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Practice Mergers and Closures Notifications

All practice merger and closure notifications should be made using the updated practice mergers and closures notification form, which can be downloaded here

Completed forms should be sent to your NHS England Regional Local Team (RLT) in the first instance for sight and confirmation of any proposed/planned changes. Your RLT will also need to complete section 3 of the form.

Once approved by your RLT, the responsible party should email completed forms to PCSE at: pcse.practicechanges@nhs.net copying your NHS England RLT contact. 

Please also ensure that the following are attached:

Requests for patient letters should be emailed to PCSE at: pcse.practicechanges@nhs.net

If you have any queries, answers to frequently asked questions on completing the form can be found here.

Practice merger/closure FAQs regarding payment and pension topics can be found here.


If a merger happens mid quarter, the relevant NHS England Regional Local Team (RLT) will instruct PCSE to stop making payments to one of the practices. There is a flag set on the NHAIS system which enables PCSE to do this. The RLT will instruct PCSE which payments need to move from one practice to the other. Global sum/MPIG will need to be moved once the practice lists sizes are merged and Global Sum is recalculated at the start of a new quarter. The flag will remain set as not to pay until such time that the practice is officially closed on NHAIS.