GP Practice
Castle Gardens Surgery
L83105
Registered patients?NHS Digital — Patients Registered at a GP PracticePractice list size as published by NHS Digital (monthly snapshot). Parent rollups sum across all member practices that reported in the latest release.Update cadence: MonthlyOpen source ↗
6,734
NHS Digital list size
GP FTE?NHS Digital — General Practice WorkforceSum of fully-qualified GP FTE across reporting practices (latest quarterly snapshot). Excludes locums / GPs in training. Parent rollups simple-sum across member practices.Update cadence: QuarterlyOpen source ↗
5.53
NHS Digital workforce
Patients per GP FTE?NHS Digital — Workforce + Patient ListRegistered patients ÷ GP FTE, computed using only practices that reported workforce in the latest snapshot (denominators aligned to avoid inflation when coverage is < 100%). Lower = more GP capacity per patient.Update cadence: QuarterlyOpen source ↗
1,218
Items per patient?NHS Business Services Authority — Practice-level prescribing dataTotal prescribed items ÷ registered patients across the months currently held in the BSA practice-level dispensing CSV (typically the most recent 1–3 months — the dataset is sliced quarterly and our cache reflects the latest sync). Not adjusted for age, deprivation or condition mix. Compare against the same parent type for a like-for-like view.Update cadence: Monthly (BSA release)Open source ↗
2.55
prescribing volume
GPPS overall good?NHS England — GP Patient Survey (GPPS)Patient-list weighted mean of each practice's "overall good experience" %. NHS England's published ICB/national figure is GPPS-sample weighted (not list-size weighted) so small differences are expected.Update cadence: AnnualOpen source ↗
80.2%
patient experience
Access KPIs · August 2025?NHS Digital — Appointments in General PracticeLatest published month. Same-day % = appointments booked & attended same day ÷ total. Appts per 1K = ALL booking rows ÷ (list size / 1000) — includes triage encounters, so a triage-first practice scores higher than a same-volume direct-book practice. 28+ day backlog = appts ≥28 days from booking ÷ total. Patient contacts per 1K = (face-to-face + telephone + video) ÷ (list size / 1000) — excludes triage and home visits, isolating the modes the patient actually experiences as care delivery. This is the cleaner demand-per-population comparator.Update cadence: MonthlyOpen source ↗
Same-day %
35.2%
Month: August 2025
Appts per 1K patients
691
all bookings (incl. triage)
Patient contacts per 1K
666
F2F + phone + video only
28+ day backlog
13.3%
long-wait share
Source: NHS Digital appointments dataset (latest published month).
Operating model mix · August 2025?NHS Digital — Appointments in General PracticeLatest month appointment delivery mode (Face-to-face, Telephone, Video / Online, Home Visit categorised as Triage where mode unknown). Each bar shows that mode's % share of total appointments.Update cadence: MonthlyOpen source ↗
Share of appointments by delivery channel in the latest reporting month.
vs National average?Computed in-app from national rollupEach row shows this org's value minus the synthetic NATIONAL rollup (every GP practice in England aggregated using the same methodology). Negative = below national, positive = above. Direction colour-coded ("higher = better" or "lower = better" set per metric).Update cadence: Recomputed nightly
| KPI | This practice | National avg | Δ |
|---|---|---|---|
| Same-day % | 35.2% | 43.0% | -7.8% |
| Face-to-face % | 81.9% | 58.4% | +23.5% |
| Telephone % | 13.2% | 21.9% | -8.7% |
| Appts per 1K | 691.4 | 479.7 | +211.7 |
| Triage % | 4.3% | 8.7% | -4.4% |
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)?NHS Digital — Appointments in General PracticeLast 12 published months. Each series is the monthly rate (Same-day %, F2F %, Phone %, Video %, Triage %) computed on the parent's aggregated appointment counts.Update cadence: MonthlyOpen source ↗
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)?NHS Digital — Appointments in General PracticeSum of all booked appointments (attended, did-not-attend and cancelled) across member practices, per month, for the last 12 published months.Update cadence: MonthlyOpen source ↗
Raw appointment count per month, last 24 months. Single-practice count.
Demand — appointments per 1,000 patients (last 12 months)?NHS Digital — Appointments in General PracticeTotal monthly appointments ÷ (registered list size / 1000). Normalises for population size so demand can be compared across orgs of different scale.Update cadence: MonthlyOpen source ↗
Monthly appointments per 1,000 registered patients — list-size-normalised demand. Last 24 months.
Wait time distribution · last 24 months?NHS Digital — Appointments in General PracticeDistribution of time between booking and appointment date for the latest month. Buckets: same-day, 1 day, 2–7 days, 8–14 days, 15–28 days, 28+ days.Update cadence: MonthlyOpen source ↗
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?NHS Digital — Appointments in General Practice + WorkforceComposite of same-day + triage appointment volume normalised by GP FTE. Used as a proxy for acute access pressure.Update cadence: MonthlyOpen source ↗
- Very high demand (>500 appts/1K)
- Below-average same-day access
- High long-wait rate (10.3% over 28d)
Composite score across appointment volume, same-day access and long-wait share over the last 3 months.
