Manage Patient Registrations is now available for TPP SystmOne practices as part of the NHS England Register with a GP Surgery Service.
This new functionality can support up to 50% of patient registrations, being processed through Auto Registration where appropriate, while also providing practices with a managed route to review and process registrations that require additional input.
The service is a portal that lets you:
- View incoming patient registrations
- Review the information a patient gave in the online form
- Approve or reject patients
- View details of patients you approved or rejected in the last 90 days
- It will create a record for the patient in your clinical systems if you accept their registration
Redmoor Health are supporting NHSE to help you get started with this….
Redmoor Health is working in partnership with the NHS England GPREG team to support practices with the rollout of this new functionality, providing guidance, resources and practical support to help you get started confidently and make the most of the service.
Webinars
SystmOne – 15th July @ 12.00
SystmOne – 21st July @ 13.00
SystmOne – 22nd July @ 12.00
SystmOne – 28th July @ 13.00
SystmOne – 29th July @ 12.00
SystmOne – 4th August @ 13.00
SystmOne – 5th August @ 12.00
SystmOne – 11th August @ 13.00
SystmOne – 12th August @ 12.00
SystmOne – 18th August @ 12.00
SystmOne – 19th August @ 12.00
SystmOne – 25th August @ 13.00
SystmOne – 26th August @ 12.00
Drop-in Sessions
These sessions are for practices that have questions or would like support with setting up and using this new functionality.
Previous Webinars
Manage Patient Registrations (MPR) – Frequently Asked Questions
This page provides answers to commonly asked questions about Manage Patient Registrations (MPR), Auto Registration and the Register with a GP surgery service. It is intended for GP practice staff using the national GP registration service.
Last updated: July 2026
SECTION 1: Getting Started
| Do I need to complete a Data Protection Impact Assessment (DPIA)? | No. A Data Protection Impact Assessment (DPIA) is not required to use Manage Patient Registrations (MPR). |
| How do I request access to Manage Patient Registrations? | Access is managed through NHS Profile Manager.
NHS Profile Manager: https://organisation.nhswebsite.nhs.uk/ If the option to enable MPR is available:
If MPR is not yet available in NHS Profile Manager for your organisation, access can be requested through the NHS England Service Desk at https://nhsdigitallive.service-now.com/csm?id=sc_category&sys_id=0f4c30ab973792d0dd80f2df9153afcf&catalog_id=65bcd377c3011200b12d9f2974d3aea0 |
| How do I access Manage Patient Registrations (MPR)? | To access MPR, you must have the appropriate activity code assigned to your NHS Care Identity profile.
Users with the required permissions can access the MPR portal once their profile has been updated. If access has recently been requested, it may take up to 24 hours before the service becomes available. MPR Portal: https://manage-patient-registrations.gp-services.national.nhs.uk/manage-patient-registrations/ |
| Who can use Manage Patient Registrations? | Users must have the B0340 – Register Patients activity code assigned to their NHS Care Identity profile.
This permission is commonly included within roles such as:
Some organisations may also require one or more of the following activity codes:
|
| Do practices install Manage Patient Registrations? | No. MPR is a web-based service and does not require installation within the clinical system. Once the appropriate permissions have been assigned, authorised users can access the service through the MPR portal.
MPR Portal: https://manage-patient-registrations.gp-services.national.nhs.uk/manage-patient-registrations/ |
| Can the confirmation message sent to patients be customised? | No. Registration confirmation messages are currently standardised and sent by the national GP registration service.
NHS England welcomes feedback to help inform future enhancements. Provide feedback and make suggestions by raising a Service Now ticket at https://nhsdigitallive.service-now.com/csm?id=sc_category&sys_id=0f4c30ab973792d0dd80f2df9153afcf&catalog_id=65bcd377c3011200b12d9f2974d3aea0 |
| Can the online registration form show when practice staff are completing it on behalf of a patient? | Not currently.
This has been identified as a potential future enhancement for the service. |
SECTION 2: Using Manage Patient Registrations (MPR)
| How does Manage Patient Registrations (MPR) work with Auto Registration? | Manage Patient Registrations (MPR) and Auto Registration work together as part of the Register with a GP surgery service.
If a registration meets the criteria for Auto Registration, the patient is registered automatically without requiring practice review. If a registration does not qualify for Auto Registration but is suitable for review, it is presented in the MPR portal for the practice to approve or reject. Registrations that do not meet the criteria for either service continue to be sent to the practice using the existing email process. |
| Can Manage Patient Registrations be used without Auto Registration? | No. Auto Registration must be enabled to use Manage Patient Registrations.
