diff --git a/infrastructure/instance/.terraform.lock.hcl b/infrastructure/instance/.terraform.lock.hcl
index afe08ac74e..110092abfd 100644
--- a/infrastructure/instance/.terraform.lock.hcl
+++ b/infrastructure/instance/.terraform.lock.hcl
@@ -2,25 +2,25 @@
 # Manual edits may be lost in future updates.
 
 provider "registry.terraform.io/hashicorp/aws" {
-  version     = "6.32.1"
+  version     = "6.35.1"
   constraints = ">= 6.0.0, ~> 6.0, >= 6.28.0"
   hashes = [
-    "h1:j691GxEePvwjhYV08mwgTLD/CiCG4YHdZOXL+gV6qt0=",
-    "zh:024d2cc116c8c83bb63b71623e3654109948791b250929449f4533b06678d574",
-    "zh:0ee944eb1c0b28957ad04541546ebac66f81b74ae811d20bcd7043d0313722e1",
-    "zh:43f1b6bcc2d6ba34dd4f02aab2ef3923281cf82455e608ac1ea493374dbb132d",
-    "zh:52e91c66c3d946d9d24ecf6684e23337abbe7e93a7e8d927f8b7cc69d096215e",
-    "zh:5d8030a02b61256fb6ee51efe70c1ddfc0d57b4dc0f25c621afddab81575a9c2",
-    "zh:67b25c8732af678af5772cf57bfb68937bdb535ef06f7f353202e272d843f52c",
-    "zh:6e846e85e55d7c49820410fb3db338e2d2adf19e3481558e3bec0d63b953c521",
-    "zh:8d4922a86a39cb2788c14f430008fcaf236b0023260439bc95cc7758d5b76f4a",
+    "h1:xD+5zPhF0ry3sutriARfFVIg5m38VwYt66RveI3aUyI=",
+    "zh:0a16d1b0ba9379e5c5295e6b3caa42f0b8ba6b9f0a7cc9dbe58c232cf995db2d",
+    "zh:4b2e69907a1a2c557e45ef590f9fd6187ab5bf90378346ba9f723535e49ce908",
+    "zh:56bdafda0d629e15dc3dd9275b54f1fb953e2e09a3bc1a34e027da9d03ea4893",
+    "zh:5b84e933989150249036f84faad221dce0daa9d3043ff24401547e18f00b121e",
+    "zh:70bac98c27a14cb2cedabd741a1f7f1bab074c127efdcf02b54dbcf0d03db3cc",
+    "zh:7184f48bd077eaf68e184fd44f97e2d971cb77c59a68aedb95a0f8dc01b134fe",
+    "zh:7367589ae8b584bfcd83c973f5003e15010a453349c017a0d2cca8772d4fcfd9",
+    "zh:7ec9699dee49dd31bbc2d0e50fa1fff451eee5c1d9fd59bca7412acb49ce6594",
+    "zh:92dd139b96977a64af0e976cd06e84921033678ab97550f1b687c0ea54a8e82c",
     "zh:9b12af85486a96aedd8d7984b0ff811a4b42e3d88dad1a3fb4c0b580d04fa425",
-    "zh:9e3d4d1848fc6675c6bd88087188f229c4ec98b1a35de97c2697a0160fb76678",
-    "zh:b21c1b932c896c21988baac3b1cbc8b51843581b8fabf5e396952a329c9e6a12",
-    "zh:df8e5b1a2713880e2b3c489cc22ad3b14490e1702a1637273f91747bf091c071",
-    "zh:ec66785d40f7c04f138bb94fec55b8ddaae6fcc9cb25cc388989150bfaf2de4c",
-    "zh:f1ecb00fcfdb0c2aec3622549c023f469db401f395bc25bbddfe5cf8b51cd046",
-    "zh:fca78bf28897c8077130ce8d0f4d67900dbd77619adb1326bcd017ef421e5f1f",
+    "zh:9f2df575a5b010db60068668c48806595a3d617a2c0305035283fe8b72f07b19",
+    "zh:a4602b7602c75c8f726bdc7e706dc5c26736e47cc8381be01386aa8d8d998403",
+    "zh:bc25fefeeee10425df7aebfc21dc6532d19acdf03fa97b9e6d8c113adffd0a1d",
+    "zh:f445592040b5fc368a12e6edeffc951b2eb41e86413c4074638a13376e25a9cc",
+    "zh:ff43962a48bd8f85e17188736bbd3c145b6a1320bd8303221f6b4f9ec861e1e6",
   ]
 }
 
@@ -46,23 +46,22 @@ provider "registry.terraform.io/hashicorp/external" {
 }
 
 provider "registry.terraform.io/hashicorp/local" {
-  version     = "2.5.3"
+  version     = "2.7.0"
   constraints = ">= 1.0.0"
   hashes = [
-    "h1:1Nkh16jQJMp0EuDmvP/96f5Unnir0z12WyDuoR6HjMo=",
-    "h1:MCzg+hs1/ZQ32u56VzJMWP9ONRQPAAqAjuHuzbyshvI=",
-    "zh:284d4b5b572eacd456e605e94372f740f6de27b71b4e1fd49b63745d8ecd4927",
-    "zh:40d9dfc9c549e406b5aab73c023aa485633c1b6b730c933d7bcc2fa67fd1ae6e",
-    "zh:6243509bb208656eb9dc17d3c525c89acdd27f08def427a0dce22d5db90a4c8b",
+    "h1:sSwlfp2etjCaE9hIF7bJBDjRIhDCVFglEOVyiCI7vgs=",
+    "zh:261fec71bca13e0a7812dc0d8ae9af2b4326b24d9b2e9beab3d2400fab5c5f9a",
+    "zh:308da3b5376a9ede815042deec5af1050ec96a5a5410a2206ae847d82070a23e",
+    "zh:3d056924c420464dc8aba10e1915956b2e5c4d55b11ffff79aa8be563fbfe298",
+    "zh:643256547b155459c45e0a3e8aab0570db59923c68daf2086be63c444c8c445b",
     "zh:78d5eefdd9e494defcb3c68d282b8f96630502cac21d1ea161f53cfe9bb483b3",
-    "zh:885d85869f927853b6fe330e235cd03c337ac3b933b0d9ae827ec32fa1fdcdbf",
-    "zh:bab66af51039bdfcccf85b25fe562cbba2f54f6b3812202f4873ade834ec201d",
-    "zh:c505ff1bf9442a889ac7dca3ac05a8ee6f852e0118dd9a61796a2f6ff4837f09",
-    "zh:d36c0b5770841ddb6eaf0499ba3de48e5d4fc99f4829b6ab66b0fab59b1aaf4f",
-    "zh:ddb6a407c7f3ec63efb4dad5f948b54f7f4434ee1a2607a49680d494b1776fe1",
-    "zh:e0dafdd4500bec23d3ff221e3a9b60621c5273e5df867bc59ef6b7e41f5c91f6",
-    "zh:ece8742fd2882a8fc9d6efd20e2590010d43db386b920b2a9c220cfecc18de47",
-    "zh:f4c6b3eb8f39105004cf720e202f04f57e3578441cfb76ca27611139bc116a82",
+    "zh:7aa4d0b853f84205e8cf79f30c9b2c562afbfa63592f7231b6637e5d7a6b5b27",
+    "zh:7dc251bbc487d58a6ab7f5b07ec9edc630edb45d89b761dba28e0e2ba6b1c11f",
+    "zh:7ee0ca546cd065030039168d780a15cbbf1765a4c70cd56d394734ab112c93da",
+    "zh:b1d5d80abb1906e6c6b3685a52a0192b4ca6525fe090881c64ec6f67794b1300",
+    "zh:d81ea9856d61db3148a4fc6c375bf387a721d78fc1fea7a8823a027272a47a78",
+    "zh:df0a1f0afc947b8bfc88617c1ad07a689ce3bd1a29fd97318392e6bdd32b230b",
+    "zh:dfbcad800240e0c68c43e0866f2a751cff09777375ec701918881acf67a268da",
   ]
 }
 
