NHS Logo

Archive Month: March

March 2018 Registration process for adopted patients

It is important that GP practices are aware of the steps that need to be taken when a patient is adopted. Following the process will ensure continued patient care and ensure there isn’t an impact on your practice payments.

When a patient is adopted, they are given a new NHS number and must be registered as a new patient at your practice. All previous medical information relating to the patient needs to be transferred into a newly created medical record.

The process is as follows:

  • The National Back Office send the patient’s new NHS number and any other amended details (e.g. name, address) to PCSE
  • PCSE sends the GP practice a deduction notification for the patient and emails the main contact we hold for the practice (if available) the new details for the patient  
  • GP practice accepts the deduction and registers the patient using the new details provided by PCSE. Important: Do not update the patient’s original record with their new NHS number. If this happens they will not be registered and will miss out on continuity of care
  • PCSE sends a new patient medical record envelope with the patient’s updated details to the GP practice
  • GP practice creates new patient record using new details, and transfers all previous medical information from the original medical record. Any information relating to the identity or whereabouts of the birth parents should not be included in the new record.


It is important that practices complete the new registration for the patient within five working days to ensure no interruption to patient care.

For further information please click here to download our guide for GP practices.