GP Practice

The Hadleigh Practice

J81041

Compare to

Registered patients

20,602

NHS Digital list size

GP FTE

18.9

NHS Digital workforce

Patients per GP FTE

1,090

Items per patient

1.33

prescribing volume

GPPS overall good

84.4%

patient experience

Access KPIs · August 2025

Same-day %

31.6%

Month: August 2025

Appts per 1K patients

446

all bookings (incl. triage)

Patient contacts per 1K

435

F2F + phone + video only

28+ day backlog

15.2%

long-wait share

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

Operating model mix · August 2025

Face-to-face70.1%
Telephone14.8%
Video / online12.8%
Triage10.7%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %31.6%43.0%-11.4%
Face-to-face %70.1%58.4%+11.7%
Telephone %14.8%21.9%-7.1%
Appts per 1K445.7479.7-34.0
Triage %10.7%8.7%+2.0%

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)

2023-082024-092025-080316292Same-day % · 2023-08: 37.1%Same-day % · 2023-09: 26.4%Same-day % · 2023-10: 33.2%Same-day % · 2023-12: 37.4%Same-day % · 2024-01: 36.4%Same-day % · 2024-02: 33.3%Same-day % · 2024-03: 33.5%Same-day % · 2024-04: 35.0%Same-day % · 2024-05: 34.5%Same-day % · 2024-06: 32.0%Same-day % · 2024-07: 32.5%Same-day % · 2024-08: 33.0%Same-day % · 2024-09: 31.9%Same-day % · 2024-10: 25.0%Same-day % · 2024-11: 28.4%Same-day % · 2024-12: 32.0%Same-day % · 2025-01: 33.6%Same-day % · 2025-02: 32.5%Same-day % · 2025-03: 32.4%Same-day % · 2025-04: 31.7%Same-day % · 2025-05: 30.7%Same-day % · 2025-06: 30.9%Same-day % · 2025-07: 33.7%Same-day % · 2025-08: 31.6%F2F % · 2023-08: 76.3%F2F % · 2023-09: 82.5%F2F % · 2023-10: 78.2%F2F % · 2023-12: 71.4%F2F % · 2024-01: 75.0%F2F % · 2024-02: 76.9%F2F % · 2024-03: 76.9%F2F % · 2024-04: 76.3%F2F % · 2024-05: 73.7%F2F % · 2024-06: 68.1%F2F % · 2024-07: 71.5%F2F % · 2024-08: 72.4%F2F % · 2024-09: 68.8%F2F % · 2024-10: 76.5%F2F % · 2024-11: 72.1%F2F % · 2024-12: 66.4%F2F % · 2025-01: 69.5%F2F % · 2025-02: 68.6%F2F % · 2025-03: 69.4%F2F % · 2025-04: 68.0%F2F % · 2025-05: 68.0%F2F % · 2025-06: 68.2%F2F % · 2025-07: 70.0%F2F % · 2025-08: 70.1%Phone % · 2023-08: 20.0%Phone % · 2023-09: 14.3%Phone % · 2023-10: 18.4%Phone % · 2023-12: 25.1%Phone % · 2024-01: 21.6%Phone % · 2024-02: 20.1%Phone % · 2024-03: 19.7%Phone % · 2024-04: 19.6%Phone % · 2024-05: 19.1%Phone % · 2024-06: 19.3%Phone % · 2024-07: 17.4%Phone % · 2024-08: 16.3%Phone % · 2024-09: 18.1%Phone % · 2024-10: 13.0%Phone % · 2024-11: 15.6%Phone % · 2024-12: 20.0%Phone % · 2025-01: 17.4%Phone % · 2025-02: 18.6%Phone % · 2025-03: 17.1%Phone % · 2025-04: 17.3%Phone % · 2025-05: 16.8%Phone % · 2025-06: 15.7%Phone % · 2025-07: 14.4%Phone % · 2025-08: 14.8%Video % · 2023-08: 0.5%Video % · 2023-09: 0.4%Video % · 2023-10: 0.4%Video % · 2023-12: 0.3%Video % · 2024-01: 0.6%Video % · 2024-02: 0.5%Video % · 2024-03: 0.4%Video % · 2024-04: 0.6%Video % · 2024-05: 2.1%Video % · 2024-06: 4.7%Video % · 2024-07: 4.5%Video % · 2024-08: 4.4%Video % · 2024-09: 4.8%Video % · 2024-10: 4.2%Video % · 2024-11: 4.7%Video % · 2024-12: 5.1%Video % · 2025-01: 8.2%Video % · 2025-02: 10.0%Video % · 2025-03: 10.6%Video % · 2025-04: 11.6%Video % · 2025-05: 12.1%Video % · 2025-06: 12.7%Video % · 2025-07: 12.5%Video % · 2025-08: 12.8%Triage % · 2023-08: 4.4%Triage % · 2023-09: 3.2%Triage % · 2023-10: 4.3%Triage % · 2023-12: 4.8%Triage % · 2024-01: 4.1%Triage % · 2024-02: 4.8%Triage % · 2024-03: 5.2%Triage % · 2024-04: 5.4%Triage % · 2024-05: 5.3%Triage % · 2024-06: 5.0%Triage % · 2024-07: 4.6%Triage % · 2024-08: 4.6%Triage % · 2024-09: 5.0%Triage % · 2024-10: 3.8%Triage % · 2024-11: 3.8%Triage % · 2024-12: 4.6%Triage % · 2025-01: 7.6%Triage % · 2025-02: 9.3%Triage % · 2025-03: 10.0%Triage % · 2025-04: 10.5%Triage % · 2025-05: 10.5%Triage % · 2025-06: 10.4%Triage % · 2025-07: 10.1%Triage % · 2025-08: 10.7%