diff --git a/infrastructure/instance/environments/dev/internal-dev/variables.tfvars b/infrastructure/instance/environments/dev/internal-dev/variables.tfvars
index 188bc51e18..e3a6521f9f 100644
--- a/infrastructure/instance/environments/dev/internal-dev/variables.tfvars
+++ b/infrastructure/instance/environments/dev/internal-dev/variables.tfvars
@@ -2,6 +2,7 @@ environment                       = "dev"
 immunisation_account_id           = "345594581768"
 dspp_core_account_id              = "603871901111"
 pds_environment                   = "int"
+mns_environment                   = "dev"
 error_alarm_notifications_enabled = true
 create_mesh_processor             = false
 has_sub_environment_scope         = true
diff --git a/infrastructure/instance/environments/dev/internal-qa/variables.tfvars b/infrastructure/instance/environments/dev/internal-qa/variables.tfvars
index d671f09c6d..409096620f 100644
--- a/infrastructure/instance/environments/dev/internal-qa/variables.tfvars
+++ b/infrastructure/instance/environments/dev/internal-qa/variables.tfvars
@@ -2,6 +2,7 @@ environment                       = "dev"
 immunisation_account_id           = "345594581768"
 dspp_core_account_id              = "603871901111"
 pds_environment                   = "int"
+mns_environment                   = "dev"
 error_alarm_notifications_enabled = false
 mns_publisher_feature_enabled     = true
 create_mesh_processor             = false
diff --git a/infrastructure/instance/environments/dev/pr/variables.tfvars b/infrastructure/instance/environments/dev/pr/variables.tfvars
index 7d17c90f95..26f288fef0 100644
--- a/infrastructure/instance/environments/dev/pr/variables.tfvars
+++ b/infrastructure/instance/environments/dev/pr/variables.tfvars
@@ -2,6 +2,7 @@ environment                       = "dev"
 immunisation_account_id           = "345594581768"
 dspp_core_account_id              = "603871901111"
 pds_environment                   = "int"
+mns_environment                   = "dev"
 error_alarm_notifications_enabled = false
 mns_publisher_feature_enabled     = true # Switch this off once tested fully e2e in Lambda branch
 create_mesh_processor             = false
diff --git a/infrastructure/instance/environments/dev/ref/variables.tfvars b/infrastructure/instance/environments/dev/ref/variables.tfvars
index 6b3124455a..e6256cc114 100644
--- a/infrastructure/instance/environments/dev/ref/variables.tfvars
+++ b/infrastructure/instance/environments/dev/ref/variables.tfvars
@@ -2,6 +2,7 @@ environment                       = "dev"
 immunisation_account_id           = "345594581768"
 dspp_core_account_id              = "603871901111"
 pds_environment                   = "ref"
+mns_environment                   = "dev"
 error_alarm_notifications_enabled = true
 create_mesh_processor             = false
 has_sub_environment_scope         = true
diff --git a/infrastructure/instance/environments/preprod/int-blue/variables.tfvars b/infrastructure/instance/environments/preprod/int-blue/variables.tfvars
index e31b7c5474..77c6db1a1e 100644
--- a/infrastructure/instance/environments/preprod/int-blue/variables.tfvars
+++ b/infrastructure/instance/environments/preprod/int-blue/variables.tfvars
@@ -2,6 +2,7 @@ environment                       = "preprod"
 immunisation_account_id           = "084828561157"
 dspp_core_account_id              = "603871901111"
 pds_environment                   = "int"
+mns_environment                   = "int"
 error_alarm_notifications_enabled = true
 mns_publisher_feature_enabled     = true
 
diff --git a/infrastructure/instance/environments/preprod/int-green/variables.tfvars b/infrastructure/instance/environments/preprod/int-green/variables.tfvars
index e31b7c5474..77c6db1a1e 100644
--- a/infrastructure/instance/environments/preprod/int-green/variables.tfvars
+++ b/infrastructure/instance/environments/preprod/int-green/variables.tfvars
@@ -2,6 +2,7 @@ environment                       = "preprod"
 immunisation_account_id           = "084828561157"
 dspp_core_account_id              = "603871901111"
 pds_environment                   = "int"
+mns_environment                   = "int"
 error_alarm_notifications_enabled = true
 mns_publisher_feature_enabled     = true
 
diff --git a/infrastructure/instance/environments/prod/blue/variables.tfvars b/infrastructure/instance/environments/prod/blue/variables.tfvars
index c8c41101e0..9ddd14d29b 100644
--- a/infrastructure/instance/environments/prod/blue/variables.tfvars
+++ b/infrastructure/instance/environments/prod/blue/variables.tfvars
@@ -3,6 +3,7 @@ immunisation_account_id           = "664418956997"
 dspp_core_account_id              = "232116723729"
 mns_account_id                    = "758334270304"
 pds_environment                   = "prod"
+mns_environment                   = "prod"
 error_alarm_notifications_enabled = true
 mns_publisher_feature_enabled     = true
 
