diff --git a/cdk/lib/__snapshots__/registration.test.ts.snap b/cdk/lib/__snapshots__/registration.test.ts.snap
index 5834e6dc5..467313976 100644
--- a/cdk/lib/__snapshots__/registration.test.ts.snap
+++ b/cdk/lib/__snapshots__/registration.test.ts.snap
@@ -64,6 +64,14 @@ exports[`The Registration stack matches the snapshot for CODE 1`] = `
       "Description": "ACM Certificate for app use",
       "Type": "String",
     },
+    "DatabaseAccessSecurityGroup": {
+      "AllowedValues": [
+        "/CODE/mobile-notifications/registrations-db/postgres-access-security-group",
+        "/PROD/mobile-notifications/registrations-db/postgres-access-security-group",
+      ],
+      "Description": "The security group that allows access to the database",
+      "Type": "AWS::SSM::Parameter::Value<AWS::EC2::SecurityGroup::Id>",
+    },
     "DistBucket": {
       "Description": "The name of the s3 bucket containing the server artifact",
       "Type": "String",
@@ -112,10 +120,6 @@ exports[`The Registration stack matches the snapshot for CODE 1`] = `
       "Description": "Environment name",
       "Type": "String",
     },
-    "VPCSecurityGroup": {
-      "Description": "The default security group of the VPC",
-      "Type": "AWS::EC2::SecurityGroup::Id",
-    },
     "VpcId": {
       "Description": "The VPC",
       "Type": "AWS::EC2::VPC::Id",
@@ -795,7 +799,7 @@ exports[`The Registration stack matches the snapshot for CODE 1`] = `
             "Ref": "InstanceSecurityGroup",
           },
           {
-            "Ref": "VPCSecurityGroup",
+            "Ref": "DatabaseAccessSecurityGroup",
           },
         ],
         "UserData": {
@@ -917,6 +921,14 @@ exports[`The Registration stack matches the snapshot for PROD 1`] = `
       "Description": "ACM Certificate for app use",
       "Type": "String",
     },
+    "DatabaseAccessSecurityGroup": {
+      "AllowedValues": [
+        "/CODE/mobile-notifications/registrations-db/postgres-access-security-group",
+        "/PROD/mobile-notifications/registrations-db/postgres-access-security-group",
+      ],
+      "Description": "The security group that allows access to the database",
+      "Type": "AWS::SSM::Parameter::Value<AWS::EC2::SecurityGroup::Id>",
+    },
     "DistBucket": {
       "Description": "The name of the s3 bucket containing the server artifact",
       "Type": "String",
@@ -965,10 +977,6 @@ exports[`The Registration stack matches the snapshot for PROD 1`] = `
       "Description": "Environment name",
       "Type": "String",
     },
-    "VPCSecurityGroup": {
-      "Description": "The default security group of the VPC",
-      "Type": "AWS::EC2::SecurityGroup::Id",
-    },
     "VpcId": {
       "Description": "The VPC",
       "Type": "AWS::EC2::VPC::Id",
@@ -1648,7 +1656,7 @@ exports[`The Registration stack matches the snapshot for PROD 1`] = `
             "Ref": "InstanceSecurityGroup",
           },
           {
-            "Ref": "VPCSecurityGroup",
+            "Ref": "DatabaseAccessSecurityGroup",
           },
         ],
         "UserData": {
diff --git a/common/src/main/scala/db/RegistrationRepository.scala b/common/src/main/scala/db/RegistrationRepository.scala
index a0ded8206..30f6fcf47 100644
--- a/common/src/main/scala/db/RegistrationRepository.scala
+++ b/common/src/main/scala/db/RegistrationRepository.scala
@@ -11,5 +11,6 @@ trait RegistrationRepository[F[_], S[_[_], _]] {
   def delete(sub: Registration): ConnectionIO[Int]
   def deleteByToken(token: String): ConnectionIO[Int]
   def deleteByDate(olderThanDays: Int): ConnectionIO[Int]
+  def simpleSelectForHealthCheck():  S[F, TopicCount]
   def topicCounts(countsThreshold: Int): S[F, TopicCount]
 }
diff --git a/common/src/main/scala/db/RegistrationService.scala b/common/src/main/scala/db/RegistrationService.scala
index a52cc0057..4a2507e52 100644
--- a/common/src/main/scala/db/RegistrationService.scala
+++ b/common/src/main/scala/db/RegistrationService.scala
@@ -44,6 +44,8 @@ class RegistrationService[F[_]: Async, S[_[_], _]](repository: RegistrationRepos
   }
 
   def topicCounts(countThreshold: Int): S[F, TopicCount] = repository.topicCounts(countThreshold)
+
+  def simpleSelectForHealthCheck(): S[F, TopicCount] = repository.simpleSelectForHealthCheck()
 }
 
 
diff --git a/common/src/main/scala/db/SqlRegistrationRepository.scala b/common/src/main/scala/db/SqlRegistrationRepository.scala
index 439f7296f..9fb099b40 100644
--- a/common/src/main/scala/db/SqlRegistrationRepository.scala
+++ b/common/src/main/scala/db/SqlRegistrationRepository.scala
@@ -77,6 +77,23 @@ class SqlRegistrationRepository[F[_]: Async](xa: Transactor[F])
         .transact(xa)
   }
 
