Since 5 January 2015, GP practices have been able to register new patients who live out of area without home visiting responsibilities or out-of-hours services when the patient is unable to attend their registered practice. NHS England, through its area teams, remains responsible for ensuring that patients who choose to register out of area can continue to access urgent care during core hours if they cannot reasonably be expected to attend their registered practice. When a patient needs to access urgent medical care during the out-of-hours period when at home, this continues to be the responsibility of the CCG in whose area they live.

NHS England’s area teams, GP practices and CCGs will need to review the guidance and consider the implications for implementation and arrangements for extending patient choice of GP practice.