diff --git a/infrastructure/instance/environments/prod/green/variables.tfvars b/infrastructure/instance/environments/prod/green/variables.tfvars
index c8c41101e0..9ddd14d29b 100644
--- a/infrastructure/instance/environments/prod/green/variables.tfvars
+++ b/infrastructure/instance/environments/prod/green/variables.tfvars
@@ -3,6 +3,7 @@ immunisation_account_id           = "664418956997"
 dspp_core_account_id              = "232116723729"
 mns_account_id                    = "758334270304"
 pds_environment                   = "prod"
+mns_environment                   = "prod"
 error_alarm_notifications_enabled = true
 mns_publisher_feature_enabled     = true
 
diff --git a/infrastructure/instance/mns_publisher.tf b/infrastructure/instance/mns_publisher.tf
index f705abdf92..7b6cc9f94d 100644
--- a/infrastructure/instance/mns_publisher.tf
+++ b/infrastructure/instance/mns_publisher.tf
@@ -7,8 +7,16 @@ module "mns_publisher" {
   enable_lambda_alarm                = var.error_alarm_notifications_enabled # consider just INT and PROD
   immunisation_account_id            = var.immunisation_account_id
   is_temp                            = local.is_temp
+  enable_mns_test_queue              = var.mns_environment == "dev"
+  resource_scope                     = local.resource_scope
+  imms_base_path                     = strcontains(var.sub_environment, "pr-") ? "immunisation-fhir-api/FHIR/R4-${var.sub_environment}" : "immunisation-fhir-api/FHIR/R4"
   lambda_kms_encryption_key_arn      = data.aws_kms_key.existing_lambda_encryption_key.arn
   mns_publisher_resource_name_prefix = "${local.resource_scope}-mns-outbound-events"
+  mns_test_notification_name_prefix  = "${local.resource_scope}-mns-test-notification"
+  secrets_manager_policy_path        = "${local.policy_path}/secret_manager.json"
+  account_id                         = data.aws_caller_identity.current.account_id
+  pds_environment                    = var.pds_environment
+  mns_environment                    = var.mns_environment
 
   private_subnet_ids = local.private_subnet_ids
   security_group_id  = data.aws_security_group.existing_securitygroup.id
diff --git a/infrastructure/instance/modules/mns_publisher/mns_publisher_lambda.tf b/infrastructure/instance/modules/mns_publisher/mns_publisher_lambda.tf
index 2c131ad712..7c4d9f169d 100644
--- a/infrastructure/instance/modules/mns_publisher/mns_publisher_lambda.tf
+++ b/infrastructure/instance/modules/mns_publisher/mns_publisher_lambda.tf
@@ -191,7 +191,12 @@ resource "aws_lambda_function" "mns_publisher_lambda" {
 
   environment {
     variables = {
-      SPLUNK_FIREHOSE_NAME = var.splunk_firehose_stream_name
+      SPLUNK_FIREHOSE_NAME   = var.splunk_firehose_stream_name
+      MNS_TEST_QUEUE_URL     = var.enable_mns_test_queue ? aws_sqs_queue.mns_test_notification[0].url : ""
+      IMMUNIZATION_ENV       = var.resource_scope,
+      IMMUNIZATION_BASE_PATH = var.imms_base_path
+      PDS_ENV                = var.pds_environment
+      MNS_ENV                = var.mns_environment
     }
   }
 
@@ -203,6 +208,30 @@ resource "aws_lambda_function" "mns_publisher_lambda" {
   ]
 }
 
+
+data "aws_iam_policy_document" "mns_publisher_secrets_policy_document" {
+  source_policy_documents = [
+    templatefile("${var.secrets_manager_policy_path}", {
+      "account_id" : var.account_id,
+      "pds_environment" : var.pds_environment
+    }),
+  ]
+}
+
+resource "aws_iam_policy" "mns_publisher_lambda_secrets_policy" {
+  name        = "${local.mns_publisher_lambda_name}-secrets-policy"
+  description = "Allow Lambda to access Secrets Manager"
+  policy      = data.aws_iam_policy_document.mns_publisher_secrets_policy_document.json
+}
+
+
+# Attach the secrets/dynamodb access policy to the Lambda role
+resource "aws_iam_role_policy_attachment" "mns_publisher_lambda_secrets_policy_attachment" {
+  role       = aws_iam_role.mns_publisher_lambda_exec_role.name
+  policy_arn = aws_iam_policy.mns_publisher_lambda_secrets_policy.arn
+}
+
+
 resource "aws_cloudwatch_log_group" "mns_publisher_lambda_log_group" {
   name              = "/aws/lambda/${local.mns_publisher_lambda_name}"
   retention_in_days = 30
@@ -213,6 +242,9 @@ resource "aws_lambda_event_source_mapping" "mns_outbound_event_sqs_to_lambda" {
   function_name    = aws_lambda_function.mns_publisher_lambda.arn
   batch_size       = 10
   enabled          = true
+
+  # Enables partial batch responses using `batchItemFailures`
+  function_response_types = ["ReportBatchItemFailures"]
 }
 
