Message channels

Letters

You can use NHS Notify to print and send letters to patients and members of the public with addresses in the UK. You can do this in bulk and individually.

An image showing both sides of a letter sent by NHS Notify
An example of a black and white double-sided letter sent by NHS Notify.

What you need to know

This page will tell you:

You might also want to understand more about:

Letter specification

To send letters with NHS Notify, your content must meet our letter specification. This is done automatically for you when you create a letter template using NHS Notify.

The page size and layout is A4 portrait (210 x 297mm).

Envelopes

NHS Notify uses C5 size envelopes with an address window. This means the A4 letter is folded in half with the recipient’s address displayed in the address window.

NHS barcode

All letters sent with NHS Notify will automatically have Royal Mail’s NHS barcode (opens in a new tab) on the envelope.

The NHS barcode allows Royal Mail to identify NHS letters. During busy periods locally or nationally, Royal Mail will prioritise NHS letters using the NHS barcode.