HTM 71 vs HTM 63: a practical NHS buyer’s guide to compliant medical cabinets (with BS 2881 & HBN 14-02)

Medical cabinet security in the UK is shaped by four key documents: HTM 71, HTM 63, BS 2881, and HBN 14-02. Together, they define how medicines must be stored safely, hygienically, and with clear audit control. This guide explains each document in plain English. It then translates the standards into a practical specification for compliant, lockable medicine storage. For full product guidance and compliant solutions, see our dedicated Medical Cabinet Security page.

Understanding UK Standards for Medical Cabinet Security

HTM 71 — modular storage systems

HTM 71 focuses on modular materials management. It standardises ISO trays, runners, carts, and storage interfaces so medicines and consumables move safely between stores and clinical areas. When applied correctly, it improves stock rotation, reduces waste, and supports clearer audit trails within secure medical cabinet systems.

HTM 63 — fitted cabinetry and fixed storage

HTM 63 governs fixed furniture and built-in storage. It defines durability, cleanability, and structural integrity for cabinets that form part of the room fabric. Where medical cabinets are wall-mounted or integrated into bench runs, HTM 63 ensures hygienic construction and long-term performance.

BS 2881 — security performance for medicine cupboards

BS 2881 sets the recognised UK benchmark for medicine cupboard security. Level 1 is typically required for general medicines in healthcare environments. The standard tests resistance to attack, leverage, and fixing strength. Therefore, specifying a cabinet as “steel” is not sufficient. You must request documented BS 2881 compliance and confirm the level achieved.

HBN 14-02 — clinical medicines storage guidance

HBN 14-02 provides practical instruction for storing medicines in wards, theatres, treatment rooms, and primary care settings. It covers access control, controlled drugs, temperature management, and daily audit routines. Your medical cabinet security specification should align directly with this document and local SOPs.

Choosing Between HTM 71 and HTM 63

Most healthcare rooms require a hybrid approach. HTM 63 delivers durable, fixed cabinetry. HTM 71 introduces modular trays that improve stock visibility and workflow efficiency. Together, they support secure, auditable medicine storage without slowing clinical care.

• HTM 71: ISO trays, modular systems, rapid visual checks.
• HTM 63: Fixed wall cabinets, tall units, integrated bench storage.
• Hybrid systems: Fixed cabinets with modular tray runners behind secure doors.

Translating Standards into a Medical Cabinet Specification

1. Security Requirements

• Specify BS 2881 Level 1 minimum for medicine cupboards.
• Confirm fixing method meets test criteria.
• Request written compliance documentation.

2. Locking Systems

• Keyed locks: Simple, cost-effective, require strict key control.
• Keypad locks: Remove keys, allow code rotation.
• RFID systems: Provide audit trail and multi-site credential control.
• Hybrid systems for override and business continuity.

Explore compliant lockable cabinet options within our Medical Cabinet Security range, including electronic and audit-enabled variants.

3. Construction and Hygiene

• Steel carcase with durable powder-coated finish.
• Flush doors and minimal exposed fixings.
• Reinforced lock and hinge zones.
• Removable shelves for infection control cleaning.

Common Compliance Risks

• No BS 2881 evidence: Always confirm documented compliance.
• Under-specified locks: Shared clinical environments require managed access.
• Mixing consumables with medicines: Separate storage streams for audit clarity.
• Ignoring temperature policy: Add monitoring where required.

Why Medical Cabinet Security Matters

Secure medical cabinets protect patients, reduce diversion risk, and support CQC audit expectations. When cabinets meet BS 2881, align with HTM guidance, and incorporate controlled access, they form part of a defensible clinical governance system. The right specification improves workflow, strengthens compliance, and reduces long-term operational risk.

Further Guidance

For full compliance notes, product comparisons, and installation guidance, visit our primary resource on Medical Cabinet Security. You can also browse related healthcare storage articles within the TLS blog.