The two services work together as part of the same registration pathway. |
| How are online registration requests processed? | Online registration requests follow one of three routes:
Registration outcome What happens Auto Registration Eligible patients are automatically registered with the practice. These registrations are visible in the Approved registrations section of MPR. Manage Patient Registrations Registrations requiring practice review appear in the MPR portal, where they can be approved or rejected. Email process Registrations that do not meet the criteria for Auto Registration or MPR continue to be sent to the practice’s shared registration email inbox. Paper registration forms continue to follow the practice’s existing registration process. |
| Why do some registrations still arrive by email? | Not all registration requests meet the eligibility criteria for Auto Registration or Manage Patient Registrations.
Where a registration cannot be processed through either service, it is sent to the practice’s shared registration email inbox for manual processing. |
| Can Auto Registration requests be reviewed before they are registered? | No.
Patients who qualify for Auto Registration meet a defined set of eligibility criteria and are registered automatically without requiring practice review. These criteria include:
Approved Auto Registrations can be viewed in the MPR portal after registration. |
| How do I know when registrations need reviewing? | Registrations requiring practice action appear in the MPR portal.
Practices are encouraged to check the portal regularly throughout the day. If registrations remain unreviewed for more than 24 hours, MPR sends a daily summary email showing the number of:
The summary email is sent to the shared registration email address configured for the GP registration service. |
| Where can I see approved registrations? | Patients who have been automatically registered are available to view in the Approved registrations section of the MPR portal.
|
| Does Manage Patient Registrations replace the existing online registration service? | No.
Manage Patient Registrations works alongside the Register with a GP surgery service. Patients continue to register using the national online registration service, with their registration then following the appropriate processing route based on eligibility. |
SECTION 3: Reviewing Registration Requests
| How do I review a registration request in Manage Patient Registrations? | Registrations that require practice review are displayed in the MPR portal.
Practices can review the information submitted by the patient before deciding whether to approve or reject the registration. Practices may decide to place the patient under review whilst they review this registration request, at this stage, the patient can be found in the Under Review section.
Approved registrations are processed through the service. Rejected registrations remain visible in the Rejected registrations section of the MPR portal for audit purposes.
This is the national guidance on rejecting registrations: https://digital.nhs.uk/services/register-with-a-gp-surgery-service/get-help-using-the-service/reasons-to-reject-a-registration |
| How are patients informed if their registration is rejected? | If a registration is rejected in MPR, the practice is responsible for informing the patient in writing.
The patient’s contact details remain available in the Rejected registrations section of the MPR portal to support this process. Note: there is UK legislation surrounding reasons for refusing to register a patient. To find out more please visit https://www.legislation.gov.uk/uksi/2015/1862/schedule/3/paragraph/21#commentary-key-27a783e1510d45f884edbc32ee2f5c83 |
| Can incomplete registrations be approved? | Yes.
If a registration contains incomplete information, practices can choose to:
The most appropriate option will depend on the information that is missing. |
| How are patients who have previously been removed from a practice list handled? | Patients who have previously been removed from a practice list following either an immediate removal or an 8-day removal are clearly identified within MPR.
These patients are never eligible for Auto Registration and must always be reviewed by the practice before a decision is made. |
| How are 8-day removals identified? | MPR automatically checks removal information held by Primary Care Support England (PCSE).
Where an immediate or 8-day removal is identified, a warning banner is displayed at the top of the registration request.
No additional coding or action is required by the practice. |
| Are immediate removals and 8-day removals treated differently? | No.
Both immediate removals and 8-day removals prevent a patient from being automatically registered. Instead, the registration is routed to MPR for practice review. |
| How are patients removed following repeated non-attendance (DNA) handled? | Repeated non-attendance (Did Not Attend or DNA) may result in an 8-day removal, depending on the circumstances and local policy.
Where a patient has previously been removed through the 8-day removal process, the registration will be flagged in MPR and require manual review. Practices should continue to follow the Primary Medical Services Policy and Guidance Manual (PGM) and PCSE guidance when considering list removals. |
| Do standard patient deductions prevent Auto Registration? | No.
Patients who have been removed through the standard deduction process (for example, a routine 30-day deduction) remain eligible for Auto Registration, provided they meet all other eligibility criteria. |
| Do historic 8-day removals still prevent Auto Registration? | Yes.
Where an immediate or 8-day removal remains recorded against a patient’s record, it will continue to prevent Auto Registration until the relevant removal information no longer applies. |
| Can Special Allocation Scheme (SAS) patients be Auto Registered? | No.
