GP Practice

Tower House Practice

N81057

Compare to

Registered patients

12,742

NHS Digital list size

GP FTE

6.61

NHS Digital workforce

Patients per GP FTE

1,928

Items per patient

2.11

prescribing volume

GPPS overall good

77.0%

patient experience

Access KPIs · August 2025

Same-day %

64.8%

Month: August 2025

Appts per 1K patients

482

all bookings (incl. triage)

Patient contacts per 1K

479

F2F + phone + video only

28+ day backlog

2.4%

long-wait share

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

Operating model mix · August 2025

Face-to-face85.1%
Telephone13.4%
Video / online0.9%
Triage44.2%

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

vs National average

KPIThis practiceNational avgΔ
Same-day %64.8%43.0%+21.8%
Face-to-face %85.1%58.4%+26.7%
Telephone %13.4%21.9%-8.5%
Appts per 1K481.9479.7+2.2
Triage %44.2%8.7%+35.5%

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)

2023-072024-082025-080326495Same-day % · 2023-07: 37.0%Same-day % · 2023-08: 28.7%Same-day % · 2023-09: 30.0%Same-day % · 2023-10: 22.3%Same-day % · 2023-12: 33.6%Same-day % · 2024-01: 34.4%Same-day % · 2024-02: 35.6%Same-day % · 2024-03: 30.3%Same-day % · 2024-04: 33.0%Same-day % · 2024-05: 34.3%Same-day % · 2024-06: 32.4%Same-day % · 2024-07: 33.3%Same-day % · 2024-08: 31.3%Same-day % · 2024-09: 30.6%Same-day % · 2024-11: 26.8%Same-day % · 2024-12: 35.6%Same-day % · 2025-01: 33.8%Same-day % · 2025-02: 30.6%Same-day % · 2025-03: 30.4%Same-day % · 2025-04: 31.1%Same-day % · 2025-05: 54.4%Same-day % · 2025-06: 31.0%Same-day % · 2025-07: 29.5%Same-day % · 2025-08: 64.8%F2F % · 2023-07: 66.8%F2F % · 2023-08: 65.7%F2F % · 2023-09: 64.9%F2F % · 2023-10: 73.8%F2F % · 2023-12: 73.1%F2F % · 2024-01: 68.9%F2F % · 2024-02: 72.3%F2F % · 2024-03: 68.7%F2F % · 2024-04: 75.1%F2F % · 2024-05: 71.5%F2F % · 2024-06: 72.2%F2F % · 2024-07: 73.1%F2F % · 2024-08: 71.7%F2F % · 2024-09: 72.3%F2F % · 2024-11: 74.3%F2F % · 2024-12: 73.7%F2F % · 2025-01: 67.8%F2F % · 2025-02: 67.5%F2F % · 2025-03: 68.0%F2F % · 2025-04: 67.2%F2F % · 2025-05: 79.9%F2F % · 2025-06: 66.5%F2F % · 2025-07: 66.5%F2F % · 2025-08: 85.1%Phone % · 2023-07: 27.7%Phone % · 2023-08: 29.5%Phone % · 2023-09: 26.7%Phone % · 2023-10: 21.2%Phone % · 2023-12: 23.9%Phone % · 2024-01: 26.3%Phone % · 2024-02: 24.7%Phone % · 2024-03: 27.4%Phone % · 2024-04: 21.4%Phone % · 2024-05: 23.8%Phone % · 2024-06: 22.8%Phone % · 2024-07: 21.4%Phone % · 2024-08: 22.4%Phone % · 2024-09: 22.0%Phone % · 2024-11: 20.3%Phone % · 2024-12: 21.5%Phone % · 2025-01: 25.2%Phone % · 2025-02: 26.3%Phone % · 2025-03: 26.2%Phone % · 2025-04: 26.0%Phone % · 2025-05: 17.2%Phone % · 2025-06: 26.1%Phone % · 2025-07: 26.7%Phone % · 2025-08: 13.4%Video % · 2023-07: 4.1%Video % · 2023-08: 3.5%Video % · 2023-09: 3.8%Video % · 2023-10: 2.8%Video % · 2023-12: 2.4%Video % · 2024-01: 3.9%Video % · 2024-02: 1.9%Video % · 2024-03: 2.7%Video % · 2024-04: 2.5%Video % · 2024-05: 3.1%Video % · 2024-06: 4.2%Video % · 2024-07: 4.1%Video % · 2024-08: 4.6%Video % · 2024-09: 4.5%Video % · 2024-11: 3.7%Video % · 2024-12: 3.7%Video % · 2025-01: 5.9%Video % · 2025-02: 5.1%Video % · 2025-03: 4.9%Video % · 2025-04: 5.6%Video % · 2025-05: 2.3%Video % · 2025-06: 6.1%Video % · 2025-07: 5.6%Video % · 2025-08: 0.9%Triage % · 2023-07: 0.0%Triage % · 2023-08: 0.0%Triage % · 2023-09: 0.0%Triage % · 2023-10: 0.0%Triage % · 2023-12: 0.0%Triage % · 2024-01: 0.0%Triage % · 2024-02: 0.0%Triage % · 2024-03: 0.0%Triage % · 2024-04: 0.0%Triage % · 2024-05: 0.0%Triage % · 2024-06: 0.0%Triage % · 2024-07: 0.0%Triage % · 2024-08: 0.0%Triage % · 2024-09: 0.0%Triage % · 2024-11: 0.0%Triage % · 2024-12: 0.0%Triage % · 2025-01: 0.0%Triage % · 2025-02: 0.0%Triage % · 2025-03: 0.0%Triage % · 2025-04: 0.0%Triage % · 2025-05: 22.6%Triage % · 2025-06: 0.0%Triage % · 2025-07: 0.0%Triage % · 2025-08: 44.2%