+  /**
+   * Used to verify that the DB connection is healthy.
+   * We just select one topic and a constant value as this is sufficient to check connectivity (we don't care about what data is returned).
+   */
+  override def simpleSelectForHealthCheck(): Stream[F, TopicCount] = {
+    logger.info("Performing a query to check DB connectivity")
+    sql"""
+         SELECT  topic
+                , 1
+         FROM   registrations
+         LIMIT  1
+      """
+      .query[TopicCount]
+      .stream
+      .transact(xa)
+  }
+
   override def findTokens(topics: NonEmptyList[String], shardRange: Option[Range]): Stream[F, HarvestedToken] = {
     val queryStatement = (sql"""
         SELECT token, platform, buildTier
diff --git a/registration-db.yaml b/registration-db.yaml
index 06a0d8494..a276fe23d 100644
--- a/registration-db.yaml
+++ b/registration-db.yaml
@@ -49,6 +49,13 @@ Resources:
       GroupName: !Sub registrations-db-${Stage}
       GroupDescription: !Sub Security group allowing VPC only traffic
       SecurityGroupIngress:
+        # Join PostgresAccessSecurityGroup to allow access to postgres to the registration db
+        - SourceSecurityGroupId: !Ref PostgresAccessSecurityGroup
+          FromPort: 5432
+          IpProtocol: tcp
+          ToPort: 5432
+
+        # TODO Remove this rule once all applications are using the PostgresAccessSecurityGroup
         - SourceSecurityGroupId: !Ref VPCSecurityGroup
           FromPort: 5432
           IpProtocol: tcp
@@ -66,6 +73,27 @@ Resources:
           Value: registrations-db
       VpcId: !Ref VpcId
 
+  PostgresAccessSecurityGroup:
+    Type: AWS::EC2::SecurityGroup
+    Properties:
+      GroupName: !Sub registrations-db-${Stage}-access
+      GroupDescription: !Sub Security group allowing access to the registrations db
+      Tags:
+        - Key: Stage
+          Value: !Ref Stage
+        - Key: Stack
+          Value: mobile-notifications
+        - Key: App
+          Value: registrations-db
+      VpcId: !Ref VpcId
+
+  PostgresAccessSecurityGroupName:
+    Type: AWS::SSM::Parameter
+    Properties:
+      Name: !Sub /${Stage}/mobile-notifications/registrations-db/postgres-access-security-group
+      Type: String
+      Value: !Ref PostgresAccessSecurityGroup
+
   PrivateRegistrationPostgres13DB:
     Type: AWS::RDS::DBInstance
     DependsOn: PrivateRegistrationDBSubnetGroup
@@ -179,3 +207,4 @@ Resources:
 Outputs:
   DBUrl:
     Value: !GetAtt PrivateRegistrationPostgres13DB.Endpoint.Address
+
diff --git a/registration/app/registration/controllers/Main.scala b/registration/app/registration/controllers/Main.scala
index 990e76d89..da1030edd 100644
--- a/registration/app/registration/controllers/Main.scala
+++ b/registration/app/registration/controllers/Main.scala
@@ -33,16 +33,26 @@ final class Main(
 
   private val logger: Logger = LoggerFactory.getLogger(this.getClass)
 
-  def healthCheck: Action[AnyContent] = Action {
-    // This forces Play to close the connection rather than allowing
-    // keep-alive (because the content length is unknown)
-    Ok.sendEntity(
-      HttpEntity.Streamed(
-        data =  Source(Array(ByteString("Good")).toVector),
-        contentLength = None,
-        contentType = Some("text/plain")
-      )
-    )
+  // Check if we can talk to the registration database
+  private lazy val dbConnectivityCheck = registrar.dbHealthCheck()
+
+  def healthCheck: Action[AnyContent] = Action.async {
+    dbConnectivityCheck
+      .map(_ => {
+        // This forces Play to close the connection rather than allowing
+        // keep-alive (because the content length is unknown)
+        Ok.sendEntity(
+          HttpEntity.Streamed(
+            data =  Source(Array(ByteString("Good")).toVector),
+            contentLength = None,
+            contentType = Some("text/plain")
+          )
+        )
+      })
+      .recover { _ => {
+        logger.error("Failing to connect to database")
+        InternalServerError
+      } }
   }
 
   def newsstandRegister: Action[LegacyNewsstandRegistration] =
diff --git a/registration/app/registration/services/DatabaseRegistrar.scala b/registration/app/registration/services/DatabaseRegistrar.scala
index 7baa46061..b08ba7821 100644
--- a/registration/app/registration/services/DatabaseRegistrar.scala
+++ b/registration/app/registration/services/DatabaseRegistrar.scala
@@ -8,7 +8,6 @@ import fs2.Stream
 import com.amazonaws.services.cloudwatch.model.StandardUnit
 import metrics.{MetricDataPoint, Metrics}
 
