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The Prime Minister takes office by attending the Monarch in private audience, and Kissing Hands, and that appointment is immediately effective without any other formality or instrument.
To kiss hands is a constitutional term used in the United Kingdom to refer to the formal installation of Crown-appointed British government ministers to their office.
In the past, it referred to the requirement that the office-holder actually kiss the hands of the Sovereign as a symbol of personal fealty and loyalty to the Sovereign, that fealty and loyalty being a requirement to serve in the King's or Queen's government.
In modern times, office holders are not expected physically to kiss the hands of the Sovereign (although some have quite unexpectedly done so)).
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