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Archive Year: 2021

October 2021 2019/20 Pensions Annual Allowance Charge Compensation Policy: GP Applications

GP application forms received between Monday 2 August 2021 and 1 October 2021 are now being processed and will be sent to NHSBSA during the autumn.


The third GP application window will open on the 13 December 2021 and close on the 11 February 2022. This will be the final application window for GPs to submit their Pensions Annual Allowance Compensation Scheme application forms to PCSE for processing ahead of the scheme deadline on 31 March 2022.


You can find further information on this here.

 

October 2021 Important information about registering Afghan refugees

We are aware that you may wish to register Afghan refugees as patients at your practice. The below information provides guidance on how to do this.

 

What mandatory information do you need?

Before you contact us for help with registering your patient, the following detail is mandatory and must be completed:

  • Title
  • Forename
  • Surname
  • Address
  • Date of Birth*
  • Gender

*If date of birth is not known, you should use 1 January and the year you think the patient was born.

Please be aware that the NHS case management system requires all of this information and it is not possible to register a patient without this detail.

 

How can we help?

If you hold all of the above detail and you are unable to register the patient, please call our Customer Support Centre on 0333 014 2884 and press 6 for Patient Registrations queries. You will need to provide the customer service agent with the above mandatory information as a minimum.

 

What will happen next?

We will handle these cases as a high priority. If you do not have this information, we are unable to raise a case. In this circumstance, please contact your Area Team or CCG.

August 2021 NHS Pensions release August Total Reward Statement

NHS Pensions refresh Total Reward Statements (TRS) and Annual Benefit Statements (ABS) in August and December each year.

For more information, please visit the NHS Pensions website at www.nhsbsa.nhs.uk/total-reward-statements.

 

Why isn’t my TRS up to date?

There are certain criteria that must be met to ensure certificates are processed in time for the August TRS:

  • A GP’s Performer List record is up to date. For more information how to do this click here
  • All historical certificates have been submitted correctly with accurate information by 28 February deadline*
  • They do not fall into an exception situation where the TRS will not show their details

* We have written to a small group of GPs to inform them that due to an increased volume in submissions, we have been unable to process their certificate in time for the August TRS release date. These will be processed for the December TRS release along with late certificate submissions.

Pension records can only be updated sequentially. This means that, if any certificates from previous years are missing, the most recent years will not show on the system. For instance, if a certificate is missing for the year 2018/19 then the ABS will only reflect the pension figures up until 2017, even if the certificates for more recent years have been submitted. 

You can check for any missing years in PCSE Online – find out more here.

If you are aware of any previous years that are missing certificates, please submit the appropriate form for the missing year via the GP Pensions service on PCSE Online. More information is available here.

Once the missing certificates are submitted correctly and processed, then this will update the system fully for the next ABS release. You can also request a pensions statement at any time directly from NHS Pensions.

More information can be found on their website https://www.nhsbsa.nhs.uk/member-hub/getting-estimate-your-pension

 

Related articles:

Member TRS and Annual Benefit Statements now available | NHSBSA

August 2021 Important update – Online Forms for Patient Registration requests

We’re changing the process for submitting patient registration requests to online. This will speed up the application process because you’ll be able provide the information needed for us to action your request when you submit the online form.


What’s changing?

There will be a dedicated online form for each type of patient registration request, and a specific date from when each form will be available to use:

  • Patient Removals – Immediate (SAS) and 8-day: available from 30 July
  • Adoption and Gender reassignment: available from 30 July
  • Confusions: available from 16 August
  • Duplicates: available from 16 August


How to complete the online form

  1. To access the form, visit the Contact Us page on the PCSE website, select the Registrations category and choose the appropriate type for your enquiry from the following list:
  • Patient removals - Immediate Removal (SAS)/ 8-day removal
  • Adoption/Gender reassignment
  • Duplicate and Confusion
  1.  Then follow these simple steps:
  • Read the introduction to the form, which contains useful guidance
  • Follow the instructions on the online form 
  • Complete the form and upload any supporting documentation
  • Submit your request

Please note, in order to submit an Immediate Removal (SAS)/ 8-day removal you must be a verified contact at the practice with PCSE. If you are not a verified contact, then your request will not be submitted.


What happens next?

