Version 4.4, 1 February 2023
This minor update covers an organisational change in the NHS and new information about links to national health and care websites.
1.2. Your NHS account enables you to access various healthcare services. These services are either classed as:
- "Core Services" because NHS account has a direct role in the delivery of the service; or
- "Platform Services" because logging in to your NHS account lets you access the service, but the service itself is provided outside the NHS account.
Further details are in section 6 below.
1.3. You may also be able to access these services without using your NHS account and nothing in these terms will affect such access.
1.4. Contacting us. To find out more about who we are and our role, visit our organisational website. If you want to learn more about your NHS account, you think there are any faults within the NHS account (either the NHS App or the logged in area of the NHS website), or you wish to contact us for any other reason, please visit our help and support page, where you can see FAQs and find out how to contact us.
1.5. How we will communicate with you
If we need to contact you specifically we will do so by email, SMS or telephone call using the contact details you have provided.
Depending on your GP surgery or healthcare provider, you may also be able to send or receive messages in your NHS account.
See further details in section 6.
2. When these terms apply
2.2. We may, at any time and in our sole discretion, amend these terms for any reason. The latest version of our terms will be accessible through your NHS account, and we will inform you via your NHS account and request your continued agreement if we make any significant changes to these terms.
3. How to register to use your NHS account
3.1. It is free to create and use your NHS account. To access your NHS account you must be registered with a GP surgery in England or Isle of Man.
3.2. If you access or attempt to access your NHS account from outside England or Isle of Man:
- we cannot guarantee you will be able to access your NHS account or that it will function correctly
- you are responsible for complying with any local laws that apply to you in the country from which you are using your NHS account
3.3. You must create and maintain an account using the NHS login authentication platform. A minimum of mid-level identity verification is required to access your NHS account and high-level identity verification is needed to access most services within your NHS account. Find out more about how to prove who you are to get full access to the your NHS account.
3.4. In order to use your NHS account you must be aged 13 years or older. If you’re aged 13 to 15, your GP will need to individually approve your access to many of the services, in accordance with any local policies, and you may not be able to access all services. If you have any questions you should contact your GP directly. Other healthcare providers may also apply additional age limits to certain services.
3.5. Your NHS account (whether accessed using the NHS App or the NHS website) is not a medical device and so is not regulated by the Medicines and Health Regulatory Agency (MHRA). Certain Core Services or Platform Services may be medical devices, and this will be made clear to you when you access the relevant service.
4. Accessing your NHS account
4.1. You are responsible for making all arrangements necessary for you to access your NHS account, including but not limited to:
- a secure internet connection (see Cyber Aware website)
- an appropriate device, operating system and browser that meet our minimum requirements found on our help and support page.
- for the NHS App, downloading it from either Google Play or Apple's App Store (subject to their terms and conditions).
- using your own virus protection software (and regularly updating it) when accessing and using your NHS account.
4.2. Your NHS account is only intended to be used by you. If you permit any other person to use your account, you:
- do so entirely at your own risk
- must not share your user identification code or password with such person
- are responsible for their access and use of your NHS account as if it were your access and use
- must make sure such persons are aware of these terms and comply with them.
4.3. If you know or suspect that anyone other than you knows your user identification code or password to your NHS login account, you must promptly reset your password to something only you know. See our help and support page to reset it.
4.4. You may use passwordless authentication (such as fingerprint or facial recognition) to access your NHS account if your device supports it. Passwordless authentication is voluntary and is based on technology in your device. We do not have access to or control over the biometric data stored on your device. You must ensure that only your own fingerprint, facial data or other biometric data are stored on your device. We have the right, at any time without a separate notification, to block the use of passwordless authentication on any or all devices used to access your NHS account.
5. Updates to the NHS App
5.1. From time to time we may automatically update the Native Version of the NHS App or ask you to manually update it, to improve performance, enhance functionality, reflect changes to the operating system, or address security issues.
5.2. If updates are not installed you may not be able to use the NHS App or you may find that its functionality and/or performance is impaired.
6. Details about the Services
6.1. The following services may be available to you through your NHS account. Not all services and features are available to all users. This depends on where you live (not all services are available in the Isle of Man) and the services and systems your healthcare provider has chosen to use (generally and for you specifically).