NHS Digital appointments dataset · last 24 months (2023-08 → 2025-08). Click a chip to toggle a series; the y-axis re-zooms to fit.

Total appointments (last 12 months)

2023-082024-092025-087,2219,97612,73015,4852023-08: 9,584 appointments2023-09: 12,619 appointments2023-10: 10,984 appointments2023-12: 8,021 appointments2024-01: 11,129 appointments2024-02: 9,645 appointments2024-03: 9,629 appointments2024-04: 9,919 appointments2024-05: 9,961 appointments2024-06: 9,744 appointments2024-07: 11,676 appointments2024-08: 10,112 appointments2024-09: 9,675 appointments2024-10: 14,685 appointments2024-11: 11,162 appointments2024-12: 9,816 appointments2025-01: 11,779 appointments2025-02: 10,764 appointments2025-03: 10,761 appointments2025-04: 9,885 appointments2025-05: 10,031 appointments2025-06: 10,180 appointments2025-07: 11,338 appointments2025-08: 9,183 appointments

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

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

2023-082024-092025-083504846187522023-08: 465.2 appts per 1,000 patients2023-09: 612.5 appts per 1,000 patients2023-10: 533.2 appts per 1,000 patients2023-12: 389.3 appts per 1,000 patients2024-01: 540.2 appts per 1,000 patients2024-02: 468.2 appts per 1,000 patients2024-03: 467.4 appts per 1,000 patients2024-04: 481.5 appts per 1,000 patients2024-05: 483.5 appts per 1,000 patients2024-06: 473 appts per 1,000 patients2024-07: 566.7 appts per 1,000 patients2024-08: 490.8 appts per 1,000 patients2024-09: 469.6 appts per 1,000 patients2024-10: 712.8 appts per 1,000 patients2024-11: 541.8 appts per 1,000 patients2024-12: 476.5 appts per 1,000 patients2025-01: 571.7 appts per 1,000 patients2025-02: 522.5 appts per 1,000 patients2025-03: 522.3 appts per 1,000 patients2025-04: 479.8 appts per 1,000 patients2025-05: 486.9 appts per 1,000 patients2025-06: 494.1 appts per 1,000 patients2025-07: 550.3 appts per 1,000 patients2025-08: 445.7 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%August 2023 · Same day: 37.1%August 2023 · 1 day: 4.9%August 2023 · 2–7 days: 14.3%August 2023 · 8–14 days: 9.7%August 2023 · 15–21 days: 9.2%August 2023 · 22–28 days: 10.1%August 2023 · > 28 days: 14.6%September 2023 · Same day: 26.4%September 2023 · 1 day: 4.1%September 2023 · 2–7 days: 11.0%September 2023 · 8–14 days: 6.3%September 2023 · 15–21 days: 5.1%September 2023 · 22–28 days: 7.6%September 2023 · > 28 days: 39.6%October 2023 · Same day: 33.2%October 2023 · 1 day: 4.2%October 2023 · 2–7 days: 13.9%October 2023 · 8–14 days: 11.2%October 2023 · 15–21 days: 7.6%October 2023 · 22–28 days: 8.1%October 2023 · > 28 days: 21.7%December 2023 · Same day: 37.4%December 2023 · 1 day: 4.8%December 2023 · 2–7 days: 11.1%December 2023 · 8–14 days: 10.0%December 2023 · 15–21 days: 8.8%December 2023 · 22–28 days: 12.0%December 2023 · > 28 days: 15.9%January 2024 · Same day: 36.4%January 2024 · 1 day: 4.9%January 2024 · 2–7 days: 16.7%January 2024 · 8–14 days: 11.8%January 2024 · 15–21 days: 7.3%January 2024 · 22–28 days: 10.1%January 2024 · > 28 days: 12.8%February 2024 · Same day: 33.3%February 2024 · 1 day: 5.6%February 2024 · 2–7 days: 16.5%February 2024 · 8–14 days: 14.4%February 2024 · 15–21 days: 8.2%February 2024 · 22–28 days: 10.5%February 2024 · > 28 days: 11.5%March 2024 · Same day: 33.5%March 2024 · 1 day: 5.7%March 2024 · 2–7 days: 18.1%March 2024 · 8–14 days: 13.4%March 2024 · 15–21 days: 7.3%March 2024 · 22–28 days: 7.9%March 2024 · > 28 days: 14.1%April 2024 · Same day: 35.0%April 2024 · 1 day: 5.8%April 2024 · 2–7 days: 14.8%April 2024 · 8–14 days: 14.0%April 2024 · 15–21 days: 7.8%April 2024 · 22–28 days: 7.5%April 2024 · > 28 days: 15.1%May 2024 · Same day: 34.5%May 2024 · 1 day: 6.6%May 2024 · 2–7 days: 15.7%May 2024 · 8–14 days: 15.2%May 2024 · 15–21 days: 7.8%May 2024 · 22–28 days: 7.8%May 2024 · > 28 days: 12.4%June 2024 · Same day: 32.0%June 2024 · 1 day: 7.0%June 2024 · 2–7 days: 17.9%June 2024 · 8–14 days: 14.7%June 2024 · 15–21 days: 9.4%June 2024 · 22–28 days: 7.7%June 2024 · > 28 days: 11.3%July 2024 · Same day: 32.5%July 2024 · 1 day: 6.2%July 2024 · 2–7 days: 18.7%July 2024 · 8–14 days: 14.5%July 2024 · 15–21 days: 8.0%July 2024 · 22–28 days: 8.7%July 2024 · > 28 days: 11.4%August 2024 · Same day: 33.0%August 2024 · 1 day: 7.1%August 2024 · 2–7 days: 17.8%August 2024 · 8–14 days: 14.6%August 2024 · 15–21 days: 8.5%August 2024 · 22–28 days: 8.0%August 2024 · > 28 days: 11.0%September 2024 · Same day: 31.9%September 2024 · 1 day: 8.0%September 2024 · 2–7 days: 17.9%September 2024 · 8–14 days: 12.7%September 2024 · 15–21 days: 9.9%September 2024 · 22–28 days: 8.8%September 2024 · > 28 days: 10.9%October 2024 · Same day: 25.0%October 2024 · 1 day: 6.8%October 2024 · 2–7 days: 13.3%October 2024 · 8–14 days: 8.3%October 2024 · 15–21 days: 8.9%October 2024 · 22–28 days: 9.2%October 2024 · > 28 days: 28.4%November 2024 · Same day: 28.4%November 2024 · 1 day: 4.9%November 2024 · 2–7 days: 17.6%November 2024 · 8–14 days: 10.2%November 2024 · 15–21 days: 7.0%November 2024 · 22–28 days: 9.4%November 2024 · > 28 days: 22.5%December 2024 · Same day: 32.0%December 2024 · 1 day: 5.5%December 2024 · 2–7 days: 17.9%December 2024 · 8–14 days: 10.5%December 2024 · 15–21 days: 8.1%December 2024 · 22–28 days: 10.2%December 2024 · > 28 days: 15.8%January 2025 · Same day: 33.6%January 2025 · 1 day: 6.3%January 2025 · 2–7 days: 15.4%January 2025 · 8–14 days: 12.2%January 2025 · 15–21 days: 8.0%January 2025 · 22–28 days: 7.9%January 2025 · > 28 days: 16.7%February 2025 · Same day: 32.5%February 2025 · 1 day: 5.9%February 2025 · 2–7 days: 15.6%February 2025 · 8–14 days: 14.6%February 2025 · 15–21 days: 10.0%February 2025 · 22–28 days: 7.5%February 2025 · > 28 days: 13.9%March 2025 · Same day: 32.4%March 2025 · 1 day: 6.6%March 2025 · 2–7 days: 16.1%March 2025 · 8–14 days: 14.4%March 2025 · 15–21 days: 9.3%March 2025 · 22–28 days: 6.9%March 2025 · > 28 days: 14.3%April 2025 · Same day: 31.7%April 2025 · 1 day: 6.9%April 2025 · 2–7 days: 15.3%April 2025 · 8–14 days: 14.0%April 2025 · 15–21 days: 9.5%April 2025 · 22–28 days: 7.2%April 2025 · > 28 days: 15.4%May 2025 · Same day: 30.7%May 2025 · 1 day: 6.7%May 2025 · 2–7 days: 15.1%May 2025 · 8–14 days: 15.3%May 2025 · 15–21 days: 10.3%May 2025 · 22–28 days: 7.1%May 2025 · > 28 days: 14.8%June 2025 · Same day: 30.9%June 2025 · 1 day: 6.5%June 2025 · 2–7 days: 15.5%June 2025 · 8–14 days: 13.7%June 2025 · 15–21 days: 11.2%June 2025 · 22–28 days: 7.1%June 2025 · > 28 days: 15.1%July 2025 · Same day: 33.7%July 2025 · 1 day: 6.8%July 2025 · 2–7 days: 14.0%July 2025 · 8–14 days: 14.9%July 2025 · 15–21 days: 9.8%July 2025 · 22–28 days: 6.9%July 2025 · > 28 days: 13.8%August 2025 · Same day: 31.6%August 2025 · 1 day: 7.5%August 2025 · 2–7 days: 12.0%August 2025 · 8–14 days: 13.3%August 2025 · 15–21 days: 12.6%August 2025 · 22–28 days: 7.7%August 2025 · > 28 days: 15.2%Aug '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 66/100
  • High demand (>400 appts/1K)
  • Below-average same-day access
  • High long-wait rate (14.7% over 28d)

