General practices should consider closing their practice list if they have reached the limit of their workforce’s and practices’ capacity to provide safe care to patients. 
 
There is a clear protocol for undertaking this action within the GMS contract and Regulations. Practices should initially consult with their patient participation group (PPG) and then with their Integrated Care Board (ICB). 
 
Once closure is granted, assignments to the patient list can remain closed for up to 12 months.