GP Practice

Birchington Medical Centre

G82666

Compare to

Registered patients

12,788

NHS Digital list size

GP FTE

6.08

NHS Digital workforce

Patients per GP FTE

2,103

Items per patient

2.15

prescribing volume

GPPS overall good

69.8%

patient experience

Access KPIs · August 2025

Same-day %

40.9%

Month: August 2025

Appts per 1K patients

588

all bookings (incl. triage)

Patient contacts per 1K

572

F2F + phone + video only

28+ day backlog

6.7%

long-wait share

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

Operating model mix · August 2025

Face-to-face62.4%
Telephone23.7%
Video / online11.1%
Triage7.0%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %40.9%43.0%-2.1%
Face-to-face %62.4%58.4%+4.0%
Telephone %23.7%21.9%+1.8%
Appts per 1K588.2479.7+108.5
Triage %7.0%8.7%-1.7%

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)

2023-092024-092025-080255176Same-day % · 2023-09: 27.1%Same-day % · 2023-10: 27.4%Same-day % · 2023-11: 34.8%Same-day % · 2023-12: 37.4%Same-day % · 2024-01: 35.9%Same-day % · 2024-02: 36.1%Same-day % · 2024-03: 38.3%Same-day % · 2024-04: 42.4%Same-day % · 2024-05: 42.1%Same-day % · 2024-06: 39.9%Same-day % · 2024-07: 36.1%Same-day % · 2024-08: 37.9%Same-day % · 2024-09: 37.1%Same-day % · 2024-10: 29.7%Same-day % · 2024-11: 37.1%Same-day % · 2024-12: 37.3%Same-day % · 2025-01: 43.1%Same-day % · 2025-02: 37.6%Same-day % · 2025-03: 40.5%Same-day % · 2025-04: 39.5%Same-day % · 2025-05: 41.7%Same-day % · 2025-06: 42.3%Same-day % · 2025-07: 40.4%Same-day % · 2025-08: 40.9%F2F % · 2023-09: 67.6%F2F % · 2023-10: 65.0%F2F % · 2023-11: 59.6%F2F % · 2023-12: 56.8%F2F % · 2024-01: 61.1%F2F % · 2024-02: 60.6%F2F % · 2024-03: 59.8%F2F % · 2024-04: 53.9%F2F % · 2024-05: 51.5%F2F % · 2024-06: 54.8%F2F % · 2024-07: 57.6%F2F % · 2024-08: 56.0%F2F % · 2024-09: 61.6%F2F % · 2024-10: 68.1%F2F % · 2024-11: 58.8%F2F % · 2024-12: 59.0%F2F % · 2025-01: 59.4%F2F % · 2025-02: 62.5%F2F % · 2025-03: 63.8%F2F % · 2025-04: 63.9%F2F % · 2025-05: 65.3%F2F % · 2025-06: 64.9%F2F % · 2025-07: 61.5%F2F % · 2025-08: 62.4%Phone % · 2023-09: 29.0%Phone % · 2023-10: 29.6%Phone % · 2023-11: 35.9%Phone % · 2023-12: 37.7%Phone % · 2024-01: 33.7%Phone % · 2024-02: 33.7%Phone % · 2024-03: 33.4%Phone % · 2024-04: 35.1%Phone % · 2024-05: 33.1%Phone % · 2024-06: 31.7%Phone % · 2024-07: 34.2%Phone % · 2024-08: 36.5%Phone % · 2024-09: 31.6%Phone % · 2024-10: 26.1%Phone % · 2024-11: 33.2%Phone % · 2024-12: 30.6%Phone % · 2025-01: 31.9%Phone % · 2025-02: 30.3%Phone % · 2025-03: 27.5%Phone % · 2025-04: 28.0%Phone % · 2025-05: 27.9%Phone % · 2025-06: 27.5%Phone % · 2025-07: 25.9%Phone % · 2025-08: 23.7%Video % · 2023-09: 1.3%Video % · 2023-10: 1.3%Video % · 2023-11: 0.9%Video % · 2023-12: 2.1%Video % · 2024-01: 1.9%Video % · 2024-02: 2.2%Video % · 2024-03: 3.5%Video % · 2024-04: 7.9%Video % · 2024-05: 12.7%Video % · 2024-06: 11.5%Video % · 2024-07: 5.2%Video % · 2024-08: 4.8%Video % · 2024-09: 5.0%Video % · 2024-10: 3.9%Video % · 2024-11: 6.1%Video % · 2024-12: 6.1%Video % · 2025-01: 7.1%Video % · 2025-02: 5.6%Video % · 2025-03: 6.9%Video % · 2025-04: 5.5%Video % · 2025-05: 3.8%Video % · 2025-06: 5.4%Video % · 2025-07: 10.3%Video % · 2025-08: 11.1%Triage % · 2023-09: 0.0%Triage % · 2023-10: 0.1%Triage % · 2023-11: 0.0%Triage % · 2023-12: 0.0%Triage % · 2024-01: 0.3%Triage % · 2024-02: 0.0%Triage % · 2024-03: 0.4%Triage % · 2024-04: 0.3%Triage % · 2024-05: 0.5%Triage % · 2024-06: 0.4%Triage % · 2024-07: 0.5%Triage % · 2024-08: 0.3%Triage % · 2024-09: 0.3%Triage % · 2024-10: 0.5%Triage % · 2024-11: 0.6%Triage % · 2024-12: 0.5%Triage % · 2025-01: 0.6%Triage % · 2025-02: 0.7%Triage % · 2025-03: 0.8%Triage % · 2025-04: 0.6%Triage % · 2025-05: 0.6%Triage % · 2025-06: 1.8%Triage % · 2025-07: 6.5%Triage % · 2025-08: 7.0%

