diff --git a/app/_includes/guide-contents.njk b/app/_includes/guide-contents.njk
index 29226cc..cff065d 100644
--- a/app/_includes/guide-contents.njk
+++ b/app/_includes/guide-contents.njk
@@ -27,6 +27,11 @@
       text: "Recording a vaccination",
       current: (page.url == "/recording-a-vaccination/")
     },
+    {
+      href: "/managing-users/",
+      text: "Managing users",
+      current: (page.url == "/managing-users/")
+    },
     {
       href: "/adding-vaccines-and-batches/",
       text: "Adding vaccines and batches",
diff --git a/app/adding-vaccines-and-batches.md b/app/adding-vaccines-and-batches.md
index f1031c0..eb2a687 100644
--- a/app/adding-vaccines-and-batches.md
+++ b/app/adding-vaccines-and-batches.md
@@ -5,8 +5,8 @@ parent:
   title: How to use the service
   url: /guide
 previous:
-  title: Recording a vaccination
-  url: /recording-a-vaccination
+  title: Managing users
+  url: /managing-users
 next:
   title: If the service is unavailable
   url: /service-unavailable
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new file mode 100644
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diff --git a/app/images/manage-users-check.png b/app/images/manage-users-check.png
new file mode 100644
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diff --git a/app/images/manage-users-home.png b/app/images/manage-users-home.png
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diff --git a/app/managing-users.md b/app/managing-users.md
new file mode 100644
index 0000000..a7103e5
--- /dev/null
+++ b/app/managing-users.md
@@ -0,0 +1,76 @@
+---
+layout: page
+title: Managing users
+analytics_key: managing-users
+parent:
+  title: How to use the pilot service
+  url: /guide
+previous:
+  title: Recording a vaccination
+  url: /recording-a-vaccination
+next:
+  title: Adding vaccines and batches
+  url: /adding-vaccines-and-batches
+---
+
+{% include 'guide-contents.njk' %}
+
+## Adding new users
+
+Only lead administrators can add and manage users.
+
+To add a user, you must enter their:
+
+* First name
+* Last name
+* NHS-approved email address
+* Clinician status
+
+## Selecting clinician status
+
+Select ‘yes’ if users are registered clinicians. As a result, they can be selected as assessing and consenting clinicians.
+
+## Selecting permission levels
+
+Choose and select a permission level for new users:
+
+| **Permission level**       | **Record and edit vaccinations** | **Add and manage vaccines** | **Create reports** | **Add and manage users** |
+|----------------------------|---------------------------|----------------------|-----------------|---|
+| **Recorder**               | Yes                       | No                 | No             | No |
+| **Administrator**          | Yes                       | Yes                  | Yes              | No |
+| **Lead administrator**     | Yes                       | Yes                  | Yes              | Yes |
+
+You can have more than one user for each permission level.
+
+![Screen shows user adding a new user's details and selecting their permission level](/images/manage-users-add.png)
+
+## Creating a RAVS account
+
+Once you have added a new user, we’ll automatically create a RAVS account and send them a welcome email to access the service.
+
+Okta allows new users to sign in and use RAVS.
+
+* If users already have an Okta account for other NHS applications, then their RAVS account will be added to their existing Okta account.
+* If users are new to Okta, they’ll also receive an Okta email with instructions to set up their account. They’ll need to do this first to access RAVS.
+
+![Screen shows user a preview email before they send it](/images/manage-users-check.png)
+
+## Changing users
+
+You can change user permission levels and clinician status from the 'Manage users' screen.
+
+If you remove their clinician status, they can no longer assess patients and record their consent.
+
+If you change their permission levels, this will become active when they log back into the service.
+
+**Important:** You cannot change your permission level if you’re the only 'Lead administrator' for your organisation.
+
+![Screen shows user the manage users screen](/images/manage-users-home.png)
+
+## Deleting users
+
+Delete a user account by emailing [ravs.support@england.nhs.uk](mailto:ravs.support@england.nhs.uk) or by calling **0121 611 0187** (select option 3).
+
+## Users across multiple organisation
+
+To add users to your organisation that are users in another organisation, they’ll need a different email address. They need a unique email address for each organisation.
diff --git a/app/recording-a-vaccination.md b/app/recording-a-vaccination.md
index 2121888..484ef99 100644
--- a/app/recording-a-vaccination.md
+++ b/app/recording-a-vaccination.md
@@ -9,8 +9,8 @@ previous:
   title: Finding a patient
   url: /finding-a-patient
 next:
-  title: Adding vaccines and batches
-  url: /adding-vaccines-and-batches
+  title: Managing users
+  url: /managing-users
 ---
 
 {% include 'guide-contents.njk' %}