6-month trends?NHS Digital — Appointments in General PracticeHeadline access metrics (Same-day %, F2F %, Appts per 1K) over the last 6 published months. Sparkline points are monthly aggregates across member practices.Update cadence: MonthlyOpen source ↗
| KPI | Direction | Slope (rel %) |
|---|---|---|
| Total appointments | ↓ | -2.9% |
| Face-to-face % | → | +0.5% |
| Telephone % | ↓ | -3.4% |
| Same-day % | ↑ | +3% |
| Appts per 1K | ↓ | -2.9% |
| Triage % | ↓ | -5.2% |
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?Amazon Bedrock — Nova Lite, generated from this practice's analytics blockA short report-style summary written by Amazon Nova Lite from the practice's detected anomalies, step changes, 6-month trends, latest-month rates and demand-pressure band. The model is instructed to refuse to invent numbers and to call out only signals already present in the underlying tables. Cached at ORG#{ods}/ENRICH#access_narrative; invalidated when a new month of NHS Digital appointments data is published, and soft-stale after 30 days.Update cadence: Regenerated on data change or after 30 days
This month, the DNA rate at Castle Gardens Surgery rose significantly by 54.5% compared to the trailing average. This sharp increase is the most notable change and could indicate a need for further investigation into the reasons behind the higher rate of missed appointments.
Several trends and step changes are worth noting. The phone percentage has decreased by 3.4% month-on-month, while the video percentage has increased by 55.6% since June. These shifts may reflect changes in patient preferences or operational adjustments. Additionally, the total number of appointments has decreased by 2.9% month-on-month, which could be related to the overall demand pressure.
To confirm these signals, the practice manager should review the phone mix shift in February 2025 to see if it aligns with a system change. Additionally, verifying whether the DNA rate increase in August 2025 is due to a recording artefact or a genuine rise in missed appointments would be prudent.
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)
Step changes (6)
CQC inspection likelihood?Build It Medical — inspection likelihood modelModel output combining months since last CQC inspection, current rating, complaint signal and known incidents. Bands: High / Medium / Low / Unknown. Not a CQC official figure — an internal triage indicator.Update cadence: Recomputed nightly
- Using CQC review date (2023-07-06) as last assessment. Original inspection date: 2018-03-08.
- 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?NHS Digital — General Practice WorkforceGP / Nurse / Direct Patient Care (DPC) / Admin FTE summed across member practices. Patients-per-FTE ratios use the latest published list size as the numerator.Update cadence: QuarterlyOpen source ↗
GP FTE
5.53
Nurse FTE
3.73
Direct Patient Care FTE
5.79
Admin FTE
14.03
1 practices reporting · 100.0% coverage
Staff group mix?NHS Digital — General Practice WorkforceEach group's FTE as a % of total non-locum FTE (GP + Nurse + DPC + Admin). Latest snapshot only.Update cadence: QuarterlyOpen source ↗
Share of total FTE across reporting practices (excludes ARRS roles, which are surfaced separately at the PCN level).
Workforce composition?NHS Digital — General Practice Workforce (per-role detail)Per-role breakdown of each staff group from the long-format quarterly CSV. GP roles bucketed into Partner / Salaried / Training (ST1-ST4 / Foundation) / Locum / Retainer; Nurses into Practice Nurse / Advanced / Trainee; Admin into Management / Reception / Apprentice / Estates; DPC into Pharmacist / HCA / Paramedic / Physio / Social Prescriber. FTE summed across rows; headcount where reported.Update cadence: QuarterlyOpen source ↗
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?NHS Digital — General Practice Workforce (quarterly releases)Per-release rollup: each point sums the FTE across the same set of practices reporting in that release. A drop in the line usually means fewer practices reported (see coverage card) — not necessarily a real headcount reduction.Update cadence: QuarterlyOpen source ↗
Source: NHS Digital General Practice Workforce — 25 snapshots (2024-03 → 2026-03). Y-axis zoomed to data range.
Patient experience (GPPS)
Prescribing volume?NHS Business Services Authority — Practice-level prescribing dataTotal prescribed items ÷ registered patients across the months currently held in the BSA practice-level dispensing CSV (typically the most recent 1–3 months — the dataset is sliced quarterly and our cache reflects the latest sync). Not adjusted for age, deprivation or condition mix. Compare against the same parent type for a like-for-like view.Update cadence: Monthly (BSA release)Open source ↗
2.55
items per registered patient (latest published period)
Data sources: NHS Digital (patient list, appointments, workforce, QOF, GPPS, screening, prescribing), CQC API. Aggregations refreshed 5/26/2026.