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)

2023-092024-092025-086,6918,48110,27212,0622023-09: 9,429 appointments2023-10: 9,914 appointments2023-11: 8,191 appointments2023-12: 7,211 appointments2024-01: 8,739 appointments2024-02: 8,042 appointments2024-03: 7,635 appointments2024-04: 8,082 appointments2024-05: 8,712 appointments2024-06: 8,257 appointments2024-07: 8,427 appointments2024-08: 7,875 appointments2024-09: 8,702 appointments2024-10: 11,542 appointments2024-11: 8,120 appointments2024-12: 7,487 appointments2025-01: 8,748 appointments2025-02: 7,635 appointments2025-03: 8,170 appointments2025-04: 7,840 appointments2025-05: 7,556 appointments2025-06: 7,646 appointments2025-07: 8,836 appointments2025-08: 7,522 appointments

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

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

2023-092024-092025-085236638039432023-09: 737.3 appts per 1,000 patients2023-10: 775.3 appts per 1,000 patients2023-11: 640.5 appts per 1,000 patients2023-12: 563.9 appts per 1,000 patients2024-01: 683.4 appts per 1,000 patients2024-02: 628.9 appts per 1,000 patients2024-03: 597 appts per 1,000 patients2024-04: 632 appts per 1,000 patients2024-05: 681.3 appts per 1,000 patients2024-06: 645.7 appts per 1,000 patients2024-07: 659 appts per 1,000 patients2024-08: 615.8 appts per 1,000 patients2024-09: 680.5 appts per 1,000 patients2024-10: 902.6 appts per 1,000 patients2024-11: 635 appts per 1,000 patients2024-12: 585.5 appts per 1,000 patients2025-01: 684.1 appts per 1,000 patients2025-02: 597 appts per 1,000 patients2025-03: 638.9 appts per 1,000 patients2025-04: 613.1 appts per 1,000 patients2025-05: 590.9 appts per 1,000 patients2025-06: 597.9 appts per 1,000 patients2025-07: 691 appts per 1,000 patients2025-08: 588.2 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: 27.1%September 2023 · 1 day: 6.3%September 2023 · 2–7 days: 13.7%September 2023 · 8–14 days: 12.5%September 2023 · 15–21 days: 15.2%September 2023 · 22–28 days: 5.5%September 2023 · > 28 days: 19.8%October 2023 · Same day: 27.4%October 2023 · 1 day: 5.0%October 2023 · 2–7 days: 16.3%October 2023 · 8–14 days: 15.7%October 2023 · 15–21 days: 18.2%October 2023 · 22–28 days: 8.2%October 2023 · > 28 days: 9.2%November 2023 · Same day: 34.8%November 2023 · 1 day: 6.9%November 2023 · 2–7 days: 17.6%November 2023 · 8–14 days: 11.2%November 2023 · 15–21 days: 16.0%November 2023 · 22–28 days: 7.1%November 2023 · > 28 days: 6.4%December 2023 · Same day: 37.4%December 2023 · 1 day: 6.0%December 2023 · 2–7 days: 17.3%December 2023 · 8–14 days: 16.1%December 2023 · 15–21 days: 12.1%December 2023 · 22–28 days: 5.3%December 2023 · > 28 days: 5.7%January 2024 · Same day: 35.9%January 2024 · 1 day: 7.3%January 2024 · 2–7 days: 19.5%January 2024 · 8–14 days: 14.7%January 2024 · 15–21 days: 12.3%January 2024 · 22–28 days: 4.7%January 2024 · > 28 days: 5.6%February 2024 · Same day: 36.1%February 2024 · 1 day: 6.2%February 2024 · 2–7 days: 17.3%February 2024 · 8–14 days: 16.3%February 2024 · 15–21 days: 13.7%February 2024 · 22–28 days: 5.1%February 2024 · > 28 days: 5.4%March 2024 · Same day: 38.3%March 2024 · 1 day: 5.2%March 2024 · 2–7 days: 15.6%March 2024 · 8–14 days: 16.9%March 2024 · 15–21 days: 14.3%March 2024 · 22–28 days: 4.6%March 2024 · > 28 days: 5.1%April 2024 · Same day: 42.4%April 2024 · 1 day: 6.1%April 2024 · 2–7 days: 15.0%April 2024 · 8–14 days: 10.3%April 2024 · 15–21 days: 12.4%April 2024 · 22–28 days: 