 resource "aws_cloudwatch_log_metric_filter" "mns_publisher_error_logs" {
diff --git a/infrastructure/instance/modules/mns_publisher/sqs_test_publish_mns.tf b/infrastructure/instance/modules/mns_publisher/sqs_test_publish_mns.tf
new file mode 100644
index 0000000000..a7cffcb32b
--- /dev/null
+++ b/infrastructure/instance/modules/mns_publisher/sqs_test_publish_mns.tf
@@ -0,0 +1,45 @@
+resource "aws_sqs_queue" "mns_test_notification" {
+  count                      = var.enable_mns_test_queue ? 1 : 0
+  name                       = "${var.mns_test_notification_name_prefix}-queue"
+  fifo_queue                 = false
+  message_retention_seconds  = 86400
+  visibility_timeout_seconds = 300
+}
+
+
+data "aws_iam_policy_document" "mns_test_notification_sqs_policy" {
+  count = var.enable_mns_test_queue ? 1 : 0
+  statement {
+    sid    = "mns-test-notification-allow-lambda-access"
+    effect = "Allow"
+
+    principals {
+      type        = "AWS"
+      identifiers = [aws_iam_role.mns_publisher_lambda_exec_role.arn]
+    }
+
+    actions = [
+      "sqs:SendMessage",
+    ]
+
+    resources = [
+      aws_sqs_queue.mns_test_notification[0].arn
+    ]
+  }
+}
+
+resource "aws_sqs_queue_policy" "mns_test_notification_sqs" {
+  count     = var.enable_mns_test_queue ? 1 : 0
+  queue_url = aws_sqs_queue.mns_test_notification[0].id
+  policy    = data.aws_iam_policy_document.mns_test_notification_sqs_policy[0].json
+}
+
+output "mns_test_queue_url" {
+  value       = var.enable_mns_test_queue ? aws_sqs_queue.mns_test_notification[0].url : null
+  description = "URL of the MNS test notifications queue"
+}
+
+output "mns_test_queue_arn" {
+  value       = var.enable_mns_test_queue ? aws_sqs_queue.mns_test_notification[0].arn : null
+  description = "ARN of the MNS test notifications queue"
+}
\ No newline at end of file
diff --git a/infrastructure/instance/modules/mns_publisher/variables.tf b/infrastructure/instance/modules/mns_publisher/variables.tf
index 4ffe2c5e7d..3857b9b13f 100644
--- a/infrastructure/instance/modules/mns_publisher/variables.tf
+++ b/infrastructure/instance/modules/mns_publisher/variables.tf
@@ -72,3 +72,45 @@ variable "system_alarm_sns_topic_arn" {
   description = "The ARN of the SNS Topic used for raising alerts to Slack for CW alarms."
 }
 
+variable "resource_scope" {
+  type        = string
+  description = <<EOT
+  The effective deployment scope used for resource naming and isolation. 
+  This resolves to either the base environment (e.g., dev, pre-prod, prod) or a 
+  sub-environment (e.g., int-blue/int-green) when sub-environment scoping is enabled.
+  EOT
+}
+
+variable "imms_base_path" {
+  type        = string
+  description = "Base path for the Immunisation FHIR API. Used to construct environment-specific routes (e.g. PR preview paths or default R4 path)."
+}
+
+variable "mns_environment" {
+  type = string
+}
+
+variable "pds_environment" {
+  type = string
+}
+
+variable "account_id" {
+  type        = string
+  description = "AWS account ID used for IAM policy templating (e.g., Secrets Manager ARNs)."
+}
+
+variable "secrets_manager_policy_path" {
+  type        = string
+  description = "Path to the IAM policy JSON template for Secrets Manager access (e.g., ./policies/secret_manager.json)."
+}
+
+variable "mns_test_notification_name_prefix" {
+  type        = string
+  description = "The prefix for the name of resources for testing mns notification"
+}
+
+variable "enable_mns_test_queue" {
+  description = "Enable test SQS queue for MNS notifications (dev only)"
+  type        = bool
+  default     = false
+}
\ No newline at end of file
diff --git a/infrastructure/instance/outputs.tf b/infrastructure/instance/outputs.tf
index 513a9a9d9b..0cd2b8b9d7 100644
--- a/infrastructure/instance/outputs.tf
+++ b/infrastructure/instance/outputs.tf
@@ -18,3 +18,13 @@ output "id_sync_queue_arn" {
   description = "The ARN of the ID Sync (MNS NHS Number change) SQS queue"
   value       = aws_sqs_queue.id_sync_queue.arn
 }
+
+output "mns_test_queue_url" {
+  value       = var.mns_publisher_feature_enabled ? module.mns_publisher[0].mns_test_queue_url : null
+  description = "URL of the MNS test notifications queue (from mns_publisher module)"
+}
+
+output "mns_test_queue_arn" {
+  value       = var.mns_publisher_feature_enabled ? module.mns_publisher[0].mns_test_queue_arn : null
+  description = "ARN of the MNS test notifications queue (from mns_publisher module)"
+}
\ No newline at end of file
diff --git a/infrastructure/instance/variables.tf b/infrastructure/instance/variables.tf
index 3a2144b21a..ec0c3e7950 100644
--- a/infrastructure/instance/variables.tf
+++ b/infrastructure/instance/variables.tf
@@ -74,6 +74,11 @@ variable "pds_environment" {
   default = "int"
 }
 
+variable "mns_environment" {
+  type    = string
+  default = "int"
+}
+
 variable "mesh_no_invocation_period_seconds" {
   description = "The maximum duration the MESH Processor Lambda can go without being invoked before the no-invocation alarm is triggered."
   type        = number
@@ -91,7 +96,6 @@ variable "mns_publisher_feature_enabled" {
   description = "Switch to the MNS Publisher feature which allows us to publish Immunisation events."
   type        = bool
 }
-
 variable "has_sub_environment_scope" {
   description = "True if the sub-environment is a standalone environment, e.g. internal-dev. False if it is part of a blue-green split, e.g. int-green."
   type        = bool
diff --git a/lambdas/backend/src/controller/fhir_controller.py b/lambdas/backend/src/controller/fhir_controller.py
index d82f9a4305..58f2dedebc 100644
--- a/lambdas/backend/src/controller/fhir_controller.py
+++ b/lambdas/backend/src/controller/fhir_controller.py
@@ -10,6 +10,7 @@
 from fhir.resources.R4B.bundle import Bundle
 from fhir.resources.R4B.identifier import Identifier
 
+from common.get_service_url import get_service_url
 from constants import MAX_RESPONSE_SIZE_BYTES
 from controller.aws_apig_event_utils import (
     get_multi_value_query_params,
@@ -33,7 +34,7 @@
     TooManyResultsError,
 )
 from repository.fhir_repository import ImmunizationRepository, create_table
-from service.fhir_service import FhirService, get_service_url
+from service.fhir_service import FhirService
 