For Patient removals, we will: 

  1. Review and verify the information provided within the online form – we may request additional information if necessary
  2. Process the deduction as requested
  3. Email confirmation to your practice to confirm when this has been actioned or provide the removal date in the case of 8-day deductions. Any additional actions will also be outlined
  4. Notify the patient in writing by 1st class post
  5. Complete your request and close your case

 
For Sensitive requests (gender reassignments, confusions, and duplicates), we will:

  1. Process your request and verify the information provided within the online form
  2. Involve necessary third parties in order to advance the query, and keep you updated
  3. Communicate the outcome of the query once resolved
  4. Complete your request and close your case


Where can I find more information?

You can find additional information on about Patient Registrations requests on our website.

Please note, as online forms become the main route to request Immediate Removal (SAS)/ 8 day removal, we will start to phase out the use of the 
pcse.patientremovals@nhs.net email address. We’ll update you about this in due course.

August 2021 Important update – Changes to Subject Access Requests and Access to Health Records

The process for making a Subject Access Request (SAR) or Access to Health Record (AHR) request to Primary Care Support England (PCSE) changed from 30 July 2021.

What’s changing? 

From 30 July onwards all SAR and AHR requests can be submitted via a new dedicated online form. This form has been designed to speed up the overall process for all parties by ensuring that all information needed to action your request is available at the start. The form also allows you to upload supporting documentation.
 

How to complete the online form 

To access the form, visit the 
Contact Us page on the website and select Subject Access Request as the category of your enquiry and Subject Access Request (Medical Records) as the type of enquiry.

Then follow these simple steps:

  • Select the capacity in which you’re submitting the request
  • Tell us if your request is regarding a deceased person
  • If you answer Yes, you will be taken to the Access Health Request form
  • If you answer No, you’ll be taken to the Subject Access Request form
  • Complete the form and upload the supporting documentation
  • Submit your application

Please note, if your application is for the medical records of a living patient, please contact the patient’s registered practice in the first instance.



What happens next?

We will:

  1. Process your application and order the medical record from our offsite storage facility
  2. An NHS England Health Professional will review the request and medical record in line with the Data Protection Act 2018 (DPA)
  3. If the Health Professional confirms that the records can be released, a copy of the record will be sent to you electronically by secure email
  4. Your request will be complete

You can find out more about access NHS England encrypted emails here.


Consent to email your completed request 

In agreement with NHS England, PCSE is now able to complete your request via secure email. This is also the fastest way to make a request for access to medical records.
 
Please note: by submitting your AHR or SAR request online, you are consenting to receive any communication/records via secure email.




Where can I find more information?

You can find additional information about access requests, how we verify your identity, and expected timescales on our Accessing Medical Records pages.



 

July 2021 Improvements made to Ophthalmic online system

We’re pleased to confirm the following improvements have been made to our online Ophthalmic solution following system maintenance which took place on Tuesday 13 July:

  • The issue that was preventing PCSE Online users from signing across the whole of the signature box during the past week has now been resolved
  • PVN same day substitutions are now working as expected for eGOS and PCSE Online
  • It is now possible to submit 2 x GOS 6s at the higher rate via eGOS when a GOS 6 has already been rejected for the same visit 
  • A GOS 3 for complex lens eligibility will now be accepted if the near prescription is >10D in the right or left eye only

We will continue to keep you updated on any further improvements to the system.

 

July 2021 Important changes to lateral flow device test ordering


From Monday 5 July 2021, all orders for lateral flow testing kits for primary care staff should be placed through GOV.UK instead of the PCSE site.

Staff will be able input the postcode of their workplace to ensure the tests are registered as belonging to an NHS member of staff. A box of seven tests will then be posted to their home address.

For further information about this, please read the latest update here.

A new Standard Operating Procedure and Frequently asked Questions for Primary Care Organisations can be found here.

Call 119 for any queries or email england.covid-lfd@nhs.net.

Any order placed through PCSE Online up until midnight on Sunday 4 July will be fulfilled by PCSE.

 

June 2021 Update for GP Practices: Statements on PCSE Online

 

We would like to provide you with an update regarding your practice statements and outline some initial issues that we are aware of.
 
As you know, you now need to log on to PCSE Online to view your Practice statements. This is part of the new GP Payments and Pensions functionality launched on 1 June, and of the wider NHS Digital decommissioning project for Open Exeter.
 