7.3%April 2024 · > 28 days: 6.5%May 2024 · Same day: 42.1%May 2024 · 1 day: 5.6%May 2024 · 2–7 days: 11.8%May 2024 · 8–14 days: 13.3%May 2024 · 15–21 days: 12.7%May 2024 · 22–28 days: 7.6%May 2024 · > 28 days: 6.9%June 2024 · Same day: 39.9%June 2024 · 1 day: 5.0%June 2024 · 2–7 days: 17.3%June 2024 · 8–14 days: 17.7%June 2024 · 15–21 days: 11.4%June 2024 · 22–28 days: 4.1%June 2024 · > 28 days: 4.7%July 2024 · Same day: 36.1%July 2024 · 1 day: 6.1%July 2024 · 2–7 days: 18.7%July 2024 · 8–14 days: 15.3%July 2024 · 15–21 days: 12.9%July 2024 · 22–28 days: 4.7%July 2024 · > 28 days: 6.2%August 2024 · Same day: 37.9%August 2024 · 1 day: 6.4%August 2024 · 2–7 days: 16.7%August 2024 · 8–14 days: 16.7%August 2024 · 15–21 days: 12.5%August 2024 · 22–28 days: 3.7%August 2024 · > 28 days: 6.1%September 2024 · Same day: 37.1%September 2024 · 1 day: 6.9%September 2024 · 2–7 days: 17.1%September 2024 · 8–14 days: 14.7%September 2024 · 15–21 days: 14.3%September 2024 · 22–28 days: 4.7%September 2024 · > 28 days: 5.2%October 2024 · Same day: 29.7%October 2024 · 1 day: 5.4%October 2024 · 2–7 days: 18.5%October 2024 · 8–14 days: 16.0%October 2024 · 15–21 days: 13.6%October 2024 · 22–28 days: 7.6%October 2024 · > 28 days: 9.2%November 2024 · Same day: 37.1%November 2024 · 1 day: 7.1%November 2024 · 2–7 days: 16.0%November 2024 · 8–14 days: 14.4%November 2024 · 15–21 days: 14.5%November 2024 · 22–28 days: 4.5%November 2024 · > 28 days: 6.4%December 2024 · Same day: 37.3%December 2024 · 1 day: 5.7%December 2024 · 2–7 days: 13.3%December 2024 · 8–14 days: 14.3%December 2024 · 15–21 days: 16.0%December 2024 · 22–28 days: 4.7%December 2024 · > 28 days: 8.6%January 2025 · Same day: 43.1%January 2025 · 1 day: 5.9%January 2025 · 2–7 days: 17.4%January 2025 · 8–14 days: 12.4%January 2025 · 15–21 days: 9.1%January 2025 · 22–28 days: 4.0%January 2025 · > 28 days: 7.9%February 2025 · Same day: 37.6%February 2025 · 1 day: 6.7%February 2025 · 2–7 days: 14.4%February 2025 · 8–14 days: 12.3%February 2025 · 15–21 days: 14.6%February 2025 · 22–28 days: 6.7%February 2025 · > 28 days: 7.7%March 2025 · Same day: 40.5%March 2025 · 1 day: 4.2%March 2025 · 2–7 days: 16.0%March 2025 · 8–14 days: 13.8%March 2025 · 15–21 days: 13.8%March 2025 · 22–28 days: 6.4%March 2025 · > 28 days: 5.3%April 2025 · Same day: 39.5%April 2025 · 1 day: 5.9%April 2025 · 2–7 days: 13.3%April 2025 · 8–14 days: 18.2%April 2025 · 15–21 days: 9.5%April 2025 · 22–28 days: 6.9%April 2025 · > 28 days: 6.7%May 2025 · Same day: 41.7%May 2025 · 1 day: 6.9%May 2025 · 2–7 days: 17.1%May 2025 · 8–14 days: 14.9%May 2025 · 15–21 days: 6.3%May 2025 · 22–28 days: 5.5%May 2025 · > 28 days: 7.6%June 2025 · Same day: 42.3%June 2025 · 1 day: 7.2%June 2025 · 2–7 days: 16.2%June 2025 · 8–14 days: 16.1%June 2025 · 15–21 days: 6.2%June 2025 · 22–28 days: 5.1%June 2025 · > 28 days: 6.8%July 2025 · Same day: 40.4%July 2025 · 1 day: 10.3%July 2025 · 2–7 days: 16.9%July 2025 · 8–14 days: 17.0%July 2025 · 15–21 days: 6.6%July 2025 · 22–28 days: 3.5%July 2025 · > 28 days: 5.3%August 2025 · Same day: 40.9%August 2025 · 1 day: 8.7%August 2025 · 2–7 days: 14.1%August 2025 · 8–14 days: 15.6%August 2025 · 15–21 days: 8.6%August 2025 · 22–28 days: 5.4%August 2025 · > 28 days: 6.7%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 63/100
  • Very high demand (>500 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-0.1%
Face-to-face %-0.7%
Telephone %-2.7%
Same-day %+0.4%
Appts per 1K-0.1%
Triage %+49.7%