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)

2023-072024-082025-083,4394,4815,5246,5662023-07: 4,420 appointments2023-08: 4,425 appointments2023-09: 5,142 appointments2023-10: 6,263 appointments2023-12: 4,060 appointments2024-01: 4,926 appointments2024-02: 4,328 appointments2024-03: 4,662 appointments2024-04: 4,413 appointments2024-05: 4,366 appointments2024-06: 4,279 appointments2024-07: 4,658 appointments2024-08: 4,299 appointments2024-09: 4,394 appointments2024-11: 4,694 appointments2024-12: 3,742 appointments2025-01: 4,979 appointments2025-02: 4,079 appointments2025-03: 4,668 appointments2025-04: 3,816 appointments2025-05: 5,549 appointments2025-06: 4,140 appointments2025-07: 4,232 appointments2025-08: 6,141 appointments

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

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

2023-072024-082025-082703524335152023-07: 346.9 appts per 1,000 patients2023-08: 347.3 appts per 1,000 patients2023-09: 403.5 appts per 1,000 patients2023-10: 491.5 appts per 1,000 patients2023-12: 318.6 appts per 1,000 patients2024-01: 386.6 appts per 1,000 patients2024-02: 339.7 appts per 1,000 patients2024-03: 365.9 appts per 1,000 patients2024-04: 346.3 appts per 1,000 patients2024-05: 342.6 appts per 1,000 patients2024-06: 335.8 appts per 1,000 patients2024-07: 365.6 appts per 1,000 patients2024-08: 337.4 appts per 1,000 patients2024-09: 344.8 appts per 1,000 patients2024-11: 368.4 appts per 1,000 patients2024-12: 293.7 appts per 1,000 patients2025-01: 390.8 appts per 1,000 patients2025-02: 320.1 appts per 1,000 patients2025-03: 366.3 appts per 1,000 patients2025-04: 299.5 appts per 1,000 patients2025-05: 435.5 appts per 1,000 patients2025-06: 324.9 appts per 1,000 patients2025-07: 332.1 appts per 1,000 patients2025-08: 481.9 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: 37.0%July 2023 · 1 day: 7.2%July 2023 · 2–7 days: 13.9%July 2023 · 8–14 days: 23.0%July 2023 · 15–21 days: 7.1%July 2023 · 22–28 days: 9.3%July 2023 · > 28 days: 2.5%August 2023 · Same day: 28.7%August 2023 · 1 day: 8.9%August 2023 · 2–7 days: 15.3%August 2023 · 8–14 days: 22.0%August 2023 · 15–21 days: 10.4%August 2023 · 22–28 days: 11.1%August 2023 · > 28 days: 3.7%September 2023 · Same day: 30.0%September 2023 · 1 day: 7.4%September 2023 · 2–7 days: 14.5%September 2023 · 8–14 days: 15.8%September 2023 · 15–21 days: 15.7%September 2023 · 22–28 days: 14.4%September 2023 · > 28 days: 2.3%October 2023 · Same day: 22.3%October 2023 · 1 day: 6.4%October 2023 · 2–7 days: 11.0%October 2023 · 8–14 days: 17.3%October 2023 · 15–21 days: 9.9%October 2023 · 22–28 days: 14.6%October 2023 · > 28 days: 18.5%December 2023 · Same day: 33.6%December 2023 · 1 day: 8.8%December 2023 · 2–7 days: 11.4%December 2023 · 8–14 days: 16.5%December 2023 · 15–21 days: 12.5%December 2023 · 22–28 days: 12.2%December 2023 · > 28 days: 5.0%January 2024 · Same day: 34.4%January 2024 · 1 day: 8.8%January 2024 · 2–7 days: 19.7%January 2024 · 8–14 days: 17.6%January 2024 · 15–21 days: 5.6%January 2024 · 22–28 days: 11.2%January 2024 · > 28 days: 2.7%February 2024 · Same day: 35.6%February 2024 · 1 day: 8.1%February 2024 · 2–7 days: 12.8%February 2024 · 8–14 days: 17.0%February 2024 · 15–21 days: 13.8%February 2024 · 22–28 days: 9.8%February 2024 · > 28 days: 2.9%March 2024 · Same day: 30.3%March 2024 · 1 day: 8.0%March 2024 · 2–7 days: 13.1%March 2024 · 8–14 days: 