{
  "report_version": "0.3",
  "practice": {
    "ods_code": "Y02849",
    "practice_name": "City Health Centre",
    "display_name": "City Health Centre",
    "website_url": "https://www.gtdhealthcare.co.uk/cityhealthcentre",
    "website_identity": "shared GTD patient microsite on the gtdhealthcare.co.uk domain",
    "nhs_profile_url": "https://www.nhs.uk/services/gp-surgery/city-health-centre/Y02849",
    "telephone": "0161 839 6227",
    "postcode": "M1 1PL",
    "registered_patient_count": 15321,
    "google_review_score": 4.5,
    "google_review_count": 11
  },
  "investigation": {
    "collected_at": "2026-03-13",
    "method": "practice-specific exploratory review of the live public site, checking homepage, appointments, prescriptions and contact content from the point of view of a logged-out patient",
    "website_confirmation": "The practice-specific GTD microsite matches the NHS profile route naming and the live pages consistently present City Health Centre as the patient-facing site."
  },
  "headline": "City Health Centre is the clear GTD outlier in this batch because it routes patients into Accurx rather than PATCHS. The appointments page pushes a direct Accurx form, urgent health-problem requests are only open online from 7:30am to 12pm and can close earlier at high demand, routine and admin requests stay open until 6:30pm, and the prescriptions page still permits email contact.",
  "subjective_scores": {
    "scored_on": "2026-03-13",
    "scale": "1_to_5_higher_is_better",
    "front_door_clarity": 4,
    "digital_task_coverage": 3,
    "journey_ease": 3,
    "trust_and_maintenance": 3,
    "complaints_and_fallbacks": 3,
    "overall_patient_usability": 3,
    "summary": "The Accurx-led route is clearer than most GTD peers, but urgent-window limits and mixed prescription handling stop it feeling consistently strong."
  },
  "website_stack": {
    "observed_on": "2026-03-13",
    "items": [
      {
        "status": "live",
        "label": "Public website stack",
        "platform": "GTD-managed practice microsite",
        "evidence": [
          "The public site lives on a practice-specific path under gtdhealthcare.co.uk.",
          "The page titles and headings consistently name City Health Centre."
        ]
      },
      {
        "status": "live",
        "label": "Primary request platform",
        "platform": "Accurx Patient Portal",
        "evidence": [
          "The appointments page links the online request form to https://accurx.nhs.uk/patient-initiated/y02849.",
          "That direct route resolves live with the title Contact us about your request - Accurx Patient Portal."
        ]
      }
    ]
  },
  "discovered_paths": [
    {
      "discovered_on": "2026-03-13",
      "task": "urgent or routine medical request",
      "label": "Appointments page from homepage navigation",
      "steps_from_home": 1,
      "url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/appointments"
    },
    {
      "discovered_on": "2026-03-13",
      "task": "urgent or routine medical request",
      "label": "Direct Accurx route from appointments page",
      "steps_from_home": 2,
      "url": "https://accurx.nhs.uk/patient-initiated/y02849"
    },
    {
      "discovered_on": "2026-03-13",
      "task": "repeat prescription",
      "label": "Prescriptions page",
      "steps_from_home": 1,
      "url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/prescriptions"
    },
    {
      "discovered_on": "2026-03-13",
      "task": "complaint",
      "label": "Contact page containing complaints details",
      "steps_from_home": 1,
      "url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/contact-us"
    }
  ],
  "basic_runtime_checks": {
    "checked_on": "2026-03-13",
    "method": "simple live HTTP fetch timing of the routes used during review; this is a lightweight availability check, not a full browser performance test",
    "checks": [
      {
        "label": "homepage",
        "url": "https://www.gtdhealthcare.co.uk/cityhealthcentre",
        "final_url": "https://www.gtdhealthcare.co.uk/cityhealthcentre",
        "status": "live",
        "title": "City Health Centre :: gtd healthcare",
        "load_ms": 545.1
      },
      {
        "label": "appointments",
        "url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/appointments",
        "final_url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/appointments",
        "status": "live",
        "title": "Appointments :: gtd healthcare",
        "load_ms": 391.3
      },
      {
        "label": "prescriptions",
        "url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/prescriptions",
        "final_url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/prescriptions",
        "status": "live",
        "title": "Prescriptions :: gtd healthcare",
        "load_ms": 532.1
      },
      {
        "label": "contact",
        "url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/contact-us",
        "final_url": "https://www.gtdhealthcare.co.uk/cityhealthcentre/contact-us",
        "status": "live",
        "title": "Contact us :: gtd healthcare",
        "load_ms": 405.9
      },
      {
        "label": "accurx",
        "url": "https://accurx.nhs.uk/patient-initiated/y02849",
        "final_url": "https://accurx.nhs.uk/patient-initiated/y02849",
        "status": "live",
        "title": "Contact us about your request - Accurx Patient Portal",
        "load_ms": 142.9
      }
    ]
  },
  "task_checks": [
    {
      "task": "urgent same-day help",
      "checked_on": "2026-03-13",
      "route_found": true,
      "first_actionable_page": "https://www.gtdhealthcare.co.uk/cityhealthcentre/appointments",
      "steps_from_home": 1,
      "user_visible_interactions": 1,
      "observed_workflow": [
        "The appointments page says the quickest and easiest route is the online request form for a health problem.",
        "For health-problem requests the form is available Monday to Friday from 7:30am to 12pm and may close earlier in times of high demand.",
        "The page says these urgent requests are reviewed by a GP the same working day, with phone fallback if needed."
