GP Practice

Alton Street Surgery

M81044

Compare to

Registered patients

11,719

NHS Digital list size

GP FTE

12.73

NHS Digital workforce

Patients per GP FTE

921

Items per patient

1.74

prescribing volume

GPPS overall good

92.1%

patient experience

Access KPIs · August 2025

Same-day %

61.6%

Month: August 2025

Appts per 1K patients

536

all bookings (incl. triage)

Patient contacts per 1K

484

F2F + phone + video only

28+ day backlog

4.1%

long-wait share

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

Operating model mix · August 2025

Face-to-face40.4%
Telephone49.9%
Video / online0.1%
Triage2.2%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %61.6%43.0%+18.6%
Face-to-face %40.4%58.4%-18.0%
Telephone %49.9%21.9%+28.0%
Appts per 1K536.3479.7+56.6
Triage %2.2%8.7%-6.5%

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)

2023-072024-082025-080265278Same-day % · 2023-07: 55.9%Same-day % · 2023-08: 56.2%Same-day % · 2023-09: 39.2%Same-day % · 2023-10: 50.7%Same-day % · 2023-12: 56.7%Same-day % · 2024-01: 56.9%Same-day % · 2024-02: 57.4%Same-day % · 2024-03: 56.7%Same-day % · 2024-04: 60.9%Same-day % · 2024-05: 59.9%Same-day % · 2024-06: 57.9%Same-day % · 2024-07: 52.7%Same-day % · 2024-08: 58.2%Same-day % · 2024-09: 58.7%Same-day % · 2024-11: 51.0%Same-day % · 2024-12: 54.9%Same-day % · 2025-01: 58.2%Same-day % · 2025-02: 55.5%Same-day % · 2025-03: 56.5%Same-day % · 2025-04: 52.2%Same-day % · 2025-05: 55.7%Same-day % · 2025-06: 56.5%Same-day % · 2025-07: 58.6%Same-day % · 2025-08: 61.6%F2F % · 2023-07: 59.2%F2F % · 2023-08: 62.2%F2F % · 2023-09: 69.8%F2F % · 2023-10: 58.5%F2F % · 2023-12: 50.4%F2F % · 2024-01: 51.0%F2F % · 2024-02: 51.4%F2F % · 2024-03: 51.3%F2F % · 2024-04: 52.8%F2F % · 2024-05: 53.4%F2F % · 2024-06: 51.6%F2F % · 2024-07: 54.2%F2F % · 2024-08: 50.7%F2F % · 2024-09: 48.4%F2F % · 2024-11: 51.7%F2F % · 2024-12: 50.8%F2F % · 2025-01: 48.1%F2F % · 2025-02: 47.2%F2F % · 2025-03: 47.3%F2F % · 2025-04: 50.5%F2F % · 2025-05: 47.1%F2F % · 2025-06: 44.9%F2F % · 2025-07: 43.0%F2F % · 2025-08: 40.4%Phone % · 2023-07: 40.3%Phone % · 2023-08: 37.3%Phone % · 2023-09: 29.9%Phone % · 2023-10: 40.7%Phone % · 2023-12: 47.0%Phone % · 2024-01: 44.2%Phone % · 2024-02: 43.4%Phone % · 2024-03: 42.6%Phone % · 2024-04: 41.6%Phone % · 2024-05: 41.5%Phone % · 2024-06: 43.3%Phone % · 2024-07: 37.9%Phone % · 2024-08: 41.9%Phone % · 2024-09: 43.5%Phone % · 2024-11: 39.3%Phone % · 2024-12: 40.4%Phone % · 2025-01: 42.7%Phone % · 2025-02: 42.5%Phone % · 2025-03: 40.1%Phone % · 2025-04: 40.6%Phone % · 2025-05: 43.8%Phone % · 2025-06: 45.2%Phone % · 2025-07: 46.2%Phone % · 2025-08: 49.9%Video % · 2023-07: 0.0%Video % · 2023-08: 0.0%Video % · 2023-09: 0.0%Video % · 2023-10: 0.0%Video % · 2023-12: 0.0%Video % · 2024-01: 0.0%Video % · 2024-02: 0.0%Video % · 2024-03: 0.0%Video % · 2024-04: 0.0%Video % · 2024-05: 0.0%Video % · 2024-06: 0.0%Video % · 2024-07: 0.0%Video % · 2024-08: 0.0%Video % · 2024-09: 0.0%Video % · 2024-11: 0.0%Video % · 2024-12: 0.0%Video % · 2025-01: 0.0%Video % · 2025-02: 0.1%Video % · 2025-03: 0.2%Video % · 2025-04: 0.3%Video % · 2025-05: 0.1%Video % · 2025-06: 0.1%Video % · 2025-07: 0.1%Video % · 2025-08: 0.1%Triage % · 2023-07: 8.7%Triage % · 2023-08: 6.4%Triage % · 2023-09: 4.4%Triage % · 2023-10: 5.4%Triage % · 2023-12: 6.2%Triage % · 2024-01: 6.0%Triage % · 2024-02: 5.3%Triage % · 2024-03: 6.0%Triage % · 2024-04: 6.4%Triage % · 2024-05: 6.3%Triage % · 2024-06: 7.1%Triage % · 2024-07: 7.1%Triage % · 2024-08: 6.1%Triage % · 2024-09: 3.1%Triage % · 2024-11: 1.5%Triage % · 2024-12: 1.4%Triage % · 2025-01: 0.6%Triage % · 2025-02: 1.4%Triage % · 2025-03: 1.9%Triage % · 2025-04: 0.7%Triage % · 2025-05: 0.1%Triage % · 2025-06: 0.5%Triage % · 2025-07: 0.9%Triage % · 2025-08: 2.2%

