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NHS general practice data, analysed

Occasional England-level analysis of the open datasets behind the Arjus dashboards — QOF, CVDPREVENT and the wider NHS primary care publications — written for the practices and PCN teams who have to act on them. Practice-level versions of these numbers live in the practice summary and the monthly email digest.

A&E Activity · NHS England annual data

A&E is busier than ever, and slowly getting quicker. One in fourteen still waits twelve hours.

27 September 2026 · Dr Yogasakaran Arjuna

Six years of NHS England’s A&E data to March 2026, written for GPs: a record 26.6 million visits, with the growth in minor injury and urgent treatment units rather than hospital emergency departments; waits over four hours falling for a third year but still far off target; 1.8 million visits lasting over twelve hours, unchanged for four years; people from the poorest neighbourhoods visiting nearly twice as often as the richest; two in three who simply turn up; a twenty-point gap between the best and worst areas; and what it means for your practice.

26.6m
Attendances in 2025/26 — a record, up 3.2%
27.5%
Over four hours — from 33.6% in 2022/23; standard is 5%
1.84m
Attendances lasting over twelve hours — one in fourteen
×1.9
Attendance rate, most deprived tenth vs least deprived
Read the analysis Explore the A&E dashboard
Mental Health Services · MHSDS

Mental health caseloads are up 31% in three years. NHS trusts are not where the growth is.

20 September 2026 · Dr Yogasakaran Arjuna

Three years of NHS England’s mental health services data to July 2026: 2.4 million people in contact, but the NHS trust caseload is up only 8% while independent assessment providers have quadrupled to 680,000 people. One appointment in six is missed, with a four-and-a-half-fold gap between ICBs; community waits are improving from a very low base; and one child in ten still waits eight months for a first contact.

2.41m
People in contact, July 2026 — up 31% since Sep 2023
×4.3
Independent-provider caseload in three years; NHS trusts +8%
15.4%
Appointments missed — 7% to 33% across ICBs
21.6%
Adult community referrals seen within 4 weeks, from 10.5%
Read the analysis Explore the mental health dashboard
For patients · Choosing a GP surgery

How to choose a GP surgery: what the numbers can tell you, and what they can’t

13 September 2026 · Dr Yogasakaran Arjuna

My mother asked which surgery to move to. Here is how a GP reads the published NHS data on any practice in England — catchment first, then patient experience, phone-system data, continuity, the clinical measures that QOF points hide, and why a CQC “Good” is a floor rather than a ranking — plus the three things no dataset can tell you.

77%
Patients rating their practice good overall (England)
25%
Callers who hang up before being answered
42%
Patients who usually see their preferred GP
88%
Practices rated Good — nearly half of those ratings pre-date 2019
Read the guide Find a GP near me
Hospital Waiting Times · Consultant-led RTT

The year-long waits are vanishing. The six-month surgical waits are not.

9 September 2026 · Dr Yogasakaran Arjuna

England and ICB-level analysis of three years of waiting-times data to June 2026: the list is 600,000 below its 2023 peak and year-long waits have fallen 45% in twelve months — but patients admitted for surgery still typically wait around six months, the queue-snapshot median hides it, and the gap between the best and worst ICBs runs five-fold on the admitted wait.

−45%
Year-long waits in twelve months — 106,621 remain
7.18m
Waiting list — 600k below the August 2023 peak
24.3 wks
Typical wait of patients admitted for T&O surgery
5×
ICB gap in admitted waits — 3.7 vs 20.9 weeks
Read the analysis Explore the waiting times dashboard
QOF 2025/26 · Disease Register Prevalence

The registers grew by 1.88 million. The population didn't.

31 August 2026 · Dr Yogasakaran Arjuna

England-level analysis of the QOF 2025/26 publication: 1.88 million more register entries on a registered population that actually shrank. Hypertension crosses ten million, heart failure and pre-diabetes grow fastest, asthma stalls — and osteoporosis is the only register that shrank. All 21 registers, year on year, with the caveats that matter when reading recorded prevalence.

+1.88m
Register entries added across 21 registers (+3.7%)
10.04m
Hypertension register — first time over ten million
+349k
Pre-diabetes (NDH), the largest single rise
−7,826
Osteoporosis — the only register that shrank
Read the analysis
NHS 10 Year Plan · Neighbourhood Health

Neighbourhoods, SNPs and MNPs: a plain-English guide

27 August 2026 · Dr Yogasakaran Arjuna

A year on from the 10 Year Health Plan, neighbourhood health has gone from slogan to consultation document. What SNP and MNP contracts actually are, how the local variation of the PCN DES fits in, what's protected, who might sit above your PCN at scale — and the consultation deadline of 10 September 2026 that general practice shouldn't miss. Fully referenced from NHS England, DHSC, Pulse and HSJ.

Read the guide
CVD Prevention · National Audit

CVDPREVENT: England, to March 2026

25 August 2026 · Dr Yogasakaran Arjuna

The March 2026 extraction is the first full quarter to show what happens when a fifth of QOF is torn up and re-aimed at cardiovascular prevention: blood pressure control hit a record high, lipid optimisation accelerated, smoking-cessation support fell off a cliff — and seven new indicators set the national baseline for SGLT2 inhibitors.

71.4%
BP controlled, hypertension <80 — record high
+4.7 pts
CVD patients at cholesterol target, year on year
−13.2 pts
Smokers offered cessation support
1 in 3
Eligible patients on an SGLT2 inhibitor — new baseline
Read the analysis Explore the CVDPREVENT dashboard

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