: 6.9%February 2024 · 2–7 days: 20.4%February 2024 · 8–14 days: 17.4%February 2024 · 15–21 days: 6.0%February 2024 · 22–28 days: 3.0%February 2024 · > 28 days: 3.8%March 2024 · Same day: 46.0%March 2024 · 1 day: 5.9%March 2024 · 2–7 days: 19.0%March 2024 · 8–14 days: 13.7%March 2024 · 15–21 days: 6.5%March 2024 · 22–28 days: 3.3%March 2024 · > 28 days: 5.7%April 2024 · Same day: 46.9%April 2024 · 1 day: 6.5%April 2024 · 2–7 days: 16.5%April 2024 · 8–14 days: 12.7%April 2024 · 15–21 days: 6.8%April 2024 · 22–28 days: 4.5%April 2024 · > 28 days: 6.1%May 2024 · Same day: 47.4%May 2024 · 1 day: 7.7%May 2024 · 2–7 days: 19.2%May 2024 · 8–14 days: 13.2%May 2024 · 15–21 days: 4.7%May 2024 · 22–28 days: 3.1%May 2024 · > 28 days: 4.7%June 2024 · Same day: 51.1%June 2024 · 1 day: 5.9%June 2024 · 2–7 days: 19.6%June 2024 · 8–14 days: 10.3%June 2024 · 15–21 days: 4.3%June 2024 · 22–28 days: 4.2%June 2024 · > 28 days: 4.6%July 2024 · Same day: 49.9%July 2024 · 1 day: 6.0%July 2024 · 2–7 days: 19.3%July 2024 · 8–14 days: 10.7%July 2024 · 15–21 days: 5.9%July 2024 · 22–28 days: 3.6%July 2024 · > 28 days: 4.5%August 2024 · Same day: 46.1%August 2024 · 1 day: 5.8%August 2024 · 2–7 days: 17.4%August 2024 · 8–14 days: 15.8%August 2024 · 15–21 days: 6.9%August 2024 · 22–28 days: 3.2%August 2024 · > 28 days: 4.8%September 2024 · Same day: 45.2%September 2024 · 1 day: 5.6%September 2024 · 2–7 days: 19.0%September 2024 · 8–14 days: 13.9%September 2024 · 15–21 days: 6.0%September 2024 · 22–28 days: 3.5%September 2024 · > 28 days: 6.8%October 2024 · Same day: 44.2%October 2024 · 1 day: 7.0%October 2024 · 2–7 days: 19.2%October 2024 · 8–14 days: 14.3%October 2024 · 15–21 days: 6.8%October 2024 · 22–28 days: 3.7%October 2024 · > 28 days: 4.9%November 2024 · Same day: 43.1%November 2024 · 1 day: 7.0%November 2024 · 2–7 days: 15.8%November 2024 · 8–14 days: 14.5%November 2024 · 15–21 days: 9.5%November 2024 · 22–28 days: 4.3%November 2024 · > 28 days: 5.7%December 2024 · Same day: 45.5%December 2024 · 1 day: 6.5%December 2024 · 2–7 days: 16.8%December 2024 · 8–14 days: 14.3%December 2024 · 15–21 days: 7.8%December 2024 · 22–28 days: 4.4%December 2024 · > 28 days: 4.6%January 2025 · Same day: 44.6%January 2025 · 1 day: 6.2%January 2025 · 2–7 days: 16.9%January 2025 · 8–14 days: 11.5%January 2025 · 15–21 days: 7.2%January 2025 · 22–28 days: 6.2%January 2025 · > 28 days: 7.3%February 2025 · Same day: 40.6%February 2025 · 1 day: 6.5%February 2025 · 2–7 days: 20.2%February 2025 · 8–14 days: 14.4%February 2025 · 15–21 days: 6.6%February 2025 · 22–28 days: 5.7%February 2025 · > 28 days: 6.0%March 2025 · Same day: 45.5%March 2025 · 1 day: 5.6%March 2025 · 2–7 days: 19.6%March 2025 · 8–14 days: 12.2%March 2025 · 15–21 days: 5.1%March 2025 · 22–28 days: 6.2%March 2025 · > 28 days: 5.8%April 2025 · Same day: 39.0%April 2025 · 1 day: 6.1%April 2025 · 2–7 days: 16.8%April 2025 · 8–14 days: 13.5%April 2025 · 15–21 days: 7.9%April 2025 · 22–28 days: 7.1%April 2025 · > 28 days: 9.8%May 2025 · Same day: 37.8%May 2025 · 1 day: 7.5%May 2025 · 2–7 days: 19.7%May 2025 · 8–14 days: 14.3%May 2025 · 15–21 days: 7.2%May 2025 · 22–28 days: 4.2%May 2025 · > 28 days: 9.3%June 2025 · Same day: 36.8%June 2025 · 1 day: 5.5%June 2025 · 2–7 days: 25.2%June 2025 · 8–14 days: 16.0%June 2025 · 15–21 days: 8.8%June 2025 · 22–28 days: 3.5%June 2025 · > 28 days: 4.2%July 2025 · Same day: 35.5%July 2025 · 1 day: 7.1%July 2025 · 2–7 days: 26.4%July 2025 · 8–14 days: 15.0%July 2025 · 15–21 days: 5.4%July 2025 · 22–28 days: 4.6%July 2025 · > 28 days: 6.1%August 2025 · Same day: 35.5%August 2025 · 1 day: 5.0%August 2025 · 2–7 days: 20.2%August 2025 · 8–14 days: 16.3%August 2025 · 15–21 days: 8.6%August 2025 · 22–28 days: 8.7%August 2025 · > 28 days: 5.8%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 56/100
  • High demand (>400 appts/1K)
  • Below-average same-day access
  • 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-5.3%
Face-to-face %+3.9%
Telephone %-0.6%
Same-day %-4.6%
Appts per 1K-5.3%
Triage %-7.3%