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)

2023-072024-082025-085,1946,4307,6678,9032023-07: 6,201 appointments2023-08: 5,714 appointments2023-09: 8,544 appointments2023-10: 6,664 appointments2023-12: 5,756 appointments2024-01: 7,600 appointments2024-02: 6,817 appointments2024-03: 6,302 appointments2024-04: 6,292 appointments2024-05: 6,124 appointments2024-06: 6,026 appointments2024-07: 5,553 appointments2024-08: 5,620 appointments2024-09: 6,354 appointments2024-11: 7,114 appointments2024-12: 6,223 appointments2025-01: 6,903 appointments2025-02: 6,923 appointments2025-03: 7,179 appointments2025-04: 6,875 appointments2025-05: 6,691 appointments2025-06: 7,052 appointments2025-07: 6,680 appointments2025-08: 6,285 appointments

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

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

2023-072024-082025-084435496547602023-07: 529.1 appts per 1,000 patients2023-08: 487.6 appts per 1,000 patients2023-09: 729.1 appts per 1,000 patients2023-10: 568.6 appts per 1,000 patients2023-12: 491.2 appts per 1,000 patients2024-01: 648.5 appts per 1,000 patients2024-02: 581.7 appts per 1,000 patients2024-03: 537.8 appts per 1,000 patients2024-04: 536.9 appts per 1,000 patients2024-05: 522.6 appts per 1,000 patients2024-06: 514.2 appts per 1,000 patients2024-07: 473.8 appts per 1,000 patients2024-08: 479.6 appts per 1,000 patients2024-09: 542.2 appts per 1,000 patients2024-11: 607 appts per 1,000 patients2024-12: 531 appts per 1,000 patients2025-01: 589 appts per 1,000 patients2025-02: 590.8 appts per 1,000 patients2025-03: 612.6 appts per 1,000 patients2025-04: 586.7 appts per 1,000 patients2025-05: 571 appts per 1,000 patients2025-06: 601.8 appts per 1,000 patients2025-07: 570 appts per 1,000 patients2025-08: 536.3 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: 55.9%July 2023 · 1 day: 7.9%July 2023 · 2–7 days: 20.7%July 2023 · 8–14 days: 7.1%July 2023 · 15–21 days: 2.5%July 2023 · 22–28 days: 1.8%July 2023 · > 28 days: 4.3%August 2023 · Same day: 56.2%August 2023 · 1 day: 10.0%August 2023 · 2–7 days: 17.6%August 2023 · 8–14 days: 7.5%August 2023 · 15–21 days: 3.1%August 2023 · 22–28 days: 1.7%August 2023 · > 28 days: 3.9%September 2023 · Same day: 39.2%September 2023 · 1 day: 6.1%September 2023 · 2–7 days: 16.5%September 2023 · 8–14 days: 10.4%September 2023 · 15–21 days: 14.9%September 2023 · 22–28 days: 7.6%September 2023 · > 28 days: 5.3%October 2023 · Same day: 50.7%October 2023 · 1 day: 5.0%October 2023 · 2–7 days: 22.1%October 2023 · 8–14 days: 12.9%October 2023 · 15–21 days: 3.9%October 2023 · 22–28 days: 2.9%October 2023 · > 28 days: 2.5%December 2023 · Same day: 56.7%December 2023 · 1 day: 6.2%December 2023 · 2–7 days: 20.4%December 2023 · 8–14 days: 9.1%December 2023 · 15–21 days: 1.8%December 2023 · 22–28 days: 1.6%December 2023 · > 28 days: 4.2%January 2024 · Same day: 56.9%January 2024 · 1 day: 6.3%January 2024 · 2–7 days: 20.5%January 2024 · 8–14 days: 8.4%January 2024 · 15–21 days: 2.8%January 2024 · 22–28 days: 1.6%January 2024 · > 28 days: 3.7%February 2024 · Same day: 57.4%February 2024 · 1 day: 5.8%February 2024 · 2–7 days: 15.3%February 2024 · 8–14 days: 10.3%February 2024 · 15–21 days: 3.3%February 2024 · 22–28 days: 2.9%February 2024 · > 28 days: 5.0%March 2024 · Same day: 56.7%March 2024 · 1 day: 6.1%March 2024 · 2–7 