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NHS Spine Portal

Spine supports the IT infrastructure for health and social care in England, joining together over 44,000 healthcare IT systems in 26,000 organisations.


Problems logging in

If you are using a smartcard, check your device is set up correctly.

You may need to contact your Registration Authority if:

  • you need access to one of these applications but do not have it
  • you need an authenticator
  • your authenticator is not working

Find your Registration Authority.

Last edited: 18 March 2026 3:30 pm