 IMMUNIZATION_ENV = os.getenv("IMMUNIZATION_ENV")
 IMMUNIZATION_BASE_PATH = os.getenv("IMMUNIZATION_BASE_PATH")
diff --git a/lambdas/backend/src/service/fhir_service.py b/lambdas/backend/src/service/fhir_service.py
index e6287068e9..a6049d9432 100644
--- a/lambdas/backend/src/service/fhir_service.py
+++ b/lambdas/backend/src/service/fhir_service.py
@@ -21,6 +21,7 @@
 
 from authorisation.api_operation_code import ApiOperationCode
 from authorisation.authoriser import Authoriser
+from common.get_service_url import get_service_url
 from common.models.constants import Constants
 from common.models.errors import (
     Code,
@@ -45,7 +46,7 @@
 from filter import Filter
 from models.errors import UnauthorizedVaxError
 from repository.fhir_repository import ImmunizationRepository
-from service.search_url_helper import create_url_for_bundle_link, get_service_url
+from service.search_url_helper import create_url_for_bundle_link
 
 logging.basicConfig(level="INFO")
 logger = logging.getLogger()
diff --git a/lambdas/backend/src/service/search_url_helper.py b/lambdas/backend/src/service/search_url_helper.py
index 1a762118a2..5139ffe56e 100644
--- a/lambdas/backend/src/service/search_url_helper.py
+++ b/lambdas/backend/src/service/search_url_helper.py
@@ -4,32 +4,9 @@
 import urllib.parse
 from typing import Optional
 
+from common.get_service_url import get_service_url
 from controller.constants import IMMUNIZATION_TARGET_LEGACY_KEY_NAME, ImmunizationSearchParameterName
 from controller.parameter_parser import PATIENT_IDENTIFIER_SYSTEM
-from service.constants import DEFAULT_BASE_PATH, PR_ENV_PREFIX
-
-
-def get_service_url(service_env: Optional[str], service_base_path: Optional[str]) -> str:
-    """Sets the service URL based on service parameters derived from env vars. PR environments use internal-dev while
-    we also default to this environment. The only other exceptions are preprod which maps to the Apigee int environment
-    and prod which does not have a subdomain."""
-    if not service_base_path:
-        service_base_path = DEFAULT_BASE_PATH
-
-    if service_env is None or is_pr_env(service_env):
-        subdomain = "internal-dev."
-    elif service_env == "preprod":
-        subdomain = "int."
-    elif service_env == "prod":
-        subdomain = ""
-    else:
-        subdomain = f"{service_env}."
-
-    return f"https://{subdomain}api.service.nhs.uk/{service_base_path}"
-
-
-def is_pr_env(service_env: Optional[str]) -> bool:
-    return service_env is not None and service_env.startswith(PR_ENV_PREFIX)
 
 
 def create_url_for_bundle_link(
diff --git a/lambdas/backend/tests/service/test_search_url_helper.py b/lambdas/backend/tests/service/test_search_url_helper.py
index 24289d9aeb..e69de29bb2 100644
--- a/lambdas/backend/tests/service/test_search_url_helper.py
+++ b/lambdas/backend/tests/service/test_search_url_helper.py
@@ -1,29 +0,0 @@
-"""Tests for the search_url_helper file"""
-
-import unittest
-
-from service.search_url_helper import get_service_url
-
-
-class TestServiceUrl(unittest.TestCase):
-    def test_get_service_url(self):
-        """it should create service url"""
-        test_cases = [
-            ("pr-123", "https://internal-dev.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
-            (None, "https://internal-dev.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
-            ("preprod", "https://int.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
-            ("prod", "https://api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
-            ("ref", "https://ref.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
-            ("internal-dev", "https://internal-dev.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
-            ("internal-qa", "https://internal-qa.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
-        ]
-        mock_base_path = "immunisation-fhir-api/FHIR/R4"
-
-        for mock_env, expected in test_cases:
-            with self.subTest(mock_env=mock_env, expected=expected):
-                self.assertEqual(get_service_url(mock_env, mock_base_path), expected)
-
-    def test_get_service_url_uses_default_path_when_not_provided(self):
-        self.assertEqual(
-            get_service_url(None, None), "https://internal-dev.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"
-        )
diff --git a/lambdas/id_sync/src/pds_details.py b/lambdas/id_sync/src/pds_details.py
index 40b9c50013..62ef6c247d 100644
--- a/lambdas/id_sync/src/pds_details.py
+++ b/lambdas/id_sync/src/pds_details.py
@@ -12,7 +12,7 @@
 from os_vars import get_pds_env
 
 pds_env = get_pds_env()
-safe_tmp_dir = tempfile.mkdtemp(dir="/tmp")  # NOSONAR(S5443)
+safe_tmp_dir = tempfile.mkdtemp(dir="/tmp")
 
 
 # Get Patient details from external service PDS using NHS number from MNS notification
diff --git a/lambdas/id_sync/src/record_processor.py b/lambdas/id_sync/src/record_processor.py
index fb4543bcc4..2034cba0b5 100644
--- a/lambdas/id_sync/src/record_processor.py
+++ b/lambdas/id_sync/src/record_processor.py
@@ -1,6 +1,7 @@
 import json
 from typing import Any, Dict
 
+from common.api_clients.get_pds_details import pds_get_patient_details
 from common.clients import logger
 from exceptions.id_sync_exception import IdSyncException
 from ieds_db_operations import (
@@ -9,7 +10,7 @@
     get_items_from_patient_id,
     ieds_update_patient_id,
 )
-from pds_details import get_nhs_number_from_pds_resource, pds_get_patient_details
+from pds_details import get_nhs_number_from_pds_resource
 from utils import make_status
 
 
diff --git a/lambdas/mns_publisher/poetry.lock b/lambdas/mns_publisher/poetry.lock
index dd85f09247..69634eb57c 100644
--- a/lambdas/mns_publisher/poetry.lock
+++ b/lambdas/mns_publisher/poetry.lock
@@ -1,4 +1,4 @@
-# This file is automatically @generated by Poetry 2.1.4 and should not be changed by hand.
+# This file is automatically @generated by Poetry 2.2.1 and should not be changed by hand.
 
 [[package]]
 name = "aws-lambda-typing"
@@ -12,6 +12,290 @@ files = [
     {file = "aws_lambda_typing-2.20.0-py3-none-any.whl", hash = "sha256:1d44264cabfeab5ac38e67ddd0c874e677b2cbbae77a42d0519df470e6bbb49b"},
 ]
 