18.8%March 2024 · 15–21 days: 9.7%March 2024 · 22–28 days: 16.7%March 2024 · > 28 days: 3.5%April 2024 · Same day: 33.0%April 2024 · 1 day: 7.5%April 2024 · 2–7 days: 11.8%April 2024 · 8–14 days: 18.8%April 2024 · 15–21 days: 12.1%April 2024 · 22–28 days: 14.0%April 2024 · > 28 days: 2.8%May 2024 · Same day: 34.3%May 2024 · 1 day: 7.1%May 2024 · 2–7 days: 11.6%May 2024 · 8–14 days: 15.8%May 2024 · 15–21 days: 14.0%May 2024 · 22–28 days: 13.1%May 2024 · > 28 days: 3.9%June 2024 · Same day: 32.4%June 2024 · 1 day: 7.1%June 2024 · 2–7 days: 11.5%June 2024 · 8–14 days: 17.1%June 2024 · 15–21 days: 13.4%June 2024 · 22–28 days: 15.2%June 2024 · > 28 days: 3.3%July 2024 · Same day: 33.3%July 2024 · 1 day: 8.5%July 2024 · 2–7 days: 12.1%July 2024 · 8–14 days: 19.4%July 2024 · 15–21 days: 10.4%July 2024 · 22–28 days: 11.5%July 2024 · > 28 days: 4.9%August 2024 · Same day: 31.3%August 2024 · 1 day: 8.3%August 2024 · 2–7 days: 13.4%August 2024 · 8–14 days: 22.4%August 2024 · 15–21 days: 9.6%August 2024 · 22–28 days: 11.7%August 2024 · > 28 days: 3.4%September 2024 · Same day: 30.6%September 2024 · 1 day: 8.2%September 2024 · 2–7 days: 12.0%September 2024 · 8–14 days: 19.1%September 2024 · 15–21 days: 16.0%September 2024 · 22–28 days: 11.5%September 2024 · > 28 days: 2.6%November 2024 · Same day: 26.8%November 2024 · 1 day: 7.6%November 2024 · 2–7 days: 12.4%November 2024 · 8–14 days: 19.2%November 2024 · 15–21 days: 12.7%November 2024 · 22–28 days: 11.0%November 2024 · > 28 days: 10.2%December 2024 · Same day: 35.6%December 2024 · 1 day: 8.0%December 2024 · 2–7 days: 13.3%December 2024 · 8–14 days: 16.2%December 2024 · 15–21 days: 10.7%December 2024 · 22–28 days: 10.2%December 2024 · > 28 days: 5.9%January 2025 · Same day: 33.8%January 2025 · 1 day: 7.9%January 2025 · 2–7 days: 16.7%January 2025 · 8–14 days: 18.5%January 2025 · 15–21 days: 8.6%January 2025 · 22–28 days: 11.1%January 2025 · > 28 days: 3.4%February 2025 · Same day: 30.6%February 2025 · 1 day: 8.3%February 2025 · 2–7 days: 12.8%February 2025 · 8–14 days: 21.2%February 2025 · 15–21 days: 12.0%February 2025 · 22–28 days: 10.4%February 2025 · > 28 days: 4.7%March 2025 · Same day: 30.4%March 2025 · 1 day: 7.1%March 2025 · 2–7 days: 10.6%March 2025 · 8–14 days: 24.0%March 2025 · 15–21 days: 11.1%March 2025 · 22–28 days: 12.7%March 2025 · > 28 days: 4.1%April 2025 · Same day: 31.1%April 2025 · 1 day: 9.3%April 2025 · 2–7 days: 11.3%April 2025 · 8–14 days: 19.3%April 2025 · 15–21 days: 10.0%April 2025 · 22–28 days: 12.7%April 2025 · > 28 days: 6.3%May 2025 · Same day: 54.4%May 2025 · 1 day: 5.3%May 2025 · 2–7 days: 7.7%May 2025 · 8–14 days: 13.4%May 2025 · 15–21 days: 8.4%May 2025 · 22–28 days: 8.1%May 2025 · > 28 days: 2.7%June 2025 · Same day: 31.0%June 2025 · 1 day: 9.2%June 2025 · 2–7 days: 12.1%June 2025 · 8–14 days: 17.1%June 2025 · 15–21 days: 15.1%June 2025 · 22–28 days: 12.3%June 2025 · > 28 days: 3.2%July 2025 · Same day: 29.5%July 2025 · 1 day: 9.4%July 2025 · 2–7 days: 12.9%July 2025 · 8–14 days: 18.7%July 2025 · 15–21 days: 12.2%July 2025 · 22–28 days: 13.9%July 2025 · > 28 days: 3.3%August 2025 · Same day: 64.8%August 2025 · 1 day: 2.7%August 2025 · 2–7 days: 8.1%August 2025 · 8–14 days: 9.9%August 2025 · 15–21 days: 7.3%August 2025 · 22–28 days: 4.8%August 2025 · > 28 days: 2.4%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
  • Moderate demand
  • Below-average same-day access

