This service is currently in Beta. We welcome feedback.

Removing patients

Patients may be removed from a practice for various reasons in accordance with the regulations.

Services will be provided to practices to update the Community Health Index (CHI) with the reasons.

Typical reasons as per The National Health Service (General Medical Services Contracts) (Scotland) Regulations 2004:

At the request of the patient

Following a patient request, removal takes immediate effect. They’ll be removed from the practice list on CHI which sends an electronic message to the practice clinical system. Confirmation is sent to the patient.

At the request of the contractor (GP Practice)

The practice must have reasonable grounds for removal and should warn and inform the patient. Once notified, Practitioner Services remove the patient from the practice list on CHI which sends an electronic message to the practice clinical system. Confirmation is sent to the patient. Removal takes place on the 8th day following receipt of the request.

If the patient has been violent

The practice must involve the Police or Procurator Fiscal in cases of violence. Practitioner Services will remove the patient immediately from the practice on CHI and will write to the patient. Depending on local Board arrangements, patients may be automatically assigned, or referred to a specific GP Practice.

If the patient has registered elsewhere

If a patient registers elsewhere, that registration will automatically remove the patient from the previous GP Practice and an electronic message will be sent. At this point the CHI has been updated and the registration transferred to the new GP Practice. A patient can only be registered at one practice at a time.

If they have moved out of the GP Practice’s area

If the patient has moved from the GP Practice area, Practitioner Services will inform practice and the patient that the patient has 30 days to register elsewhere. If the 30 days elapse with no update Practitioner Services will remove the patient from the practice list on CHI which will send an electronic message to the practice clinical system.

If the patient is no longer known to be at the address held

If the patient is no longer known to be at the address Practitioner Services will inform the GP Practice (not the patient, as the patient’s whereabouts are unknown at this point) that the patient will be removed 6 months after the date if there is no change or update to the patient record.

If they are absent from the UK, joins the armed forces or dies

If a patient leaves the UK for more than 3 months, joins the armed forces, or dies they’ll be removed from the GP Practice list on CHI which will send an electronic message to the GP Practice clinical system.

If the patient has moved for longer than 3 months

If a patient moves ‘temporarily’ for longer than 3 months, they can be removed by informing Practitioner Services. The patient will be removed from the practice list on CHI which will send an electronic message to the GP Practice clinical system. Practitioner Services will also write to the new address if accurate, to inform the patient.

If they are pupils, staff or residents of a school

If a patient does not appear on the list of pupils, staff or residents at a school (provided by the school), Practitioner Services will remove the patient from the GP Practice list on CHI which will send an electronic message to the practice clinical system.

Where the removal is requested or confirmed by the GP Practice, they should inform Practitioner Services to action the removal and the reasons. This can be done by letter or system message. Do not remove the patient from the GP Practice Clinical System as this does not currently transfer to Practitioner Services to update CHI.