What other practices have tried

Each entry is matched to one of the checks Tidemark reports on, with the study behind it and a link to the source.

Showing entries for Large share of unseen clinical work. Show all

Measuring hidden workload before changing anything

Appointment counts miss most of the working day.

GP Worklife Survey data suggests roughly 40% of a GP's working day is indirect work — results, correspondence, referrals, admin — none of which shows in appointment figures. The authors argue measurement has to come before redesign.

Woolford SJ et al. 'The real work of general practice: understanding our hidden workload.' Br J Gen Pract 2024;74(742):196–197.

System-level: reduce and reform, not just absorb

The RCGP's own analysis of this exact problem.

Its most practice-relevant recommendation: prioritise continuity-based care models over simplistic appointment-efficiency targets, and reflect indirect work explicitly in how capacity is planned.

RCGP. 'Tackling the GP workload crisis: from evidence to action on hidden and avoidable workload in general practice.' April 2026.