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BMJ Best Practice Login (NHS): OpenAthens, Personal Accounts, and App Access

Fix the common access pain: OpenAthens sign-in, personal profile creation, and why ‘institutional access’ is not the same as a saved account.

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IMG pathwayThis guide is updated for 2026 regulations (UK/US/Aus/Can). Always verify with official bodies.

Key points

  • Institutional access typically authenticates you; a personal profile helps you save progress and use the app smoothly.
  • If your institution uses OpenAthens/Shibboleth, the correct login route matters.
  • Most ‘can’t log in’ issues are mismatched routes (wrong institution option, no linked personal profile, or stale authentication).
The fastest path is: authenticate via your institution (often OpenAthens) → create/confirm a BMJ Best Practice personal profile linked to that authentication → then use the same profile for the mobile app. Once you internalise that these are two distinct layers (authentication vs profile), most problems become obvious.
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Step 1 — Use the institution login route

If your organisation provides access via OpenAthens or Shibboleth, start with the ‘access through your institution’ pathway rather than a generic consumer login.
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Step 2 — Link or create your personal profile

Create a personal profile using the institutional sign-in. This is what enables saved features and app continuity.
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Step 3 — Install the app and sign in the same way

Use the same identity route you used on web (the common failure is attempting a different login method on mobile).
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Step 4 — If you get blocked, check the institution selector

Many access journeys require selecting the correct region/institution option (e.g., NHS in England vs a Trust). Incorrect selection can loop or fail.

A useful mental model

OpenAthens proves you’re eligible. Your personal BMJ profile is what remembers you.
SourceBMJ Best Practice: Access through your institution (OpenAthens/Shibboleth)
Open Link
SourceBMJ Group: NHS England access instructions
Open Link

Official Sources

BMJ Best Practice — Access through your institution
BMJ Group — NHS England access page
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  • If your organisation provides access via OpenAthens or Shibboleth, start with the ‘access through your institution’ pathway rather than a generic consumer login.

    Return to this section
  • Create a personal profile using the institutional sign-in. This is what enables saved features and app continuity.

    Return to this section
  • Use the same identity route you used on web (the common failure is attempting a different login method on mobile).

    Return to this section
  • Many access journeys require selecting the correct region/institution option (e.g., NHS in England vs a Trust). Incorrect selection can loop or fail.

    Return to this section

United Kingdom · Starting work · Article 12 of 28