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 per 1,000 patients dropped significantly to 4055, down from the practice's trailing average of 5449.2. This sharp decline is the most notable change this month.

Several trends and step changes are worth noting. The DNA rate has increased by 42.9% from 2.8 to 4.0 in 2025-07. The triage percentage has also risen by 3.9% month-on-month, while the same-day percentage has fallen by 4.6%. These shifts may indicate changes in patient behavior or operational adjustments.

To investigate these changes, review the DNA rate increase in 2025-07 to understand if it correlates with any recent policy changes or patient feedback. Also, verify if the drop in same-day appointments in 2025-07 is due to operational issues or a genuine reduction in demand.

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)

triagePct2025-08
value 16.3 · avg 25.6 ± 2.7
total2025-08
value 4055 · avg 5449.2 ± 392.5
sameDayPct2025-07
value 35.5 · avg 43.2 ± 3.7
dnaRate2025-07
value 4 · avg 3.1 ± 0.4
sameDayPct2025-06
value 36.8 · avg 44.4 ± 3.8
phonePct2025-06
value 27.5 · avg 24 ± 1
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

dnaRate2025-07
2.8 → 4 (+42.9%)
dnaRate2024-08
4.1 → 2.8 (-31.7%)
dnaRate2024-07
2.6 → 4.1 (+57.7%)
videoPct2024-06
19.4 → 27.2 (+40.2%)
videoPct2024-05
3.1 → 19.4 (+525.8%)
videoPct2024-04
0.4 → 3.1 (+675%)
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: 2018-09-11 · 33 months ago
  • Using CQC review date (2023-07-06) as last assessment. Original inspection date: 2018-09-11.
  • 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

6.4

Nurse FTE

2.16

Direct Patient Care FTE

5.75

Admin FTE

12.71

1 practices reporting · 100.0% coverage

Staff group mix

GP6.4 FTE · 24%
Nurse2.2 FTE · 8%
Direct Patient Care5.8 FTE · 21%
Admin12.7 FTE · 47%