+[[package]]
+name = "boto3"
+version = "1.42.51"
+description = "The AWS SDK for Python"
+optional = false
+python-versions = ">=3.9"
+groups = ["main"]
+files = [
+    {file = "boto3-1.42.51-py3-none-any.whl", hash = "sha256:c3e75ab1c4df6b1049aecfae56d15f5ff99d68ec6a05f24741bab08ad5d5406e"},
+    {file = "boto3-1.42.51.tar.gz", hash = "sha256:a010376cdc2432faa6c3338f04591142a1374da1b7eba94b80c0c7f1b525eff7"},
+]
+
+[package.dependencies]
+botocore = ">=1.42.51,<1.43.0"
+jmespath = ">=0.7.1,<2.0.0"
+s3transfer = ">=0.16.0,<0.17.0"
+
+[package.extras]
+crt = ["botocore[crt] (>=1.21.0,<2.0a0)"]
+
+[[package]]
+name = "botocore"
+version = "1.42.51"
+description = "Low-level, data-driven core of boto 3."
+optional = false
+python-versions = ">=3.9"
+groups = ["main"]
+files = [
+    {file = "botocore-1.42.51-py3-none-any.whl", hash = "sha256:216c4c148f37f882c7239fce1d8023acdc664643952ce1d6827c7edc829903d3"},
+    {file = "botocore-1.42.51.tar.gz", hash = "sha256:d7b03905b8066c25dd5bde1b7dc4af15ebdbaa313abbb2543db179b1d5efae3d"},
+]
+
+[package.dependencies]
+jmespath = ">=0.7.1,<2.0.0"
+python-dateutil = ">=2.1,<3.0.0"
+urllib3 = {version = ">=1.25.4,<2.2.0 || >2.2.0,<3", markers = "python_version >= \"3.10\""}
+
+[package.extras]
+crt = ["awscrt (==0.31.2)"]
+
+[[package]]
+name = "cache"
+version = "1.0.3"
+description = "caching for humans"
+optional = false
+python-versions = "*"
+groups = ["main"]
+files = [
+    {file = "cache-1.0.3.tar.gz", hash = "sha256:ac063f2490c0794d5cf482bfff10b6339c441a6658f8f00fe653bd65b3ce85fb"},
+]
+
+[[package]]
+name = "certifi"
+version = "2026.1.4"
+description = "Python package for providing Mozilla's CA Bundle."
+optional = false
+python-versions = ">=3.7"
+groups = ["main", "dev"]
+files = [
+    {file = "certifi-2026.1.4-py3-none-any.whl", hash = "sha256:9943707519e4add1115f44c2bc244f782c0249876bf51b6599fee1ffbedd685c"},
+    {file = "certifi-2026.1.4.tar.gz", hash = "sha256:ac726dd470482006e014ad384921ed6438c457018f4b3d204aea4281258b2120"},
+]
+
+[[package]]
+name = "cffi"
+version = "2.0.0"
+description = "Foreign Function Interface for Python calling C code."
+optional = false
+python-versions = ">=3.9"
+groups = ["main"]
+markers = "platform_python_implementation != \"PyPy\""
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 [[package]]
 name = "coverage"
 version = "7.13.4"
@@ -131,7 +415,548 @@ files = [
 [package.extras]
 toml = ["tomli ; python_full_version <= \"3.11.0a6\""]
 
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+    {file = "xmltodict-1.0.3.tar.gz", hash = "sha256:3bf1f49c7836df34cf6d9cc7e690c4351f7dfff2ab0b8a1988bba4a9b9474909"},
+]
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+[package.extras]
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+
 [metadata]
 lock-version = "2.1"
 python-versions = "~3.11"
-content-hash = "0a2b2f2ca62bb0da43789e3a2c1c8c943545f1461b988de1c012d9de64cae545"
+content-hash = "06d376648a4c5e1c740cd23a0bb066222c08baebca729d2eb422fe6b53e686bc"
diff --git a/lambdas/mns_publisher/pyproject.toml b/lambdas/mns_publisher/pyproject.toml
index 009b8bc9a0..2bafd9e372 100644
--- a/lambdas/mns_publisher/pyproject.toml
+++ b/lambdas/mns_publisher/pyproject.toml
@@ -13,7 +13,18 @@ packages = [
 python = "~3.11"
 aws-lambda-typing = "~2.20.0"
 coverage          = "^7.13.2"
+pyjwt             = "^2.10.1"
+requests          = "^2.31.0"
+boto3 = "~1.42.37"
+mypy-boto3-dynamodb = "^1.42.33"
+moto = "~5.1.20"
+cache = "^1.0.3"
 
