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Acute same-day

32.7%

109/333

Non-urgent ≤7d

76.0%

244/321

Non-urgent ≤14d

90.3%

290/321

Inconsistent mapping

17.5%

486 appointments

Requires-attention DQ

10.5%

291 appointments

Info-only DQ flags

0.0%

0 appointments

All metrics are calculated on attended appointments only — rows with a status of Cancelled by Patient, Cancelled by Provider, Did Not Attend, or No Access Visit are excluded before any calculation is performed.

Acute same-day %

The proportion of clinically urgent attended appointments that were booked and seen on the same day.

Acute same-day attended
All attended "General Consultation Acute"

Non-urgent ≤7 days %

The proportion of routine / non-urgent attended appointments where the booking was made 7 days or fewer before the appointment.

Non-urgent attended within 7 days
All attended non-urgent

Non-urgent ≤14 days %

The same non-urgent denominator but with the threshold extended to 14 days.

Non-urgent attended within 14 days
All attended non-urgent

Acute same-day status

Red

Below target — needs operational review

Operational prompts

Clinically urgent same-day is 32.7%, below a sensible amber floor of 90%.

Inconsistent mapping is 17.5%. That is high enough to distort the contract picture.

291 rows carry a requires-attention DQ issue.

More than 10% of the filtered rows are cancelled or DNA-type statuses. Use attended-only for performance conversations.

2026/27 Contract Compliance

Contract Requirement

Clinically urgent patients must be seen on the same day

General Consultation Acute — Same Day attended
All attended General Consultation Acute
32.7% 109 of 333 acute appointments were same-day

Below target — needs operational review

Monitoring metrics (no hard target)

Non-urgent ≤7 days 76.0%
Non-urgent ≤14 days 90.3%

NHS England collects these to understand demand. Categories used: General Consultation Routine and Care Home Visit.

Recommended actions

  1. Review acute slot capacity, booking rules, and triage routing to reduce same-day leakage.
  2. Review national slot mapping and context mapping to reduce inconsistent coding.
  3. Work through requires-attention DQ issues first.
Monthly performance
Contract measured per calendar month
Month Acute appts Acute same-day % RAG Non-urgent ≤7d % Non-urgent ≤14d %
2026-01 92 32.6% Red 75.9% 89.2%
2026-02 114 36.0% Red 71.4% 89.1%
2026-03 127 29.9% Red 80.7% 92.4%
Booking-to-appointment distribution
Top national slot types
Acute same-day % by week
Non-urgent ≤7d % by week
Board report narrative
GPAD single-practice summary

Clinically urgent same-day performance is 32.7%.
Non-clinically urgent access is 76.0% within 7 days and 90.3% within 14 days.
Inconsistent mapping is 17.5%. Requires-attention DQ issues are 10.5% and information-only review flags are 0.0%.
Latest 4 weeks versus previous 4 weeks: acute same-day changed by -4.7 percentage points.
Latest month versus previous month: inconsistent mapping changed by -0.2 percentage points.

Operational prompts:
- Clinically urgent same-day is 32.7%, below a sensible amber floor of 90%.
- Inconsistent mapping is 17.5%. That is high enough to distort the contract picture.
- 291 rows carry a requires-attention DQ issue.
- More than 10% of the filtered rows are cancelled or DNA-type statuses. Use attended-only for performance conversations.

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Requires-attention DQ issues
Issue typeCount
Mode: unknown291
Status: unknown291
Context type: Admin/clerical149
Duration: unknown149
Information-only DQ flags

No information-only DQ flags found.

