The NHSE auto registration integrates the Register with a GP surgery service directly with clinical systems.
This is separate from Healthtech-1’s automation of registrations, and they work in very different ways.
Who does NHSE auto-register?
Only a subset of patients - around 25% on average - and only when they meet all of NHS England's criteria:
Over 18
Using NHS login (at the highest P9 level of ID verification)
Within your catchment area
Transferring from another GP surgery
No sensitive marker on their record
➡️ Everyone else comes through Healthtech-1 as usual.
What it does, and what it leaves to you
Here's the difference at a glance - with NHSE, registrations arrive three different ways and your team manually completes the record. With Healthtech-1, it's one automated flow:
👉 For exactly what each one captures, see What Healthtech-1 codes vs NHSE auto-registration.
What about MPR?
It's easy to mix up NHSE's two features:
Auto-registration creates the record automatically - but your team still reviews and approves the codes it applies, and adds the remaining SNOMED codes it missed.
Manage Patient Registrations (MPR) works the other way round - your team reviews and approves each registration manually before it's even created.
Either way, there's manual work left for your team - whereas Healthtech-1 handles it all for you.
MPR is a separate feature with its own things to know, covered in full here: What is Manage Patient Registrations (MPR)?
How does this affect Healthtech-1 automation?
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: You choose not to enable NHSE auto reg & MPR
We continue automating 100% of registrations
You get the full coded dataset on every one
Option 2: You choose to enable NHSE auto reg & MPR
NHSE will automatically process ~25% of registrations
NHSE's MPR will send a further ~25% slice to your team to review and manually approve
Healthtech-1 will automate the remaining ~50%
But:
The patients processed by NHSE do not receive the full Healthtech-1 coded dataset, so practices will need to:
Manually review the record
Add any missing SNOMED codes
Action the patient's responses to our Local Form
As with any registration, these will still appear in your Hub with their Signals to action.
Changed your mind? Turning NHSE auto-registration off
If you'd like to stop NHSE processing your registrations, you'll need to raise a ServiceNow ticket with NHS England.
Once it's off, all eligible registrations come back through Healthtech-1 and you're back to the full coded dataset.
📅 Using Bookable? You'll need NHSE auto-registration off - it can delay us getting new patients booked in. See Turning off NHSE auto-registration (Bookable practices).