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GP IT auto registration functionality

NHS England is delivering a roll-out of auto registration functionality. Find out what this means for GP practices and their staff.

Auto registration integrates the Register with a GP surgery service with your surgery's clinical systems. v

This will reduce the amount of time it takes to register a patient at GP surgeries. A pilot started in spring 2025 with a small number of surgeries using SystemOne/TPP. This functionality is now available to all SystemOne/TPP users via NHS Profile Manager.

Information for Optum (formerly EMIS) users

Some Optum (formerly EMIS) practices are running a pilot of auto registration functionality. This pilot will run until October 2025.


How auto registration functionality works

Data from a small group of patients using the Register with a GP surgery service will be transferred automatically into your clinical systems. This will create a new record for the patient. 

You will not need to use your existing manual process for these patients.

You will see automated registrations in your Open Tasks list. You can then review the new patient record.


Patient criteria for auto registration

These patients have the highest level of identity verification. They will: 

  • be over 18 years old 
  • use NHS login 
  • be in the practice catchment area
  • be transferring from another GP surgery
  • not have a sensitive marker or Special Allocation Scheme (SAS) flag on their patient record

All other patients should be handled using your existing processes for registrations.

All other patient registrations should be handled using your existing processes. They will not appear in your Open Tasks list.


What you still need to do for new patients

You still need to review patient information that is transferred into your clinical systems. However, this will take less time for patients who meet the criteria. This is because a record will already be created in your clinical systems.

You can also search for a new patient's record using the patient's name and NHS number.

Information you still need to review

Some data items will still need to be reviewed and updated, including:

  • emergency contact
  • next of kin
  • BMI
  • Armed Forces status
  • any comments a patient has made as part of a health question response (for example, pre-existing conditions)

Assigning a new GP

Practices can change the named GP that is assigned to a patient who comes in through auto registration. ​

​In SystmOne, you can change the named GP in the Record section using the Named GP template. 

Rejecting a registration

You will not be able to reject a registration that is transferred to your clinical systems. You should follow your standard practice procedures for removing them. 


Blocking patients from auto registration

We introduced a new feature on Wednesday 03 September. It prevents patients from being auto registered at your practice if they have:​

· previously been registered at your practice​

And have:​

· an immediate removal code against their PDS record (also known as an RDI code)​

If the patient meets these criteria, they will not be auto registered at your practice. You will receivea patient registration email, which you can review using your existing manual processes.​

If you have any feedback, or you need support, please raise a ServiceNow ticket.​


How to sign up for auto registration

NHS England and TPP have chosen an opt-in approach to auto registration based on practice feedback that they want to ensure that they remain in control of registrations.​

From 10 July 2025 practices can sign up to auto registration using NHS Profile Manager.​

How to turn on auto registration in NHS Profile Manager​

  • Log in to NHS Profile Manager. ​
  • Go to your surgery settings page.​
  • Select auto registration.​
  • Select yes to turn on auto registration.

If your surgery already uses robotic process automation (RPA)

Any registrations that meet the criteria for auto registration will be processed that way. Any other registrations will be processed by the ​automated registration provider you currently use

Any additional information that you collect through an RPA provider, such as a local health form, will not be affected by auto registration.


Guidance and support

We have a guidance hub for practices using the service. 

These articles will help you:

  • get started using the service 

  • learn how to manage the service

Contact the team if you:

  • still need help with the service
  • have questions about auto registration
  • want to provide feedback to help us improve the service

Weekly webinars

We host a webinar every Wednesday between 11am and 12pm to provide updates and information about the auto registration roll out. This call is for regional, system digital and primary care leads, as well as practice admin leads and teams.

You can ask to be approved to join any of the following webinars:  

 

Last edited: 16 September 2025 12:46 pm