days: 15.3%March 2024 · 8–14 days: 11.5%March 2024 · 15–21 days: 2.8%March 2024 · 22–28 days: 2.2%March 2024 · > 28 days: 5.4%April 2024 · Same day: 60.9%April 2024 · 1 day: 5.3%April 2024 · 2–7 days: 15.7%April 2024 · 8–14 days: 6.8%April 2024 · 15–21 days: 2.9%April 2024 · 22–28 days: 2.4%April 2024 · > 28 days: 6.0%May 2024 · Same day: 59.9%May 2024 · 1 day: 6.2%May 2024 · 2–7 days: 15.6%May 2024 · 8–14 days: 8.6%May 2024 · 15–21 days: 2.9%May 2024 · 22–28 days: 1.7%May 2024 · > 28 days: 5.1%June 2024 · Same day: 57.9%June 2024 · 1 day: 5.1%June 2024 · 2–7 days: 17.0%June 2024 · 8–14 days: 9.8%June 2024 · 15–21 days: 3.2%June 2024 · 22–28 days: 2.2%June 2024 · > 28 days: 4.8%July 2024 · Same day: 52.7%July 2024 · 1 day: 4.6%July 2024 · 2–7 days: 18.6%July 2024 · 8–14 days: 9.5%July 2024 · 15–21 days: 3.8%July 2024 · 22–28 days: 3.6%July 2024 · > 28 days: 7.2%August 2024 · Same day: 58.2%August 2024 · 1 day: 4.2%August 2024 · 2–7 days: 12.2%August 2024 · 8–14 days: 11.4%August 2024 · 15–21 days: 5.9%August 2024 · 22–28 days: 2.6%August 2024 · > 28 days: 5.3%September 2024 · Same day: 58.7%September 2024 · 1 day: 4.2%September 2024 · 2–7 days: 13.1%September 2024 · 8–14 days: 12.3%September 2024 · 15–21 days: 3.5%September 2024 · 22–28 days: 2.4%September 2024 · > 28 days: 5.8%November 2024 · Same day: 51.0%November 2024 · 1 day: 5.3%November 2024 · 2–7 days: 14.4%November 2024 · 8–14 days: 14.6%November 2024 · 15–21 days: 4.9%November 2024 · 22–28 days: 4.0%November 2024 · > 28 days: 5.8%December 2024 · Same day: 54.9%December 2024 · 1 day: 4.4%December 2024 · 2–7 days: 19.3%December 2024 · 8–14 days: 10.4%December 2024 · 15–21 days: 3.3%December 2024 · 22–28 days: 1.9%December 2024 · > 28 days: 5.8%January 2025 · Same day: 58.2%January 2025 · 1 day: 6.2%January 2025 · 2–7 days: 21.7%January 2025 · 8–14 days: 5.6%January 2025 · 15–21 days: 2.2%January 2025 · 22–28 days: 1.7%January 2025 · > 28 days: 4.4%February 2025 · Same day: 55.5%February 2025 · 1 day: 4.9%February 2025 · 2–7 days: 18.4%February 2025 · 8–14 days: 11.5%February 2025 · 15–21 days: 3.7%February 2025 · 22–28 days: 2.6%February 2025 · > 28 days: 3.3%March 2025 · Same day: 56.5%March 2025 · 1 day: 4.8%March 2025 · 2–7 days: 12.9%March 2025 · 8–14 days: 9.8%March 2025 · 15–21 days: 7.2%March 2025 · 22–28 days: 2.8%March 2025 · > 28 days: 6.0%April 2025 · Same day: 52.2%April 2025 · 1 day: 5.5%April 2025 · 2–7 days: 11.8%April 2025 · 8–14 days: 11.7%April 2025 · 15–21 days: 7.0%April 2025 · 22–28 days: 6.8%April 2025 · > 28 days: 5.1%May 2025 · Same day: 55.7%May 2025 · 1 day: 5.9%May 2025 · 2–7 days: 14.6%May 2025 · 8–14 days: 10.9%May 2025 · 15–21 days: 3.1%May 2025 · 22–28 days: 2.1%May 2025 · > 28 days: 7.6%June 2025 · Same day: 56.5%June 2025 · 1 day: 6.0%June 2025 · 2–7 days: 18.6%June 2025 · 8–14 days: 9.9%June 2025 · 15–21 days: 2.4%June 2025 · 22–28 days: 1.7%June 2025 · > 28 days: 4.9%July 2025 · Same day: 58.6%July 2025 · 1 day: 6.4%July 2025 · 2–7 days: 18.8%July 2025 · 8–14 days: 5.8%July 2025 · 15–21 days: 2.5%July 2025 · 22–28 days: 2.1%July 2025 · > 28 days: 5.7%August 2025 · Same day: 61.6%August 2025 · 1 day: 7.2%August 2025 · 2–7 days: 15.0%August 2025 · 8–14 days: 8.1%August 2025 · 15–21 days: 2.5%August 2025 · 22–28 days: 1.5%August 2025 · > 28 days: 4.1%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