If the patient has an SAS flag on their record, then this will prevent the patient from being automatically registered. Instead, the registration is routed to MPR for practice review. At this stage, if appropriate, the practice can reject the application and signpost the patient to the most appropriate service. |
SECTION 4: Patient Registration Information
| What information is collected during an online registration? | The Register with a GP surgery service collects the information required to process a patient’s registration.
Depending on the practice’s configuration, patients may also be asked additional questions, such as:
Some questions are configurable and can be enabled or disabled through NHS Profile Manager. |
| Can practices customise the online registration form? | The service includes four categories of additional questions, although only one category is configurable by practices.
Practices can choose whether to ask questions relating to:
Student practices also have access to configurable student-specific questions, including:
It is not currently possible to create bespoke or free-text questions. You can configure these questions within NHS Profile Manager: https://organisation.nhswebsite.nhs.uk/ |
| Can practices make certain questions mandatory? | Some fields are mandatory as part of the national registration service, while others remain optional.
NHS England continues to review feedback about making additional fields mandatory, including:
Where patients do not provide an email address or telephone number, the service asks them to confirm that they do not have access to these contact methods. |
| Is information from the online registration automatically added to the patient’s clinical record? | Some information is transferred and coded automatically, while other information may require manual review or entry by the practice.
NHS England is working with clinical system suppliers to increase the amount of information that can be transferred directly into patient records. |
| Are emergency contacts and nominated pharmacies transferred automatically? | Emergency contact information and nominated pharmacy details are collected through the online registration service where appropriate.
Work is ongoing with clinical system suppliers to ensure this information is transferred into the correct fields within patient records, rather than appearing only within supporting documentation. |
| How are long-term conditions and free-text information handled? | Patients can provide information about existing medical conditions during registration.
Where free-text clinical information is entered, the service records a generic clinical concern rather than automatically applying condition-specific SNOMED codes. Practices should review the information provided and add any appropriate clinical coding after registration. NHS England continues to review opportunities to improve the list of selectable health conditions while keeping the registration process as simple as possible. |
| Can patients register children or other family members? | Yes. Parents and guardians can register children using the online registration service.
At present, a child registration request will not proceed through this process automatically, these requests will be held in the New section of MPR and will require practice review and approval prior to being registered.
Family relationships are not currently created automatically within clinical systems, and family members may be assigned to different GPs where Auto Registration is used. Practices can amend GP allocation and family relationships after registration where required. |
| Can patients who have moved to the UK register online? | Yes.
Patients who have previously been allocated an NHS number can use the online registration service, even if they do not know their NHS number. Providing an NHS number helps improve patient matching but is not essential to submit a registration. |
| Are temporary registrations supported? | Temporary registrations are not currently supported through Manage Patient Registrations or Auto Registration.
NHS England has no current plans to automate temporary registrations. Practices should continue to follow their existing process for temporary patient registrations. |
| How are patients outside the practice catchment area handled? | Patients who live outside the practice’s configured catchment area are not automatically processed through Auto Registration or MPR.
These registrations will be highlighted in the New section of MPR allowing practices to review them in line with local registration policies.
Read best practice on how to update and manage the catchment area for your surgery and learn about how catchment works. Please note that any change in the boundary/catchment area must be approved in advance by the ICB. |
| Is proof of identity or proof of address required? | No.
National guidance no longer requires patients to provide proof of identity or proof of address when registering with a GP practice. Practices should follow current NHS England registration guidance when considering requests for identification. |
| Can patients upload supporting documents? | No.
Patients cannot currently upload supporting documents, such as vaccination records or healthcare documentation from overseas. If additional information is required, practices should request it after registration using their usual communication methods. |
| Can patients provide information about gender or pronouns? | Not currently.
The online registration service asks for the patient’s sex as recorded on their NHS record. NHS England is considering how additional questions relating to gender identity and pronouns could be supported in the future, although this is not currently on the published roadmap. |
SECTION 5: Clinical System Integration
| Which clinical systems are supported? | Manage Patient Registrations (MPR) is currently available for practices using SystmOne.
Support for EMIS is being introduced in phases. Practices using EMIS should refer to the latest NHS England communications for information on availability and rollout. |
| How are GPs assigned during registration? | For registrations that qualify for Auto Registration, the service assigns a GP using the live GP rota configured within SystmOne.
Practices can amend the patient’s assigned GP after registration if required, for example to support local workload balancing or continuity of care. |
| Can practices choose which GP is assigned? | Yes.
Practices remain responsible for managing GP allocation and can change the assigned GP after registration within their clinical system. There are no restrictions on using a generic or default GP for registration purposes where this supports local practice processes. |
| How does GP assignment work for families? | Where family members are registered separately, they may be assigned to different GPs through Auto Registration.
