Interactive map
Open the latest Greater Manchester comparison map with review, survey and takeover context.
Main views
Open the live and context views
GTD chronology
Browse the dated working log that ties procurement, governance, takeover and trend notes together.
Operating environment
Read the role map for commissioners, providers, federations, alliances and public decision-makers around GTD.
Org navigator
Open the operator-profile view for GTD, peers, previous providers and management-company clusters.
Start here
Orientation documents
README
The wider repo overview and the longer list of packs, notes and supporting material behind this homepage.
Objectives
The short statement of aims, success criteria and the two-track strategy behind the project.
Operating environment note
The source note for the provider, commissioner, alliance and competitor landscape around GTD.
Management company method
The short note explaining how the watchlist and operator-profile layer are maintained under datasets.
Map notes
Read the generated README for the current map if you want the data notes before opening it.
Homepage guide
Key issues and the best evidence behind each one
The panels below are curated from the README and meeting packs. They are meant to reduce repetition, keep related work together, and make the strongest documents easy to open.
Issue 1
Digital front door and office-hours gating
Appointment access is still shaped by a rigid digital front door: office-hours gating, website closures and routes that are much easier for the system than for the patient.
- Tracked the local blockers in meeting packs instead of treating them as one-off bad experiences.
- Built an external evidence pack showing that website shutoffs, capped forms and digital exclusion are wider NHS access problems.
- Kept printable packs ready for meetings so the ask stays focused on always-available intake and a real non-digital fallback.
Meeting 4 goals
The clearest current statement of the local access ask, the partial progress, and the blockers that remain.
Wider GP access evidence pack
Grouped evidence on website shutoffs, phone bottlenecks and digital barriers from outside New Bank.
Nov 2025 printable access pack
A meeting-ready PDF pack covering website failures, out-of-hours closure and minimum fixes.
Issue 2
Restart loops and continuity loss
A missed call, a closed request or a partial follow-up can dump the patient back at the start. That turns access friction into delay, churn and lost continuity.
- Logged a direct patient timeline showing how unscheduled calls and incomplete follow-up create repeated failure points.
- Framed the problem as hidden exclusion and demand loss, not just inconvenience.
- Kept early and later complaint documents side by side so it is clear what changed and what did not.
Patient experience timeline
A first-person account of repeated failed attempts, mandatory calls and weak follow-up after tests.
Exclusion questions
Checks and metrics for spotting the patients who are lost before they ever show up in the usual data.
Original complaint
The baseline complaint document from December 2024, updated as the problem continued.
Issue 3
Reception pressure, patient blame and review signals
Review patterns point to a front door that can feel rude, dismissive or brittle under pressure. The project treats that as a workflow and management signal, not just a tone problem.
- Collected and grouped review extracts from New Bank rather than relying on vague anecdotes.
- Wrote a longer note on patient blame, friction-as-rationing and why missed steps should not be treated as moral failure.
- Drafted practical guidance for responding to reviews in a way that supports learning instead of defensiveness.
Patient blame note
Long-form framing on access friction, patient blame and why the current model sheds the least-resourced patients first.
Review extracts
A working markdown extract of appointment and reception-related Google review themes.
PATCHS review printoff
Printable PDF summary of low-star PATCHS reviews, useful where the workflow problem is broader than one surgery.
Reviews management guide
A practical note on claiming the Google listing and turning review replies into useful operational work.
Issue 4
Benchmarking, survey gaps and portfolio pattern
Single complaints are easy to dismiss. The project compares New Bank with survey results, nearby practices and GTD's wider footprint to show the pattern more honestly.
- Broke down GP Patient Survey gateway questions and highlighted where the survey likely misses the people who gave up.
- Built quick comparison material for meeting use, including workload context, local comparators and GTD portfolio signals.
- Published a Greater Manchester comparison map so review scores, survey data and takeover context can be read together.
Patient survey breakdown
A focused reading of the New Bank survey results, especially the gateway failures at the point of contact.
Benchmarks summary
A short reference sheet on practice size, workload, access pressures and GTD comparison points.
Google vs patient survey gap
The portfolio-level PDF showing how public review signals and survey results diverge across Greater Manchester.
Issue 5
Governance, complaint routes and change tracking
Some of the work is evidence-gathering, but some of it is about making sure there is a usable route for change, scrutiny and escalation when the local process stalls.
- Reviewed the PPG terms as an access problem in their own right, not just an admin detail.
- Mapped escalation routes beyond GTD for access and digital exclusion issues.
- Maintained a repo-level overview so meeting packs, printouts and timelines stay linked together instead of drifting apart.
PPG terms review
Review of the draft PPG terms and why a harder front door can make patient participation weaker, not stronger.
Escalation ladder
Practical routes beyond the practice for access barriers, digital exclusion and contract-management pressure.
Project overview
A repo map and chronology showing how the evidence packs, meeting notes and tools fit together.