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 practice saw a notable spike in the triage percentage, with a value of 7.0, which is significantly higher than the trailing average of 1.1. This is the highest value recorded so far this year and suggests a potential shift in how appointments are being managed.

Several trends are worth noting. Firstly, the video percentage saw a substantial increase in June and July, rising by 42.1% and 90.7% respectively. This could indicate a growing preference for virtual consultations among patients. Secondly, the DNA rate has been steadily increasing, with a 1.5% upward trend since January. This might point to challenges in patient attendance.

To investigate these trends, the practice manager should review the triage percentage to understand the reasons behind the spike. Additionally, examining the video percentage trend could provide insights into patient preferences and potentially guide future appointment scheduling strategies.

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 7 · avg 1.1 ± 1.7
triagePct2025-07
value 6.5 · avg 0.6 ± 0.4
triagePct2025-06
value 1.8 · avg 0.5 ± 0.1
triagePct2025-03
value 0.8 · avg 0.5 ± 0.1
dnaRate2025-01
value 3.2 · avg 4.3 ± 0.4
phonePct2024-10
value 26.1 · avg 33.9 ± 2.2
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

videoPct2025-07
5.4 → 10.3 (+90.7%)
triagePct2025-07
1.8 → 6.5 (+251.7%)
videoPct2025-06
3.8 → 5.4 (+42.1%)
triagePct2025-06
0.6 → 1.8 (+209.6%)
videoPct2025-05
5.5 → 3.8 (-30.9%)
dnaRate2025-02
3.2 → 4.3 (+34.4%)
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: 2021-08-06 · 33 months ago
  • Using CQC review date (2023-07-06) as last assessment. Original inspection date: 2021-08-06.
  • 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

6.08

Nurse FTE

6.73

Direct Patient Care FTE

9.35

Admin FTE

18.32

1 practices reporting · 100.0% coverage

Staff group mix

GP6.1 FTE · 15%
Nurse6.7 FTE · 17%
Direct Patient Care9.3 FTE · 23%
Admin18.3 FTE · 45%

