diff --git a/app/jobs/process_patient_changesets_job.rb b/app/jobs/process_patient_changesets_job.rb
index f1ef85ee9b..706e0cbf35 100644
--- a/app/jobs/process_patient_changesets_job.rb
+++ b/app/jobs/process_patient_changesets_job.rb
@@ -79,7 +79,7 @@ def steps
         too_many_matches: :no_fuzzy_without_history
       },
       no_fuzzy_without_history: {
-        no_matches: :fuzzy,
+        no_matches: :give_up,
         one_match: :save_nhs_number_if_unique,
         too_many_matches: :give_up,
         format_query: ->(query) { query.merge(history: false) }
@@ -98,22 +98,11 @@ def steps
         format_query: ->(query) { query[:given_name][3..] = "*" }
       },
       no_fuzzy_with_wildcard_family_name: {
-        no_matches: :fuzzy,
-        one_match: :fuzzy,
-        too_many_matches: :fuzzy,
-        skip_step: :fuzzy,
-        format_query: ->(query) { query[:family_name][3..] = "*" }
-      },
-      fuzzy: {
-        no_matches: :give_up,
+        no_matches: :save_nhs_number_if_unique,
         one_match: :save_nhs_number_if_unique,
         too_many_matches: :save_nhs_number_if_unique,
-        format_query: ->(query) do
-          query[:fuzzy] = true
-          # For fuzzy searches, history is the default. We get an error if we
-          # try to set it to true explicitly
-          query[:history] = nil
-        end
+        skip_step: :save_nhs_number_if_unique,
+        format_query: ->(query) { query[:family_name][3..] = "*" }
       }
     }
   end
diff --git a/spec/factories/patient_changesets.rb b/spec/factories/patient_changesets.rb
index 01e777c80a..9da0e1f2a3 100644
--- a/spec/factories/patient_changesets.rb
+++ b/spec/factories/patient_changesets.rb
@@ -46,7 +46,7 @@
       {
         child: {
           "given_name" => "John",
-          "family_name" => "Doe",
+          "family_name" => "Dover",
           "date_of_birth" => "2010-01-01",
           "address_postcode" => "SW1A 1AA",
           "nhs_number" => nil
diff --git a/spec/features/import_child_pds_lookup_extravaganza_spec.rb b/spec/features/import_child_pds_lookup_extravaganza_spec.rb
index 0b09bc0894..27f6a4b9c3 100644
--- a/spec/features/import_child_pds_lookup_extravaganza_spec.rb
+++ b/spec/features/import_child_pds_lookup_extravaganza_spec.rb
@@ -350,7 +350,7 @@ def and_pds_lookup_during_import_is_enabled
       address_postcode: "B1 1AA",
       steps: {
         wildcard_postcode: "1111111111",
-        fuzzy: "9435726097"
+        wildcard_family_name: "9435726097"
       }
     )
   end
@@ -387,13 +387,6 @@ def stub_pds_cascading_search(
         "given" => given_name,
         "birthdate" => birthdate,
         "address-postalcode" => address_postcode
-      },
-      fuzzy: {
-        "family" => family_name,
-        "given" => given_name,
-        "birthdate" => birthdate,
-        "address-postalcode" => address_postcode,
-        "_fuzzy-match" => "true"
       }
     }.each do |step, query|
       if steps[step]
@@ -827,14 +820,13 @@ def then_maia_has_the_uploaded_nhs_number
 
   def and_maia_has_multiple_pds_search_results
     maia = Patient.find_by(given_name: "Maia", family_name: "Smith")
-    expect(maia.pds_search_results.count).to eq(5)
+    expect(maia.pds_search_results.count).to eq(4)
     expect(maia.pds_search_results.pluck(:step)).to eq(
       %w[
         no_fuzzy_with_history
         no_fuzzy_with_wildcard_postcode
         no_fuzzy_with_wildcard_given_name
         no_fuzzy_with_wildcard_family_name
-        fuzzy
       ]
     )
   end
diff --git a/spec/jobs/process_patient_changesets_job_spec.rb b/spec/jobs/process_patient_changesets_job_spec.rb
index dbcdf9bae3..9d54133b08 100644
--- a/spec/jobs/process_patient_changesets_job_spec.rb
+++ b/spec/jobs/process_patient_changesets_job_spec.rb
@@ -68,8 +68,8 @@
     end
   end
 
-  context "when a later fuzzy search finds a match" do
-    let(:step) { :fuzzy }
+  context "when a later wildcard-family-name search finds a match" do
+    let(:step) { :no_fuzzy_with_wildcard_family_name }
 
     before do
       patient_changeset["pending_changes"]["search_results"] = [
@@ -94,8 +94,8 @@
     end
   end
 
-  context "when fuzzy search returns conflicting NHS numbers" do
-    let(:step) { :fuzzy }
+  context "when wildcard-family-name search returns conflicting NHS numbers" do
+    let(:step) { :no_fuzzy_with_wildcard_family_name }
 
     before do
       patient_changeset["pending_changes"]["search_results"] = [
@@ -115,6 +115,7 @@
       perform
 
       expect(patient_changeset.child_attributes["nhs_number"]).to be_blank
+      expect(patient_changeset.pds_nhs_number).to be_nil
     end
   end