Since the launch we have been carefully monitoring all aspects of the new service.
 
We can confirm that payment runs are being processed successfully through the new system. Since it went live at the beginning of this month we have successfully processed 88,000 payments. 

As with any major launch of a new software system there have been some issues, which we are working to address. A summary of these actions is outlined below:


 
GSUM amounts not showing on statements
If you are a GMS practice or a PMS practice who has opted to be paid a GSUM, you may have noted that there is a defect in the system where the GSUM figure is not showing in the new Statement. We can confirm that all GSUM payments have been made. However, the detail isn’t showing on the statement breakdown.
 
The team is working to resolve this issue so the statements show all payment amounts correctly. We are sorry for the difficulties this may have caused. To check your GSUM payment you can view your previous month’s statement to get the correct figure.


 
QOF Achievement payment
We are aware that some practices haven’t received their QOF Achievement payment. Any approved payments which we have received by 18 June will be paid by the end of this month.
 

Missing pensions deductions
We have had queries about some GP pensions contributions not showing on the new statements. The team is reviewing the data and will provide further information to those affected. If you have not heard from us in the next few days and you feel that pensions deductions are missing from your statement please do get in touch with our Customer Support Centre on 0333 014 2884 who can advise further.

 
Late Payments for some Practices
We have identified that there were some missing payments in June for a small number of Practices. Overall, we’ve identified that this relates to <1% of all payments generated. Special payments are being made in June to rectify this and the affected Practices will be contacted shortly.
 
We are also aware of some areas where LMC levies were not deducted in June. These will be rectified in next month’s contractual payment and deductions will be taken for June alongside the normal July deductions to remedy the situation.
 
Finally, a further eight Practices were impacted by a defect that affected their drugs recovery payments. The team has since rectified this and is working with the relevant CCGs to manage the processing of these payments.



Missing descriptions for migrated statements
As a result of transitioning data from the older Open Exeter statement format to the new, more detailed online Statements, labels for some of the migrated data items are not showing fully. Our team are reviewing all data labels to ensure these are updated. If you have any questions about historic statements, you can still view these on Open Exeter until this is resolved.
 
Please be aware that Statements will be available to practices on PCSE Online by the contractual payment date. If you need to view previous statements, you can see these under the ‘migrated statements tab’ in your account.
 
If you have questions which aren’t covered in this update or our supporting materials, please do get in touch with our 
Customer Support Centre. We have specialist teams on hand to support all users with any queries you have on the new system.

We hope this update has been useful and thank you for your patience as we work to rectify these issues.

 

June 2021 Ophthalmic June Bulletin

We’d like to share a number of updates with you relating to the Ophthalmic Payments service from PCSE.

In this bulletin we’ve collated the latest information on:


Making claims online
We’re pleased to have seen a rise in the number of contractors now using the online claims systems with 92% submitting claims electronically during May.
 
Any contractors who are still using paper forms are being contacted to offer guidance to help make the move to online. If we haven’t contacted you yet and you would like some support with switching to online submissions, please get in touch with us at
 pcse.optomengagement@nhs.net


Patient signatures
The current expectation is patient signatures on GOS claims will become mandatory again from 1 July, so COVID 19 can no longer be used in place of a patient signature.
 
This will, however, be kept under review by the Department of Health and Social Care. If the guidance is changed, we will let you know.

 

Retrospective adjustments for sight tests
As you will be aware, the GOS sight test fee and domiciliary fees were increased on the 1 April 2021. The new rates have been paid since 28 April, any claims made after the 1st April and before 28 April will be adjusted on your July GOS payment to reflect the fee increase. This will show as an adjustment on your PCSE Online statement.



PCSE Online Performance
We're continuing work to address the ongoing system latency experienced by some users of PCSE Online in the late afternoons.

We're monitoring system performance and we anticipate an improvement following the planned migration of our data centre, which is scheduled to take place between 1900hrs on Saturday 26 June and 1100hrs on Sunday 27 June. This means PCSE Online will not be available during these times. Please refer to the Business Continuity Guidance below for system downtime.

The issues that affected some users over the weekend of 12/13 June were isolated and were not linked to the intermittent latency described above.



Business Continuity Guidance
We wanted to remind you that PCSE and NHSEI have published Business Continuity Guidance for Ophthalmic Contractors to ensure General Ophthalmic Services can continue when PCSE Online is unavailable, such as during system maintenance downtimes.