Slot name utilisation

Booked vs attended per practice-defined slot name. Overall utilisation: 78.0%  · 4 slot names below 70%

Slot name National slot type Booked Attended Utilisation DQ issues DQ %
Urgent GP Admin and Practice Staff Related Activities but does not fit into any other category 87 70 80.5% 21 24.1%

Booking lead-time distribution — Urgent GP

Same Day
34.5% (30)
1 Day
17.2% (15)
2 to 7 Days
26.4% (23)
8 to 10 Days
5.7% (5)
11 to 14 Days
4.6% (4)
Unknown
2.3% (2)
Admin Task Admin and Practice Staff Related Activities but does not fit into any other category 85 64 75.3% 32 37.6%

Booking lead-time distribution — Admin Task

Same Day
32.9% (28)
1 Day
10.6% (9)
2 to 7 Days
35.3% (30)
8 to 10 Days
7.1% (6)
11 to 14 Days
4.7% (4)
Unknown
7.1% (6)
Phlebotomy Admin and Practice Staff Related Activities but does not fit into any other category 80 60 75.0% 35 43.8%

Booking lead-time distribution — Phlebotomy

Same Day
36.2% (29)
1 Day
10.0% (8)
2 to 7 Days
31.2% (25)
8 to 10 Days
5.0% (4)
11 to 14 Days
11.2% (9)
Unknown
5.0% (4)
Nurse Appointment Admin and Practice Staff Related Activities but does not fit into any other category 79 65 82.3% 27 34.2%

Booking lead-time distribution — Nurse Appointment

Same Day
35.4% (28)
1 Day
7.6% (6)
2 to 7 Days
30.4% (24)
8 to 10 Days
7.6% (6)
11 to 14 Days
8.9% (7)
Unknown
3.8% (3)
Routine GP Admin and Practice Staff Related Activities but does not fit into any other category 79 62 78.5% 27 34.2%

Booking lead-time distribution — Routine GP

Same Day
31.6% (25)
1 Day
19.0% (15)
2 to 7 Days
30.4% (24)
8 to 10 Days
5.1% (4)
11 to 14 Days
5.1% (4)
Unknown
2.5% (2)
Telephone Triage Admin and Practice Staff Related Activities but does not fit into any other category 76 48 63.2% 28 36.8%

Booking lead-time distribution — Telephone Triage

Same Day
26.3% (20)
1 Day
19.7% (15)
2 to 7 Days
27.6% (21)
8 to 10 Days
6.6% (5)
11 to 14 Days
5.3% (4)
Unknown
6.6% (5)
Admin Task Care Related Encounter 73 57 78.1% 1 1.4%

Booking lead-time distribution — Admin Task

Same Day
42.5% (31)
1 Day
13.7% (10)
2 to 7 Days
24.7% (18)
8 to 10 Days
5.5% (4)
11 to 14 Days
4.1% (3)
Unknown
5.5% (4)
Nurse Appointment Care Related Encounter 72 56 77.8% 4 5.6%

Booking lead-time distribution — Nurse Appointment

Same Day
36.1% (26)
1 Day
9.7% (7)
2 to 7 Days
36.1% (26)
8 to 10 Days
5.6% (4)
11 to 14 Days
4.2% (3)
Unknown
5.6% (4)
Admin Task Urgent same day consultation 69 46 66.7% 5 7.2%

Booking lead-time distribution — Admin Task

Same Day
30.4% (21)
1 Day
15.9% (11)
2 to 7 Days
24.6% (17)
8 to 10 Days
5.8% (4)
11 to 14 Days
8.7% (6)
Unknown
5.8% (4)
Telephone Triage General Consultation Acute 66 53 80.3% 2 3.0%

Booking lead-time distribution — Telephone Triage

Same Day
36.4% (24)
1 Day
21.2% (14)
2 to 7 Days
19.7% (13)
8 to 10 Days
7.6% (5)
11 to 14 Days
9.1% (6)
Unknown
3.0% (2)
Urgent GP General Consultation Routine 64 47 73.4% 3 4.7%

Booking lead-time distribution — Urgent GP

Same Day
28.1% (18)
1 Day
17.2% (11)
2 to 7 Days
32.8% (21)
8 to 10 Days
9.4% (6)
11 to 14 Days
7.8% (5)
Unknown
3.1% (2)
Telephone Triage Telephone Consultation 63 52 82.5% 2 3.2%

Booking lead-time distribution — Telephone Triage

Same Day
42.9% (27)
1 Day
15.9% (10)
2 to 7 Days
23.8% (15)
8 to 10 Days
3.2% (2)
11 to 14 Days
4.8% (3)
Unknown
4.8% (3)
Routine GP Nurse appointment 62 50 80.6% 4 6.5%