LOWscore 33/100
  • 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%
Face-to-face %-3.7%
Telephone %+4.3%
Same-day %+2.3%
Appts per 1K-2%
Triage %+6.1%

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

In August, the practice saw a notable increase in telephone appointments, rising to 49.9% compared to the trailing average of 42%. This is a significant shift, suggesting a potential change in patient preference or operational adjustments.

Several trends are worth monitoring. Firstly, the percentage of same-day appointments has increased by 2.3% month-on-month, indicating a possible rise in urgent care needs. Secondly, the triage percentage has seen a substantial increase, rising by 155.5% in August alone. This could reflect a shift in how appointments are being categorized or a response to increased demand.

To investigate these trends, the practice manager should review the August data to confirm the rise in telephone appointments aligns with any changes in patient communication policies. Additionally, verifying the significant increase in triage percentage could help understand if this is due to a change in recording practices or an actual increase in triaged cases.

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)

sameDayPct2025-08
value 61.6 · avg 55.7 ± 2.5
phonePct2025-08
value 49.9 · avg 42 ± 2.4
f2fPct2025-08
value 40.4 · avg 48.7 ± 3
phonePct2025-07
value 46.2 · avg 41.8 ± 2
f2fPct2025-07
value 43 · avg 49.4 ± 2.5
phonePct2025-06
value 45.2 · avg 41.5 ± 1.8
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

triagePct2025-08
0.9 → 2.2 (+155.5%)
triagePct2025-07
0.5 → 0.9 (+82.3%)
triagePct2025-06
0.1 → 0.5 (+213.1%)
videoPct2025-05
0.3 → 0.1 (-66.7%)
triagePct2025-05
0.7 → 0.1 (-77.7%)
videoPct2025-04
0.2 → 0.3 (+50%)
Month-on-month KPI changes greater than 30% — typically signal an operational or recording-policy shift.

CQC inspection likelihood

mediumscore 47/100medium confidence
Last inspection: 2018-03-21 · 33 months ago
  • Using CQC review date (2023-07-06) as last assessment. Original inspection date: 2018-03-21.
  • Current rating is outstanding, 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

12.73

Nurse FTE

3.01

Direct Patient Care FTE

4.96

Admin FTE

13.81

1 practices reporting · 100.0% coverage

Staff group mix

GP12.7 FTE · 37%
Nurse3.0 FTE · 9%
Direct Patient Care5.0 FTE · 14%
Admin13.8 FTE · 40%

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

Workforce composition

GP12.73 FTE · 16 headcount
Partner3.33 FTE (26%) · 4 hc
Salaried3.96 FTE (31%) · 6 hc
Training (ST/F)5.44 FTE (43%) · 6 hc
Nurses3.01 FTE · 4 headcount
Practice Nurse2.01 FTE (67%) · 3 hc
Advanced / Specialist1.00 FTE (33%) · 1 hc
Admin / Non-clinical13.80 FTE · 21 headcount
Management4.93 FTE (36%) · 5 hc
Reception / Admin5.58 FTE (40%) · 9 hc
Estates / Ancillary1.20 FTE (9%) · 3 hc
Other2.09 FTE (15%) · 4 hc
Direct Patient Care4.96 FTE · 6 headcount
Pharmacist2.00 FTE (40%) · 2 hc
HCA / Nursing Assistant2.45 FTE (49%) · 3 hc
Paramedic0.51 FTE (10%) · 1 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