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

6-month trends

KPIDirectionSlope (rel %)
Total appointments-0.9%
Face-to-face %+0.4%
Telephone %-3.8%
Same-day %+0.2%
Appts per 1K-0.9%
Triage %+0.7%

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

The most notable figure this month is the DNA rate, which has risen to 3.8% from 2.7% in 2025-03. This is a significant increase and could indicate a need to review patient engagement strategies.

Several trends are worth watching. The DNA rate has been rising since 2025-03, with a 40.7% increase then and a further rise in 2024-10. The phone consultation percentage has been falling, dropping by 3.8% in 2025-08. The triage percentage has been rising since 2024-05, with a 250% increase then and steady growth since.

To investigate these trends, review whether the recent rise in DNAs correlates with any changes in patient communication or appointment reminders. Also, verify if the dip in phone consultations in 2025-08 aligns with any changes in staff availability or patient preferences.

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)

triagePct2025-04
value 10.5 · avg 5.7 ± 2
triagePct2025-03
value 10 · avg 5.4 ± 1.5
triagePct2025-02
value 9.3 · avg 5 ± 0.9
triagePct2025-01
value 7.6 · avg 4.7 ± 0.5
f2fPct2024-12
value 66.4 · avg 73.3 ± 3
sameDayPct2024-10
value 25 · avg 33.3 ± 2.6
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

dnaRate2025-03
2.7 → 3.8 (+40.7%)
videoPct2025-01
5.1 → 8.2 (+60.8%)
triagePct2025-01
4.6 → 7.6 (+64.1%)
dnaRate2024-10
3.2 → 4.5 (+40.6%)
videoPct2024-06
2.1 → 4.7 (+123.8%)
videoPct2024-05
0.6 → 2.1 (+250%)
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: 2016-11-15 · 33 months ago
  • Using CQC review date (2023-07-06) as last assessment. Original inspection date: 2016-11-15.
  • 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

18.9

Nurse FTE

4.24

Direct Patient Care FTE

13.54

Admin FTE

32.79

1 practices reporting · 100.0% coverage

Staff group mix

GP18.9 FTE · 27%
Nurse4.2 FTE · 6%
Direct Patient Care13.5 FTE · 19%
Admin32.8 FTE · 47%

