1.These Regulations reflect the closure of the NHS COVID-19 medical exemptions service. Although the requirement to be able to show evidence of vaccination for certain purposes ceased in England on 1 April 2022, GPs and those with a contract for Personal Medical Services are still required on request to confirm clinical reasons why a registered patient or temporary resident should not be vaccinated or tested for COVID-19. To reduce the burden on GPs these Regulations remove the requirement for them to provide an exemption certificate but do so in a way that will allow the requirement to be reactivated in the future if guidance or legislation once more requires mass vaccination against coronavirus and proof that it has been done.