Booking lead-time distribution — Routine GP

Same Day
32.3% (20)
1 Day
12.9% (8)
2 to 7 Days
30.6% (19)
8 to 10 Days
6.5% (4)
11 to 14 Days
4.8% (3)
Unknown
4.8% (3)
Urgent GP Home Visit 62 50 80.6% 3 4.8%

Booking lead-time distribution — Urgent GP

Same Day
40.3% (25)
1 Day
14.5% (9)
2 to 7 Days
30.6% (19)
8 to 10 Days
4.8% (3)
11 to 14 Days
3.2% (2)
Unknown
1.6% (1)
Routine GP Care Related Encounter 61 46 75.4% 4 6.6%

Booking lead-time distribution — Routine GP

Same Day
29.5% (18)
1 Day
13.1% (8)
2 to 7 Days
42.6% (26)
8 to 10 Days
3.3% (2)
11 to 14 Days
3.3% (2)
Unknown
4.9% (3)
Phlebotomy Urgent same day consultation 60 48 80.0% 2 3.3%

Booking lead-time distribution — Phlebotomy

Same Day
38.3% (23)
1 Day
15.0% (9)
2 to 7 Days
28.3% (17)
8 to 10 Days
8.3% (5)
11 to 14 Days
1.7% (1)
Unknown
6.7% (4)
Urgent GP Urgent same day consultation 60 45 75.0% 6 10.0%

Booking lead-time distribution — Urgent GP

Same Day
30.0% (18)
1 Day
10.0% (6)
2 to 7 Days
43.3% (26)
8 to 10 Days
5.0% (3)
11 to 14 Days
3.3% (2)
Unknown
1.7% (1)
Routine GP Home Visit 59 45 76.3% 5 8.5%

Booking lead-time distribution — Routine GP

Same Day
40.7% (24)
1 Day
15.3% (9)
2 to 7 Days
20.3% (12)
8 to 10 Days
5.1% (3)
11 to 14 Days
6.8% (4)
Unknown
3.4% (2)
Nurse Appointment Telephone Consultation 59 48 81.4% 1 1.7%

Booking lead-time distribution — Nurse Appointment

Same Day
25.4% (15)
1 Day
20.3% (12)
2 to 7 Days
37.3% (22)
8 to 10 Days
8.5% (5)
11 to 14 Days
1.7% (1)
Unknown
5.1% (3)
Admin Task General Consultation Routine 59 42 71.2% 4 6.8%

Booking lead-time distribution — Admin Task

Same Day
23.7% (14)
1 Day
20.3% (12)
2 to 7 Days
20.3% (12)
8 to 10 Days
6.8% (4)
11 to 14 Days
10.2% (6)
Unknown
10.2% (6)
Admin Task Home Visit 58 45 77.6% 4 6.9%

Booking lead-time distribution — Admin Task

Same Day
25.9% (15)
1 Day
20.7% (12)
2 to 7 Days
24.1% (14)
8 to 10 Days
8.6% (5)
11 to 14 Days
10.3% (6)
Unknown
8.6% (5)
Routine GP Urgent same day consultation 58 51 87.9% 1 1.7%

Booking lead-time distribution — Routine GP

Same Day
24.1% (14)
1 Day
25.9% (15)
2 to 7 Days
25.9% (15)
8 to 10 Days
1.7% (1)
11 to 14 Days
6.9% (4)
Unknown
5.2% (3)
Nurse Appointment General Consultation Acute 57 47 82.5% 3 5.3%

Booking lead-time distribution — Nurse Appointment

Same Day
28.1% (16)
1 Day
15.8% (9)
2 to 7 Days
28.1% (16)
8 to 10 Days
1.8% (1)
11 to 14 Days
7.0% (4)
Unknown
10.5% (6)
Telephone Triage General Consultation Routine 55 43 78.2% 4 7.3%

Booking lead-time distribution — Telephone Triage

Same Day
25.5% (14)
1 Day
12.7% (7)
2 to 7 Days
36.4% (20)
8 to 10 Days
5.5% (3)
11 to 14 Days
9.1% (5)
Unknown
5.5% (3)
Phlebotomy General Consultation Acute 55 38 69.1% 7 12.7%