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

Workforce composition

GP18.89 FTE · 25 headcount
Partner8.45 FTE (45%) · 10 hc
Salaried5.27 FTE (28%) · 8 hc
Training (ST/F)3.84 FTE (20%) · 4 hc
Locum0.48 FTE (3%) · 1 hc
Retainer0.85 FTE (4%) · 2 hc
Nurses4.24 FTE · 7 headcount
Practice Nurse3.19 FTE (75%) · 5 hc
Advanced / Specialist1.05 FTE (25%) · 2 hc
Admin / Non-clinical32.80 FTE · 53 headcount
Management1.84 FTE (6%) · 2 hc
Reception / Admin18.46 FTE (56%) · 30 hc
Other12.50 FTE (38%) · 21 hc
Direct Patient Care13.55 FTE · 20 headcount
Pharmacist0.59 FTE (4%) · 1 hc
HCA / Nursing Assistant4.84 FTE (36%) · 7 hc
Other8.12 FTE (60%) · 12 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

2024-032025-032026-030122436GP · 2024-03: 17 FTEGP · 2024-04: 17 FTEGP · 2024-05: 18 FTEGP · 2024-06: 18 FTEGP · 2024-07: 17 FTEGP · 2024-08: 17 FTEGP · 2024-09: 17 FTEGP · 2024-10: 19 FTEGP · 2024-11: 18 FTEGP · 2024-12: 18 FTEGP · 2025-01: 19 FTEGP · 2025-02: 16 FTEGP · 2025-03: 16 FTEGP · 2025-04: 16 FTEGP · 2025-05: 16 FTEGP · 2025-06: 15 FTEGP · 2025-07: 15 FTEGP · 2025-08: 18 FTEGP · 2025-09: 18 FTEGP · 2025-10: 18 FTEGP · 2025-11: 18 FTEGP · 2025-12: 19 FTEGP · 2026-01: 20 FTEGP · 2026-02: 19 FTEGP · 2026-03: 19 FTENurse · 2024-03: 4 FTENurse · 2024-04: 4 FTENurse · 2024-05: 4 FTENurse · 2024-06: 4 FTENurse · 2024-07: 4 FTENurse · 2024-08: 3 FTENurse · 2024-09: 3 FTENurse · 2024-10: 3 FTENurse · 2024-11: 3 FTENurse · 2024-12: 3 FTENurse · 2025-01: 3 FTENurse · 2025-02: 3 FTENurse · 2025-03: 4 FTENurse · 2025-04: 4 FTENurse · 2025-05: 4 FTENurse · 2025-06: 4 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: 4 FTENurse · 2026-02: 4 FTENurse · 2026-03: 4 FTEDPC · 2024-03: 12 FTEDPC · 2024-04: 12 FTEDPC · 2024-05: 12 FTEDPC · 2024-06: 12 FTEDPC · 2024-07: 12 FTEDPC · 2024-08: 12 FTEDPC · 2024-09: 13 FTEDPC · 2024-10: 13 FTEDPC · 2024-11: 13 FTEDPC · 2024-12: 13 FTEDPC · 2025-01: 13 FTEDPC · 2025-02: 13 FTEDPC · 2025-03: 13 FTEDPC · 2025-04: 13 FTEDPC · 2025-05: 13 FTEDPC · 2025-06: 14 FTEDPC · 2025-07: 14 FTEDPC · 2025-08: 14 FTEDPC · 2025-09: 13 FTEDPC · 2025-10: 13 FTEDPC · 2025-11: 13 FTEDPC · 2025-12: 13 FTEDPC · 2026-01: 13 FTEDPC · 2026-02: 14 FTEDPC · 2026-03: 14 FTEAdmin · 2024-03: 32 FTEAdmin · 2024-04: 32 FTEAdmin · 2024-05: 32 FTEAdmin · 2024-06: 33 FTEAdmin · 2024-07: 32 FTEAdmin · 2024-08: 32 FTEAdmin · 2024-09: 33 FTEAdmin · 2024-10: 32 FTEAdmin · 2024-11: 32 FTEAdmin · 2024-12: 32 FTEAdmin · 2025-01: 31 FTEAdmin · 2025-02: 32 FTEAdmin · 2025-03: 31 FTEAdmin · 2025-04: 31 FTEAdmin · 2025-05: 31 FTEAdmin · 2025-06: 32 FTEAdmin · 2025-07: 30 FTEAdmin · 2025-08: 30 FTEAdmin · 2025-09: 30 FTEAdmin · 2025-10: 32 FTEAdmin · 2025-11: 32 FTEAdmin · 2025-12: 32 FTEAdmin · 2026-01: 32 FTEAdmin · 2026-02: 31 FTEAdmin · 2026-03: 33 FTE

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

Patient experience (GPPS)

Overall good84.4%
Phone easy25.1%
Website easy78.7%
100.0% coverage

Prescribing volume

1.33

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.