Total Health Excellence West PCN: primary care network practices and patient survey
Total Health Excellence West PCN is a primary care network of 4 GP practices with 42,175 registered patients (September 2026). In the 2026 GP Patient Survey, 62% of its patients described their overall experience as good, below the England figure of 77%. Its practices have 2,168 patients per qualified GP (England: 2,171).
Latest data: September 2026. Registered patients September 2026; GP Patient Survey 2026.
Across the 4 practices in Total Health Excellence West PCN with survey results, the share of patients describing their overall experience as good ranges from 49% at The New Surgery to 74% at Guildhall Surgery, with a median of 63% (England: 77%). 0 are above England and 3 below by more than the survey's margin of error. The Manor Clinic has the highest share finding it easy to get through by phone (44%, England 57%).
| Practice | Registered patients | Overall experience good | Easy to contact by phone | CQC rating | Patients per GP |
|---|---|---|---|---|---|
| Guildhall Surgery | 10,047 | 74% | 35% | Good | 3,806 |
| The Manor Clinic | 9,417 | 69% | 44% | Good | 2,352 |
| Sandgate Road | 12,537 | 57% | 25% | Good | 1,447 |
| The New Surgery | 10,174 | 49% | 36% | Good | 2,457 |
Results for the network as a whole, from 428 responses, against Kent and Medway and England.
| Survey question | Total Health Excellence West PCN | Kent and Medway | England |
|---|---|---|---|
| Overall experience good | 62% | 73% | 77% |
| Easy to contact by phone | 34% | 48% | 57% |
| Easy to contact via the website | 44% | 52% | 58% |
| Easy to contact via the NHS App | 45% | 50% | 54% |
| Reception team helpful | 77% | 82% | 85% |
| Last contact good | 56% | 67% | 73% |
| Wait for appointment about right | 62% | 65% | 69% |
| Listened to well | 83% | 85% | 87% |
| Treated with care and concern | 82% | 84% | 86% |
| Confidence and trust in the clinician | 89% | 91% | 93% |
| Needs met | 86% | 89% | 90% |
There are 2,168 registered patients per full-time-equivalent qualified GP in Total Health Excellence West PCN, close to England's 2,171 and Kent and Medway's 2,419. Practices recorded 445 appointments a month per 1,000 patients (England: 510), 49% of them face to face. 42% of appointments took place on the day they were booked (England: 45%).
20% of registered patients are aged 65 or over (England: 19%). Lists shrank by 1.5% over the year (England: shrank 1.1%).
| Measure | Total Health Excellence West PCN | Kent and Medway | England |
|---|---|---|---|
| Patients per qualified GP | 2,168 | 2,419 | 2,171 |
| Appointments per 1,000 patients a month | 445 | 457 | 510 |
| Face-to-face appointments | 49% | 62% | 63% |
| Same day as booked | 42% | 41% | 45% |
| Did not attend | 5% | 5% | 4% |
| Patients aged 65 or over | 20% | 20% | 19% |
Relative to England, the register furthest above England's rate at practices in Total Health Excellence West PCN is learning disability (1.0% against 0.6%), and the furthest below is palliative care (0.3% against 0.6%).
| Condition register | Age group | Total Health Excellence West PCN (2024/25) | England | Patients on register |
|---|---|---|---|---|
| Depression | 18+ yrs | 19.9% | 14.3% | 6,775 |
| High blood pressure | All ages | 16.2% | 15.2% | 6,933 |
| Diabetes | 17+ yrs | 8.2% | 7.9% | 2,857 |
| Asthma | 6+ yrs | 6.7% | 6.6% | 2,697 |
| Chronic kidney disease | 18+ yrs | 5.1% | 4.6% | 1,748 |
| Cancer | All ages | 4.5% | 3.8% | 1,912 |
| Coronary heart disease | All ages | 3.0% | 3.0% | 1,293 |
| COPD | All ages | 2.8% | 1.9% | 1,181 |
| Atrial fibrillation | All ages | 2.6% | 2.2% | 1,101 |
| Stroke and TIA | All ages | 2.0% | 1.9% | 871 |
| Serious mental illness | All ages | 1.6% | 1.0% | 681 |
| Osteoporosis | 50+ yrs | 1.3% | 1.2% | 220 |
| Heart failure | All ages | 1.2% | 1.1% | 511 |
| Epilepsy | 18+ yrs | 1.0% | 0.8% | 347 |
| Learning disability | All ages | 1.0% | 0.6% | 416 |
| Rheumatoid arthritis | 16+ yrs | 0.9% | 0.8% | 328 |
| Dementia | All ages | 0.9% | 0.8% | 383 |
| Peripheral arterial disease | All ages | 0.7% | 0.6% | 310 |
| Palliative care | All ages | 0.3% | 0.6% | 148 |
- Dartford Model PCN (3 practices)
- Dover Town PCN (3 practices)
- Folkestone Hythe & Rural PCN (7 practices)
- Gillingham South PCN (4 practices)
- Mid Kent PCN (5 practices)
- Sevenoaks PCN (8 practices)
- The Marsh PCN (3 practices)
- Tunbridge Wells PCN (8 practices)
Which practices are in Total Health Excellence West PCN?
Guildhall Surgery, Sandgate Road, The Manor Clinic and The New Surgery.
How do patients rate Total Health Excellence West PCN?
62% described their overall experience as good in the 2026 GP Patient Survey, below the England figure of 77%.
How many patients does Total Health Excellence West PCN cover?
42,175 registered patients across 4 practices in September 2026.
How many patients per GP does Total Health Excellence West PCN have?
2,168 per full-time-equivalent qualified GP, against 2,171 across England.