i. Digital devices should be used to restrict access of insulin to authorised people
and record access to insulin storage units. I acknowledge that steps are being taken to
achieve this. By 31 March 2027, all neonatal units must meet the expected requirements
for access control and storage of insulin set out in the NHS England Getting It Right First
Time guide, GIRFT Neonatology: Guide to safe insulin use.
ii. Until access to insulin requires the provision of biometric data, each Trust should install
CCTV cameras focused on storage fridges, cupboards or units. The cameras should store
recordings for at least 28 days.
iii. The GIRFT Laboratory Handling of Insulin Requests in the Investigation of Hypoglycaemia
guidance for the testing and reporting of insulin and C-peptide results, issued in October
2025, must be made mandatory and of national application.