 [build-system]
 requires = ["poetry-core >= 1.5.0"]
 build-backend = "poetry.core.masonry.api"
+
+[dependency-groups]
+dev = [
+    "responses (>=0.26.0,<0.27.0)"
+]
diff --git a/lambdas/mns_publisher/src/constants.py b/lambdas/mns_publisher/src/constants.py
new file mode 100644
index 0000000000..28b968a190
--- /dev/null
+++ b/lambdas/mns_publisher/src/constants.py
@@ -0,0 +1,5 @@
+# Static constants for the MNS notification creation process
+SPEC_VERSION = "1.0"
+IMMUNISATION_TYPE = "imms-vaccinations-1"
+
+DYNAMO_DB_TYPE_DESCRIPTORS = ("S", "N", "BOOL", "M", "L")
diff --git a/lambdas/mns_publisher/src/create_notification.py b/lambdas/mns_publisher/src/create_notification.py
new file mode 100644
index 0000000000..8aab0b4026
--- /dev/null
+++ b/lambdas/mns_publisher/src/create_notification.py
@@ -0,0 +1,130 @@
+import json
+import os
+import uuid
+from datetime import datetime
+from typing import Any
+
+from aws_lambda_typing.events.sqs import SQSMessage
+
+from common.api_clients.constants import MnsNotificationPayload
+from common.api_clients.get_pds_details import pds_get_patient_details
+from common.clients import logger
+from common.get_service_url import get_service_url
+from constants import DYNAMO_DB_TYPE_DESCRIPTORS, IMMUNISATION_TYPE, SPEC_VERSION
+
+IMMUNIZATION_ENV = os.getenv("IMMUNIZATION_ENV")
+IMMUNIZATION_BASE_PATH = os.getenv("IMMUNIZATION_BASE_PATH")
+
+
+def create_mns_notification(sqs_event: SQSMessage) -> MnsNotificationPayload:
+    """Create a notification payload for MNS."""
+    immunisation_url = get_service_url(IMMUNIZATION_ENV, IMMUNIZATION_BASE_PATH)
+
+    body = json.loads(sqs_event.get("body", "{}"))
+    new_image = body.get("dynamodb", {}).get("NewImage", {})
+    imms_id = _unwrap_dynamodb_value(new_image.get("ImmsID", {}))
+    supplier_system = _unwrap_dynamodb_value(new_image.get("SupplierSystem", {}))
+    vaccine_type = _unwrap_dynamodb_value(new_image.get("VaccineType", {}))
+    operation = _unwrap_dynamodb_value(new_image.get("Operation", {}))
+
+    imms_map = new_image.get("Imms", {}).get("M", {})
+    nhs_number = _unwrap_dynamodb_value(imms_map.get("NHS_NUMBER", {}))
+    if not nhs_number:
+        logger.error("Missing required field: Nhs Number")
+        raise ValueError("NHS number is required to create MNS notification")
+
+    person_dob = _unwrap_dynamodb_value(imms_map.get("PERSON_DOB", {}))
+    date_and_time = _unwrap_dynamodb_value(imms_map.get("DATE_AND_TIME", {}))
+    site_code = _unwrap_dynamodb_value(imms_map.get("SITE_CODE", {}))
+
+    patient_age = calculate_age_at_vaccination(person_dob, date_and_time)
+    gp_ods_code = get_practitioner_details_from_pds(nhs_number)
+
+    return {
+        "specversion": SPEC_VERSION,
+        "id": str(uuid.uuid4()),
+        "source": immunisation_url,
+        "type": IMMUNISATION_TYPE,
+        "time": date_and_time,
+        "subject": nhs_number,
+        "dataref": f"{immunisation_url}/Immunization/{imms_id}",
+        "filtering": {
+            "generalpractitioner": gp_ods_code,
+            "sourceorganisation": site_code,
+            "sourceapplication": supplier_system,
+            "subjectage": patient_age,
+            "immunisationtype": vaccine_type.upper(),
+            "action": operation,
+        },
+    }
+
+
+def calculate_age_at_vaccination(birth_date: str, vaccination_date: str) -> int:
+    """
+    Calculate patient age in years at time of vaccination.
+    Expects dates in format: YYYYMMDD or YYYYMMDDThhmmsszz
+    """
+    birth_date_str = birth_date[:8] if len(birth_date) >= 8 else birth_date
+    vacc_date_str = vaccination_date[:8] if len(vaccination_date) >= 8 else vaccination_date
+
+    date_of_birth = datetime.strptime(birth_date_str, "%Y%m%d")
+    date_of_vaccination = datetime.strptime(vacc_date_str, "%Y%m%d")
+
+    age_in_year = date_of_vaccination.year - date_of_birth.year
+    if (date_of_vaccination.month, date_of_vaccination.day) < (date_of_birth.month, date_of_birth.day):
+        age_in_year -= 1
+
+    return age_in_year
+
+
+def get_practitioner_details_from_pds(nhs_number: str) -> str | None:
+    patient_details = pds_get_patient_details(nhs_number)
+    if not patient_details:
+        logger.info("Unable to retrieve patient details")
+        return None
+
+    general_practitioners = patient_details.get("generalPractitioner", [])
+    if not general_practitioners or len(general_practitioners) == 0:
+        logger.warning("No GP details found for patient")
+        return None
+
+    patient_gp = general_practitioners[0]
+    patient_gp_identifier = patient_gp.get("identifier", {})
+
+    gp_ods_code = patient_gp_identifier.get("value")
+    if not gp_ods_code:
+        logger.warning("GP ODS code not found in practitioner details")
+        return None
+
+    # Check if registration is current
+    period = patient_gp_identifier.get("period", {})
+    gp_period_end_date = period.get("end", None)
+
+    if gp_period_end_date:
+        # Parse end date (format: YYYY-MM-DD)
+        end_date = datetime.strptime(gp_period_end_date, "%Y-%m-%d").date()
+        today = datetime.now().date()
+
+        if end_date < today:
+            logger.warning("No current GP registration found for patient")
+            return None
+
+    return gp_ods_code
+
+
+def _unwrap_dynamodb_value(value: dict) -> Any:
+    """
+    Unwrap DynamoDB type descriptor to get the actual value.
+    DynamoDB types: S (String), N (Number), BOOL, M (Map), L (List), NULL
+    """
+    if not isinstance(value, dict):
+        return value
+
+    if "NULL" in value:
+        return None
+
+    for key in DYNAMO_DB_TYPE_DESCRIPTORS:
+        if key in value:
+            return value[key]
+
+    return value
diff --git a/lambdas/mns_publisher/src/lambda_handler.py b/lambdas/mns_publisher/src/lambda_handler.py
index 0dbec66812..81e1bff27c 100644
--- a/lambdas/mns_publisher/src/lambda_handler.py
+++ b/lambdas/mns_publisher/src/lambda_handler.py
@@ -1,10 +1,9 @@
 from aws_lambda_typing import context, events
 
+from process_records import process_records
 
-def lambda_handler(event: events.SQSEvent, _: context.Context) -> bool:
-    event_records = event.get("Records", [])
 
-    for record in event_records:
-        print(record)
+def lambda_handler(event: events.SQSEvent, _: context.Context) -> dict[str, list]:
+    event_records = event.get("Records", [])
 
