Oliver Frank wrote

How do practices cope if the specialist has encrypted his or her letter
to the GP with the GP's individual key, and the GP is away climbing
Mount Everest for a month, and nobody else in the practice can read the
letter because nobody else can decrypt it?



You wouldnt encrypt with an individual key, you would use the location key. ie the specialist would sign with his individual key but encrypt with the recipient's location key.
Ross Davey



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