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NHSmail Integration

Enable secure communication and collaboration in your digital health solution with 6B’s NHSmail integration services. We help organisations integrate with NHSmail APIs to support POP, IMAP, and SMTP access using modern authentication protocols such as OAuth 2.0 – allowing healthcare workers and carers to connect safely and efficiently through NHSmail.

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Whether you're developing a new digital health product or extending an existing solution with NHSmail integration, Whether you're developing a new digital health product or extending an existing solution with

Rebecca

Rebecca

Business Development

As NHSmail integration specialists, we guide you through the technical and governance requirements, helping you unlock the full value of NHSmail for care coordination, clinical messaging, and operational communication.

Understanding NHSmail

NHSmail is the UK’s national secure email and collaboration platform for health and social care organisations. Delivered by NHS England, it supports over 1.7 million users and is designed to facilitate the secure sharing of sensitive clinical and operational information.

NHSmail is built on Microsoft 365 and includes:

  • Secure email (Exchange Online)
  • Collaboration tools (Outlook, Teams, OneDrive)
  • Identity and access management via Azure Active Directory

NHSmail is accessible to authorised personnel across all NHS and associated care settings and is fully aligned with national data protection and cybersecurity standards. Integration with NHSmail provides application developers and digital health vendors with a secure pathway to support messaging, alerts, and workflow notifications within NHS environments.

Our NHSmail Integration Process

At 6B, we provide end-to-end support for NHSmail integration, beginning with a discovery and planning phase where we work closely with your team to understand your application’s objectives and messaging requirements. Whether you need to support POP, IMAP, or SMTP protocols, we assess the most appropriate integration pathway based on your architecture and intended use cases.

Once the strategy is defined, we assist with registering your application through the NHSmail Application Registration Portal. This includes setting up necessary details such as permissions, redirect URIs, and tenant configurations, as well as helping you gather the required credentials like your Application ID, Secret or Certificate, and Tenant ID. We then configure OAuth 2.0 authentication to establish secure, token-based access, avoiding the need for password-based connections and aligning your solution with NHS security policies.

Following registration and authentication setup, our development team builds and configures your application to connect with NHSmail using the appropriate protocols. We conduct extensive testing in a secure staging environment to validate all data flows, permission scopes, and system behaviours. This ensures that your application can send and receive messages through NHSmail reliably and securely.

Once testing is complete and integration is approved, we support your go-live phase with monitoring, post-deployment adjustments, and guidance on maintaining compliance. If needed, we also assist with producing documentation for regulatory or stakeholder review, such as for DTAC submission or internal governance.

Benefits of NHSmail Integration

Integrating your application with NHSmail unlocks a secure and compliant channel for communication within the NHS. By enabling direct connectivity with the NHS’s national email infrastructure, your application can facilitate timely, confidential communication between healthcare professionals and between systems. This level of integration improves operational efficiency by streamlining workflows, enabling features like automated alerts, care updates, and document exchange that are fully aligned with NHS communication policies.

Through the use of OAuth 2.0 authentication and Microsoft 365 APIs, NHSmail integration ensures token-based access, reducing the risk associated with password sharing and offering a more modern, secure alternative for identity management. Your solution becomes easier to adopt and deploy across NHS settings, improving interoperability and meeting the expectations of NHS organisations that prioritise integration with familiar, approved technologies.

Ultimately, NHSmail integration helps digital health innovators deliver tools that fit naturally into the NHS ecosystem, support safe information sharing, and enable more coordinated care. For NHS organisations, it provides a trusted and efficient way to extend the value of existing NHSmail services across clinical, operational, and administrative domains.

Why Choose 6B for NHSmail Integration?

We are experienced in developing secure integrations using NHSmail protocols and authentication workflows. Our team understands how to implement POP, IMAP, and SMTP access within NHS security frameworks.


From initial planning and application registration to development, testing, and go-live, we handle the entire integration journey – ensuring compliance and smooth delivery.


6B is ISO 27001 certified and Cyber Essentials accredited. We implement OAuth 2.0, TLS encryption, and optional certificate-based authentication to meet NHS security standards.


We have delivered integrations with a range of NHS systems including NHS Login, Spine 2, MESH, SystmOne, EMIS, Epic, and Cerner – ensuring a joined-up approach across your healthcare technology stack.


Whether you’re a startup developing a patient-facing tool or an NHS organisation enhancing internal workflows, we tailor each NHSmail integration to your operational and technical context.

NHSmail Integration Insights