MFA Admin Guide

Multi-Factor Authentication (MFA) helps protect users by making it more difficult for someone else to sign in to their NHSmail account. It uses two different forms of identity: the user’s password, and a contact method.

This article is intended to provide Local Administrators with an overview of the process to enable MFA for NHSmail users. For more information on MFA, please refer to additional guidance for Local Administrators.

All user accounts created from 5 October 2023 will have MFA enabled as default. This feature does not apply to users managed by the National Administration Service.

Please note: Users created from 5 October 2023 will not be able to bypass the MFA registration. If deemed necessary, Local Administrators can disable MFA on new users on an account-by-account basis via the User Management page and MFA can be disabled either before or after an account has registered for it. If MFA needs to be disabled before the MFA registration stage – and a local risk-based assessment must be completed for each disablement – the new user must have accepted the AUP and set their account secret first. Local Administrators will need to work with their new users directly in these instances as the user will be prompted to register for MFA at their next login.

When MFA is enabled for users, they will be added into the MFA Conditional Access (CA) Standard central group. When a Local Administrator disables MFA on an account, the user will be removed from any MFA CA policy.

MFA Adoption Toolkit

We have created a toolkit to support local admins and local organisations with their MFA rollout. Please visit this page for more information.

MFA Enablement

As a Local Administrator, you will be able to enable MFA for users via the Portal, either individually or in bulk. You can select users to enable MFA for by using filters available through the column picker, for example by organisation, organisation unit or user policy. Please note that there is currently a limit of 50 users at a time for the bulk edit feature. This can be repeated unlimited times for larger cohorts of users.

For information on how Local Administrators can temporarily disable MFA for users, please view the MFA Short and Long Term Exceptions Admin Guide

To see the MFA statuses of users at your organisation, you can download the MFA Status report from the Admin Reports section in Portal. For an overview of the reports alongside the other available admin reports, please refer here.

Below gives descriptions of each MFA Status that you will see on the MFA Status report

User Enabled – when a user enables MFA via the Self-Enrol Flow

User Disabled – when a user disables MFA via the Self-Enrol Flow

Admin Enabled – when a Local Admin enables MFA via User Management

Admin Disabled – when a Local Admin disables MFA via User Management

MFA Enforced ATP Group – for a user that is added to an ATP Role (this act enables MFA for this user) – This applies for when granted ATP Approver through the DL and also when added to a ATP group.

MFA Disabled ATP Group – for a user that was previously removed from an ATP Role (this acts as disabling MFA for this user) before Hawkins release (February 2024).
MFA Enforced Admin Role – for a user that is given an admin role (Local Admin, Primary Local Admin, Global Admin, Global Helpdesk etc)

MFA Disabled Admin Role – If (Local Admin, Primary Local Admin, Global Admin, Global Helpdesk etc) roles were removed from the user account before Hawkins release (February 2024).

MFA Enforced Compromised – for a user whose account has been marked as compromised

MFA 24 Hour Exception – for a user who has been granted a short-term exception

MFA Long Term Exception – for a user who has been granted a 180-day exception

Please note:

 The users MFA authentication type details present in the MFA Status Report will see new Microsoft authentication values being displayed, replacing the existing values currently shown in the report. The authentication type values will remain in a hybrid state until all existing values have been successfully updated.

The report also details Authentication Type used when signing in. The different types and their descriptions are outlined as follows:

Legacy Authentication Types:

OneWaySMS – A text message sent to the user

PhoneAppNotification – A notification is triggered to the user’s dedicated mobile application for authentication which will prompt for approval or rejection

PhoneAppOTP – A one-time unique passcode that will be displayed on the user’s dedicated application

TwoWayVoiceMobile – A mobile phone call where authentication will be granted upon the user entering a key

TwoWayVoiceAlternateMobile – A mobile phone call where authentication will be granted upon the user entering a key, for the user’s alternate registered mobile device

TwoWayVoiceOffice – A mobile phone call where authentication will be granted upon the user entering a key, for the user’s registered office phone

New Authentication Types:

SMS – A text message sent to the user.

Voice – A automated voice call made to the phone number registered by the user. The authentication will be granted once the user is prompted to press ‘#’ on their keypad.

PhoneAppNotification – A notification is triggered to the user’s dedicated mobile application for authentication which will prompt for approval or rejection.

PhoneAppOTP – A One-Time Passcode (OTP) sent to the user’s dedicated mobile application for authentication when prompted for an OTP value.

SoftwareOTP – A auto-generated One-Time Software Passcode (OTP) pushed to an authentication mobile app for the user to input the code value for authentication. Please view this article for more information on how to configure Software Time-Based One-Time (TOTP) tokens.

Individual – Enablement / Disablement of MFA

Steps on how to enable and/or disable MFA for individual user accounts:

To review/download the steps for individual enablement, click here.

To review/download the steps for individual disablement, click here.

Bulk – Enablement / Disablement of MFA

Steps on how to enable and/or disable MFA for a group of user accounts:

To review/download the steps for bulk enablement and disablement, click here.

For requests over 50 mailboxes, please see the interim process here.

Please note it is also possible to bulk enable MFA on inactive accounts .

MFA Re-Enrolment

Steps on how to re-enrol user accounts for MFA:

To review/download the steps for MFA re-enrolment, click here. Please refer to Re-enrolling Per User and Conditional Access Multi-Factor Authentication for more information.

Last Reviewed Date 04/04/2024
Updated on 04/04/2024

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