GP Practice

Lakeside Healthcare

K83002

Compare to

Registered patients

46,327

NHS Digital list size

GP FTE

34.47

NHS Digital workforce

Patients per GP FTE

1,344

Items per patient

1.77

prescribing volume

GPPS overall good

53.6%

patient experience

Access KPIs · August 2025

Same-day %

49.8%

Month: August 2025

Appts per 1K patients

650

all bookings (incl. triage)

Patient contacts per 1K

632

F2F + phone + video only

28+ day backlog

3.3%

long-wait share

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

Operating model mix · August 2025

Face-to-face36.1%
Telephone35.1%
Video / online26.1%
Triage26.4%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %49.8%43.0%+6.8%
Face-to-face %36.1%58.4%-22.3%
Telephone %35.1%21.9%+13.2%
Appts per 1K649.5479.7+169.8
Triage %26.4%8.7%+17.7%

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)

2023-072024-082025-080214263Same-day % · 2023-07: 47.9%Same-day % · 2023-08: 51.1%Same-day % · 2023-09: 41.0%Same-day % · 2023-10: 36.1%Same-day % · 2023-12: 43.2%Same-day % · 2024-01: 47.5%Same-day % · 2024-02: 45.3%Same-day % · 2024-03: 42.5%Same-day % · 2024-04: 49.5%Same-day % · 2024-05: 46.1%Same-day % · 2024-06: 42.3%Same-day % · 2024-07: 50.1%Same-day % · 2024-08: 48.0%Same-day % · 2024-09: 48.6%Same-day % · 2024-11: 41.7%Same-day % · 2024-12: 42.2%Same-day % · 2025-01: 43.4%Same-day % · 2025-02: 41.7%Same-day % · 2025-03: 42.7%Same-day % · 2025-04: 44.7%Same-day % · 2025-05: 51.3%Same-day % · 2025-06: 53.2%Same-day % · 2025-07: 50.2%Same-day % · 2025-08: 49.8%F2F % · 2023-07: 47.6%F2F % · 2023-08: 46.0%F2F % · 2023-09: 51.6%F2F % · 2023-10: 52.5%F2F % · 2023-12: 48.3%F2F % · 2024-01: 50.5%F2F % · 2024-02: 56.1%F2F % · 2024-03: 51.3%F2F % · 2024-04: 47.0%F2F % · 2024-05: 46.8%F2F % · 2024-06: 45.0%F2F % · 2024-07: 40.1%F2F % · 2024-08: 40.9%F2F % · 2024-09: 43.6%F2F % · 2024-11: 44.5%F2F % · 2024-12: 43.0%F2F % · 2025-01: 43.5%F2F % · 2025-02: 42.2%F2F % · 2025-03: 40.8%F2F % · 2025-04: 38.9%F2F % · 2025-05: 37.3%F2F % · 2025-06: 37.5%F2F % · 2025-07: 36.1%F2F % · 2025-08: 36.1%Phone % · 2023-07: 42.2%Phone % · 2023-08: 43.9%Phone % · 2023-09: 37.8%Phone % · 2023-10: 37.2%Phone % · 2023-12: 42.3%Phone % · 2024-01: 39.8%Phone % · 2024-02: 39.2%Phone % · 2024-03: 44.5%Phone % · 2024-04: 47.8%Phone % · 2024-05: 47.9%Phone % · 2024-06: 42.9%Phone % · 2024-07: 36.5%Phone % · 2024-08: 34.9%Phone % · 2024-09: 32.3%Phone % · 2024-11: 32.6%Phone % · 2024-12: 35.9%Phone % · 2025-01: 35.0%Phone % · 2025-02: 36.5%Phone % · 2025-03: 39.1%Phone % · 2025-04: 41.8%Phone % · 2025-05: 32.8%Phone % · 2025-06: 31.0%Phone % · 2025-07: 34.7%Phone % · 2025-08: 35.1%Video % · 2023-07: 5.5%Video % · 2023-08: 5.7%Video % · 2023-09: 5.6%Video % · 2023-10: 5.0%Video % · 2023-12: 4.0%Video % · 2024-01: 5.2%Video % · 2024-02: 0.2%Video % · 2024-03: 0.0%Video % · 2024-04: 0.0%Video % · 2024-05: 0.7%Video % · 2024-06: 7.7%Video % · 2024-07: 19.7%Video % · 2024-08: 20.2%Video % · 2024-09: 20.3%Video % · 2024-11: 18.3%Video % · 2024-12: 15.7%Video % · 2025-01: 17.2%Video % · 2025-02: 17.4%Video % · 2025-03: 16.3%Video % · 2025-04: 16.4%Video % · 2025-05: 26.1%Video % · 2025-06: 28.8%Video % · 2025-07: 27.0%Video % · 2025-08: 26.1%Triage % · 2023-07: 7.8%Triage % · 2023-08: 9.3%Triage % · 2023-09: 6.9%Triage % · 2023-10: 4.4%Triage % · 2023-12: 4.1%Triage % · 2024-01: 3.4%Triage % · 2024-02: 2.4%Triage % · 2024-03: 1.2%Triage % · 2024-04: 0.7%Triage % · 2024-05: 0.6%Triage % · 2024-06: 5.1%Triage % · 2024-07: 18.1%Triage % · 2024-08: 18.0%Triage % · 2024-09: 18.4%Triage % · 2024-11: 16.4%Triage % · 2024-12: 13.8%Triage % · 2025-01: 15.5%Triage % · 2025-02: 15.2%Triage % · 2025-03: 14.3%Triage % · 2025-04: 14.3%Triage % · 2025-05: 26.1%Triage % · 2025-06: 29.2%Triage % · 2025-07: 27.3%Triage % · 2025-08: 26.4%

