diff --git a/app/filters.js b/app/filters.js
index 31f90c6e..62339447 100644
--- a/app/filters.js
+++ b/app/filters.js
@@ -122,6 +122,8 @@ module.exports = function () {
     return Math.floor((today - inviteDay) / millisecondsPerDay)
   }
 
+  filters.ucFirst = (str) => str ? str.charAt(0).toUpperCase() + str.slice(1) : str
+
   /* keep the following line to return your filters to the app  */
   return filters
 }
diff --git a/app/routes/regions.js b/app/routes/regions.js
index 98410604..860bb207 100644
--- a/app/routes/regions.js
+++ b/app/routes/regions.js
@@ -111,9 +111,11 @@ module.exports = router => {
     const data = req.session.data
     const organisationId = data.organisationId
     const organisation = data.allOrganisations.find((organisation) => organisation.id === organisationId)
+    const isFirstUser = !data.users.some(user => user.organisations && user.organisations.some(org => org.id === organisationId))
 
     res.render('regions/add-email', {
-      organisation
+      organisation,
+      isFirstUser
     })
   })
 
diff --git a/app/views/regions/add-email.html b/app/views/regions/add-email.html
index 4c0ee1f6..ca6f708d 100644
--- a/app/views/regions/add-email.html
+++ b/app/views/regions/add-email.html
@@ -1,6 +1,6 @@
 {% extends 'layout.html' %}
 
-{% set pageName = "Add another user" %}
+{% set pageName = "Add a user" if isFirstUser else "Add another user" %}
 {% set currentSection = "organisations" %}
 
 {% block beforeContent %}
@@ -16,7 +16,7 @@
 
   <div class="nhsuk-caption-l">{{ organisation.name }} ({{ organisation.id }})</div>
 
-  <h1 class="nhsuk-heading-l">Add another user</h1>
+  <h1 class="nhsuk-heading-l">{{ pageName }}</h1>
 
       <p>Choose a user at {{ organisation.name }}.</p>
 
diff --git a/app/views/regions/vaccines.html b/app/views/regions/vaccines.html
index 63adc954..989b29f0 100644
--- a/app/views/regions/vaccines.html
+++ b/app/views/regions/vaccines.html
@@ -21,7 +21,7 @@
         {% for vaccine in (data.vaccines | sort(false, false, "name")) %}
           {% set items = (items.push({
             value: vaccine.name,
-            text: (vaccine.name )
+            text: vaccine.name | ucFirst
           }), items) %}
         {% endfor %}