It’s important that all practice staff are familiar with the guidance available
 here.

 

Statements issue
We’re sorry we are currently unable to provide statements for old style paper claims due to a defect in the Open Exeter system managed by NHS Digital.
 
NHS Digital are investigating the issue. We will send out outstanding statements once it has been fixed.



Old Style paper claims
Please note that the Open Exeter system used for processing old paper claims is due to be decommissioned at the end of July which means if you’ve got any old style claims i.e. for sight tests conducted before 1 February 2021, you must submit these as soon as possible so we can get them processed and paid.

 
Support for rejected paper claims
We’re continuing to support contractors who are using the paper process for the majority of their GOS claims to help reduce the number of rejected forms.
 
We have been in touch with those contactors who’ve been impacted to highlight the support available. We have also produced a desk aid which is available 
here that can be printed off to help staff with paper claim submissions.
 
If you have any queries about this or any other items in this bulletin, please get in touch with us by emailing 
pcse.optomengagement@nhs.net

 

 

June 2021 Our new online GP Pensions and Payments service is live

Today (1 June) we have launched our new GP Pensions and Payments service.

The new online service will allow Practices and GPs working in General Practice to access a range of new services to help manage their payments and pensions administration.

If you’re a GP practice, you will see a number of changes including being able to view monthly Practice Statements, submit estimates and payment claims.

For any GP who is a member of the NHS Pensions Scheme as a GP Partner, Salaried GP or Locum GP, you will be able to use PCSE Online for a number of administrative tasks including submitting End of Year pensions certificates and Self-Assessment forms.

 

To find out more:

We have created useful guides for the new GP Pensions & Payments service available here and ‘How to’ videos on our YouTube channel.

 

May 2021 Important Information for Ophthalmic Users

We pleased to confirm that you can now submit eGOS claims and access PCSE Online following system maintenance to allow for the launch of a new Payments and Pensions service for the GP sector.

You can now submit any backlog of claims covering the system downtime window from 7pm on Friday 28 May until 10am (today) Sunday 30 May and continue with EGOS and PCSE Online as normal.

Please refer to the Business Continuity Guidance which has been published for Ophthalmic Contractors available here. Please take note of the additional advice relating to Performer Declarations for this major service deployment window. Extra discretion has been agreed with NHSEI whilst the system was not available.

 

May 2021 Coming 1 June: New online GP Pensions and Payments service

On 1 June we will be launching our new GP Pensions and Payments service.

The new online service will allow Practices and GPs working in General Practice to access a range of new services to help manage their payments and pensions administration.

GP Performers:

GPs who are members of the NHS Pensions Scheme as a GP Partner, Salaried GP or Locum GP, will be able to use PCSE Online for a number of administrative tasks including submitting End of Year pensions certificates and Self-Assessment forms.

PLEASE NOTE: All GP performers with existing PCSE Online accounts will receive notifications to say they have been given additional roles as GP Principal, Salaried and Locum. This is to ensure all GPs have access to all functionality. Please be aware this does not mean your role has been changed in the system, just that you have access to the roles and therefore functionality for each.

Find out more about the new GP Pensions services here.

 

GP Practices:

If you’re a GP practice, you will be able to perform a number of administrative functions via PCSE online, such as viewing monthly Practice Statements, submitting salary changes and annual estimates of pensionable pay, and approving Locum A forms.

PLEASE NOTE: These services are available only if you have been assigned the relevant role by your Practice User Administrator for the new GP Payments and Pensions services. You can find out more about the User Registration process here.

Find out more about the new GP Payments services here.

 

To find out more:

We have created useful guides for the new GP Pensions & Payments service available here and ‘How to’ videos on our YouTube channel.

 

May 2021 Ophthalmic Systems Update

 

Monday 24 May

As part of our ongoing commitment to improving your experience of using PCSE Online, here is an update on our latest system deployments:

Deployed
Builds 4.65.00 – 4.69.02 were successfully deployed on Tuesday 18 May.
This update has:

  • Improved the running of the PCSE Portal during the afternoon
  • Improved the stability of access to statements
  • Introduced overall system improvements

Build 4.69.03 was successfully deployed on Sunday 23 May.
This update has:

  • Enabled users to complete a GOS3 online when it has been issued by another practice
  • Ensured the accuracy of bi-focal/varifocal voucher categories
  • Enabled PMS users to retrieve GOS3 vouchers

 
Upcoming
PCSE Online will be unavailable from 7pm on Friday 28 May until 10am Sunday 30 May. This is to enable the launch of a major new Payments and Pensions service for the GP sector. PCSE and NHSEI have published Business Continuity Guidance for Ophthalmic Contractors to ensure General Ophthalmic Services can continue during this time, available here.

