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Patient List Validation (FP69/FP22) Impact Survey

Purpose

The LMC Support Network are seeking to understand the scale and impact of recent patient list validation activity, including FP69 and FP22 deductions, across local practices.

The information gathered will help inform discussions with NHS England, commissioners and representative bodies regarding the implementation and impact of the current process.

Responses will be treated confidentially and used to assess the impact of the FP69 patient list validation exercise. Findings may be reported in summary form to support discussions with relevant NHS organisations. Contact details will only be used to clarify responses where necessary.

Please complete this survey by Friday 26th June 2026.

With thanks to Camden LMC for kindly allowing us to use their draft survey.
1.Practice Details
List Size and Deductions
2.What was your registered patient list size on 1 January 2026?
3.Approximately how many patients have been deducted through FP69 or FP22 processes since 1 January 2026?
4.If known, please provide the actual number of deductions.
5.What percentage of your registered list does this represent?
Operational Impact
6.Has the level of deductions had a material financial impact on your practice?
7.If yes, based on your current understanding, what do you estimate to be the annualised financial impact on your practice? (£).
8.Are there any wider financial concerns not yet captured by the above estimate (e.g. PCN funding, QOF, enhanced services)?
9.Has the exercise created additional administrative workload?
10.Approximately how many staff hours have been spent reviewing, validating or challenging deductions?
Patient Safety and Quality Concerns
11.Do you have concerns that patients may have been incorrectly deducted?
12.If yes, approximately how many cases have caused concern?
13.Have you identified any patients who required reinstatement following deduction?
14.If yes, how many?
15.Have any deducted patients subsequently contacted the practice seeking care or assistance with re-registration?
16.If yes, approximately how many?
Challenge and Review Process
17.Have you submitted any challenges or queries regarding deductions?
18.If yes, how many challenges have been submitted?
19.How many challenges have been upheld?
20.How would you rate the challenge process?
Communication and Transparency
21.Have you received sufficient information regarding the methodology used to identify patients for deduction?
22.Have you received sufficient notice before deductions were processed?
23.How confident are you in the accuracy of the current process?
24.What is your greatest concern regarding the current list validation process?
25.What changes or improvements would you like to see?
26.Please provide any examples, case studies or additional comments that would help illustrate the impact on your practice.