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

Workforce composition

GP6.39 FTE · 8 headcount
Partner2.33 FTE (36%) · 3 hc
Salaried1.08 FTE (17%) · 2 hc
Training (ST/F)2.98 FTE (47%) · 3 hc
Nurses2.16 FTE · 3 headcount
Practice Nurse1.92 FTE (89%) · 2 hc
Other0.24 FTE (11%) · 1 hc
Admin / Non-clinical12.72 FTE · 23 headcount
Management2.79 FTE (22%) · 4 hc
Reception / Admin5.92 FTE (47%) · 12 hc
Other4.01 FTE (32%) · 7 hc
Direct Patient Care5.74 FTE · 9 headcount
Pharmacist0.60 FTE (10%) · 1 hc
HCA / Nursing Assistant0.96 FTE (17%) · 2 hc
Paramedic1.00 FTE (17%) · 1 hc
Physiotherapist0.21 FTE (4%) · 1 hc
Other2.97 FTE (52%) · 4 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

2024-032025-032026-03151014GP · 2024-03: 7 FTEGP · 2024-04: 8 FTEGP · 2024-05: 8 FTEGP · 2024-06: 8 FTEGP · 2024-07: 8 FTEGP · 2024-08: 8 FTEGP · 2024-09: 8 FTEGP · 2024-10: 9 FTEGP · 2024-11: 9 FTEGP · 2024-12: 9 FTEGP · 2025-01: 9 FTEGP · 2025-02: 9 FTEGP · 2025-03: 9 FTEGP · 2025-04: 9 FTEGP · 2025-05: 9 FTEGP · 2025-06: 9 FTEGP · 2025-07: 9 FTEGP · 2025-08: 7 FTEGP · 2025-09: 5 FTEGP · 2025-10: 5 FTEGP · 2025-11: 5 FTEGP · 2025-12: 4 FTEGP · 2026-01: 4 FTEGP · 2026-02: 6 FTEGP · 2026-03: 6 FTENurse · 2024-03: 2 FTENurse · 2024-04: 2 FTENurse · 2024-05: 2 FTENurse · 2024-06: 2 FTENurse · 2024-07: 2 FTENurse · 2024-08: 2 FTENurse · 2024-09: 2 FTENurse · 2024-10: 2 FTENurse · 2024-11: 2 FTENurse · 2024-12: 2 FTENurse · 2025-01: 2 FTENurse · 2025-02: 2 FTENurse · 2025-03: 2 FTENurse · 2025-04: 2 FTENurse · 2025-05: 2 FTENurse · 2025-06: 2 FTENurse · 2025-07: 2 FTENurse · 2025-08: 2 FTENurse · 2025-09: 2 FTENurse · 2025-10: 2 FTENurse · 2025-11: 2 FTENurse · 2025-12: 2 FTENurse · 2026-01: 2 FTENurse · 2026-02: 2 FTENurse · 2026-03: 2 FTEDPC · 2024-03: 6 FTEDPC · 2024-04: 6 FTEDPC · 2024-05: 6 FTEDPC · 2024-06: 6 FTEDPC · 2024-07: 6 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: 5 FTEDPC · 2026-02: 6 FTEDPC · 2026-03: 6 FTEAdmin · 2024-03: 12 FTEAdmin · 2024-04: 12 FTEAdmin · 2024-05: 12 FTEAdmin · 2024-06: 11 FTEAdmin · 2024-07: 11 FTEAdmin · 2024-08: 11 FTEAdmin · 2024-09: 11 FTEAdmin · 2024-10: 12 FTEAdmin · 2024-11: 12 FTEAdmin · 2024-12: 12 FTEAdmin · 2025-01: 12 FTEAdmin · 2025-02: 12 FTEAdmin · 2025-03: 12 FTEAdmin · 2025-04: 12 FTEAdmin · 2025-05: 12 FTEAdmin · 2025-06: 12 FTEAdmin · 2025-07: 12 FTEAdmin · 2025-08: 12 FTEAdmin · 2025-09: 12 FTEAdmin · 2025-10: 11 FTEAdmin · 2025-11: 11 FTEAdmin · 2025-12: 11 FTEAdmin · 2026-01: 12 FTEAdmin · 2026-02: 13 FTEAdmin · 2026-03: 13 FTE

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

Patient experience (GPPS)

Overall good86.8%
Phone easy18.3%
Website easy60.1%
100.0% coverage

Prescribing volume

1.96

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.