diff --git a/api/producer/createDocumentReference/create_document_reference.py b/api/producer/createDocumentReference/create_document_reference.py
index 0e0c70021..f69ac65e9 100644
--- a/api/producer/createDocumentReference/create_document_reference.py
+++ b/api/producer/createDocumentReference/create_document_reference.py
@@ -263,7 +263,7 @@ def handler(
             nhs_number, [pointer_type]
         )
 
-        if existing_pointers_count > 0:
+        if existing_pointers_count > 0 and not nhs_number.startswith("9"):
             logger.log(
                 LogReference.PROCREATE012,
                 new_pointer_id=core_model.id,
diff --git a/api/producer/createDocumentReference/tests/test_create_document_reference.py b/api/producer/createDocumentReference/tests/test_create_document_reference.py
index a702d78c5..a737da62d 100644
--- a/api/producer/createDocumentReference/tests/test_create_document_reference.py
+++ b/api/producer/createDocumentReference/tests/test_create_document_reference.py
@@ -1875,3 +1875,60 @@ def test_create_logs_for_expected_multi_pointer(
     assert not any(
         call[0][0].name == "PROCREATE012" for call in mock_logger.log.call_args_list
     )
+
+
+@mock_aws
+@mock_repository
+@freeze_uuid("00000000-0000-0000-0000-000000000001")
+@patch("api.producer.createDocumentReference.create_document_reference.logger")
+def test_create_logs_for_test_patient_multi_pointer(
+    mock_logger: Mock,
+    repository: DocumentPointerRepository,
+):
+    doc_ref = load_document_reference("Y05868-736253002-Valid-with-master-id")
+    doc_ref.subject.identifier.value = "9999999999"
+    doc_pointer = DocumentPointer.from_document_reference(doc_ref)
+    repository.create(doc_pointer)
+
+    event = create_test_api_gateway_event(
+        headers=create_headers(),
+        body=doc_ref.model_dump_json(exclude_none=True),
+    )
+
+    result = handler(event, create_mock_context())
+    body = result.pop("body")
+
+    assert result == {
+        "statusCode": "201",
+        "headers": {
+            "Location": "/DocumentReference/Y05868-00000000-0000-0000-0000-000000000001",
+            **default_response_headers(),
+        },
+        "isBase64Encoded": False,
+    }
+
+    parsed_body = json.loads(body)
+
+    assert parsed_body == {
+        "resourceType": "OperationOutcome",
+        "issue": [
+            {
+                "severity": "information",
+                "code": "informational",
+                "details": {
+                    "coding": [
+                        {
+                            "code": "RESOURCE_CREATED",
+                            "display": "Resource created",
+                            "system": "https://fhir.nhs.uk/ValueSet/NRL-ResponseCode",
+                        }
+                    ]
+                },
+                "diagnostics": "The document has been created",
+            }
+        ],
+    }
+
+    assert not any(
+        call[0][0].name == "PROCREATE012" for call in mock_logger.log.call_args_list
+    )
diff --git a/api/producer/upsertDocumentReference/tests/test_upsert_document_reference.py b/api/producer/upsertDocumentReference/tests/test_upsert_document_reference.py
index 26280ed6e..5b464c79a 100644
--- a/api/producer/upsertDocumentReference/tests/test_upsert_document_reference.py
+++ b/api/producer/upsertDocumentReference/tests/test_upsert_document_reference.py
@@ -1842,3 +1842,61 @@ def test_upsert_logs_for_expected_multi_pointer(
     assert not any(
         call[0][0].name == "PROUPSERT012" for call in mock_logger.log.call_args_list
     )
+
+
+@mock_aws
+@mock_repository
+@patch("api.producer.upsertDocumentReference.upsert_document_reference.logger")
+def test_upsert_logs_for_test_patient_multi_pointer(
+    mock_logger: Mock,
+    repository: DocumentPointerRepository,
+):
+    doc_ref = load_document_reference("Y05868-736253002-Valid-with-master-id")
+    doc_ref.subject.identifier.value = "9999999999"
+    doc_pointer = DocumentPointer.from_document_reference(doc_ref)
+    repository.create(doc_pointer)
+
+    doc_ref.id = "Y05868-99999-99999-999999-02"
+
+    event = create_test_api_gateway_event(
+        headers=create_headers(),
+        body=doc_ref.model_dump_json(exclude_none=True),
+    )
+
+    result = handler(event, create_mock_context())
+    body = result.pop("body")
+
+    assert result == {
+        "statusCode": "201",
+        "headers": {
+            "Location": "/DocumentReference/Y05868-99999-99999-999999-02",
+            **default_response_headers(),
+        },
+        "isBase64Encoded": False,
+    }
+
+    parsed_body = json.loads(body)
+
+    assert parsed_body == {
+        "resourceType": "OperationOutcome",
+        "issue": [
+            {
+                "severity": "information",
+                "code": "informational",
+                "details": {
+                    "coding": [
+                        {
+                            "code": "RESOURCE_CREATED",
+                            "display": "Resource created",
+                            "system": "https://fhir.nhs.uk/ValueSet/NRL-ResponseCode",
+                        }
+                    ]
+                },
+                "diagnostics": "The document has been created",
+            }
+        ],
+    }
+
+    assert not any(
+        call[0][0].name == "PROUPSERT012" for call in mock_logger.log.call_args_list
+    )
diff --git a/api/producer/upsertDocumentReference/upsert_document_reference.py b/api/producer/upsertDocumentReference/upsert_document_reference.py
index b57a1bf2b..788f4854f 100644
--- a/api/producer/upsertDocumentReference/upsert_document_reference.py
+++ b/api/producer/upsertDocumentReference/upsert_document_reference.py
@@ -270,7 +270,7 @@ def handler(
             nhs_number, [pointer_type]
         )
 
-        if existing_pointers_count > 0:
+        if existing_pointers_count > 0 and not nhs_number.startswith("9"):
             logger.log(
                 LogReference.PROUPSERT012,
                 new_pointer_id=core_model.id,