Please take note of the additional advice relating to Performer Declarations for this major service deployment window. Extra discretion has been agreed with NHSEI whilst the system is not available.

We will provide regular updates on our future deployments in due course.

 

May 2021 Transit Labels for new patient registrations are stopping

Another step closer to a digital NHS

As part of the move towards the wider digitisation of medical records, GP Practices will stop receiving Transit Labels for new patients from 20 May, except for adoption and gender reassignment patients for whom transit labels will continue to be printed.

This is the next phase in the digitisation of medical records project and follows on from the cessation of Lloyd George envelopes for new registrants earlier this year.

Practices don’t need to take any action on this at this time. Find out more below about how this will affect your practice. 

 

Why are you stopping production of the transit labels?
This project (which includes the end of production of the Lloyd George envelopes) is reducing the burden associated with the movement of paper records and freeing up space in your practice that is currently used for storage of these records. Not only will these changes help us to become one step closer to a digital NHS, it also has environmental benefits too.

Both NHSEI and PCSE are committed to being responsible organisations and are working together to reduce our carbon footprint for the services we deliver. This change will result in over 16 less tons of paper being produced and distributed across the country, which is the same weight as ten cars and equates to felling 200 trees!

 

What does this change mean for our practice?
From 20 May you will no longer receive a transit label for patients who haven’t been issued a Lloyd George envelope.

 

If I receive paperwork for a new patient but I don’t have a paper envelope to put them in, what should I do?
You should follow your usual process to scan the paperwork to include in the patient’s digital record, if this is not possible, you can create a new envelope for the patient. If the patient moves, you can request a transit label on PCSE Online. Once a transit label has been produced, a label will be issued for any subsequent movements automatically.

 

Our practice has patients in England and Wales, will this impact all our patients?
No, this will only impact your English patients, this will not impact your Welsh patients.

April 2021 Coming soon: new online GP Payments and Pensions service from PCSE

We will soon be introducing new ways for Practices and GPs to manage their payments and pensions administration. In this bulletin we’d like to update you on what is happening and when.


What is happening?

A new online GP Payments and Pensions (GPPP) service from PCSE is set to launch on 1 June this year. With this new service, Practices and GPs working in General Practice will be able to access to a range of new services to help manage their payments and pensions administration.


What is changing for GPs?

From 1 June, any GP who is a member of the NHS Pensions Scheme as a GP Partner, Salaried GP or Locum GP will be able to access an improved service from PCSE to administer their pension account.

This new service will improve the overall administration of their NHS pension by:

-       Making it easier to submit End of Year pensions certificates and Self-Assessment forms: by submitting online GPs can be sure all mandatory fields have been completed. The forms will also link in with other information to make it easier to check and complete, such as Pensions Scheme number, National Insurance number, Practice details and previous estimates of earnings.

-       More transparency on the information held: when it is time to submit End of Year annual certificates or self-assessment forms, GPs can quickly see if there are any missing records from the last 7 years. Missing certificates prevent a GP’s Annual Benefits Statement from being updated. With the new service they can easily submit these using the PCSE Online service to address this.

-       Streamline monthly locum pensions administration: by submitting Locum A forms online, Locum GPs will benefit from having practice approvals managed electronically. No more signatures required, just a simple click to approve.

Please note, this service only covers employment with NHS England & Improvement in General Practice. It does not include for instance NHS Trust employment. For a full NHS Pensions overview, including full Total Reward Statement, members need to contact the NHS Business Services Authority directly.
 

What is changing for GP practices?

With the new PCSE online service, Practices will find it easier to submit pension information such as  an Estimate of GP and Non GP Provider NHS Pensionable Profits. Practices can also provide updates on salary changes in real-time to ensure the correct pensions contributions are being deducted. This will help to avoid large adjustments being needed at the end of the financial year. Approving Locum A forms and other pensions administration work will also be made easier with the new PCSE Online functionality.