If required, practices can amend GP allocation after registration to ensure family members are assigned to the same GP. |
| Can practices continue to use their own GP allocation process? | Yes.
Practices that rotate registration GPs or allocate patients according to local processes can continue to do so by updating the assigned GP after registration. |
| Will patients be told which GP has been assigned? | No.
The standard registration confirmation sent through the national GP registration service does not include the patient’s named GP. If a practice sends its own welcome message that includes this information, it may wish to confirm the GP allocation before sending the message. |
| Does information from the online registration automatically update the clinical record? | Some registration information is transferred automatically into the patient’s clinical record.
Other information may require manual review or entry, depending on the clinical system and the type of information provided. NHS England continues to work with system suppliers to improve the transfer and coding of registration information. |
| Can practices automatically apply additional SNOMED codes during Auto Registration? | No.
Auto Registration supports the registration process only. Any additional clinical coding or post-registration workflows, such as restricting access to the full online record until GP review, should continue to be managed within the clinical system after registration. |
| Can Manage Patient Registrations be used alongside other registration solutions? | Yes.
Practices can continue to use third-party registration solutions alongside MPR. Where a registration meets the eligibility criteria for Auto Registration or MPR, it will be processed through the national service. Registrations that do not meet these criteria can continue to be managed using the practice’s existing registration solution. |
| Can Manage Patient Registrations replace Robotic Process Automation (RPA)? | No.
Practices can continue to use Robotic Process Automation (RPA) alongside MPR where appropriate. |
SECTION 6: Practice Processes
| Can practices continue to use paper registration forms? | Yes.
Patients who are unable or choose not to register online can continue to use the national PRF1 paper registration form. Practices should continue to follow their existing registration process for paper applications. |
| Should paper registrations be entered into the Register with a GP surgery service? | Where practices choose to use the national digital registration process, information from the PRF1 paper form should be entered into the Register with a GP surgery service rather than directly into the clinical system.
Practices should follow the latest NHS England guidance on processing paper registrations. Note: This answer reflects current policy and may evolve as the service develops. |
| Where can practices obtain PRF1 paper registration forms? | The latest version of the PRF1 paper registration form is available to download from the national GP registration service.
Practices should use the current national version rather than locally produced registration forms wherever possible. PRF1 Form: https://gp-registration.nhs.uk/PRF1.pdf |
| How should practices support patients who cannot access online services? | Practices should continue to support patients who are unable to use online services.
Options include:
|
| Do practices need to keep printed copies of registrations? | No.
Manage Patient Registrations is an electronic service and does not require practices to print or retain paper copies of registrations. Practices may continue to follow any local document retention procedures where appropriate. |
| How are branch sites managed? | Patients register with the parent practice.
Where a practice has branch sites, the parent practice is responsible for allocating patients to the appropriate branch in line with its local processes. |
| What happens if a patient was previously registered with the practice after returning from abroad? | They will need to complete a paper version of the PRF1 form. |
SECTION 7: Future Development
| What future enhancements are planned for Manage Patient Registrations? | NHS England continues to develop the service and is considering a range of enhancements, including:
Future developments will be communicated through NHS England as they become available. |
| Will Manage Patient Registrations become mandatory? | Manage Patient Registrations is currently optional.
The long-term direction is for all GP registrations, including paper registrations entered digitally by practice staff, to be processed through the national service. Further functionality and policy decisions are still being developed before any future national implementation requirements are confirmed. |
| How can practices suggest improvements to the service? | Practices are encouraged to submit feedback and enhancement requests through the NHS England Service Desk.
Feedback is regularly reviewed to help shape future development of the service. Provide feedback and make suggestions by raising a Service Now ticket at https://nhsdigitallive.service-now.com/csm?id=sc_category&sys_id=0f4c30ab973792d0dd80f2df9153afcf&catalog_id=65bcd377c3011200b12d9f2974d3aea0 |
SECTION 8: Resources
| Where can I find further guidance? | Further information and supporting resources are available from NHS England, including:
|
| Where can I download patient posters and promotional materials? | Patient-facing posters and promotional materials, including QR codes for the online registration service, are available from NHS England. |
| Where can I request support? | If you require support with access, configuration or technical issues, contact the NHS England Service Desk by raising a Service Now ticket at https://nhsdigitallive.service-now.com/csm?id=sc_category&sys_id=0f4c30ab973792d0dd80f2df9153afcf&catalog_id=65bcd377c3011200b12d9f2974d3aea0 |
