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


What is Patient Access? This is a secure online system which allows you to book appointments,  order repeat medication, update contact details and view your medical record. To use the service you need to register for the Patient Access service. The service is free for our patients and is available 24 hours a day, 365 days a year.

What are the advantages of using Patient Access? It is an invaluable service for patients who have hectic lifestyles, work shifts or have mobility problems as it allows you to make or cancel appointments and order repeat medication at any time of the day. It also means that you can even access it from anywhere in the world should you require medical treatment on holiday.

Patients who are able to see their medical record online find it helps them to manage their medical conditions more effectively and become more involved in their care.

How to gain access? There are two ways to create a Patient Access account.

  • Online: Visit our website and click the link to Patient Access and ‘Register’, follow the on screen instructions to register. This will allow you to make one initial appointment online. You will then be required to visit our reception with two forms of identification and to complete a Patient Access application form to allow us to verify your Patient Access registration and give you full access to the areas you wish to view.
  • In surgery: Visit our reception with two forms of identification and complete a Patient Access application form. Our reception team will then process your application and provide you with a 'pin letter' document with your login details allowing you to activate at home.
  • Existing Patient Access users who wish to have access to their medical record: If you wish to obtain access to your medical record please visit our reception with two form of identification and complete a Patient Access application form. Our reception team will then process your request.

Identification. Should be valid and in date or less than 3 months old. Two forms of identification should be presented to our reception with your application form. One photographic(e.g. passport, drivers licence) and one proof of address(e.g. recent utility bill, bank statement etc) 

Before completing a Patient Access application form we will provide you with information leaflets that we ask you to read and consider before completing.

What may I be able to see if I request to view my medical record?

· Upcoming appointments

· Results e.g. blood pressure, blood tests

· Vaccinations and immunisations

· Medications

· Clinical letters/ hospital letters (please note at this current time you are unable to view Out of Hours reports received on Patient Access, if you wish to view these documents please contact the surgery)

· Allergies

· Problems

Please note if we record an entry as ‘date unknown’ Patient Access will show it as 1899 on the page that you view. We realise we have no patients who will be this old and it is simply a default computer position.


You can book, view or cancel appointments using Patient Access. A selection of appointments are available to book online with a GP, Treatment Room Nurse and Health Care Assistant.

You can book up to 3 appointments at any one time including those made in person, online or by telephone.

If you are unsure as to who would be the most appropriate member of the team for you to see please contact our reception on 01900 705750.

Our routine GP appointments are 10 minutes long, Nurse appointments 15 minutes long and Health Care Assistants 10 minutes long.

If you are unable to attend an appointment that you have booked online, you can either cancel it online or contact us to cancel. This will then allow us to offer this to another patient. If we have a mobile phone number registered to your record, a text reminder will be sent out before your appointment. You can also cancel appointments using the text service.

We realise that there are valid reasons for not attending. However, we will be monitoring such occurrences on a regular basis.

What happens if I change practices?

Another practice may not use the same clinical system and so we cannot guarantee that you will be able to have this facility at your new practice. You should enquire at your new practice about their online services when registering.


Patient Access has the same level of security as online banking. The information you view comes from the clinical system at your GP practice, this information is encrypted and sent securely from the GP system to your PC web browser, this means it is very difficult for anyone else to intercept and read the information. When you log off Patient Access or if there is a problem with your computer (e.g power failure), all your confidential medical information is cleared from the system.

It will be your responsibility to keep your login details and password safe and secure.

If you know or suspect that your record has been accessed by someone that you have not agreed should see it, then you should change your password immediately. Using the update password feature on Patient Access.

If you are having problems doing this, please contact the surgery immediately and we can remove online access until you are able to reset your password.

If you print out any information from your record, it is also your responsibility to keep this secure. If you are at all worried about keeping printed copies safe, we recommend that you do not make copies at all.

Any information about you that the practice holds is subject to the regulations in the Data Protection Act 1998. The consent agreement is between you and the practice.


We are able to offer online services to parents/ guardians with parental responsibility for children up to the age of 16. If this is something which you may be of interest to you please speak to our reception team, we take great care to safeguard children that are registered with the practice, therefore certain restrictions apply.

Download a copy of our Patient Access application pack or you can collect a copy at Reception.

Having trouble registering? click here to download our step by step guide


Further help can be found here



All you need to know about patient access and the services it provides you 24/7/365



Staff and patients at the Street Lane Practice explain how they benefited from PA.



The Friends and Family Test is a way for all patients to give feedback quickly.