Booking lead-time distribution — Phlebotomy

Same Day
29.1% (16)
1 Day
14.5% (8)
2 to 7 Days
27.3% (15)
8 to 10 Days
3.6% (2)
11 to 14 Days
7.3% (4)
Unknown
10.9% (6)
Phlebotomy General Consultation Routine 54 45 83.3% 1 1.9%

Booking lead-time distribution — Phlebotomy

Same Day
37.0% (20)
1 Day
18.5% (10)
2 to 7 Days
18.5% (10)
8 to 10 Days
11.1% (6)
11 to 14 Days
5.6% (3)
Unknown
5.6% (3)
Telephone Triage Care Related Encounter 53 42 79.2% 5 9.4%

Booking lead-time distribution — Telephone Triage

Same Day
39.6% (21)
1 Day
13.2% (7)
2 to 7 Days
22.6% (12)
8 to 10 Days
7.5% (4)
11 to 14 Days
11.3% (6)
Urgent GP General Consultation Acute 53 44 83.0% 3 5.7%

Booking lead-time distribution — Urgent GP

Same Day
30.2% (16)
1 Day
18.9% (10)
2 to 7 Days
30.2% (16)
8 to 10 Days
7.5% (4)
11 to 14 Days
7.5% (4)
Unknown
3.8% (2)
Nurse Appointment Home Visit 53 43 81.1% 3 5.7%

Booking lead-time distribution — Nurse Appointment

Same Day
37.7% (20)
1 Day
7.5% (4)
2 to 7 Days
26.4% (14)
8 to 10 Days
7.5% (4)
11 to 14 Days
7.5% (4)
Unknown
7.5% (4)
Admin Task Nurse appointment 53 39 73.6% 3 5.7%

Booking lead-time distribution — Admin Task

Same Day
34.0% (18)
1 Day
13.2% (7)
2 to 7 Days
30.2% (16)
8 to 10 Days
11.3% (6)
11 to 14 Days
3.8% (2)
Urgent GP Care Related Encounter 53 42 79.2% 3 5.7%

Booking lead-time distribution — Urgent GP

Same Day
39.6% (21)
1 Day
11.3% (6)
2 to 7 Days
28.3% (15)
8 to 10 Days
5.7% (3)
11 to 14 Days
7.5% (4)
Unknown
1.9% (1)
Admin Task General Consultation Acute 52 41 78.8% 3 5.8%

Booking lead-time distribution — Admin Task

Same Day
25.0% (13)
1 Day
23.1% (12)
2 to 7 Days
26.9% (14)
11 to 14 Days
11.5% (6)
Unknown
5.8% (3)
Telephone Triage Urgent same day consultation 52 36 69.2% 4 7.7%

Booking lead-time distribution — Telephone Triage

Same Day
36.5% (19)
1 Day
11.5% (6)
2 to 7 Days
32.7% (17)
8 to 10 Days
3.8% (2)
11 to 14 Days
7.7% (4)
Unknown
1.9% (1)
Admin Task Telephone Consultation 52 37 71.2% 3 5.8%

Booking lead-time distribution — Admin Task

Same Day
32.7% (17)
1 Day
17.3% (9)
2 to 7 Days
28.8% (15)
8 to 10 Days
7.7% (4)
11 to 14 Days
5.8% (3)
Unknown
5.8% (3)
Routine GP General Consultation Acute 50 41 82.0% 2 4.0%

Booking lead-time distribution — Routine GP

Same Day
48.0% (24)
1 Day
18.0% (9)
2 to 7 Days
16.0% (8)
8 to 10 Days
6.0% (3)
11 to 14 Days
10.0% (5)
Unknown
2.0% (1)
Urgent GP Telephone Consultation 50 40 80.0% 2 4.0%

Booking lead-time distribution — Urgent GP

Same Day
48.0% (24)
1 Day
10.0% (5)
2 to 7 Days
16.0% (8)
8 to 10 Days
10.0% (5)
11 to 14 Days
4.0% (2)
Unknown
8.0% (4)
Routine GP Telephone Consultation 50 36 72.0% 7 14.0%