      ],
      "friction": [
        "The urgent online window is narrow and explicitly demand-limited, so a patient can meet a visible route that has already closed."
      ]
    },
    {
      "task": "routine medical request or appointment",
      "checked_on": "2026-03-13",
      "route_found": true,
      "first_actionable_page": "https://accurx.nhs.uk/patient-initiated/y02849",
      "steps_from_home": 2,
      "user_visible_interactions": 2,
      "observed_workflow": [
        "Homepage to Appointments is one click, then the online request form link opens the Accurx portal.",
        "The appointments page says routine and administrative requests are accepted via the same online form Monday to Friday from 7:30am to 6:30pm.",
        "It says routine requests are usually reviewed within one to two working days."
      ],
      "friction": [
        "The patient has to interpret different opening windows for urgent versus routine use of the same online form."
      ]
    },
    {
      "task": "repeat prescription",
      "checked_on": "2026-03-13",
      "route_found": true,
      "first_actionable_page": "https://www.gtdhealthcare.co.uk/cityhealthcentre/prescriptions",
      "steps_from_home": 1,
      "user_visible_interactions": 1,
      "observed_workflow": [
        "The prescriptions page says the NHS account is the easiest route for repeat prescriptions.",
        "It also exposes the practice email address gmicb-mh.cityhealthcentre@nhs.net for prescription questions.",
        "It says prescriptions can usually be collected from the pharmacy three or five working days after ordering."
      ],
      "friction": [
        "Prescription handling is less standardised than core medical access because email still sits beside the digital account route."
      ]
    },
    {
      "task": "admin query",
      "checked_on": "2026-03-13",
      "route_found": true,
      "first_actionable_page": "https://accurx.nhs.uk/patient-initiated/y02849",
      "steps_from_home": 2,
      "user_visible_interactions": 2,
      "observed_workflow": [
        "The appointments page explicitly says administrative requests should use the online request form.",
        "It lists examples including repeat prescription requests, fit note requests, test results, referral follow-up and doctor's letters.",
        "The page says these are usually reviewed within one to two working days."
      ],
      "friction": [
        "Admin tasks are bundled into the same Accurx route as routine clinical triage, so patients still have to trust the single funnel."
      ]
    },
    {
      "task": "complaint or formal negative feedback",
      "checked_on": "2026-03-13",
      "route_found": true,
      "first_actionable_page": "https://www.gtdhealthcare.co.uk/cityhealthcentre/contact-us",
      "steps_from_home": 1,
      "user_visible_interactions": 1,
      "observed_workflow": [
        "The contact page contains a dedicated complaints and feedback section.",
        "It gives both local practice-manager contact details and a central GTD complaints team contact.",
        "The page also links to a comments, compliments and complaints leaflet."
      ],
      "friction": [
        "Complaints are handled from the contact page rather than a clearly separate complaints page."
      ]
    }
  ],
  "replay_hints": [
    {
      "task": "routine or admin request",
      "start_url": "https://www.gtdhealthcare.co.uk/cityhealthcentre",
      "visible_next_step": "Appointments, then Click here to access the online request form",
      "expected_destination": "https://accurx.nhs.uk/patient-initiated/y02849"
    },
    {
      "task": "complaint",
      "start_url": "https://www.gtdhealthcare.co.uk/cityhealthcentre",
      "visible_next_step": "Contact us",
      "expected_destination": "https://www.gtdhealthcare.co.uk/cityhealthcentre/contact-us"
    }
  ],
  "encountered_issues": [
    {
      "encountered_on": "2026-03-13",
      "issue_type": "limited_urgent_online_window",
      "details": "The appointments page says urgent health-problem requests are only open online from 7:30am to 12pm and may close earlier at high demand."
    },
    {
      "encountered_on": "2026-03-13",
      "issue_type": "mixed_prescription_channels",
      "details": "The prescriptions page still exposes an email route alongside the NHS account route."
    }
  ],
  "analyst_notes": {
    "probably_true": [
      "City is materially different from the PATCHS-based GTD sites and should not be lumped in with them just because it shares the host.",
      "The site's access model is more explicit than some peers, but it still depends on a demand-limited opening window for urgent online requests."
    ],
    "needs_follow_up": [
      "Check the Accurx form fields in a real browser session.",
      "Check whether the urgent online form actually closes early on busy days or just warns that it may."
    ]
  },
  "source_pages": [
    "https://www.gtdhealthcare.co.uk/cityhealthcentre",
    "https://www.gtdhealthcare.co.uk/cityhealthcentre/appointments",
    "https://www.gtdhealthcare.co.uk/cityhealthcentre/prescriptions",
    "https://www.gtdhealthcare.co.uk/cityhealthcentre/contact-us",
    "https://accurx.nhs.uk/patient-initiated/y02849",
    "https://www.nhs.uk/services/gp-surgery/city-health-centre/Y02849"
  ]
}