NHS Mail

Page updated in September 2021

NHS mail is a secure email service, approved for the transmission of patient data. NHS mail addresses have the suffix

Please note that emails will only be secure if both the sender and the recipient have email addresses ending in (An exception applies to performers holding Egress accounts – see below)

Scroll down for details of email addresses that may be used for local referrals.


How to get an NHS mail address

The process for applying or notifying NHS England of an NHS mail address was simplified in June 2020 and is set out below.

Contractors may access the application form via this link.  The form can be completed on any device. Further information is provided on the form to help you.  All fields in the form must be completed.  Please note that the NHS mail application  is to receive one shared mailbox and two individual NHS mail accounts.

Once the form is submitted, NHS Digital will contact you directly with the information provided to go through the authentication process and will then set the accounts up.  This will take up to two weeks to set up.

If you require further help completing this form, or for other NHS mail enquiries, please email:

To register for any additional individual email addresses, contact NHS Digital on 0333 200 1133, explaining why the additional addresses are required.

Performers (whether employed or locum) will need to ask a contractor to apply for an individual address on their behalf. If the contractor has already been allocated his/her two individual addresses, this will need to be done via the method for additional addresses described above.

Alternatively, you may apply for an ‘Egress account‘, enabling you to send emails and documents securely to nhs mail addresses, using your non-nhs email address. This should allow you to send referral letters to hospitals and GPs. Complete this form to apply. An Egress account also enables you to receive emails from an address, but the sender would have to be familiar with the system and use the correct protocol for these to be secure. Guides to Egress are available for non-NHS mail users and NHS mail users.


To regain access to an existing NHS mail account, please call  NHS Digital on 0333 200 1133. If you’ve previously set up security questions on your NHS Mail account, you can reset your password here

A condition of using an account is the need to have completed the NHS Data Security and Protection Toolkit. If you are registering as part of a practice, only one person per practice needs to do this. For more information see our DSPT page and read this September 2021 update.


Local referral email addresses

How to email your referrals using NHS mail

Every health professional is personally responsible for protecting patient data. Please note that data that you send to an address ending in ‘’ is only secure if it is sent from an email address ending in ‘’ (or from an Egress account – see above). If you still don’t have such an address, find out how to get one here.


Here’s a reminder of addresses that you may use for your referrals (following the above advice). Before sending, please ensure that you are familiar with local referral protocols and using the correct referral forms where these are indicated.


MKUH booked urgent service (BUS) clinic

MKUH wet AMD referrals

MKUH referral management service (RMS)

SMH eye casualty

SMH wet AMD referrals

Operose Health (formerly The Practice)

Bucks direct cataract referrals


TIP: If you need to find an address for another individual or organisation, eg another optometrist or a GP practice, try searching from the ‘People’ tab on your NHS mail inbox page.

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