The new Payments service will allow Practices to easily submit payment claims, such as for premises or Locum cover, online. The online service will provide online validation tools, checks for any missing information and the ability to easily track where claims are in the process.

Monthly Practice Statements will also be moving to PCSE Online from 1 June. These are currently accessed via Open Exeter but, from the launch date of the GPPP service, these will only be available by accessing your PCSE Online account.


How do users access these new services?

To access this functionality you need to have a verified PCSE Online account.

PCSE is writing to all GP Practices this week to ensure we have the correct details on file for the right contact (or contacts) who will control the access within their practice to GP Payments & Pensions (GPPP) services. Once the service is live, these User Admins will then be able to log in to PCSE Online and assign the roles to their practice staff.

Most GPs already have PCSE Online accounts set up as these were granted when the Performers List service was launched in 2019. If they don’t have an account, or have yet to verify their existing account, then we would advise that they contact our User Registration team at pcse.user-registration@nhs.net

If a user already has an account but has just forgotten their log in details then they can simply go to the main PCSE Online log in page, enter their email address and select ‘Forgot password’. This will take them through the steps to quickly set up a new password.

 

What happens next?

We will be updating our website with further information on the new services and how to use them in the coming weeks. We will also be published a range of interactive user guides and videos to help you see how to use the new systems.

 

March 2021 Expanding Pharmacy Services

 

PCSE will be expanding its services for Pharmacies from 31 March

 

PCSE is expanding its services for Pharmacies this Spring. As well as the current market entry applications already processed by PCSE, we will start to manage consolidation applications too. Later this year we will also be taking on Market Exit applications.

To reflect the additional services, we will be changing the name of our Market Entry service to Pharmacy Market Management Services (PMMS) from 31 March 2021.

To find out how you can benefit from submitting your application via PCSE Online, click here.

 

January 2021 Not yet moved to online GOS claims?

Getting online is simple, to help you get started and to support you through the transition we have designed a number of resources for you. To access these resources or to find out what other contractors are saying about the online GOS claims service read more at the PCSE website here

 

To find out more about online GOS claims - book your place on one of our webinars 

We are holding two webinars on 14 and 19 January, hosted by Katrina Venerus, where you can find out more about the benefits of moving online and how to submit electronic GOS claims using PCSE Online. This is also your chance to ask questions and have us demonstrate any specific scenarios you would like to see. 

Sign up to the webinar by clicking on the icons below:

 

If you can’t make the webinar, then this will be recorded and published on our YouTube channel the following week.  

 

New style paper GOS forms available to order from 11 January

If you are not able to submit GOS claims online by 1 February 2021 you will need to use the new style paper forms. Any claims for sight tests dated from 1 February 2021 onwards submitted on old forms will be rejected as they cannot be processed by PCSE. 

If you need any supplies of new paper GOS forms, you will be able to order them from Monday 11 January 2021.  

Current paper GOS forms for use up until 31 January 2021 can be ordered up until Sunday 10 January.

How to order new forms

The forms will be available to order via the PCSE portal from Monday 11 January.  

The current forms will no longer be available to order from this date.  

Online GOS users - ordering paper forms 

Please note that, if you currently submit your claims online then you will only need a contingency stock of these new forms.  

 

January 2021 Cessation of new Lloyd George Envelope Production

A step closer to a digital NHS - the Lloyd George envelope digitisation project

The Lloyd George envelope digitisation project aims to digitise the historic paper patient records held by practices. As part of this project the way you manage medical records for new patient registrations is changing. The production and distribution of new patient paper Lloyd George envelopes will be stopping in January.

The digitisation project will reduce the burden associated with the movement of paper records and free up space in your practice that is currently used for storage of these records. At some practices this may provide additional office or clinical room capacity, improving patient experience.

Not only will these changes help us to become one step closer to a digital NHS, it also has environmental benefits too. Both NHSEI and PCSE are committed to being responsible organisations and are working together to reduce our carbon footprint for the services we deliver. This change will result in over 16 less tons of paper being produced and distributed across the country, which is the same weight as ten cars and equates to felling 200 trees!

What does this change mean for our practice?

From January you will no longer receive a new paper Lloyd George envelope for a first time registration such as a baby or new entrants to the NHS.

For frequently asked questions please click here.