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Online GP patient auto registration pilot: how it went and national roll-out

NHS England recently finished a pilot with GP practices in England using the TPP system to assess new auto registration functionality through the online service. The new feature can reduce the administrative burden that practices face when processing registrations. 

The pilot was a success, and so in the coming months, NHS England will roll out the auto registration functionality across all TPP practices. It will not be mandatory for practices to opt-in to use the auto registration functionality, but they risk missing the time-saving benefits it provides.  

While adopting this new functionality is not obligatory, practices are reminded that they have to offer patients both online registration and the offline PRF1 form options. 

You can find out more about the results of the pilot and when you can expect to get the functionality in your own systems below.  


How auto registration functionality works

The new auto registration functionality integrates the national Register with a GP surgery service with your surgery's clinical systems. This is to save you time when processing new patient registrations. 

Registrations that meet all the following criteria will be automatically added to your systems, instead of you having to manually add them. The criteria for auto registration will apply to those patients who: 

  • are aged 18 or older 
  • are in your practice catchment area 
  • are transferring from another practice in England 
  • used NHS login to apply 
  • do not have sensitive markers or Special Allocation Scheme (SAS) flags on their records 

Patient registration applications that do not fulfil the above criteria will need to be processed via your standard registration processes. 


How the pilot performed

Auto registration saves practices' time

Pilot practices have noticed considerable time savings in processing auto registrations in comparison to regular registrations. 

The average time for a practice currently to accept a Personal Demographics Service (PDS) update is 3.06 days. 

For pilot practices using auto registration, the average time to accept a PDS update was 17 minutes, 44 seconds. Registrations were usually completed in less than 1 day

Pilot practice feedback has been positive

Pilot practices were asked to complete a weekly diary study to reflect on their experience using the new functionality. 

On a scale of 1-7 (7 being strongly agree), practices scored: 

  • 5.7 for satisfaction with the new functionality 
  • 4.7 for increase in time to focus on other work 
  • 5.2 for reduction in admin burden 
We have had no problems. Saves admin time as it’s already in the system.  
The integration is brilliant, it is a really easy and seamless way of registering patients.  
Fine, easy to do, quick. We have found that it is easy and simple to use. We are confident as to where to find the new registrations on SystmOne. We are also confident that the patient is registered.

What happens next

NHS England and TPP will be rolling out the functionality to more TPP practices on a regional basis through late June and into July. You will be notified in SystmOne when the auto registration functionality is available in your region. 

In future, you will be able to turn the auto registration feature on and off in NHS Profile Manager. 


Timetable for regional roll-out

The below table outlines when the auto registration feature will be available in respective NHS ICBs.  

Available from NHS ICB Regions
End of June
  • NHS Mid and South Essex  
  • NHS Bedfordshire, Luton, and Milton Keynes 
  • NHS Bath and North East Somerset, Swindon, and Wiltshire 
  • NHS North West London 
Early July
  • NHS Norfolk and Waverley  
  • NHS West Yorkshire  
  • NHS Gloucestershire  
  • NHS Leicester, Leicestershire, and Rutland  
  • NHS South Yorkshire  
  • NHS Dorset 
Early July
  • NHS Cambridgeshire and Peterborough 
  • NHS Humber and North Yorkshire  
  • NHS Lincolnshire 
  • NHS Suffolk and North East Essex 
  • NHS Northamptonshire 
  • NHS Cornwall and the Isles of Scilly  
  • NHS Hertfordshire and West Essex  
  • NHS North East and North Cumbria  
  • NHS Sussex  
  • NHS Derby and Derbyshire 
Mid July
  • NHS Devon  
  • NHS Hampshire and Isle of Wight  
  • NHS Birmingham and Solihull  
  • NHS Black Country 
  • NHS North East London  
  • NHS Cheshire and Merseyside  
  • NHS Greater Manchester  
  • NHS Buckinghamshire, Oxfordshire, and Berkshire West  
  • NHS Surrey Heartlands  
  • NHS Nottingham and Nottinghamshire  
  • NHS Staffordshire and Stoke-on-Trent 

 


Help and support

If you want to learn more about the functionality, or you need help with the Register with a GP surgery service, you can: 

 

Last edited: 27 June 2025 12:03 pm