To request the immediate or 8-day removal of a patient, please use our dedicated, secure Patient Removals Form;
If you are unable to submit an online form for any reason, please download and complete the Removal Request Paper Form and email this to firstname.lastname@example.org.
Immediate removal requests can also be made by phone by calling the PCSE Customer Support Centre on 0333 014 2884.
Click on the tile to access all support and guidance related to patient registrations.
An immediate removal can only be requested when an incident involving the patient has been reported to the police by your practice. The removal of a patient in these circumstances results in them being allocated to a provider of the Special Allocation Scheme (SAS).
A request to remove the patient should be made to the Patient Registrations team at PCSE via the Contact Us form, email or phone.
Please note: the Police Incident number must be supplied to PCSE either immediately or within 7 days of the removal request (if not available when the request is submitted). Please ensure this is clarified on the removal request if not immediately available.
Before submitting a request you should ensure that the circumstances meet the criteria set out by NHS England in the Primary Medical Care Policy and Guidance Manual (PGM) - Section 7. Special Allocation Scheme. PCSE is not responsible for determining if a patient meets the criteria for immediate removal, other than confirming the incident has been reported to the Police, this is the responsibility of the reporting practice.
Where the information provided does not meet the criteria the request will be rejected by PCSE and the GP directed to the PGM for further guidance on how to proceed. If you require any further guidance in regards to immediate removals, please contact your local commissioner. Please note that PCSE do not hold lists of commissioner details.
Eight-day removal requests are initiated by the GP as a result of a breakdown in relationship between the GP and the patient.
Before submitting a request you should ensure that the criteria outlined in the NHS England Primary Medical Care Policy and Guidance Manual (PGM) (Section 3. Managing Patient Lists subsection Removing a Patient from a Practice List) has been met.
GP Practices should provide the patient with a prior warning, before requesting a deduction unless there are extenuating circumstances – please refer to the PGM. If a request is received that does not meet the criteria it will be rejected by PCSE with any additional information requested. Upon receipt of a valid request, PCSE will process it within 24 hours and the patient is notified. Any prior warning should be within 12 months of the eight-day removal request.
After a request has been validated and the deduction has been initialised within PCSE, the patient is notified immediately via letter, delivered first class. The patient notification informs them of the practice’s decision to remove them, the date the deduction will be finalised and advises them of what action they now need to take, to register elsewhere.
PCSE will notify the GP that the request has been processed. The patient will be deducted after 8 days, unless a registration is received from another practice sooner.
If you require any further guidance in regards to eight-day removals, please contact your local commissioner. Please note that PCSE do not hold lists of commissioner details.
PCSE will reject a removal request when it does not meet the criteria outlined in the relevant section of NHS England Primary Medical Care Policy and Guidance Manual (PGM).
There are a number of common reasons for removal requests being rejected, please see some examples below:
NB: To remove a patient for the above reasons, please submit a request through the GP links.
It should be emphasised that NHS England and PCSE do not encourage this type of removal due to the potential clinical implications of patients being unregistered. It is encouraged that if patients are unhappy with the services provided by a GP practice that they are advised accordingly on how to register with a different GP practice and not to remove themselves from a GP list. However, if a patient no longer wishes to be registered at any GP surgery, PCSE place the patient on a pending deduction that runs for 14 days. To do so, the patient must send confirmation in the form of a signed letter expressing their desire to be removed. They can send this letter direct to the following address: Primary Care Support England, PO Box 350, Darlington, DL1 9QN.
Alternatively, the patient can direct this letter to their GP and the GP can scan and send the letter via email to email@example.com for action. Following this, the patient will have no recorded GP after 14 calendar days. PCSE will send out a confirmation letter to the patient providing their removal date. The GP requesting the removal should discuss this removal with the patient to ensure that they are aware of their options.
As PCSE are governed by NHS England policy, we are unable to provide any additional guidance and any complaints or further queries should be raised to your local commissioner. Please note that PCSE do not hold lists of commissioner details.