Spine connectivity

Incident Report for Titan PMR

Resolved

Following several hours of post-resolution monitoring, all HSCN services have remained fully operational.

Apologies for customers affected by this outage; we are taking steps to ensure this incident does not occur again in the future.
Posted Oct 17, 2025 - 20:11 UTC

Monitoring

A fix has been implemented and we are monitoring the results.
Posted Oct 17, 2025 - 12:38 UTC

Update

Following the restoration of HSCN services at 12:45pm we can see that all services all fully operational, and all EPS sites have now received the backlog of EPS downloads.

We have a noticed a small number of sites have found some EPS prescriptions appear as "With Dispenser" on the Spine, however they are not present in Titan.

If this occurs, we can help with detection and restoration of these items by following this process:

1. Log onto the NHS Tracker
2. Select the date range from 16th - 17th October
3. Change Status to 'With Dispenser'
4. Select check box 'My Site ([Your ODS Code]) - This will not work on locum access
5. Click search
6. Click on 'Action' on the right hand side
7. Click 'Extract All' - This will create a file with all the Rx IDs

Please send this file to support@titanpmr.com, and our team will review the entries and redownload any that are not present in Titan.
Posted Oct 17, 2025 - 12:38 UTC

Update

Core HSCN services are now fully restored

We are working on reviving the application access now so you should start to see prescriptions download in the next 15-20minutes
Posted Oct 17, 2025 - 11:53 UTC

Update

We have seen HSCN direct connectivity return for sites using HSCN for access to Titan.

Smartcard and outbound services are back online.

We are still working on inbound connectivity and will have an update shortly.
Posted Oct 17, 2025 - 11:37 UTC

Update

Our teams are continuing to work on the issue, in collaboration with AWS and Redcentric engineers.

In the meantime, we have prepared this guidance for your pharmacy teams in terms of business continuity http://invatechhealth.com/hscn_guidance_17102025.pdf

A further update will follow shortly
Posted Oct 17, 2025 - 11:10 UTC

Update

We are seeing outbound HSCN connectivity restore including EPS portal services and smartcard authentication.

You can consider using Business Continuity mode on the portal (more info here https://digital.nhs.uk/services/electronic-prescription-service/prescribers/clinical-prescription-tracker/guidance/business-continuity-mode-user-guide-part-1) which allows access to view recent prescriptions and the items.

We are still working on the core inbound HSCN connectivity which relates to the download of new prescriptions.

An update will follow shortly.
Posted Oct 17, 2025 - 10:06 UTC

Update

We are continuing to work on a fix for this issue with our HSCN partner Redcentric.

We are working with them to restore HSCN connectivity at their end which will in turn restore Titan HSCN access.

We will provide an update when we have more information, as yet we do not have an ETA but we are working hard to restore operations as quickly as possible.
Posted Oct 17, 2025 - 09:36 UTC

Update

To clarify, all smartcard activities are currently unavailable. This means at present you will be unable to authenticate your smartcard nor download EPS prescriptions.

You can still use Titan via the Titan VPN, however spine actions are temporarily offline.

We are still working on this as a priority and will provide an update soon.
Posted Oct 17, 2025 - 08:38 UTC

Update

We are continuing to work on this incident as a priority and have engineers from Titan and our service provider working on it currently.

We will provide an update shortly.
Posted Oct 17, 2025 - 07:39 UTC

Update

We have found the fault and are liaising with our third party spine provider to work on a resolution.

An update will follow shortly
Posted Oct 17, 2025 - 06:57 UTC

Identified

It appears our AWS links to HSCN are not functioning correctly. If you use Titan VPN for connectivity you will still be able to access Titan successfully, however any service depending on HSCN will not be operational.

Investigation continuing we will provide an update shortly
Posted Oct 17, 2025 - 06:24 UTC

Investigating

We are investigating reports from some customers that spine connectivity is unavailable.

We will provide an update shortly
Posted Oct 17, 2025 - 06:07 UTC
This incident affected: Titan access to NHS.