diff --git a/app/views/mpr/prototype/add-patient-note.html b/app/views/mpr/prototype/add-patient-note.html
index 558d9c0a..d7979b63 100644
--- a/app/views/mpr/prototype/add-patient-note.html
+++ b/app/views/mpr/prototype/add-patient-note.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{{ backLink({
href: "patient-notes-1",
text: "Back to notes"
diff --git a/app/views/mpr/prototype/confirm-add-note.html b/app/views/mpr/prototype/confirm-add-note.html
index 9df02682..e4faf2e3 100644
--- a/app/views/mpr/prototype/confirm-add-note.html
+++ b/app/views/mpr/prototype/confirm-add-note.html
@@ -23,7 +23,9 @@
within the , where they are the same.
-->
{% set pageName = "Sam Smith on hold - GP registrations portal - NHS" %}
-
+{% block beforeContent %}
+Skip to main content
+{% endblock %}
diff --git a/app/views/mpr/prototype/confirm-approved.html b/app/views/mpr/prototype/confirm-approved.html
index c3883349..28b0206f 100644
--- a/app/views/mpr/prototype/confirm-approved.html
+++ b/app/views/mpr/prototype/confirm-approved.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{% endblock %}
diff --git a/app/views/mpr/prototype/confirm-rejected.html b/app/views/mpr/prototype/confirm-rejected.html
index adb531e2..b1a49c94 100644
--- a/app/views/mpr/prototype/confirm-rejected.html
+++ b/app/views/mpr/prototype/confirm-rejected.html
@@ -26,6 +26,9 @@
+{% block beforeContent %}
+Skip to main content
+{% endblock %}
diff --git a/app/views/mpr/prototype/confirm-under-review.html b/app/views/mpr/prototype/confirm-under-review.html
index d0b1ec75..73295c8f 100644
--- a/app/views/mpr/prototype/confirm-under-review.html
+++ b/app/views/mpr/prototype/confirm-under-review.html
@@ -26,7 +26,9 @@
-
+{% block beforeContent %}
+Skip to main content
+{% endblock %}
{% block content %}
diff --git a/app/views/mpr/prototype/dashboard.html b/app/views/mpr/prototype/dashboard.html
index 01fb8ac6..987f248a 100644
--- a/app/views/mpr/prototype/dashboard.html
+++ b/app/views/mpr/prototype/dashboard.html
@@ -23,7 +23,7 @@
{% block beforeContent %}
-{{ backLink({
+Skip to main content{{ backLink({
href: "javascript:history.go(-1)",
text: "Go back"
})
diff --git a/app/views/mpr/prototype/latest-service-updates.html b/app/views/mpr/prototype/latest-service-updates.html
index d898ac50..191921ac 100644
--- a/app/views/mpr/prototype/latest-service-updates.html
+++ b/app/views/mpr/prototype/latest-service-updates.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{% endblock %}
diff --git a/app/views/mpr/prototype/login-options.html b/app/views/mpr/prototype/login-options.html
index bac33653..4803f6e4 100644
--- a/app/views/mpr/prototype/login-options.html
+++ b/app/views/mpr/prototype/login-options.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{{ backLink({
"href": "javascript:history.go(-1)",
"text": "Go back",
diff --git a/app/views/mpr/prototype/patient-detail-approved.html b/app/views/mpr/prototype/patient-detail-approved.html
index 93c2398e..f51917b8 100644
--- a/app/views/mpr/prototype/patient-detail-approved.html
+++ b/app/views/mpr/prototype/patient-detail-approved.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{{ backLink({
href: "registrations-approved-1",
text: "Back to approved registrations"
diff --git a/app/views/mpr/prototype/patient-detail-new-child.html b/app/views/mpr/prototype/patient-detail-new-child.html
index bafb802e..cb5134fa 100644
--- a/app/views/mpr/prototype/patient-detail-new-child.html
+++ b/app/views/mpr/prototype/patient-detail-new-child.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{{ backLink({
href: "registrations-new-1",
text: "Back to new registrations"
diff --git a/app/views/mpr/prototype/patient-detail-new-important-information.html b/app/views/mpr/prototype/patient-detail-new-important-information.html
index c57e1286..609ffc51 100644
--- a/app/views/mpr/prototype/patient-detail-new-important-information.html
+++ b/app/views/mpr/prototype/patient-detail-new-important-information.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{{ backLink({
href: "registrations-new-1",
text: "Back to new registrations"
diff --git a/app/views/mpr/prototype/patient-detail-new-warning-check-details.html b/app/views/mpr/prototype/patient-detail-new-warning-check-details.html
index 55f71678..9d721aa1 100644
--- a/app/views/mpr/prototype/patient-detail-new-warning-check-details.html
+++ b/app/views/mpr/prototype/patient-detail-new-warning-check-details.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{{ backLink({
href: "registrations-new-1",
text: "Back to new registrations"
diff --git a/app/views/mpr/prototype/patient-detail-new-warning-manual-fallback.html b/app/views/mpr/prototype/patient-detail-new-warning-manual-fallback.html
index 48c2033d..3ee25438 100644
--- a/app/views/mpr/prototype/patient-detail-new-warning-manual-fallback.html
+++ b/app/views/mpr/prototype/patient-detail-new-warning-manual-fallback.html
@@ -23,6 +23,7 @@
{% block beforeContent %}
+Skip to main content
{{ backLink({
href: "registrations-new-1",
text: "Back to new registrations"
@@ -61,10 +62,10 @@
You will need to process this registration manually.
