Acceptance Transaction ACG

Any new patient added to the permanent practice list generates an outgoing Acceptance Transaction (ACG) to the TP. This patient has a registration status of Applied, and is then classed as an Unacknowledged Acceptance.

The new patient's Registration screen remains temporarily "frozen" and cannot be edited, until the TP confirm the acceptance with a replying Transaction (APF), see Approval Transaction APF, usually within a few days.

An acceptance transaction is generated automatically if a GP receives an Incoming Deduction transaction under the following special circumstances:

• If the GP disagrees with the deduction and wishes to re-accept the patient who has changed address into a different TP area but is staying with the same GP:
  • England, the deduction reason is New TP / Same GP, and the GP is forced to re-accept the patient, generating an Acceptance transmission.
  • Scotland, the re-acceptance is optional.
• If there is a change of GP (internal transfer) within the practice.