in july 2014 it was announced that from april 2015 nhs trusts must collect free text comments from patients and collect demographic variables alongside the test data. from december 2014 the test was rolled out to gp practices, and from january 2015, to mental health and community services. the number of responses collect by practices are small. in october 2015 5890 practices collected a total of 181,774 responses from patients - about one patient each day in each practice. results for each practice can vary wildly from month to month, making the scores very unreliable.