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Accessibility statement

This accessibility statement applies to the NHS website for England (www.nhs.uk).

We want as many people as possible to be able to use this website. This means you should be able to:

  • change colours, contrast levels and fonts using browser functionality
  • zoom in up to 400 per cent without the text spilling off the screen
  • navigate most of the website using just a keyboard
  • navigate most of the website using speech recognition software
  • interact with most of the website using a screen reader (including recent versions of JAWS, NVDA and VoiceOver)

We also try to make the website text as simple as possible to understand.

If you have a disability, search AbilityNet for "how to" guides to make your device easier to use.

How accessible this website is

We know from several accessibility reports that parts of this website are not fully accessible.

PDFs

Many of our PDFs are not fully accessible to screen reader software. Some of these PDFs are required to access a service. Examples include:

If you're having problems using these PDFs, contact your GP surgery for advice.

Other parts of the website that are not fully accessible

These include:

  • some online forms that are not easy for screen readers to navigate
  • some links and images that are not self-explanatory to screen reader users
  • our online survey tool, where some screen readers may not announce content correctly and some speech recognition software may not be able to select form fields easily by giving standard verbal commands
  • links to websites or software that we do not own or manage and so cannot guarantee their accessibility

We are actively working to address these issues as part of an ongoing programme to improve the accessibility of this website.

Feedback and contact information

If you have an accessibility query you can give feedback about the NHS website, including:

  • if you have any problems accessing information or using this website
  • if you have any positive feedback about this website's accessibility

We aim to respond in 5 working days.

Alternative formats

We've designed our content to be as accessible as possible.

If you need information on this website in a different format, like accessible PDF, large print, easy read, audio recording or Braille, please give feedback about the NHS website.

We'll consider your request and get back to you in 10 working days.

Reporting accessibility problems with this website

We're always looking to improve the accessibility of this website. If you find any problems not listed on this page or think we're not meeting accessibility requirements, please give feedback about the NHS website. This helps us improve.

Enforcement procedure

If you contact us with a complaint and you are not happy with our response, contact the Equality Advisory and Support Service (EASS).

The Equality and Human Rights Commission (EHRC) is responsible for enforcing the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018 on legislation.gov.uk (the "accessibility regulations").

Technical information about this website's accessibility

We're committed to making this website accessible, in accordance with the accessibility regulations.

Compliance status

This website is partially compliant with the Web Content Accessibility Guidelines (WCAG) version 2.2 AA standard, due to the non-compliances listed below.

Non-accessible content

The content that is not accessible is listed below together with an explanation and reference to the relevant WCAG section.

Non-compliance with the accessibility regulations

Forms

Service search (newer templates)
  • Help and error information is not announced automatically to screen readers (Info and relationships 1.3.1)
  • Form labels are missing or broken (Info and relationships 1.3.1)
  • Some messages are not automatically announced to users of assistive technology (Error identification 3.3.1)
  • The search placeholder text is low contrast (Contrast (minimum) 1.4.3)
Podcasts
  • A text alternative (transcript) for audio-only content has not been provided for podcast content (Audio only 1.2.1)

PDFs

  • The structure of the content is not always available to assistive technology, which makes the content difficult to understand and navigate for users of screen readers (Info and relationships 1.3.1)
  • The reading order of the content is not always logical, which means some content does not make sense when read out by text-to-speech software (Meaningful sequence 1.3.2)
  • Images do not always have text alternatives, which means some content is not available when using text-to-speech software (Text alternatives 1.1.1)

3rd-party tools and systems

There are several issues relating to the Qualtrics survey component. These include:

  • Users require a specific sensory ability to interact with content. This fails under 1.3.3 Sensory Characteristics (Level A).
  • When text properties are set by the user, there is no change in the appearance of text. This fails under 1.4.12 Text Spacing (Level AA).

The Qualtrics component is a third-party component. We have reported the issues and asked for updates. Qualtrics is expected to fix them at some point, but currently a specific date has not been provided.