NHS Digital appointments dataset · last 24 months (2023-07 → 2025-08). Click a chip to toggle a series; the y-axis re-zooms to fit.

Total appointments (last 12 months)

2023-072024-082025-0817,10424,16831,23238,2962023-07: 22,413 appointments2023-08: 22,663 appointments2023-09: 23,447 appointments2023-10: 25,477 appointments2023-12: 19,155 appointments2024-01: 24,945 appointments2024-02: 23,020 appointments2024-03: 22,509 appointments2024-04: 22,547 appointments2024-05: 22,614 appointments2024-06: 20,522 appointments2024-07: 30,140 appointments2024-08: 26,624 appointments2024-09: 29,987 appointments2024-11: 32,094 appointments2024-12: 28,553 appointments2025-01: 33,148 appointments2025-02: 28,746 appointments2025-03: 29,276 appointments2025-04: 29,244 appointments2025-05: 33,021 appointments2025-06: 34,273 appointments2025-07: 36,245 appointments2025-08: 30,089 appointments

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

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

2023-072024-082025-083695226748272023-07: 483.8 appts per 1,000 patients2023-08: 489.2 appts per 1,000 patients2023-09: 506.1 appts per 1,000 patients2023-10: 549.9 appts per 1,000 patients2023-12: 413.5 appts per 1,000 patients2024-01: 538.5 appts per 1,000 patients2024-02: 496.9 appts per 1,000 patients2024-03: 485.9 appts per 1,000 patients2024-04: 486.7 appts per 1,000 patients2024-05: 488.1 appts per 1,000 patients2024-06: 443 appts per 1,000 patients2024-07: 650.6 appts per 1,000 patients2024-08: 574.7 appts per 1,000 patients2024-09: 647.3 appts per 1,000 patients2024-11: 692.8 appts per 1,000 patients2024-12: 616.3 appts per 1,000 patients2025-01: 715.5 appts per 1,000 patients2025-02: 620.5 appts per 1,000 patients2025-03: 631.9 appts per 1,000 patients2025-04: 631.3 appts per 1,000 patients2025-05: 712.8 appts per 1,000 patients2025-06: 739.8 appts per 1,000 patients2025-07: 782.4 appts per 1,000 patients2025-08: 649.5 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%July 2023 · Same day: 47.9%July 2023 · 1 day: 11.4%July 2023 · 2–7 days: 16.9%July 2023 · 8–14 days: 10.4%July 2023 · 15–21 days: 8.6%July 2023 · 22–28 days: 2.9%July 2023 · > 28 days: 1.8%August 2023 · Same day: 51.1%August 2023 · 1 day: 9.2%August 2023 · 2–7 days: 15.0%August 2023 · 8–14 days: 14.4%August 2023 · 15–21 days: 5.1%August 2023 · 22–28 days: 2.8%August 2023 · > 28 days: 2.4%September 2023 · Same day: 41.0%September 2023 · 1 day: 10.6%September 2023 · 2–7 days: 19.4%September 2023 · 8–14 days: 15.2%September 2023 · 15–21 days: 4.8%September 2023 · 22–28 days: 2.6%September 2023 · > 28 days: 6.4%October 2023 · Same day: 36.1%October 2023 · 1 day: 9.0%October 2023 · 2–7 days: 27.1%October 2023 · 8–14 days: 13.5%October 2023 · 15–21 days: 4.8%October 2023 · 22–28 days: 1.7%October 2023 · > 28 days: 7.8%December 2023 · Same day: 43.2%December 2023 · 1 day: 9.2%December 2023 · 2–7 days: 21.2%December 2023 · 8–14 days: 9.9%December 2023 · 15–21 days: 9.5%December 2023 · 22–28 days: 3.5%December 2023 · > 28 days: 3.5%January 2024 · Same day: 47.5%January 2024 · 1 day: 8.4%January 2024 · 2–7 days: 21.9%January 2024 · 8–14 days: 7.6%January 2024 · 15–21 days: 6.9%January 2024 · 22–28 days: 4.3%January 2024 · > 28 days: 3.4%February 2024 · Same day: 45.3%February 2024 · 1 day: 10.5%February 2024 · 2–7 days: 21.7%February 2024 · 8–14 days: 11.7%February 2024 · 15–21 days: 6.1%February 2024 · 22–28 days: 2.8%February 2024 · > 28 days: 2.0%March 2024 · Same day: 42.5%March 2024 · 1 day: 12.6%March 2024 · 2–7 days: 25.5%March 