Extended Hours Access 2020/21 - Practice Data Collection Form

- This form has been developed for Practices to submit their extended hours provision for the quarter

- Practices should complete this form for their own Practices and for any other Practice that it provides extended hour on behalf of

- BHNC will then collate the returns on the behalf of each Primary Care Network and submit one return to South East London Primary Care Team 

- The completed form should be retained on file by the practice

When entering figures below, only use 2 decimal places to the right of the decimal point.  (For example: 7.25)

Quarter Totals

Week Commencing

Total Number of Weekly Practice Extended Hours Offered 

Number of Appointments Offered

Number of Booked Appointments

Number of Attended Appointments

Number of Cancelled/DNA Appointments

Number of Unused Appointments

Month One

Month Two

Month Three

Declaration To Be Completed By The Practice

Once Completed, please click Submit to send form to PCN Lead who will coordinate the PCN return to the SEL PC Team

Contact Us

Bexley Health Neighbourhood Care

River House (Behind the Old Mill)

Bexley High Street

Bexley

Kent DA5 1JX

Tel: 020 8298 1965

Email:  BHNC.GPfed@nhs.net

Care Quality Commission

(CQC) regulates BHNC GP Federation C.I.C. to provide care at BHNC GP Federation C.I.C. - Head Office


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