The NHSE auto registration integrates the Register with a GP surgery service directly with clinical systems.
SystmOne (TPP) practices have the choice to self-enrol from July 2025.
Optum (formerly EMIS) are expected to begin a pilot with some practices Summer 2025.
Will all registrations be automated by NHSE?
No, NHSE auto registration currently only applies to a subset of patients (on average around 25%) who meet specific NHS England eligibility criteria. Patients must:
Be over 18 years old
Use NHS login (with the highest P9 level of ID verification)
Be within your practice’s catchment area
Be transferring from another GP surgery
Not have a sensitive marker on their patient record
✅ Only patients meeting all of the above criteria will be auto registered as part of the pilot.
What happens for auto registered patients?
For NHSE auto registered patients (by your clinical system supplier), you are still required to manually review the transferred records in your clinical systems and these registrations cannot be rejected.
You’ll need to check and update where necessary:
Emergency contact
Pharmacy
Next of kin
BMI
Armed Forces status
Any free-text comments (e.g. long-term condition info or additional health notes)
For patients registered through the NHSE auto registration, the following steps occur automatically:
A task is created in your clinical system to approve SNOMED codes*
A PDF of the registration form is saved to the patient’s record
⚠️ * The SNOMED codes added through this pilot include some, but not all, of the codes typically applied by Healthtech-1. Those included by the NHSE auto registration are as follows:
smoking status
ethnicity
carer status
weight and height (using the "self-reported" SNOMED codes)
some generic codes including "Allergies - mechanism", "Mental symptom finding", "Pre-existing condition", and "Disability"
Alcohol consumption is recorded within the consultation as free text, but not coded.
How will this affect my automated registrations with Healthtech-1?
You have two options on how to proceed, while still using Healthtech-1's automation.
The option you choose will depend on the amount of information you wish to capture on the record, and how much additional work your practice wishes to take on.
Option 1: Keep using Healthtech-1 for all new registrations
If you want us to keep automating and coding all registrations and associated data, you can choose to not enable the new NHSE auto registration. We'll continue to automate all your registrations at the normal price for your practice.
Option 2: Use the NHS England automated registrations where available, and Healthtech-1 for the rest
The NHSE auto registration currently only automates on average around 25% of registrations, so Healthtech-1's automation will still be there for the rest.
You won't be charged for any registrations that are processed by the NHSE auto registration. However, you won't get the fully coded dataset that we normally provide. You'll need to code this manually.
Whichever option you choose, we'll still send out the local form to all patients and collect those responses free of charge. You only pay for registrations that we automate.
What about the patients that cannot be auto registered?
If your practice chooses to enable auto registration:
Healthtech-1 will continue to fully support all patient registrations outside of the pilot criteria, that is on average around 75% of registrations.
All registrations (whether processed by NHSE or Healthtech-1) will still appear in the Hub, including relevant signals.
Will patients still be asked to complete the Local Form?
NHSE auto registered patients will still be directed to our Local Form, which will allow you to supplement the auto-registered patients with additional information.
The additional information collected in our Local Form will need to be manually actioned for these NHSE-registered patients.
What will practices be charged for?
You’ll only be charged for registrations that Healthtech-1 fully automates.
If you choose option 1 (Healthtech-1 automates all your registrations):
✅ We will continue as before
If you choose option 2 (enabling NHSE automation and Healthtech-1 processes the rest):
✅ No charge for NHSE auto registrations by your clinical system supplier
✅ Healthtech-1 charges apply only to the remaining ~75% of registrations we still process end-to-end