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

Workforce composition

GP6.09 FTE · 8 headcount
Salaried5.02 FTE (82%) · 7 hc
Training (ST/F)1.07 FTE (18%) · 1 hc
Nurses6.73 FTE · 7 headcount
Practice Nurse3.73 FTE (55%) · 4 hc
Advanced / Specialist1.00 FTE (15%) · 1 hc
Other2.00 FTE (30%) · 2 hc
Admin / Non-clinical18.32 FTE · 24 headcount
Management1.81 FTE (10%) · 2 hc
Reception / Admin7.94 FTE (43%) · 11 hc
Other8.57 FTE (47%) · 11 hc
Direct Patient Care9.34 FTE · 12 headcount
Pharmacist1.28 FTE (14%) · 1 hc
HCA / Nursing Assistant2.37 FTE (25%) · 4 hc
Paramedic0.96 FTE (10%) · 2 hc
Other4.73 FTE (51%) · 5 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

2024-032025-032026-03071421GP · 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: 4 FTEGP · 2025-02: 4 FTEGP · 2025-03: 4 FTEGP · 2025-04: 4 FTEGP · 2025-05: 3 FTEGP · 2025-06: 3 FTEGP · 2025-07: 3 FTEGP · 2025-08: 3 FTEGP · 2025-09: 3 FTEGP · 2025-10: 5 FTEGP · 2025-11: 5 FTEGP · 2025-12: 5 FTEGP · 2026-01: 5 FTEGP · 2026-02: 6 FTEGP · 2026-03: 6 FTENurse · 2024-03: 7 FTENurse · 2024-04: 8 FTENurse · 2024-05: 8 FTENurse · 2024-06: 8 FTENurse · 2024-07: 9 FTENurse · 2024-08: 9 FTENurse · 2024-09: 10 FTENurse · 2024-10: 10 FTENurse · 2024-11: 10 FTENurse · 2024-12: 10 FTENurse · 2025-01: 8 FTENurse · 2025-02: 8 FTENurse · 2025-03: 7 FTENurse · 2025-04: 7 FTENurse · 2025-05: 7 FTENurse · 2025-06: 7 FTENurse · 2025-07: 7 FTENurse · 2025-08: 7 FTENurse · 2025-09: 7 FTENurse · 2025-10: 8 FTENurse · 2025-11: 8 FTENurse · 2025-12: 8 FTENurse · 2026-01: 8 FTENurse · 2026-02: 8 FTENurse · 2026-03: 7 FTEDPC · 2024-03: 6 FTEDPC · 2024-04: 8 FTEDPC · 2024-05: 8 FTEDPC · 2024-06: 9 FTEDPC · 2024-07: 9 FTEDPC · 2024-08: 9 FTEDPC · 2024-09: 9 FTEDPC · 2024-10: 9 FTEDPC · 2024-11: 8 FTEDPC · 2024-12: 8 FTEDPC · 2025-01: 9 FTEDPC · 2025-02: 9 FTEDPC · 2025-03: 9 FTEDPC · 2025-04: 9 FTEDPC · 2025-05: 9 FTEDPC · 2025-06: 9 FTEDPC · 2025-07: 9 FTEDPC · 2025-08: 9 FTEDPC · 2025-09: 9 FTEDPC · 2025-10: 9 FTEDPC · 2025-11: 9 FTEDPC · 2025-12: 9 FTEDPC · 2026-01: 9 FTEDPC · 2026-02: 9 FTEDPC · 2026-03: 9 FTEAdmin · 2024-03: 17 FTEAdmin · 2024-04: 17 FTEAdmin · 2024-05: 19 FTEAdmin · 2024-06: 18 FTEAdmin · 2024-07: 19 FTEAdmin · 2024-08: 19 FTEAdmin · 2024-09: 18 FTEAdmin · 2024-10: 18 FTEAdmin · 2024-11: 17 FTEAdmin · 2024-12: 17 FTEAdmin · 2025-01: 18 FTEAdmin · 2025-02: 18 FTEAdmin · 2025-03: 18 FTEAdmin · 2025-04: 18 FTEAdmin · 2025-05: 18 FTEAdmin · 2025-06: 18 FTEAdmin · 2025-07: 18 FTEAdmin · 2025-08: 18 FTEAdmin · 2025-09: 18 FTEAdmin · 2025-10: 18 FTEAdmin · 2025-11: 19 FTEAdmin · 2025-12: 19 FTEAdmin · 2026-01: 19 FTEAdmin · 2026-02: 19 FTEAdmin · 2026-03: 18 FTE

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

Patient experience (GPPS)

Overall good69.8%
Phone easy21.4%
Website easy69.8%
100.0% coverage

Prescribing volume

2.15

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.