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

6-month trends

KPIDirectionSlope (rel %)
Total appointments+4.3%
Face-to-face %+2.8%
Telephone %-6.7%
Same-day %+10.2%
Appts per 1K+4.3%
Triage %+50.9%

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, Tower House Practice saw a significant increase in total appointments per thousand patients, rising to 481.9 compared to the trailing average. The face-to-face percentage also rose notably to 85.1%, surpassing the trailing average of 70.7%.

Several trends and step changes are worth noting. The phone percentage dropped by nearly 50% from 26.7% to 13.4%, while the video percentage plummeted by 84% from 5.6% to 0.9%. The triage percentage also saw a dramatic drop from 22.6% to 0% in June.

To investigate these changes, review whether the sharp drop in phone and video appointments aligns with any recent system changes or policy updates. Also, verify if the significant increase in face-to-face appointments is due to operational adjustments 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)

triagePct2025-08
value 44.2 · avg 1.9 ± 6.3
sameDayPct2025-08
value 64.8 · avg 33.2 ± 6.7
phonePct2025-08
value 13.4 · avg 23.4 ± 2.9
f2fPct2025-08
value 85.1 · avg 70.7 ± 4
total2025-08
value 6141 · avg 4437.5 ± 487
dnaRate2025-08
value 2.6 · avg 4.3 ± 0.6
Months where a KPI moved more than 2 standard deviations from its trailing 12-month average.

Step changes (6)

videoPct2025-08
5.6 → 0.9 (-83.9%)
phonePct2025-08
26.7 → 13.4 (-49.8%)
dnaRate2025-08
4.2 → 2.6 (-38.1%)
videoPct2025-06
2.3 → 6.1 (+165.2%)
phonePct2025-06
17.2 → 26.1 (+51.7%)
triagePct2025-06
22.6 → 0 (-100%)
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: 2018-10-30 · 33 months ago
  • Using CQC review date (2023-07-06) as last assessment. Original inspection date: 2018-10-30.
  • 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

6.61

Nurse FTE

2.45

Direct Patient Care FTE

2.6

Admin FTE

22.29

1 practices reporting · 100.0% coverage

Staff group mix

GP6.6 FTE · 19%
Nurse2.5 FTE · 7%
Direct Patient Care2.6 FTE · 8%
Admin22.3 FTE · 66%