Core Services (NHS account has a direct role in the delivery of the service)
|Service||Functionality||NHS login level||For further information, see:|
|GP System Services||Links to the IT system used by your GP surgery so you can (as enabled or authorised by your GP from time to time):
||High||Your GP surgery
|GP System Proxy Access||GP System Services in relation to other people (such as your child or someone you care for) as authorised by your GP from time to time||High||Your GP surgery
NHS account linked profiles
|NHS App Messaging Service||Receive updates relating to your NHS account and services available within it, and public health announcements. Enables you to receive notifications if you are an NHS App user.||Mid/high||Help and support with messaging in your NHS account
GP Online Consultation Service Privacy Notice
|Enhanced Appointments Viewing (hospital appointment information)||Links to the Manage Your Referral service and personal health record service used by your healthcare provider or hospital so you can:
||High||Your healthcare provider or hospital, Manage Your Referral (Platform Service described below), Personal health record services (Platform Service described below)|
Platform Services (NHS account allows you to access the service, but the service is provided outside the NHS account)
Please see the terms and conditions and privacy policies listed for more details of how these services work, terms applicable to your use and how these services use your data.
|Symptom check (not Isle of Man)
|NHS 111 Online – series of online questions to assess what care you need when based on symptoms||Mid||NHS 111 Online terms and conditions
|Health A-Z information service (not Isle of Man)
|Trusted NHS information on hundreds of conditions||Mid||NHS website terms and conditions
|National Data Opt-Out (Not available through the Browser Version) (not Isle of Man)
|Opt out of your confidential patient information being used for research and planning||High||NHS website terms and conditions
National Data Opt-Out privacy service
|Manage your referral
|Manage your referrals or appointments to hospital or specialist care||High||e-Referral Service privacy statement|
|Check your COVID-19 vaccine record
|NHS COVID Pass
(Department of Health and Social Care)
|View and download your COVID Pass for travel abroad||High||NHS COVID Pass terms and conditions
NHS COVID Pass privacy notice
|Personal health record services
(local service - supplier chosen by your GP, healthcare provider or hospital)
|View parts of your GP or hospital care medical records, including test results.
Record information about your health and share this with your GP or hospital.
Book and manage your appointments at your GP surgery.
Book and manage your appointments with your healthcare provider or hospital.
View shared health links.
View and manage your care plan.
View messages from your healthcare providers.
Receive notifications if you are an NHS App user.
|High||Depends on the personal health record service chosen by your GP surgery or hospital.
See more information on personal health records and your privacy
|Online consultation services
(local service - supplier chosen by your GP)
|Use online forms to ask questions, make administrative requests, report symptoms and request advice for yourself or your child, and receive responses from your healthcare providers.||High||Depends on the online consultation service chosen by your GP surgery or hospital
|NHS App Messaging Service
|Connected healthcare providers, like your GP surgery, can use this service to send you messages specific to you or your healthcare, or public health announcements.
When needed, some healthcare providers can enable you to send replies to messages through your NHS account.
Enables you to receive notifications if you are an NHS App user.
|Depends on the service chosen by your GP surgery or hospital
|Book or manage a coronavirus (COVID-19) vaccination
|Book, view and amend a COVID-19 vaccination||High||NHS website terms and conditions
Using the services
6.2. You must not rely on your NHS account as the sole means by which you (or those for whom you have any proxy access arrangements) continue to receive care from your doctor or other healthcare professional. You should ensure you have another way of contacting your healthcare provider other than via your NHS account.
6.3. If you download, print or export any of your health or medical record data, you are responsible for ensuring that such data is held securely, and we will not be liable for any associated disclosure of sensitive and personal data.
6.4. In order for you to receive the intended benefits of your NHS account and services accessed, you must ensure that all data provided by you is complete and accurate.
6.5. Your GP health records are created and kept up-to-date by your GP and remain under your GP's control. Your GP surgery may choose to only authorise access via your NHS account to key facts, such as your medications and allergies etc, not your full detailed medical records. We do not hold or have access to your GP records, and are unable to add to or modify them or provide hard copies.
6.6. If you are sharing information on your NHS account with a healthcare professional, you should make them aware that the information accessible (including any professional reference material) may not show your complete medical records and is intended to support, not replace, the healthcare professional's knowledge, experience and judgement.
6.7. Your NHS account and services within it:
- are not a substitute for seeking medical advice. Always follow any medical advice given by your healthcare professionals
- are provided for information purposes including, to assist you to manage any conditions and treatments that you might require under the supervision and care of a healthcare professional
- do not provide medical or clinical diagnostic services
- are not intended to be prescriptive or authoritative in respect of a diagnosis, condition or treatment, and are not intended to provide information on which you should solely rely.
- reflect current knowledge and practice in the NHS in England. However, medical knowledge and practice is constantly evolving and as such they may not reflect the latest knowledge or practice
6.8. Please note your GP or other healthcare professionals remain ultimately responsible for your health and wellbeing (including but not limited to any diagnosis or other healthcare advice). If you have any questions about your medical records or other health-related information made available via your NHS account, you should contact your GP or other healthcare professional directly, or call NHS 111 by dialling 111 from any landline or mobile phone free of charge.
6.9. We are not responsible for any delay or lack of response by your healthcare provider to any contact you make through your NHS account.
