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How to set up a CIS1 smartcard workstation

CIS1 Authentication is the method by which users access the Care Identity Service through the Health and Social Care Network (HSCN).

This page is for CIS1 Authentication smartcards using HSCN

This page explains how to set up a workstation to use smartcards over the Health and Social Care Network (HSCN) with CIS1 Authentication. For smartcards that authenticate over the internet using CIS2 Authentication, read guidance on setting up a CIS2 smartcard workstation.


System requirements

Please follow the guidance in sequence. For a full list of platforms compatible with Registration Authority (RA) software, check the Warrantied Environment Specification.

All users

These are the system requirements for an optimal smartcard workstation setup:

  • Operating system: Windows 10/Windows 11 64bit
  • Browser: Edge or Chrome
  • Smartcard reader: HID Global Omnikey 3121 USB smartcard reader

Registration Authority users 

Additional requirements for a workstation used for servicing or printing smartcards:

  • Smartcard reader: secondary HID Global Omnikey 3121 USB smartcard reader
  • Smartcard printer (optional): Magicard DoH (V2) or DoH 300 (V2) smartcard printer

Unsupported

  • Java
  • Citrix / VDI / Terminal services (card management services)

Downloads and setup checklist

Mandatory steps for all users

 

Additional steps for RA users

Step

Action

Item

 

Step

Action

Item

1

Check

Internet-facing domains

 

9

Add

RA Identity Agent registry setting

2

Check

.NET 4.8 installation

 

10

Connect

Secondary smartcard reader

3

Install

NHS Credential Management

 

11

Set up

Smartcard printer (optional)

4

Install

Oberthur middleware

 

12

Check

Smartcard printer reader drivers (optional)

5

Install

Idemia PIV minidriver

 

 

 

 

6

Install

NHS Identity Agent

 

 

7

Install

Smartcard reader drivers

 

 

 

 

8

Reboot

Restart machine

 

 

 

 

Optional steps for all users

 

 

Step

Action

Item

 

 

 

 

13

Check

Custom Identity Agent registry settings

 

 

 

 

14

Install

IA Registry Editor Tool

 

 

 

 

15

Install

NHS England Diagnostic Tool

 

 

 

 


Mandatory steps

1. Internet-facing domains

To be able to access the newer, internet-facing parts of the Care Identity Service, the user will need to be able to access certain domains. There are also considerations for anyone using a web proxy or VPN.

Read our guidance for IT teams on allowing domains.

2. Check for installation of .NET 4.8

This is a mandatory requirement for setting up a workstation. Windows 10 does not install the older versions of .NET by default, but you cannot proceed without it. To check/install it:

  • open Control Panel
  • go to Programs > Programs and Features
  • on the left, choose 'Turn Windows features on or off'
  • check the box for .NET 4.8

Dot NET 3.5 settings window

3. Install NHS Credential Management

Follow the supporting documentation for installing and configuring NHS Credential Management, which also includes troubleshooting guidance for common issues.

4. Install Oberthur middleware

Oberthur middleware is a mandatory installation for all machines.

5. Install Idemia PIV minidriver

This is required for interacting with series 9 smartcards.

The Idemia PIV minidriver is installed automatically via Windows Update (If enabled). If automatic Windows Update is disabled, you can install the middleware manually.

6. Install NHS Identity Agent

Follow the installation guide for installing NHS Identity Agent, which includes an administrator’s guide for configuration, as well as troubleshooting guidance for common issues.

7. Install the correct smartcard reader drivers

Download the manufacturer drivers for the NHS supported 3121 readers. To support all variants of the Omnikey 3121 smartcard reader, it is recommended to install both the HID Omnikey CCID and HID Global X-Chip driver (BU component). If you are using other smartcard readers to login with, install the manufacturer drivers for those smartcard readers. Find out how to update drivers for other smartcard readers.

8. Reboot the computer

Restart the machine to complete the setup process.


Additional steps for Registration Authority users only

You only need to complete these extra steps if you are Registration Authority users - check whether this is you.

9. Add RA Identity Agent registry setting

We recommend all workstation users set the following value in the NHS Identity Agent registry:

CardRemovalCheck = False

Several other registry changes may be needed, which must be adjusted for each organisation or template. For new NHS Identity Agent installations, you will need to manually create the sub-trees in the registry before first use. 

Read guidance on NHS Identity Agent configuration and registry settings.

10. Connect secondary smartcard reader

RA users who carry out smartcard management services will need to connect a secondary smartcard reader.

They also need to check and verify that the correct drivers are assigned to the secondary smartcard reader (see step 7).

11. Smartcard printer installation (optional)

See guidance on how to install smartcard printers.

We recommend you do not use an Omnikey 5321CR Contactless reader on a machine which has a Magicard DoH (V2) Printer (5x21 Reader) connected to it.

12. Check smartcard printer reader drivers

Check and verify that the correct drivers are assigned to the printer in-built smartcard readers.


Optional steps

13. Custom Identity Agent registry settings

Add custom NHS Identity Agent registry settings specific to your requirements. Read guidance on Identity Agent configuration and registry settings.

If you make changes to the registry, restart NHS Identity Agent.

14. IA Registry Editor Tool

This is a standalone tool that needs admin rights to run. It's designed to provide an easy way to configure NHS Identity Agent to switch environments and toggle certain features. For more information, read the user guide.

15. NHS England Diagnostic Tool

The NHS England Diagnostic Tool comes as a standalone tool without an installer. It is designed to provide an easy method for support teams to gather information about the configuration of a user's computer. Providing a diagnostic log file is recommended when raising incidents involving Identity Agent or card management services in Care Identity Management.


Notes for RA users

You will need to complete the additional steps for Registration Authority users if you carry out any of the actions in the table below.

Registration Authority role

Issue, print and manage smartcards

Renew all certificates

Renew expiring certificates

Unlock smartcards

Registration Authority manager

Y

Y

Y

Y

Registration Authority agent / advanced agent

Y

Y

Y

Y

Sponsor

 

 

Y

Y

Local smartcard administrator

 

 

Y

Y

Important notes:

  • Registration Authority users must be logged in with their smartcard to perform card management services, as other authenticators do not support these operations.
  • It is not recommended to use an Omnikey 5321CR contactless reader on a machine which has a Magicard DoH (V2) Printer (5x21 Reader) connected to it.

Troubleshooting

If you're having problems or need more help, go to our troubleshooting area.

Last edited: 20 August 2025 1:53 pm