Optimise Rx

Optimise Rx is a clinical decision support solution which integrates with GP systems to deliver patient-specific messages at the point of care that ensures appropriate, cost-effective prescriptions.

Trusted, patient-specific guidance that is valued by prescribers

Optimise Rx is the only solution that is tailored to the medical record and takes into consideration current and previous medications, morbidities, observations and measurements to support prescribers to make the safest, most clinically appropriate prescribing decision.

Optimise Rx uses hundreds of data-sets to devise clinically relevant, best practice prescribing messages within the prescribing workflow of EMIS Web and SystemOne.

  • Promotes clinically effective prescribing and reduces unwarranted variation without interrupting the normal prescribing workflow
  • Helps healthcare professionals and Medicines Management teams manage formulary compliance and understand where variance from local guidelines occurs


The knowledge base is continually maintained by the Optimise Rx team of clinicians and researchers with the support of Medicines Optimisation teams locally.  It is in line with current safety, best practice and cost saving guidance.  Optimise Rx content is taken from local policy and guidance plus a wealth of nationally recognised, evidence based sources including:

  • GMMMG formulary, policy and guidance
  • Best practice guidance from NICE, QIPP and others
  • MHRA drug safety updates
  • Prescribing safety indicators from the Kings Fund, RCGP and PINCER Trial
  • START and STOPP criteria
  • Latest drug tariff pricing

Take a look!

Clinical safety compliance assessment

  • This software is classified as a class 1 medical device produced in line with the EU Directive on Medical Devices.
  • First Data Bank as supplier has supplied a number of documents as evidence of compliance with DCB0129, a supplier information standard for clinical safety compliance
  • This evidence has been used to produce a DCB0160 aligned to subsequent deployment.

The DCB0160 assessment will be published here when completed.

Information Governance

  • There is an N3 data flow from EMIS or other primary care system to FDB as processor for Optimise Rx. Accordingly there is a Data Privacy Impact Assessment which confirms the legal basis for the flow.
  • It is pseudonymised as it is record level; Age, gender, ethnicity, subset of condition conditions, subset of prescribing history. Flow does not include NHS number, Name, Date of Birth or address.
  • The CCG has signed a “deed of undertaking” with FDB around data processing as part of the contract/service level agreement is has signed to facilitate deployment.
  • However, it is to be made clear that:
    1. FDB does not hold this data within its systems after use to facilitate a prescribing recommendation. Data is stored temporarily and deleted as soon as the GP closes the patient record in the clinical system.
    2. Activation of the software is dependent on authorisation of each individual member practice as a Data Controller, and therefore the deed of undertaking does not permit a flow of data without this practice based authorisation.
    3. As this software option already forms already part of the pre-existing contracts/framework for primary care systems (e.g. EMIS web) which member practices will also have signed.
    4. On this basis no other separate signed agreement or consent form shall exist between member practices and FDB.

Data Security and Protection assurances, First Data Bank Ltd (Optimise Rx)

Assurance requirement Evidence
1.    Information Commissioners Office (ICO) Data Protection Certification/ Registration https://ico.org.uk/ESDWebPages/Entry/ZA274627
2.    Data Security and Protection Toolkit Compliance “All organisations that have access to NHS patient data and systems must use this toolkit to provide assurance that they are practising good data security and that personal information is handled correctly.” https://www.dsptoolkit.nhs.uk/OrganisationSearch/8HV90
3.    Compliance with UK G-cloud Framework accreditations (in line with annual update provided by NHS Digital). If a supplier which does not have this accreditation, it is not essential so long as other appropriate accreditation evidence has been supplied (i.e. ISO27001) https://www.digitalmarketplace.service.gov.uk/g-cloud/supplier/93448



4.    Information Statement of Compliance (Soc) from NHS Digital: Confirmation of NHS Health and Social Care Network (HSCN) connection use – search by ODS cod https://crm.digital.nhs.uk/hscnconnectionagreementsearch/?stepid=39516b1b-f43b-e811-811b-70106faae7f1&sessionid=b2e95107-c75f-ea11-a811-0022480076d0
5.    Cyber Security Essentials https://www.qgstandards.co.uk/qgce3171/
6.    Assurance that Data will not be sent/handled outside of the EEA Data will be managed solely within the UK
7.    Privacy Notice https://www.fdbhealth.com/privacy-notice