2024 · 8–14 days: 12.2%March 2024 · 15–21 days: 3.6%March 2024 · 22–28 days: 1.5%March 2024 · > 28 days: 2.2%April 2024 · Same day: 49.5%April 2024 · 1 day: 11.3%April 2024 · 2–7 days: 23.8%April 2024 · 8–14 days: 8.6%April 2024 · 15–21 days: 2.3%April 2024 · 22–28 days: 1.3%April 2024 · > 28 days: 3.1%May 2024 · Same day: 46.1%May 2024 · 1 day: 14.3%May 2024 · 2–7 days: 20.9%May 2024 · 8–14 days: 9.8%May 2024 · 15–21 days: 4.9%May 2024 · 22–28 days: 1.9%May 2024 · > 28 days: 2.2%June 2024 · Same day: 42.3%June 2024 · 1 day: 15.7%June 2024 · 2–7 days: 26.4%June 2024 · 8–14 days: 9.9%June 2024 · 15–21 days: 2.0%June 2024 · 22–28 days: 1.1%June 2024 · > 28 days: 2.5%July 2024 · Same day: 50.1%July 2024 · 1 day: 11.3%July 2024 · 2–7 days: 24.2%July 2024 · 8–14 days: 9.9%July 2024 · 15–21 days: 2.0%July 2024 · 22–28 days: 0.8%July 2024 · > 28 days: 1.7%August 2024 · Same day: 48.0%August 2024 · 1 day: 10.2%August 2024 · 2–7 days: 21.7%August 2024 · 8–14 days: 10.2%August 2024 · 15–21 days: 4.5%August 2024 · 22–28 days: 2.7%August 2024 · > 28 days: 2.8%September 2024 · Same day: 48.6%September 2024 · 1 day: 9.1%September 2024 · 2–7 days: 20.6%September 2024 · 8–14 days: 9.5%September 2024 · 15–21 days: 4.0%September 2024 · 22–28 days: 2.9%September 2024 · > 28 days: 5.2%November 2024 · Same day: 41.7%November 2024 · 1 day: 7.2%November 2024 · 2–7 days: 26.6%November 2024 · 8–14 days: 12.9%November 2024 · 15–21 days: 5.3%November 2024 · 22–28 days: 3.1%November 2024 · > 28 days: 3.2%December 2024 · Same day: 42.2%December 2024 · 1 day: 8.4%December 2024 · 2–7 days: 23.4%December 2024 · 8–14 days: 12.6%December 2024 · 15–21 days: 5.4%December 2024 · 22–28 days: 4.1%December 2024 · > 28 days: 3.9%January 2025 · Same day: 43.4%January 2025 · 1 day: 8.6%January 2025 · 2–7 days: 24.0%January 2025 · 8–14 days: 11.5%January 2025 · 15–21 days: 5.6%January 2025 · 22–28 days: 3.0%January 2025 · > 28 days: 3.9%February 2025 · Same day: 41.7%February 2025 · 1 day: 8.5%February 2025 · 2–7 days: 24.2%February 2025 · 8–14 days: 13.4%February 2025 · 15–21 days: 5.1%February 2025 · 22–28 days: 3.4%February 2025 · > 28 days: 3.7%March 2025 · Same day: 42.7%March 2025 · 1 day: 7.5%March 2025 · 2–7 days: 22.6%March 2025 · 8–14 days: 14.6%March 2025 · 15–21 days: 5.3%March 2025 · 22–28 days: 4.0%March 2025 · > 28 days: 3.4%April 2025 · Same day: 44.7%April 2025 · 1 day: 10.8%April 2025 · 2–7 days: 20.1%April 2025 · 8–14 days: 12.9%April 2025 · 15–21 days: 5.1%April 2025 · 22–28 days: 2.6%April 2025 · > 28 days: 3.8%May 2025 · Same day: 51.3%May 2025 · 1 day: 8.5%May 2025 · 2–7 days: 19.5%May 2025 · 8–14 days: 10.7%May 2025 · 15–21 days: 4.4%May 2025 · 22–28 days: 2.3%May 2025 · > 28 days: 3.3%June 2025 · Same day: 53.2%June 2025 · 1 day: 4.9%June 2025 · 2–7 days: 22.4%June 2025 · 8–14 days: 11.1%June 2025 · 15–21 days: 4.5%June 2025 · 22–28 days: 1.9%June 2025 · > 28 days: 2.1%July 2025 · Same day: 50.2%July 2025 · 1 day: 5.8%July 2025 · 2–7 days: 22.6%July 2025 · 8–14 days: 14.1%July 2025 · 15–21 days: 3.2%July 2025 · 22–28 days: 2.1%July 2025 · > 28 days: 1.9%August 2025 · Same day: 49.8%August 2025 · 1 day: 5.2%August 2025 · 2–7 days: 18.3%August 2025 · 8–14 days: 14.7%August 2025 · 15–21 days: 6.3%August 2025 · 22–28 days: 2.4%August 2025 · > 28 days: 3.3%Jul '23Oct '23Feb '24May '24Aug '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 41/100
  • 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+2.3%
Face-to-face %-2.4%
Telephone %-3.4%
Same-day %+3.2%
Appts per 1K+2.3%
Triage %+12.8%