Booking lead-time distribution — Routine GP

Same Day
36.0% (18)
1 Day
16.0% (8)
2 to 7 Days
24.0% (12)
8 to 10 Days
2.0% (1)
11 to 14 Days
6.0% (3)
Unknown
4.0% (2)
Phlebotomy Telephone Consultation 48 41 85.4% 2 4.2%

Booking lead-time distribution — Phlebotomy

Same Day
39.6% (19)
1 Day
25.0% (12)
2 to 7 Days
18.8% (9)
8 to 10 Days
4.2% (2)
11 to 14 Days
8.3% (4)
Unknown
2.1% (1)
Nurse Appointment Nurse appointment 48 38 79.2% 1 2.1%

Booking lead-time distribution — Nurse Appointment

Same Day
31.2% (15)
1 Day
10.4% (5)
2 to 7 Days
18.8% (9)
8 to 10 Days
10.4% (5)
11 to 14 Days
18.8% (9)
Unknown
8.3% (4)
Phlebotomy Nurse appointment 48 39 81.2% 0

Booking lead-time distribution — Phlebotomy

Same Day
31.2% (15)
1 Day
22.9% (11)
2 to 7 Days
16.7% (8)
8 to 10 Days
4.2% (2)
11 to 14 Days
10.4% (5)
Unknown
8.3% (4)
Phlebotomy Care Related Encounter 47 41 87.2% 1 2.1%

Booking lead-time distribution — Phlebotomy

Same Day
34.0% (16)
1 Day
14.9% (7)
2 to 7 Days
34.0% (16)
8 to 10 Days
4.3% (2)
11 to 14 Days
2.1% (1)
Unknown
8.5% (4)
Nurse Appointment Urgent same day consultation 46 38 82.6% 1 2.2%

Booking lead-time distribution — Nurse Appointment

Same Day
32.6% (15)
1 Day
17.4% (8)
2 to 7 Days
28.3% (13)
8 to 10 Days
8.7% (4)
11 to 14 Days
4.3% (2)
Unknown
4.3% (2)
Telephone Triage Nurse appointment 46 36 78.3% 3 6.5%

Booking lead-time distribution — Telephone Triage

Same Day
32.6% (15)
1 Day
8.7% (4)
2 to 7 Days
34.8% (16)
8 to 10 Days
4.3% (2)
11 to 14 Days
4.3% (2)
Unknown
8.7% (4)
Routine GP General Consultation Routine 45 35 77.8% 1 2.2%

Booking lead-time distribution — Routine GP

Same Day
31.1% (14)
1 Day
22.2% (10)
2 to 7 Days
31.1% (14)
8 to 10 Days
6.7% (3)
11 to 14 Days
2.2% (1)
Unknown
4.4% (2)
Nurse Appointment General Consultation Routine 44 34 77.3% 2 4.5%

Booking lead-time distribution — Nurse Appointment

Same Day
31.8% (14)
1 Day
25.0% (11)
2 to 7 Days
27.3% (12)
8 to 10 Days
6.8% (3)
11 to 14 Days
2.3% (1)
Unknown
6.8% (3)
Phlebotomy Home Visit 43 33 76.7% 2 4.7%

Booking lead-time distribution — Phlebotomy

Same Day
23.3% (10)
1 Day
18.6% (8)
2 to 7 Days
32.6% (14)
8 to 10 Days
4.7% (2)
11 to 14 Days
4.7% (2)
Unknown
7.0% (3)
Telephone Triage Home Visit 43 35 81.4% 0

Booking lead-time distribution — Telephone Triage

Same Day
32.6% (14)
1 Day
9.3% (4)
2 to 7 Days
27.9% (12)
8 to 10 Days
2.3% (1)
11 to 14 Days
7.0% (3)
Unknown
11.6% (5)
Urgent GP Nurse appointment 43 38 88.4% 4 9.3%

Booking lead-time distribution — Urgent GP

Same Day
41.9% (18)
1 Day
11.6% (5)
2 to 7 Days
11.6% (5)
8 to 10 Days
14.0% (6)
11 to 14 Days
14.0% (6)

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