-
 import scala.concurrent.{ExecutionContext, Future}
 import scala.util.{Failure, Success}
 
@@ -16,6 +15,12 @@ class DatabaseRegistrar(
   registrationService: RegistrationService[IO, Stream],
   metrics: Metrics
 )(implicit ec: ExecutionContext) extends NotificationRegistrar {
+  def dbHealthCheck(): Future[List[TopicCount]] = {
+    val simpleSelect = registrationService.simpleSelectForHealthCheck()
+    simpleSelect.compile.toList.unsafeToFuture()
+  }
+
+
   override val providerIdentifier: String = "DatabaseRegistrar"
 
   override def register(deviceToken: DeviceToken, registration: Registration): RegistrarResponse[RegistrationResponse] = {
diff --git a/registration/app/registration/services/NotificationRegistrar.scala b/registration/app/registration/services/NotificationRegistrar.scala
index c7e1db74c..d6d713e6b 100644
--- a/registration/app/registration/services/NotificationRegistrar.scala
+++ b/registration/app/registration/services/NotificationRegistrar.scala
@@ -22,6 +22,7 @@ trait NotificationRegistrar {
   import NotificationRegistrar.RegistrarResponse
   val providerIdentifier: String
   def register(deviceToken: DeviceToken, registration: Registration): RegistrarResponse[RegistrationResponse]
+  def dbHealthCheck(): Future[List[TopicCount]]
 }
 
 object NotificationRegistrar {
diff --git a/registration/conf/registration.yaml b/registration/conf/registration.yaml
index 360a5e0ac..df3df7393 100644
--- a/registration/conf/registration.yaml
+++ b/registration/conf/registration.yaml
@@ -38,9 +38,12 @@ Parameters:
     - CODE
     - PROD
     Description: Environment name
-  VPCSecurityGroup:
-    Type: AWS::EC2::SecurityGroup::Id
-    Description: The default security group of the VPC
+  DatabaseAccessSecurityGroup:
+    Type: AWS::SSM::Parameter::Value<AWS::EC2::SecurityGroup::Id>
+    Description: The security group that allows access to the database
+    AllowedValues:
+      - /CODE/mobile-notifications/registrations-db/postgres-access-security-group
+      - /PROD/mobile-notifications/registrations-db/postgres-access-security-group
   AlarmTopic:
     Type: String
     Description: The ARN of the SNS topic to send all the cloudwatch alarms to
@@ -291,7 +294,7 @@ Resources:
       InstanceType: !FindInMap [StageVariables, !Ref Stage, InstanceType]
       SecurityGroups:
       - !Ref InstanceSecurityGroup
-      - !Ref VPCSecurityGroup
+      - !Ref DatabaseAccessSecurityGroup
       MetadataOptions:
         HttpTokens: required
       UserData:
diff --git a/registration/conf/riff-raff.yaml b/registration/conf/riff-raff.yaml
index 46d41a04a..71e6e4770 100644
--- a/registration/conf/riff-raff.yaml
+++ b/registration/conf/riff-raff.yaml
@@ -16,8 +16,10 @@ deployments:
       templateStageParameters:
         CODE:
           LoggingStreamName: /account/services/logging.stream.name.code
+          DatabaseAccessSecurityGroup: /CODE/mobile-notifications/registrations-db/postgres-access-security-group
         PROD:
           LoggingStreamName: /account/services/logging.stream.name
+          DatabaseAccessSecurityGroup: /PROD/mobile-notifications/registrations-db/postgres-access-security-group
   registration:
     type: autoscaling
     parameters:
diff --git a/registration/test/registration/controllers/RegistrationsFixtures.scala b/registration/test/registration/controllers/RegistrationsFixtures.scala
index c5bdf3f3e..7852d67ed 100644
--- a/registration/test/registration/controllers/RegistrationsFixtures.scala
+++ b/registration/test/registration/controllers/RegistrationsFixtures.scala
@@ -35,6 +35,9 @@ trait DelayedRegistrationsBase extends RegistrationsBase {
         provider = Unknown
       ))
     }
+
+    // Not needed for tests
+    override def dbHealthCheck(): Future[List[TopicCount]] = Future.successful(List.empty)
   }
 }
 
@@ -71,6 +74,8 @@ trait RegistrationsBase extends WithPlayApp with RegistrationsJson {
       ))
     }
 
+    // Not needed for tests
+    override def dbHealthCheck(): Future[List[TopicCount]] = Future.successful(List.empty)
   }