- If you approve this patient
+ If you approve this patient
Create a new patient record in your clinical supplier systems and add the patient information from this page, then select Mark as manually approved.
- If you reject this patient
+ If you reject this patient
Choose the appropriate rejection reason and reject the registration. You will need to inform the patient of your decision.
diff --git a/app/views/mpr/prototype/patient-detail-new.html b/app/views/mpr/prototype/patient-detail-new.html
index 7f4d5524..69e68814 100644
--- a/app/views/mpr/prototype/patient-detail-new.html
+++ b/app/views/mpr/prototype/patient-detail-new.html
@@ -23,6 +23,8 @@
{% block beforeContent %}
+Skip to main content
+
{{ backLink({
href: "registrations-new-1",
text: "Back to new registrations"
diff --git a/app/views/mpr/prototype/patient-detail-rejected.html b/app/views/mpr/prototype/patient-detail-rejected.html
index b39e6f7e..c0a51164 100644
--- a/app/views/mpr/prototype/patient-detail-rejected.html
+++ b/app/views/mpr/prototype/patient-detail-rejected.html
@@ -24,6 +24,8 @@
{% block beforeContent %}
+Skip to main content
+
{{ backLink({
href: "registrations-rejected",
text: "Back to rejected registrations"
diff --git a/app/views/mpr/prototype/registrations-approved-1.html b/app/views/mpr/prototype/registrations-approved-1.html
index 83a3fe52..829853d9 100644
--- a/app/views/mpr/prototype/registrations-approved-1.html
+++ b/app/views/mpr/prototype/registrations-approved-1.html
@@ -23,6 +23,8 @@
{% block beforeContent %}
+Skip to main content
+
{{ backLink({
href: "dashboard",
text: "Return to dashboard"
diff --git a/app/views/mpr/prototype/registrations-new-1.html b/app/views/mpr/prototype/registrations-new-1.html
index 5c00a8d1..5aed019c 100644
--- a/app/views/mpr/prototype/registrations-new-1.html
+++ b/app/views/mpr/prototype/registrations-new-1.html
@@ -21,6 +21,8 @@
{% block beforeContent %}
+Skip to main content
+
{{ backLink({
href: "dashboard",
text: "Return to dashboard"
diff --git a/app/views/mpr/prototype/registrations-rejected.html b/app/views/mpr/prototype/registrations-rejected.html
index ac104ffb..a797605f 100644
--- a/app/views/mpr/prototype/registrations-rejected.html
+++ b/app/views/mpr/prototype/registrations-rejected.html
@@ -23,6 +23,8 @@
{% block beforeContent %}
+Skip to main content
+
{{ backLink({
href: "dashboard",
text: "Return to dashboard"
diff --git a/app/views/mpr/prototype/reject-reasons-other.html b/app/views/mpr/prototype/reject-reasons-other.html
index 8b7c74d8..e1f9ba10 100644
--- a/app/views/mpr/prototype/reject-reasons-other.html
+++ b/app/views/mpr/prototype/reject-reasons-other.html
@@ -23,6 +23,8 @@
{% block beforeContent %}
+ Skip to main content
+
{{ backLink({
href: "reject-reasons",
text: "Go back"