Some further issues relate to the Microsoft Azure B2C Login system. These include:

  • Autocomplete attribute is missing or inactive on some fields. This fails under 1.3.1 Info and Relationships (Level A) and 1.5.3 Identify Input Purpose (Level AA).
  • Error messages are not associated with form fields. This fails under 3.3.1 Error Identification (Level A); 3.3.3 Error Suggestion (Level AA); and 4.1.3 Status Messages (Level AA).
  • Positive tab index integer used on a component. This fails under 2.4.3 Focus Order (Level A).

Tickets for these issues have been raised with Microsoft. Discussions are ongoing to resolve these issues.

Profile Manager

  • The same heading is duplicated at heading level 1 (H1) and heading level 2 (H2). This fails 1.3.1 Info and Relationships (Level A) and 2.4.6 Headings and Labels (Level AA).
  • Error messages are not associated with the relevant form field. This fails under 3.3.1 Error Identification (Level A).
  • Users cannot extend their session and are automatically logged out after 15 minutes. This fails under 2.2.1 Timing Adjustable (Level A).

Content visibility

  • Low contrast focus indication style on: links, buttons, form fields, and search components (Non-text contrast 1.4.11)

Screen readers

  • Inaccessible HTML such as empty ARIA (accessible rich internet applications) landmarks, incorrect or broken instances of the ARIA attributes and empty lists or lists with 1 item (Info and relationships 1.3.1)
  • Form labels are missing or broken (Info and relationships 1.3.1)
  • Anchor tags contain empty content (Meaningful sequence 1.3.2)

Content that's not within the scope of the accessibility regulations

PDFs and other documents

Many of our older PDFs do not meet accessibility standards. The accessibility regulations do not require us to fix PDFs or other documents published before 23 September 2018 if they're not essential to providing our services. We do have plans to remove or replace some of the PDFs with more accessible content alternatives. Wherever possible, we avoid PDFs. Instead, we create content as structured web pages in HTML

Videos

All video published after 23 September 2020 meets WCAG AA standard, which includes captions, transcripts, and audio descriptions. As part of our ongoing transformation work, we are continuously improving older videos to meet the same standard.

What we're doing to improve accessibility

We have published tools and guidance on accessibility in the NHS digital service manual based on extensive testing. The service manual helps our teams build products and services to meet the same accessibility standards.

At NHS England, creating an accessible service is a team effort. We want our teams to make accessible services by:

  • considering accessibility at the start of their project, and throughout
  • making accessibility the whole team's responsibility
  • researching with disabled users
  • using a library of accessible components and patterns
  • carrying out regular accessibility audits and testing
  • designing and building to level AA of WCAG 2.2 – which is NHS England policy

As part of this commitment, we have set up a cross-functional accessibility working group to make sure that accessibility remains at the core of everything we do.

We are making sure that accessibility issues highlighted in this statement are being prioritised and fixed. Measures include:

  • all videos to be made AA standard when they are reviewed after 23 September 2020  
  • continued accessibility fixes to the NHS website video player to make sure it adheres to WCAG AA standard.
  • a principle to move away from new content being produced in PDF
  • plans to remove or replace older PDFs with more accessible content
  • ongoing improvements to the NHS design system with a focus on accessibility
  • prioritising accessibility remedial work in all new development and improvement projects
  • working with suppliers to improve the accessibility of their products

Preparation of this accessibility statement

This statement was updated in May 2025.

This website was first tested in September 2020 by Nomensa, which performed an expert evaluation of over 40 pages against all level A and AA success criteria of WCAG 2.1. Content was selected to make sure a good representation of different pages, templates and components were tested as well as key content and user journeys. In August 2021, Nomensa retested the issues raised in the 2020 audit that we have now fixed.

We conduct regular accessibility reviews with additional audits carried out from June to July 2022 and January to February 2024. Our approach includes assessing styles, components, patterns, tools, services, key content and user journeys to ensure ongoing compliance and improvement.

This website's accessibility will be reviewed on a regular basis and this accessibility statement updated with any relevant changes.

Page last reviewed: 25 October 2022
Next review due: 25 October 2025