PCSE inform practices of rejected patient registrations via EMIS and also send an email providing further information on the reason for rejection and what actions are required. A further email is sent 5 working days after the initial email to chase outstanding resubmissions.

When a registration is rejected, NHAIS, the system used by PCSE, is not updated with the registration details for the patient. This is important because data on NHAIS is used by various national screening programmes to determine the eligibility of patients for screening and addresses are used to send invitation and result letters to patients. It is also used to calculate practices global sum payments. Therefore, any rejected registrations that have not been re-submitted has potential clinical implications for patients and financial implications for the practice.