Recommendation 13

NHSE&I asked GPs and hospital doctors to add or remove people from the list, based on their clinical judgement, and as their patients’ conditions or treatments changed over time.26 However, the extent to which the list grew between 12 April and 15 May 2020 varied hugely in different areas, with increases in the list ranging from 15% in Carlisle to 352% in Hounslow, with an average increase across local authorities of 73%. This was not a small number of authorities with variance from the average 73%: 33 authorities saw their list sizes more than double between these dates, whereas 17 saw their list sizes increase by less than a third over the same period.27