6.10. Certain Core Services and Platform Services may enable you to use them in respect of your child or someone you care for. Access to specific information about such person is controlled by your GP and is subject to such requirements and conditions as your GP surgery may decide.
6.11. If you use Core Services or Platform Services in respect of your child or someone you care for these terms and any other applicable terms and conditions still apply to your use and you:
- must not share your user identification code or password with anyone else, including the person you are accessing services on behalf of
- are responsible for service access and use of their NHS account as if it were your access and use, including being responsible for compliance with these terms and any other applicable terms and conditions in respect of your access
- must, to the extent possible bearing in mind their age, condition and capacity, make the person you are accessing services on behalf of aware of: (i) your access and any steps you take on their behalf, and (ii) these terms and other applicable terms and conditions.
6.12. Where we have assessed it to be useful to NHS account users, we may include links to national health and care websites that are not integrated with the NHS account. We do not monitor the content of such websites. Any link provided in the NHS account is solely for your convenience. We do not accept any responsibility for any third-party website or third-party applications.
7. Ending your use of your NHS account
7.1. You may stop using your NHS account at any time. If you wish to cancel your account, you should contact us via the help and support page.
7.2. If you breach any of these terms we may prevent you from accessing the NHS App or logging in to the NHS website and suspend your NHS account. We will notify you of this. If what you have done can be put right, we will give you a reasonable opportunity to do so.
7.3. If your NHS account is cancelled:
- your access to your NHS account will stop. You should delete the NHS App from your devices
8. Your right to use your NHS account
8.1. We own or have the right to use all intellectual property rights used for the provision of your NHS account, including rights in copyright, patents, database rights, trademarks and other intellectual property rights, ("NHS IPR").
8.2. You have permission to use your NHS account for the sole purposes described in these terms. You need written permission from us or any other owner of NHS IPR to use these items in any other way.
8.3. Unless permitted by law or under these terms, you will:
- not copy your (or any other) NHS account or any NHS IPR except where such copying is incidental to normal use
- not rent, lease, sub-license, loan, translate, merge, adapt or modify your (or any other) NHS account or any NHS IPR
- not combine or incorporate your (or any other) NHS account in any other programmes or services
- not disassemble, decompile, reverse-engineer or create derivative works based on the whole or any part of your (or any other) NHS account or other any NHS IPR
- comply with all technology control or export laws that apply to the technology used by your (or any other) NHS account or other any NHS IPR
9. Prohibited uses
9.1. You may not use your (or any other) NHS account:
- to collect any data or attempt to decipher any transmissions to or from our servers
- in a way that could damage, disable, overburden, impair or compromise our systems or security
- to transmit any material that is insulting or offensive
- in a way that interferes with other users
- in any unlawful manner or for any unlawful purpose
- in a manner that is improper use or inconsistent with these terms
- to act fraudulently or maliciously by hacking into the NHS App
- to transmit, send or upload any data that contains viruses, Trojan horses, worms, spyware or any other harmful programs designed to adversely affect the operation of computer software or hardware
- in connection with any kind of denial of service attack
- via the NHS App unless it has been downloaded from official App Marketplaces (Google Play Store or Apple App Store)
- on any device or operating system that has been modified outside the mobile device or operating system vendor supported or warranted configurations. This includes devices that have been "jail-broken" or "rooted"
If you do any of the above acts you may also be committing a criminal offence, and we will report any such activity to the relevant law enforcement authorities. We will co-operate with those authorities by disclosing your identity to them.
10. Our liability to you
10.1. Although we make reasonable efforts to provide, maintain and update your NHS account it is provided "as is" and, to the extent permitted by law, we make no representations, warranties or guarantees, whether express or implied (including but not limited to the implied warranties of satisfactory quality and fitness for a particular purpose), that your NHS account or any particular services you access through your NHS account (a) are accurate, complete or up-to-date; (b) will meet your particular requirements or needs; or (c) will always be available, error free, uninterrupted or free of viruses.
10.2. We are not responsible for external links to or from your NHS account and cannot guarantee these will always work. We are not responsible for Platform Services provided through your NHS account unless they are also provided by NHS Digital (as indicated in clause 6). Services provided by third parties will have a connection agreement with NHS England and undertake an integration process, but this does not mean that such services have been endorsed by NHS England.
10.3. Nothing in these terms excludes or limits our liability for:
- death or personal injury arising from our negligence;
- fraud or fraudulent misrepresentation;
- any loss or damage to a device or digital content belonging to you, if you can show that a) this was caused by us and b) we failed use to use reasonable skill and care to prevent this; or
- any other liability that cannot be excluded or limited under English law.
