Castlegate & Derwent Surgery Isel Road, Cockermouth, CA13 9HT Tel: 01900 705750


Getting started - download one of the apps

To gain online access you will need to download the app of your choice and register for the service. Functions vary within each app and it is down to personal choice which app you use and what will work best for you. Available to download from: 


Follow the instructions on the individual apps to register and link to our surgery. Depending on the app of your choice, it may allow you to make one initial appointment or order one prescription.

To complete the registration process and unlock further online functions you will need to complete an online access application form.


Next step- application form and verification of identity

‘Application for online access’ forms are available to download or printed copies are available to collect from our Reception area.

Completed application forms (for patients age 16 and over) should be returned to our reception team along with two forms of identification.

One photographic proof of identity, valid and in date eg. Passport, Drivers Licence and one proof of address, less than 3 months old, eg. Recent bank statement, insurance document.

Our Reception team will check your completed application form, verify identification and provide you with your NHS online credentials document.

Final step- completing your online registration

Launch the app of your choice and when prompted add your NHS online credentials using the document our reception team provide you. This will unlock the services you have requested on your application form.

Please note approval from a GP is required to enable some online features. Please allow 30 days for these features to be activated.


What is proxy access?

Proxy access refers to access to online services by somebody acting on behalf of the patient and usually with the patient’s consent. Before the practice can provide proxy access to an individual on behalf of the patient the law requires us to satisfy ourselves that the person has the explicit informed consent of the patient or some other legitimate justification for authorising proxy access without patient consent (See our proxy information leaflet for details)

The level of online access will be configured to the patients choice. Online services available include booking appointments, ordering prescriptions and viewing medical record (as currently available/ not available for under age 16).

The proxy user does not have to be a registered patient at the practice, but must be registered for online services at their own GP practice. The proxy user will always log on using their own login credentials.

The practice may refuse or withdraw proxy access, if they judge that it is in the patient’s best interest to do so.

Who can gain proxy access?

  • A parent or guardian who has legal responsibility for patients who are under 11 years old.
  • A parent or guardian where a patient is age between 11 and under 16 who has given permission.
  • A parent or guardian who has legal responsibility for a patient age between 11 and under 16 where a GP has assessed that the patient is not capable of making their own decisions about medical health.
  • A carer for an adult patient (16 years and over) and has given permission.
  • In cases where the patient does not have capacity to consent, the GP can decide that it is in the best interests of the patient for a representative to have proxy access, these will be considered on a case- by case basis.

Applying for proxy access

A ‘Consent to proxy access to GP Online Services’ form must be completed, this is available from our Reception or click the link to download.

The form should be completed by both the patient and the proxy access representative. The completed form should be returned to our Reception along with two forms of identification (photographic and proof of address- valid and dated within the last 3 months) for both patient and proxy representative.

Face to face verification of identification will be required for both parties by our Reception team.

The completed form will then be processed and approval will be obtained by a GP before access is given.

Access to children's records

Children age under 11

We are able to offer proxy online access to parents/ guardians with parental responsibility for children up to the age of 11.

‘consent to proxy access form’ should be completed and returned to our reception team along with identification for the child eg. birth certificate or passport and two forms of identification for parent. One photographic proof of identity (valid and in date) and one proof of address (less than 3 months old).

We take great care to safeguard children that are registered with the practice, therefore certain restrictions apply. Proxy access will only be given with the approval of a GP.

Services available: Booking appointments and ordering medication (as available on app used) 

Children ages 11 to under 16

Patients in this age group are considered to become competent to understand and give consent to others having access to their records. They may also be deemed competent to have access to their own record. All requests for online access either for proxy access or for an individual will require approval by a GP.

Either a ‘consent for proxy access form’ or ‘Application for online access (Ages 11 to under 16)’ must be completed and handed to our reception team along with identification. For Proxy access see ID  requirements above or if patient is applying for their own access two forms of identification are required. One photographic proof of identity (valid and in date) and one proof of address (Less than 3 months old)

Services available: Booking appointments and ordering medication (as available on app used)

Please note: when a child reaches their 11th or 16th birthday access will be restricted. A letter will be sent to the patient or proxy user to inform them of the change along with details of how to continue use of online access.


Identity verification

Applicants for proxy access must have their identities verified in a face- to face transaction in the same way as applicants to access their own record.

Where proxy access is requested with the consent of the patient, the identity of the person giving consent must be verified too.

Please see the practice ‘Online Access information leaflet’ for more information of identification verification and examples of suitable identification you can provide.

Reviewing proxy access

Where proxy access has been granted with the consent of the patient the proxy access will be reviewed or withdrawn at the request of the patient. It will also be reviewed if the patient loses capacity to give consent unless the patient consented before they lost capacity to an enduring proxy access that would continue after they lost capacity.

Where proxy access was enabled on behalf of an adult patient who lacks capacity this will be reviewed should there be a change in capacity resulting in the patient re- acquiring capacity.

Refusing proxy access

If a GP or other health professional suspects that a patient is being coerced to give proxy access they will attempt to establish the true position with the patient. If after discussion with the patient there are still grounds for suspicion that the patient is not giving access freely then the GP will advise the patient that they are not going to authorise proxy access.

Proxy access will not be granted after discussion with the patient if:

  • Practice staff members believe a patient under 16 is competent to make decision on access but the child has not given consent for proxy access to the person who is seeking it.
  • There is a risk to the security of the patient’s record by the person being considered for proxy access.
  • The patient has previously expressed the wish not to grant proxy access to specific individuals should they lose capacity, this will be recorded in the patient’s record.
  • The patients GP judges that it is not in the best interests of the patient.

More information is available from our Reception Team.


Click on the following links to download:



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