This accessibility statement applies to the Respond to your letter website.
This website is run by the NHS Business Services Authority (NHSBSA). We want as many people as possible to be able to use this website. For example, that means you should be able to:
- change colours, contrast levels and fonts using browser or device settings
- zoom in up to 400% without the text spilling off the screen
- navigate most of the website using just a keyboard or speech recognition software (Voice Control and Dragon)
- listen to most of the website using a screen reader (including the most recent version of NVDA, JAWS and VoiceOver)
We’ve also made the website text as simple as possible to understand.
AbilityNet has advice on making your device easier to use if you have a disability.
How accessible this website is
We know some parts of this website aren’t fully accessible, as:
- some images on card payment screens do not have a text alternative, so screen reader users cannot access the information
- users will not be directed to the main content of the page when they select the ‘skip to main content’ link if JavaScript is disabled
- screen reader users may face difficulties while navigating through error message screens
- users may experience difficulties using assistive technologies such as VoiceOver and Voice Control on Apple iOS devices
Feedback and other contact information
Contact us if you need information about this website in a different format, such as accessible PDF, large print, easy read, audio recording or braille. We’ll consider your request and get back to you within 5 working days.
We’re always looking to improve the accessibility of this website. If you find any problems that are not listed on this page or think we’re not meeting accessibility requirements, you can contact us using the same email address:
Email: accessibility@nhsbsa.nhs.uk
This email address is only for accessibility queries. It is not for technical queries or IT problems. If you have a query that is not about accessibility, you can contact us by:
Email: HESSDM@nhsbsa.nhs.uk
Enforcement procedure
The Equality and Human Rights Commission (EHRC) is responsible for enforcing the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018 (the ‘accessibility regulations’).
If you’re not happy with how we respond to your complaint, contact the Equality Advisory and Support Service (EASS).
Technical information about this website’s accessibility
The NHSBSA is committed to making its website accessible, in accordance with the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018.
Compliance status
This website is partially compliant with the Web Content Accessibility Guidelines version 2.2 AA standard, due to the non-compliances listed below.
Non-accessible content
The content listed below is non-accessible for the following reasons.
Non-compliance with the accessibility regulations
Some images on card payment screens do not have a text alternative, so screen reader users cannot access the information. This fails WCAG 2.2 success criteria 1.1.1 (Non-text Content) and 4.1 (Compatible).
Users will not be directed to the main content of the page when they select the 'skip to main content' link if JavaScript is disabled. This fails WCAG 2.2 success criterion 2.4.1 (Bypass Blocks).
Screen reader users may face difficulties while navigating through error message screens. This fails WCAG 2.2 success criterion 3.3.1 (Error Identification).
Users may experience difficulties using assistive technologies such as VoiceOver and Voice Control on Apple iOS devices. This fails WCAG 2.2 success criterion 4.1 (Compatible).
We plan to fix these issues. When we publish new content, we’ll make sure it meets accessibility standards.
What we’re doing to improve accessibility
We're committed to making sure this website is compliant to WCAG 2.2 ‘AA’ standard.
Our accessibility compliance statement will be reviewed regularly. Every newly released website will be designed, built, and tested to meet ‘AA’ standards by default.
Preparation of this accessibility statement
This statement was originally prepared on 30 September 2019. It was last reviewed on 12 June 2025.
This website was last tested on 30 May 2025 against the WCAG 2.2 AA standard.
The test was carried out by the NHSBSA test and development teams. The most viewed pages were tested using automated testing tools by our website team. A further audit of the website was carried out to the WCAG 2.2 AA standard.
We tested all the website screens to meet ‘AA’ WCAG 2.2 standards, using manual and automated tests.
We run each webpage through automated Wave, Lighthouse and Axe accessibility tools then manually test with screen readers (NVDA, JAWS and VoiceOver) and standards checklists. We run representative user journey tests through speech recognition software (Dragon and Voice Control).
These checklists contain standards that have been compiled using WCAG, the NHS service manual and the Government Digital Service (GDS) guidance.