10.4. Subject to clause 10.3 of these terms, we will not be liable or responsible to you or any person you use an NHS account on behalf of for:
- any harm, loss or damage suffered where this is not caused by i) our negligence (for instance, if a healthcare professional makes a misdiagnosis of your condition, or prescribes the wrong medication, or you make any independent decisions based on the information provided in your NHS account we would not be liable); or ii) our breach of these terms
- any loss or damage arising from an inability to access and/or use your NHS account in whole or in part
- any business loss (including but not limited to loss of profits, revenue, contracts, anticipated savings, data, goodwill or wasted expenditure)
- any indirect or consequential losses that were not foreseeable to both you and us when you commenced using your NHS account (loss or damage is "foreseeable" if it was an obvious consequence of our breach or if it was recognised by you and us at the time we entered into the contract created by your use of the NHS App)
10.6. This clause 10 does not affect any legal rights you may have as a consumer in relation to defective services or software. Advice about your legal rights is available from your local Citizen's Advice or Trading Standards Office.
11.1. These terms, and any other terms or policies referenced, set out the entire agreement between you and us in respect of your use of your NHS account, via the NHS App or the NHS website.
11.2. These terms do not give any rights to any third party to enforce any of these terms.
11.3. Each of the clauses and sub-clauses of these terms operates separately. If any part is determined to be invalid or unenforceable it will be superseded by a valid and enforceable provision that most closely matches the intent of the original and all other terms shall continue in effect.
11.4. Even if we delay in enforcing these terms we can still enforce them later.
11.5. The laws of England shall apply exclusively to these terms and all matters relating to use of your NHS account, and dispute shall be subject to the exclusive jurisdiction of the courts of England.
12. Previous versions
12.1 Previous versions
- Version 4.3, 30 November 2022 - This minor update covers the addition of booking and managing a coronavirus (COVID-19) vaccination in the NHS account.
- Version 4.2, 28 November 2022 - This minor update covers a change in how we refer to messages in your NHS account, from 'Health service messages' to 'NHS App Messaging Service'.
- Version 4.1, 16 November 2022 - This minor updates covers the new functionality that enables some users to send replies to some messages in the NHS account.
- Version 4.0, 13 September 2022 - This minor update covers the addition of Enhanced Appointment Viewing in the NHS account.
- Version 3.9, 15 July 2022 - This minor update clarifies distinctions between the types of messaging available in the NHS account.
- Version 3.8, 25 May 2022 - This minor update clarifies that the terms cover your use of both the NHS App and NHS website to access services in your NHS account
- Version 3.7, 12 May 2022 - This minor update reflects the fact that, in line with government policy, the domestic NHS COVID Pass is no longer available.
- Version 3.5, 2 December 2021 - This minor update covers a change to the NHS COVID Pass service, which is now also accepted at places in Wales using this service.
- Version 3.4, 23 November 2021 - This minor update covers a change of use of NHS App messaging to cover connected healthcare providers who may send messages about your care using the NHS App, and when we may send notifications to tell you about new messages.
- Version 3.3, 19 July 2021 - This minor update covers a change of use of the NHS COVID Pass service to include places in England that have chosen to use this service.
- Version 3.2, 21 June 2021 - This minor update covers the updated service name for the NHS COVID Pass service, previously known as Share your COVID-19 status. It also covers the addition of the NHS COVID Pass service for use at event trials in England, for those who do not have high level identity verification access to the NHS App.
- Version 3.1, 17 May 2021 - minor update covers the addition of the Share your COVID-19 status service provided by the Department of Health and Social Care.
- Version 3.0, 14 May 2021 - minor update covers the addition of the Check your COVID-19 vaccine record service, provided by NHS Digital.
- Version 2.9, 23 April 2021 - minor update has reworded parts of the terms to make them clearer and more concise, and gives further information about NHS App services.
- Version 2.8, 4 November 2020 - minor update covers NHS App messaging which enables us to send public health announcements.
- Version 2.7, 26 October 2020 - minor update covers the integration of the ‘Manage Your Referral’ Connected Service for managing hospital referrals.
- Version 2.6, 12 May 2020 - minor update reflecting further personal health record services being made available in the NHS App.
- Version 2.5, 30 March 2020 - minor update reflecting personal health record services being made available in the NHS App.
- Version 2.4, 3 March 2020 - minor update covering nominating a pharmacy and patient to practice messaging.
- Version 2.3, 7 January 2020 - minor update reflecting the release of the new proxy access feature.
- Version 2.2, 14 November 2019 - minor update reflecting the release of new features for online consultations, changing your nominated pharmacy, and accessing the NHS App through a web browser.
- Version 2.1, 20 February 2019 - minor update covering the introduction of a new passwordless authentication feature in clause 4.7.
- Version 2, 18 December 2018 - significant update for the NHS App's public release in the Apple and Google Play stores.
- Version 1, 26 September 2018 - original version for the NHS App's private beta release.