OX.DH has partnered with FDB (First Databank) to integrate cloud-native prescribing decision support directly into its GP clinical system, OX.gp - bringing safer, smarter medicines management to NHS primary care. The collaboration combines Oxford Digital Health's 100% cloud-native architecture with FDB's newly launched Multilex Cloud platform, delivering a significant step forward in reducing prescribing errors and streamlining clinical workflows for GP practices across England.
Why This Partnership Matters for GP Practices
Medicines management sits at the heart of every GP consultation. Prescribing errors remain one of the most common and preventable sources of patient harm in primary care - yet many existing clinical systems still rely on outdated decision support tools that are difficult to update, slow to load, and poorly integrated with the wider clinical record.
FDB Multilex is already used at more than 10,000 sites across the UK as a point-of-care e-prescribing decision support tool and drug database. By integrating Multilex Cloud into OX.gp, OX.DH enables GP practices to access up-to-date clinical decision support within their existing workflow - without switching between systems, waiting for batch updates, or managing on-premise software dependencies.
This matters not just for efficiency, but for patient safety. Context-specific drug knowledge, interaction alerts, and dose guidance can prevent serious prescribing errors before they reach the patient. For practices managing complex, multi-morbid patient populations - increasingly the norm across NHS general practice — this level of integrated intelligence is no longer a luxury; it is essential infrastructure.
What Is FDB Multilex Cloud?
FDB Multilex has long been the industry-standard drug knowledge base for NHS prescribers. Its integration into more than 10,000 UK sites speaks to its clinical credibility and depth of coverage. In 2025, FDB launched Multilex in the Cloud - a move that brings the same trusted clinical decision support to organisations seeking faster, more scalable, and more interoperable access to medicines data.
Multilex Cloud is designed to integrate into existing clinical workflows, enabling what FDB describes as context-specific drug knowledge and enhanced functionality at the point of care. For OX.DH, whose OX.gp platform is already built on a cloud-native, secure-by-design foundation, the move to Multilex Cloud is a natural and technically seamless fit - removing the friction associated with legacy on-premise database management while ensuring prescribers always have access to the most current medicines intelligence.
How OX.gp Delivers on the NHS Digital Agenda
In July 2025, NHS England approved OX.gp as part of a new generation of electronic patient record (EPR) systems for GPs, qualifying it under the NHS England Tech Innovation Framework (TIF). TIF was specifically designed to introduce new entrants into the GP IT market — organisations with modern, cloud-native architectures capable of meeting today's NHS digital requirements without the legacy debt that constrains older systems.
OX.gp has been developed in close collaboration with GP practices and Primary Care Networks (PCNs). Its core design principles include:
- Future-ready architecture built to evolve alongside NHS requirements
- Customisation and flexibility to adapt to different workflow and patient population needs
- Real-time reporting dashboards enabling practices to monitor performance and identify risk
- Seamless interoperability between primary, secondary and community care settings
- Smart automation including built-in messaging, reminders and questionnaires to reduce administrative burden
The addition of FDB Multilex Cloud strengthens this foundation by ensuring that medicines data management - one of the most critical and time-consuming aspects of GP practice - is handled with the same cloud-native rigour and clinical intelligence as the rest of the platform.
In Their Own Words
"OX.DH's cloud-native platforms stand out due to their inherent flexibility, rigorous security standards, and ability to integrate seamlessly with solutions like Multilex. These factors make our solutions ideally suited to the evolving digital needs of the NHS. Our strategic collaboration with the NHS, and our pivotal technology partnership with Microsoft, helps to further our mission to give patients and clinicians an easier and better experience."
— John Kosobucki, CEO, OX.DH
On the significance of the TIF qualification, Kosobucki added that it represents a game-changing achievement for the company, expanding its ability to support the NHS in driving digital innovation at speed and scale - with products purpose-built for today's healthcare challenges, designed with cutting-edge technology to securely enhance patient care and streamline clinical workflows.
A Modern Alternative to Legacy Primary Care IT
For GP practices that have long tolerated slow, fragmented, and hard-to-update clinical systems, the arrival of OX.gp - backed by FDB's medicines intelligence and Microsoft's cloud infrastructure — represents a substantively different offer. Where legacy systems often require manual updates, struggle with interoperability, and offer limited analytics, OX.gp is engineered from the ground up for a connected, data-driven NHS.
Medicines management is one of the clearest illustrations of the difference modern infrastructure makes. With Multilex Cloud embedded at the point of prescribing, clinicians receive decision support that is always current, contextually relevant, and seamlessly woven into their workflow - rather than being bolted on as an afterthought or delivered through a separate, disconnected interface.
For practice managers, clinical leads, and ICB procurement teams exploring the next generation of GP IT, this partnership signals that OX.DH is building not just a compliant system, but a genuinely capable one.
Learn More
To find out how OX.gp could support your GP practice or PCN, or to explore how the NHS Tech Innovation Framework qualification changes what's possible for your digital programme, explore the links below:
- OX.gp: Our Primary Care Solution
- OX.DH Achieves NHS Tech Innovation Framework Qualification
- Our Partners
- Transforming Primary Care: Innovation, Data and Change
Ready to See OX.gp in Action?
If you're a GP practice, PCN, or ICB exploring modern alternatives to legacy EPR systems, we'd love to hear from you. Book a demo or get in touch with our team.
About the Author
John Kosobucki is CEO of OX.DH (Oxford Digital Health), a cloud-native digital health company focused on transforming NHS primary care. John leads OX.DH's strategic partnerships, NHS engagement, and the development of OX.gp — the company's next-generation electronic patient record system for GP practices. Learn more about OX.DH's founders.