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PCSE processes new patient registrations and de-registrations at GP practices. We ensure that NHAIS (the national patient records database) reflects what is shown in each practice’s patient list.

Each quarter, we carry out a ‘close of quarter’ process to verify the quarterly patient list size for each practice.

Registering new patients at your practice

Whilst all clinical systems are slightly different, we have pulled together some hints and tips to help ensure patients are registered at practices as smoothly as possible.

  1. When completing the registration on your clinical system, please ensure that all details provided on the GMS-1 form are inputted. In particular, please ensure the following fields are complete:
  • Birthplace
  • Current home address including the postcode
  • Previous home address (where applicable) including the postcode
  1. The free text box (also termed ‘additional notes’ on some clinical systems) should only be used to confirm further details that may help us locate the patient details - such as confirming if the patient has been out of the country for a long period of time. Please do not confirm registration type in this box (i.e. new patient, baby, immigrant.)
  1. Patients moving to your practice from Northern Ireland and Scotland should be treated as a regular transfer in, as if they were moving from a practice in England.
  1. NHS number for new babies should always be provided.

Removal of patients from your practice list

To request removal of a patient from your practice list, please complete the form which can be downloaded here and email it to: pcse.patientremovals@nhs.net

This form and email address should be used for immediate removals (patients who need to be referred to the Special Allocation Scheme) and for standard eight day removal requests. 

For immediate removals, the incident must have been reported to the police and a police incident number needs to be provided to PCSE within seven days. Immediate removal requests will be processed within 24 hours of receipt of the form.



If you need to cancel a patient deduction request which you have sent to us via your clinical system, please note that removing the flag on your local clinical system will not update the request into PCSE.

To inform PCSE that you need to cancel a patient deduction request, please either email the registrations team at: pcse.registrations-preston@nhs.net  putting ‘Cancellation of deduction request’ in the email subject line, or call PCSE on 0333 014 2884 and select option 6.

As part of the services we provide, PCSE regularly writes directly to patients (for example through our screening administration, new patient registration, and practice merger and closure programmes).

In line with current procedures, if a letter is returned to PCSE as the patient has moved house, we are required to raise an FP69 flag on the NHAIS system. This will update the GP practice’s clinical system. The practice should then check the address directly with the patient, and confirm or update the address on their clinical system.

If PCSE doesn’t receive confirmation from the practice (via the link) that the patient is either still at the address or at a new address within 6 months of the FP69 flag being raised, the patient will then be removed from the GP’s patient list.  

Should the letter be returned to us as ‘moved abroad’ or ‘deceased’ the appropriate action would be taken to deduct the patient from NHAIS as O/R (other reason).  

New registrants include babies, patients recently arrived from overseas and any other patients who have an NHS number allocated for the first time at the point of registration.

All new registrants to the NHS will be issued a new medical record envelope (also known as the Lloyd George envelope) that will be sent to the GP with whom they registered. This will arrive on your usual weekly courier delivery that delivers and picks up your records requested for movement / transfer.

PCSE will then send a new registration letter directly to the patient’s home address.

Replacement registration letters or medical cards are not provided. If a patient needs their NHS number, they can get this from their current GP.

It can sometimes take time to process and send out the letters to patients. It should be with the patient in the coming weeks.

It is likely that the change is still being processed on our system, through SPINE. It can take some time for the change to be validated, so please wait a few days and check the system again. If it is still not visible, then please contact us.