Workforce
Productivity Overview: January 2026
- 2.1 million registered patients
- 1 million attended appointments
- 1.28 million patient contacts (not including walk-in contacts)
HIOW Productivity Overview – Jan 2026
Workforce Overview: January 2026
- 2.1 million patients
- Registered to 142 active practices
- 962 GP Partners and Salaried GPs
- 2,247 patients per GP
HIOW Workforce Overview – Jan 2026
General Practice and Secondary Care Workforce – March 2026
- 2,158,540 registered patients (as of 1 Apr 2026)
- Secondary Care: 3,728 consultants & doctors = 579 patients per consultant/doctor
- Primary Care: 1,045 GPs – 2,066 patients per GP
HIOW General Practice and Secondary Care Workforce Mar 2026
GP Patient Survey 2026
74% of patients who answered the survey described their GP practice as good or very good. An increase from 72% in 2025 and 71% in 2024.
Workload
HIOW OPEL Rating for July 2026
OPEL 
Across July, practices reported persistently high patient demand, particularly through online consultations. Annual leave, sickness and recruitment difficulties reduced capacity, lengthened routine appointment waits and increased complaints and pressure on staff wellbeing. Heat, technology issues and limited locum cover added further strain
Appointment Data: June 2026
- 1.1 million appointments
- 649k face-to-face appointments
- 43% same-day appointments
- 54k missed appointments
HIOW Appointment Data – June 2026
Appointment Overview: January 2026
- 1 million attended appointments
- 534k GP-led appointments
- 501k Same-day appointments
HIOW Appointment Overview January 2026
Patient Demand: January 2026
- 1.28 million online and telephone contacts
- 368k contacts between 8am and 10am
- 61k – the average number of daily calls and submissions
HIOW Patient Demand January 2026
An average day in NHS England 2025/2026
General Practice handles 81% of same-day NHS England contacts.
Funding
Missed appointments in June 2026 – the cost to the NHS
- 54k missed appointments
- 11k lost clinical hours
- £2.5m – the cost of lost staff time to the NHS
Cost of DNA – HIOW – June 2026
80% of Same-Day Appointments, Just 8.3% of the Funding
Primary care is handling the vast majority of same-day face-to-face demand, while A&E accounts for a smaller but critical share of immediate care activity.
HIOW A & E vs Same Day GP Appointments 2025-2026
General Practice Funding Value since 2019
General Practice Funding is now worth £620 million LESS than in April 2019 due to inflation.
General Practice Funding value has fallen due to inflation
90% of NHS Consultations for 7% of the budget.
90% of NHS consultations occur in General Practice for 7% of the NHS Budget.
% of NHS Funding spent on General Practice
Less than the cost of an apple
General practice received only 34p per patient per day — less than the price of a single apple.
General Practice is being overwhelmed. Here is why …

Complete Current Data Pack.
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Archived Data Slides.
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