What is the process for dispensing if the system goes down and we queue up messages? Are we expected to withhold all medicines until the items are verified and dispensed through the mixed bulk transactions?

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In these cases, professional judgement will need to be used. The RPS and other professional bodies have written guidance available for their members.

It is not expected that medication, particularly essential medication, should be withheld due to a system error. Many systems have implemented a queuing system that will allow dispensing to continue and the items will be decommissioned when the system is back on line, any error messages returned can be retrospectively dealt with by exception.

It should be noted that the NMVS has a resilient architecture and so outages should be very rare.