Paragraph 18 Application for inclusion in a list of patients
F1Subject to sub-paragraph (1C), the contractor may, if the contractor's list of patients is open, accept an application for inclusion in that list made by or on behalf of any person whether or not that person is resident in the contractor's practice area or is included, at the time of the application, in the list of patients of another contractor or provider of primary medical services.
NHS England may, following consultation with the Local Medical Committee (if any) for the area in which the contractor provides services under the contract, determine that in certain circumstances NHS England’s approval is required before a contractor accepts an application for inclusion in its list of patients in respect of a patient who resides outside the contractor’s practice area.
Where NHS England has made a determination in accordance with sub-paragraph (1A) it must set out the circumstances in which its approval is required in a notice to the contractor.
Where NHS England has made a determination in accordance with sub-paragraph (1A), a contractor may only accept an application for inclusion in its list of patients in respect of a person who resides outside the contractor’s practice area in the circumstances set out in a notice given under sub-paragraph (1B) with NHS England’s approval.
If the contractor's list of patients is closed, the contractor may only accept an application for inclusion in that list made by or on behalf of a person who is an immediate family member of a registered patient whether or not that person is resident in the contractor's practice area or is included, at the time of the application, in the list of patients of another contractor or provider of primary medical services.
Subject to sub-paragraph (4), the contractor may only accept an application for inclusion in that list if it is—
an application on a form specified to the contractor by NHS England; or
an application through the online registration service supplied to the contractor by NHS England.
The contractor must make available both application methods referred to in sub-paragraph (3).
An application may be made—
where the patient is a child, on behalf of the patient by—
either parent, or in the absence of both parents, the guardian or other adult who has care of the child,
a person duly authorised by a local authority to whose care the child has been committed under the Children Act 1989 M1, or
a person duly authorised by a voluntary organisation by which the child is being accommodated under the provisions of the Children Act 1989; or
where the patient is an adult who lacks capacity to make such an application, or to authorise such an application to be made on their behalf, by—
a relative of that person,
the primary carer of that person,
a donee of a lasting power of attorney granted by that person, or
a deputy appointed for that person by the court under the provisions of the Mental Capacity Act 2005 M2.
Where the contractor receives an application by the method referred to in sub-paragraph (3)(a), they must submit the information provided in the application via the online registration service referred to in sub-paragraph (3)(b), except where the contractor’s computerised clinical system does not facilitate interconnectivity with the online registration service supplied by NHS England.
Where a contractor accepts an application for inclusion in the contractor's list of patients, the contractor must give notice in writing to F5NHS England of that acceptance as soon as possible.
NHS England must, on receipt of a notice given under sub-paragraph (5)—
include the applicant in the contractor's list of patients from the date on which the notice is received; and
give notice in writing to the applicant (or, in the case of a child or an adult who lacks capacity, the person making the application on their behalf) of that acceptance.
This paragraph is subject to Part 2A.
Annotations
Textual amendments
- F1
Words in Sch. 3 para. 18(1) substituted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 1 para. 2(a)
- F2
Sch. 3 para. 18(1A)-(1C) inserted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 1 para. 2(b)
- F3
Sch. 3 para. 18(3)(3A) substituted for Sch. 3 para. 18(3) (31.10.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(c), Sch. 1 para. 10
- F4
Sch. 3 para. 18(4A) inserted (15.6.2026) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2026 (S.I. 2026/532), reg. 1(2), Sch. 1 para. 9
- F5
Words in Regulations substituted (6.11.2023) by The Health and Care Act 2022 (Further Consequential Amendments) (No. 2) Regulations 2023 (S.I. 2023/1071), reg. 1(1), Sch. para. 1
- F6
Sch. 3 para. 18(7) inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 1 para. 4(b) (with reg. 3)