Paper Lloyd George envelopes to cease for first time NHS registrations

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Since the start of January 2021 practices no longer receive a new paper Lloyd George envelope for a first time registration such as a baby or new entrants to the NHS.

This is part of NHS England’s “Lloyd George envelope digitisation project” which aims to digitise the historic paper patient records held by practices. As part of this project the way practices are expected to manage medical records for new patient registrations is changing.

The digitisation project aims to reduce the burden associated with the movement of paper records and free up space in practices that is currently used for storage of these records.

More information is available on the on the Primary Care Support England website. Any queries should be sent to

Last updated : 27 Jan 2021