GP2GP
GP2GP allows healthcare workers to transfer patients' electronic health records securely and quickly between their old and new practices when they change GPs.
About this service
GP2GP is part of the Spine secure messaging platform and uses the HL7 V3 message format. It allows GP practice systems to:
- request a GP record from the old GP practice system
- send a GP record to the new GP practice system
- acknowledge receipt of the GP record
GP2GP does not have a user interface – rather, it is a system-to-system integration that is triggered automatically by the receiving GP practice system when a patient registers at a new practice.
GP practice systems access GP2GP via the GP2GP HL7 V3 message integration.
Who this service is for
GP2GP is for GP practices in England. It can be used only when both the sending and receiving practices are in England.
Benefits
- Full electronic health records available for the patient's first and subsequent consultations, which improves continuity of care for ongoing medical conditions
- No need for patients to provide a detailed account of their previous medical history to their new clinician, as the integrated electronic health record is visible
- Safer prescribing provided by access to the patient's current and past medication and to any recorded allergies and adverse reactions
- Repeat medication details are available for the patient's first medication review with the new GP
- Allows the NHS to preserve the usability of rich data accumulated in patient records
How to access this service
GP practice users
To access the GP2GP service, a GP practice should follow the training and support guidance.
Software developers
To integrate GP software with GP2GP, see GP2GP HL7 V3.
To integrate GP software for management information reporting, see:
- GP2GP Management Information MESH for the old process
- GP Registrations Management Information API for the new process
Examples of use
A new patient wants to register at a GP practice, and their prior practice is an English GP practice.
They wish to carry their electronic health record with them into the new practice.
National usage policy
GP2GP is mandated for GP practices in England, as stated in the General Medical Services GP contract.
Reports and tools
GP Registrations Data Platform
The GP Registrations Data Platform can be used to view integration times for practices receiving GP2GP transfers.
The platform provides monthly data about the number of transfers your practice received, how many were integrated within 3 days or 8 days, and those that were not integrated within 8 days.
This information can be used to help you keep track of your integrations and identify areas to investigate further. Transfers that are not integrated within 8 days trigger the paper process, so avoiding this will help reduce the administrative burden on your practice.
Access the GP Registrations Data Platform.
Submitting management information
We require GP practice system providers to submit management information to us to support our reporting.
We are in the process of moving from one process to another.
For the old process, see GP2GP Management Information MESH.
For the new process, see GP Registrations Management Information API.
Roadmap
The items considered for the GP2GP roadmap are:
- Automatic 'integration' (acceptance) of GP2GP records by the receiving GP practice system – to replace the current manual process. See Auto-integration
- Redactions fix – ensure redactions are maintained in GP2GP transfer (where applicable)
- Degrades investigations & enhancements – ensuring degrades are monitored for common issue resolution
Status, service level and current usage
This service is live and has been in active use since 2005.
GP2GP version 2.2 went live in 2014 (currently used).
It is used in all GP practices in England except where both practices use TPP SystmOne (there is no need as SystmOne uses a single central record store across all GPs).
GP2GP is a silver service, meaning it is operational 24 hours a day, 365 days a year, but supported only during business hours (8am to 6pm), Monday to Friday excluding bank holidays.
Contact us
| Enquiry | Point of contact |
|---|---|
| Live service incident |
National Service Desk Online portal: NHS England Customer Portal Email: [email protected] Telephone: 0300 303 5035 |
| Monitor & reporting enquiry | Online portal: NHS England Customer Portal |
| Escalations |
Tristan Stanton (Senior Responsible Officer) Email: [email protected] |
Further information
The GP Registrations data platform can be used to view integration times for practices receiving GP2GP transfers.
Training and support for your role
User guides and support material for GP2GP users, plus clarity on roles and responsibilities in your GP practice.
GP2GP version 2.2 increases the number of digital transfers and includes other improvements, like reducing paper printing for patients that leave.
Last edited: 30 March 2026 10:17 am