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

Workforce composition

GP6.61 FTE · 8 headcount
Partner1.79 FTE (27%) · 2 hc
Salaried3.33 FTE (50%) · 4 hc
Training (ST/F)1.49 FTE (23%) · 2 hc
Nurses2.45 FTE · 3 headcount
Practice Nurse2.45 FTE (100%) · 3 hc
Admin / Non-clinical22.30 FTE · 27 headcount
Management1.79 FTE (8%) · 2 hc
Reception / Admin15.76 FTE (71%) · 20 hc
Apprentice0.80 FTE (4%) · 1 hc
Other3.95 FTE (18%) · 4 hc
Direct Patient Care2.60 FTE · 3 headcount
Pharmacist0.80 FTE (31%) · 1 hc
HCA / Nursing Assistant0.80 FTE (31%) · 1 hc
Paramedic1.00 FTE (38%) · 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

2024-032025-032026-03091928GP · 2024-03: 6 FTEGP · 2024-04: 6 FTEGP · 2024-05: 6 FTEGP · 2024-06: 6 FTEGP · 2024-07: 6 FTEGP · 2024-08: 6 FTEGP · 2024-09: 6 FTEGP · 2024-10: 5 FTEGP · 2024-11: 5 FTEGP · 2024-12: 5 FTEGP · 2025-01: 5 FTEGP · 2025-02: 5 FTEGP · 2025-03: 5 FTEGP · 2025-04: 5 FTEGP · 2025-05: 5 FTEGP · 2025-06: 5 FTEGP · 2025-07: 5 FTEGP · 2025-08: 5 FTEGP · 2025-09: 5 FTEGP · 2025-10: 5 FTEGP · 2025-11: 5 FTEGP · 2025-12: 5 FTEGP · 2026-01: 5 FTEGP · 2026-02: 7 FTEGP · 2026-03: 7 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: 3 FTENurse · 2024-11: 3 FTENurse · 2024-12: 3 FTENurse · 2025-01: 3 FTENurse · 2025-02: 3 FTENurse · 2025-03: 2 FTENurse · 2025-04: 2 FTENurse · 2025-05: 2 FTENurse · 2025-06: 2 FTENurse · 2025-07: 2 FTENurse · 2025-08: 2 FTENurse · 2025-09: 2 FTENurse · 2025-10: 2 FTENurse · 2025-11: 2 FTENurse · 2025-12: 2 FTENurse · 2026-01: 2 FTENurse · 2026-02: 2 FTENurse · 2026-03: 2 FTEDPC · 2024-03: 3 FTEDPC · 2024-04: 3 FTEDPC · 2024-05: 3 FTEDPC · 2024-06: 3 FTEDPC · 2024-07: 3 FTEDPC · 2024-08: 3 FTEDPC · 2024-09: 3 FTEDPC · 2024-10: 3 FTEDPC · 2024-11: 3 FTEDPC · 2024-12: 3 FTEDPC · 2025-01: 3 FTEDPC · 2025-02: 3 FTEDPC · 2025-03: 3 FTEDPC · 2025-04: 3 FTEDPC · 2025-05: 3 FTEDPC · 2025-06: 3 FTEDPC · 2025-07: 3 FTEDPC · 2025-08: 3 FTEDPC · 2025-09: 3 FTEDPC · 2025-10: 3 FTEDPC · 2025-11: 3 FTEDPC · 2025-12: 3 FTEDPC · 2026-01: 3 FTEDPC · 2026-02: 3 FTEDPC · 2026-03: 3 FTEAdmin · 2024-03: 24 FTEAdmin · 2024-04: 24 FTEAdmin · 2024-05: 24 FTEAdmin · 2024-06: 24 FTEAdmin · 2024-07: 24 FTEAdmin · 2024-08: 24 FTEAdmin · 2024-09: 24 FTEAdmin · 2024-10: 24 FTEAdmin · 2024-11: 24 FTEAdmin · 2024-12: 24 FTEAdmin · 2025-01: 24 FTEAdmin · 2025-02: 24 FTEAdmin · 2025-03: 25 FTEAdmin · 2025-04: 25 FTEAdmin · 2025-05: 25 FTEAdmin · 2025-06: 25 FTEAdmin · 2025-07: 25 FTEAdmin · 2025-08: 25 FTEAdmin · 2025-09: 25 FTEAdmin · 2025-10: 25 FTEAdmin · 2025-11: 25 FTEAdmin · 2025-12: 25 FTEAdmin · 2026-01: 25 FTEAdmin · 2026-02: 22 FTEAdmin · 2026-03: 22 FTE

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

Patient experience (GPPS)

Overall good77.0%
Phone easy30.3%
Website easy90.9%
100.0% coverage

Prescribing volume

2.11

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.