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 face-to-face percentage dropped to 36.1%, which is significantly lower than the practice's trailing average of 41.4%. This is the most notable deviation from the usual trend.

Several trends have emerged. The face-to-face percentage has been falling month-on-month, down 2.4% overall. The telephone percentage has also been dropping, down 3.4% overall. These shifts suggest a potential change in patient preferences or operational adjustments.

To investigate these trends, review the face-to-face and telephone percentages to see if they align with any recent policy changes or system updates. Also, check if the drop in face-to-face appointments correlates with an increase in other appointment types.

AI-generated from the analytics below (Amazon Nova Lite · data as of August 2025 · written 5 days ago). The raw anomalies and step-change tables follow below for verification.

Anomalies detected (6)

f2fPct2025-07
value 36.1 · avg 41.4 ± 2.5
triagePct2025-06
value 29.2 · avg 14.6 ± 6.2
sameDayPct2025-06
value 53.2 · avg 45.2 ± 3.3
dnaRate2025-06
value 2 · avg 3.3 ± 0.6
triagePct2025-05
value 26.1 · avg 12.5 ± 6.3
sameDayPct2025-05
value 51.3 · avg 45.1 ± 3.1
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

videoPct2025-05
16.4 → 26.1 (+59.1%)
triagePct2025-05
14.3 → 26.1 (+82.4%)
dnaRate2025-04
3.1 → 2 (-35.5%)
videoPct2024-07
7.7 → 19.7 (+155.8%)
triagePct2024-07
5.1 → 18.1 (+257%)
videoPct2024-06
0.7 → 7.7 (+1000%)
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: 2019-05-22 · 33 months ago
  • Using CQC review date (2023-07-06) as last assessment. Original inspection date: 2019-05-22.
  • 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

34.47

Nurse FTE

21.45

Direct Patient Care FTE

15.8

Admin FTE

96.92

1 practices reporting · 100.0% coverage

Staff group mix

GP34.5 FTE · 20%
Nurse21.4 FTE · 13%
Direct Patient Care15.8 FTE · 9%
Admin96.9 FTE · 57%

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

Workforce composition

GP34.46 FTE · 39 headcount
Partner18.27 FTE (53%) · 22 hc
Salaried4.68 FTE (14%) · 6 hc
Training (ST/F)11.51 FTE (33%) · 11 hc
Nurses21.46 FTE · 26 headcount
Practice Nurse11.98 FTE (56%) · 15 hc
Advanced / Specialist8.24 FTE (38%) · 9 hc
Other1.24 FTE (6%) · 2 hc
Admin / Non-clinical96.92 FTE · 108 headcount
Management16.20 FTE (17%) · 16 hc
Reception / Admin39.01 FTE (40%) · 43 hc
Estates / Ancillary6.72 FTE (7%) · 8 hc
Other34.99 FTE (36%) · 41 hc
Direct Patient Care15.79 FTE · 18 headcount
Pharmacist2.13 FTE (13%) · 3 hc
HCA / Nursing Assistant7.33 FTE (46%) · 8 hc
Paramedic2.00 FTE (13%) · 2 hc
Social Prescriber1.00 FTE (6%) · 1 hc
Other3.33 FTE (21%) · 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