2024-032025-032026-03161217GP · 2024-03: 12 FTEGP · 2024-04: 11 FTEGP · 2024-05: 11 FTEGP · 2024-06: 11 FTEGP · 2024-07: 9 FTEGP · 2024-08: 14 FTEGP · 2024-09: 13 FTEGP · 2024-10: 13 FTEGP · 2024-11: 13 FTEGP · 2024-12: 13 FTEGP · 2025-01: 13 FTEGP · 2025-02: 12 FTEGP · 2025-03: 12 FTEGP · 2025-04: 13 FTEGP · 2025-05: 13 FTEGP · 2025-06: 13 FTEGP · 2025-07: 13 FTEGP · 2025-08: 14 FTEGP · 2025-09: 14 FTEGP · 2025-10: 15 FTEGP · 2025-11: 14 FTEGP · 2025-12: 10 FTEGP · 2026-01: 10 FTEGP · 2026-02: 12 FTEGP · 2026-03: 13 FTENurse · 2024-03: 3 FTENurse · 2024-04: 3 FTENurse · 2024-05: 3 FTENurse · 2024-06: 3 FTENurse · 2024-07: 3 FTENurse · 2024-08: 3 FTENurse · 2024-09: 3 FTENurse · 2024-10: 4 FTENurse · 2024-11: 3 FTENurse · 2024-12: 3 FTENurse · 2025-01: 3 FTENurse · 2025-02: 3 FTENurse · 2025-03: 3 FTENurse · 2025-04: 3 FTENurse · 2025-05: 3 FTENurse · 2025-06: 3 FTENurse · 2025-07: 3 FTENurse · 2025-08: 3 FTENurse · 2025-09: 3 FTENurse · 2025-10: 3 FTENurse · 2025-11: 3 FTENurse · 2025-12: 3 FTENurse · 2026-01: 3 FTENurse · 2026-02: 3 FTENurse · 2026-03: 3 FTEDPC · 2024-03: 4 FTEDPC · 2024-04: 4 FTEDPC · 2024-05: 4 FTEDPC · 2024-06: 4 FTEDPC · 2024-07: 4 FTEDPC · 2024-08: 4 FTEDPC · 2024-09: 4 FTEDPC · 2024-10: 4 FTEDPC · 2024-11: 4 FTEDPC · 2024-12: 4 FTEDPC · 2025-01: 4 FTEDPC · 2025-02: 4 FTEDPC · 2025-03: 4 FTEDPC · 2025-04: 4 FTEDPC · 2025-05: 4 FTEDPC · 2025-06: 4 FTEDPC · 2025-07: 5 FTEDPC · 2025-08: 5 FTEDPC · 2025-09: 5 FTEDPC · 2025-10: 5 FTEDPC · 2025-11: 5 FTEDPC · 2025-12: 5 FTEDPC · 2026-01: 5 FTEDPC · 2026-02: 5 FTEDPC · 2026-03: 5 FTEAdmin · 2024-03: 14 FTEAdmin · 2024-04: 14 FTEAdmin · 2024-05: 14 FTEAdmin · 2024-06: 15 FTEAdmin · 2024-07: 15 FTEAdmin · 2024-08: 15 FTEAdmin · 2024-09: 15 FTEAdmin · 2024-10: 15 FTEAdmin · 2024-11: 15 FTEAdmin · 2024-12: 15 FTEAdmin · 2025-01: 15 FTEAdmin · 2025-02: 15 FTEAdmin · 2025-03: 14 FTEAdmin · 2025-04: 14 FTEAdmin · 2025-05: 13 FTEAdmin · 2025-06: 13 FTEAdmin · 2025-07: 14 FTEAdmin · 2025-08: 14 FTEAdmin · 2025-09: 14 FTEAdmin · 2025-10: 13 FTEAdmin · 2025-11: 13 FTEAdmin · 2025-12: 13 FTEAdmin · 2026-01: 14 FTEAdmin · 2026-02: 14 FTEAdmin · 2026-03: 14 FTE

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

Patient experience (GPPS)

Overall good92.1%
Phone easy30.8%
Website easy1.0%
100.0% coverage

Prescribing volume

1.74

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.