There may be occasions where a Pharmacist will choose to mark a prescription as ‘Not Dispensed’ instead of returning it to Spine for cancellation. This may happen where the Pharmacist in their professional opinion believes that the patient could come to harm if the practice are not able to cancel the prescription when it is returned to the spine. This is because the Pharmacist has to return the prescription to the spine and contact the practice directly to cancel the medication. If the medication is not cancelled it will be available to any other Pharmacy if the patient changes their nomination. The pharmacy team should still communicate to the practice that the patient has not received the medication, as there is no automated notification process for the practice.