2024-032025-032026-0313773109GP · 2024-03: 26 FTEGP · 2024-04: 29 FTEGP · 2024-05: 29 FTEGP · 2024-06: 32 FTEGP · 2024-07: 31 FTEGP · 2024-08: 34 FTEGP · 2024-09: 32 FTEGP · 2024-10: 32 FTEGP · 2024-11: 32 FTEGP · 2024-12: 33 FTEGP · 2025-01: 34 FTEGP · 2025-02: 34 FTEGP · 2025-03: 34 FTEGP · 2025-04: 33 FTEGP · 2025-05: 32 FTEGP · 2025-06: 32 FTEGP · 2025-07: 32 FTEGP · 2025-08: 35 FTEGP · 2025-09: 33 FTEGP · 2025-10: 37 FTEGP · 2025-11: 37 FTEGP · 2025-12: 37 FTEGP · 2026-01: 36 FTEGP · 2026-02: 35 FTEGP · 2026-03: 34 FTENurse · 2024-03: 25 FTENurse · 2024-04: 26 FTENurse · 2024-05: 26 FTENurse · 2024-06: 24 FTENurse · 2024-07: 24 FTENurse · 2024-08: 24 FTENurse · 2024-09: 23 FTENurse · 2024-10: 23 FTENurse · 2024-11: 24 FTENurse · 2024-12: 23 FTENurse · 2025-01: 23 FTENurse · 2025-02: 23 FTENurse · 2025-03: 23 FTENurse · 2025-04: 23 FTENurse · 2025-05: 23 FTENurse · 2025-06: 23 FTENurse · 2025-07: 23 FTENurse · 2025-08: 23 FTENurse · 2025-09: 23 FTENurse · 2025-10: 19 FTENurse · 2025-11: 21 FTENurse · 2025-12: 20 FTENurse · 2026-01: 20 FTENurse · 2026-02: 21 FTENurse · 2026-03: 21 FTEDPC · 2024-03: 11 FTEDPC · 2024-04: 11 FTEDPC · 2024-05: 11 FTEDPC · 2024-06: 14 FTEDPC · 2024-07: 14 FTEDPC · 2024-08: 14 FTEDPC · 2024-09: 14 FTEDPC · 2024-10: 14 FTEDPC · 2024-11: 14 FTEDPC · 2024-12: 14 FTEDPC · 2025-01: 14 FTEDPC · 2025-02: 14 FTEDPC · 2025-03: 14 FTEDPC · 2025-04: 14 FTEDPC · 2025-05: 14 FTEDPC · 2025-06: 14 FTEDPC · 2025-07: 14 FTEDPC · 2025-08: 14 FTEDPC · 2025-09: 14 FTEDPC · 2025-10: 14 FTEDPC · 2025-11: 15 FTEDPC · 2025-12: 14 FTEDPC · 2026-01: 14 FTEDPC · 2026-02: 16 FTEDPC · 2026-03: 16 FTEAdmin · 2024-03: 75 FTEAdmin · 2024-04: 75 FTEAdmin · 2024-05: 74 FTEAdmin · 2024-06: 75 FTEAdmin · 2024-07: 76 FTEAdmin · 2024-08: 72 FTEAdmin · 2024-09: 71 FTEAdmin · 2024-10: 71 FTEAdmin · 2024-11: 72 FTEAdmin · 2024-12: 72 FTEAdmin · 2025-01: 72 FTEAdmin · 2025-02: 74 FTEAdmin · 2025-03: 73 FTEAdmin · 2025-04: 73 FTEAdmin · 2025-05: 74 FTEAdmin · 2025-06: 73 FTEAdmin · 2025-07: 73 FTEAdmin · 2025-08: 73 FTEAdmin · 2025-09: 73 FTEAdmin · 2025-10: 86 FTEAdmin · 2025-11: 98 FTEAdmin · 2025-12: 97 FTEAdmin · 2026-01: 97 FTEAdmin · 2026-02: 97 FTEAdmin · 2026-03: 97 FTE

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

Patient experience (GPPS)

Overall good53.6%
Phone easy8.6%
Website easy39.6%
100.0% coverage

Prescribing volume

1.77

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.