The Deletion column should be completed with the following details:

• Name (the surname and the initials must be clearly printed)
  
• Partnership - the name of the senior partner
  
• Address (this is the address which was printed on the GP's prescription pad)
  
• Postcode (the postcode of the surgery identified in the address box)
  
• Telephone number (the telephone number including the STD code of the surgery identified in the address box)
  
• GP six figure NCN
  
• Tick if the GP was prescribing or dispensing
  
• Tick if the GP provided a limited service
  
• Tick if the GP was a partner
  
• Tick if the GP was a salaried GP
  
• Tick if the GP was eligible for oxygen payment
  
• Tick if the practice the GP is leaving is a PMS pilot site
  
• The responsible payment site of the practice which the GP is leaving (your Finance Department may be able to advise)
  
• The effective end date.