-    return True
+    return process_records(event_records)
diff --git a/lambdas/mns_publisher/src/process_records.py b/lambdas/mns_publisher/src/process_records.py
new file mode 100644
index 0000000000..e55924d704
--- /dev/null
+++ b/lambdas/mns_publisher/src/process_records.py
@@ -0,0 +1,88 @@
+import json
+import os
+from typing import Tuple
+
+from aws_lambda_typing.events.sqs import SQSMessage
+
+from common.api_clients.mns_service import MnsService
+from common.api_clients.mns_setup import get_mns_service
+from common.api_clients.mock_mns_service import MockMnsService
+from common.clients import logger
+from create_notification import create_mns_notification
+
+mns_env = os.getenv("MNS_ENV", "int")
+MNS_TEST_QUEUE_URL = os.getenv("MNS_TEST_QUEUE_URL")
+
+
+def process_records(records: list[SQSMessage]) -> dict[str, list]:
+    """
+    Process multiple SQS records.
+    Args: records: List of SQS records to process
+    Returns: List of failed item identifiers for partial batch failure
+    """
+    batch_item_failures = []
+    mns_service = get_mns_service(mns_env=mns_env)
+
+    for record in records:
+        try:
+            process_record(record, mns_service)
+        except Exception:
+            message_id = record.get("messageId", "unknown")
+            batch_item_failures.append({"itemIdentifier": message_id})
+            logger.exception("Failed to process record", extra={"message_id": message_id})
+
+    if batch_item_failures:
+        logger.warning(f"Batch completed with {len(batch_item_failures)} failures")
+    else:
+        logger.info(f"Successfully processed all {len(records)} messages")
+
+    return {"batchItemFailures": batch_item_failures}
+
+
+def process_record(record: SQSMessage, mns_service: MnsService | MockMnsService) -> None:
+    """
+    Process a single SQS record.
+    Args:
+        record: SQS record containing DynamoDB stream data
+        mns_service: MNS service instance for publishing
+    Returns: Failure dict with itemIdentifier if processing failed, None if successful
+    """
+    message_id, immunisation_id = extract_trace_ids(record)
+    notification_id = None
+
+    mns_notification_payload = create_mns_notification(record)
+    notification_id = mns_notification_payload.get("id")
+
+    action_flag = mns_notification_payload.get("filtering", {}).get("action")
+    logger.info(
+        "Processing message",
+        extra={
+            "notification_id": notification_id,
+            "message_id": message_id,
+            "immunisation_id": immunisation_id,
+            "action_flag": action_flag,
+        },
+    )
+
+    mns_service.publish_notification(mns_notification_payload)
+    logger.info("Successfully created MNS notification", extra={"mns_notification_id": notification_id})
+
+
+def extract_trace_ids(record: SQSMessage) -> Tuple[str, str | None]:
+    """
+    Extract identifiers for tracing from SQS record.
+    Returns: Tuple of (message_id, immunisation_id)
+    """
+    sqs_message_id = record.get("messageId", "unknown")
+    immunisation_id = None
+
+    try:
+        sqs_event_body = record.get("body", {})
+        if isinstance(sqs_event_body, str):
+            sqs_event_body = json.loads(sqs_event_body)
+
+        immunisation_id = sqs_event_body.get("dynamodb", {}).get("NewImage", {}).get("ImmsID", {}).get("S")
+    except Exception as e:
+        logger.warning(f"Could not extract immunisation_id: {immunisation_id}: {e}")
+
+    return sqs_message_id, immunisation_id
diff --git a/lambdas/mns_publisher/tests/sample_data/sqs_event.json b/lambdas/mns_publisher/tests/sample_data/sqs_event.json
new file mode 100644
index 0000000000..0363906c7f
--- /dev/null
+++ b/lambdas/mns_publisher/tests/sample_data/sqs_event.json
@@ -0,0 +1,118 @@
+{
+  "messageId": "98ed30eb-829f-41df-8a73-57fef70cf161",
+  "receiptHandle": "AQEBpFIQq7dcCyEquMsKkFgM3iROiAVOLvq9CBwaFy7EkVHpqu5+leD7FEc/7KexUF91w8cZEn1XSSqUjapPq45SE7aAxzCOVjFHusYrYwcSBYg10mP60vXwVu3Qzp+F2T/52ONt75pStSJhm1fMXq6/ZkmYbpcTX2SLdL/5Yfx/rRo4uXFnPjo5VFMpH2yFDJnRnHJ4coHwCogvwuzp68cxU/zJOOaMKPQOCpYJMULkD8ITF/SAMWtzr6XSpgIWFUl+K9HFqDtljg5mv4oE34v9k+GRj0WNQVgjuSLCTYcGpYg75Kh6Rn9o7G9aH4fqczFQbzM0uYWmSSH2SNA4r6raupxTl8gXbG1Uzgq1rfhNxtMtvB4dSqR82je6IVf5lZ0Z+YTCy/Rqyr9SF9mDyFB5VjmqfN0MKENXKjJ/G7tqWoo=",
+
+  "body": {
+    "eventID": "b1ba2a48eae68bf43a8cb49b400788c6",
+    "eventName": "INSERT",
+    "eventVersion": "1.1",
+    "eventSource": "aws:dynamodb",
+    "awsRegion": "eu-west-2",
+
+    "dynamodb": {
+      "ApproximateCreationDateTime": 1770918337,
+
+      "Keys": {
+        "PK": { "S": "a841e2c1dd0ecd2f60113890cc02b130" }
+      },
+
+      "NewImage": {
+        "ImmsID": { "S": "d058014c-b0fd-4471-8db9-3316175eb825" },
+        "VaccineType": { "S": "hib" },
+        "SupplierSystem": { "S": "TPP" },
+        "DateTimeStamp": { "S": "2026-02-12T17:45:37+00:00" },
+
+        "Imms": {
+          "M": {
+            "UNIQUE_ID": { "S": "ae4f6b62-a419-41a8-b5e2-a5228b5f9e41" },
+            "UNIQUE_ID_URI": { "S": "https://supplierABC/identifiers/vacc" },
+
+            "PERSON_FORENAME": { "S": "PEILL" },
+            "PERSON_SURNAME": { "S": "LIZZY" },
+            "PERSON_DOB": { "S": "20040609" },
+            "PERSON_GENDER_CODE": { "S": "2" },
+            "PERSON_POSTCODE": { "S": "M7 4ES" },
+            "NHS_NUMBER": { "S": "9481152782" },
+
+            "PERFORMING_PROFESSIONAL_FORENAME": { "S": "Darren" },
+            "PERFORMING_PROFESSIONAL_SURNAME": { "S": "Furlong" },
+
+            "VACCINE_TYPE": { "S": "hib" },
+            "VACCINE_PRODUCT_CODE": { "S": "9903611000001100" },
+            "VACCINE_PRODUCT_TERM": {
+              "S": "Menitorix powder and solvent for solution for injection 0.5ml vials (GlaxoSmithKline)"
+            },
+            "VACCINE_MANUFACTURER": { "S": "Sanofi" },
+
+            "VACCINATION_PROCEDURE_CODE": { "S": "712833000" },
+            "VACCINATION_PROCEDURE_TERM": {
+              "S": "Haemophilus influenzae type B Meningitis C (HibMenC) vaccination codes"
+            },
+
+            "INDICATION_CODE": { "S": "443684005" },
+
+            "SITE_OF_VACCINATION_CODE": { "S": "368208006" },
+            "SITE_OF_VACCINATION_TERM": {
+              "S": "Left upper arm structure (body structure)"
+            },
+
+            "ROUTE_OF_VACCINATION_CODE": { "S": "78421000" },
+            "ROUTE_OF_VACCINATION_TERM": {
+              "S": "Intramuscular route (qualifier value)"
+            },
+
+            "DOSE_SEQUENCE": { "S": "1" },
+            "DOSE_AMOUNT": { "N": "0.3" },
+            "DOSE_UNIT_CODE": { "S": "2622896019" },
+            "DOSE_UNIT_TERM": { "S": "Inhalation - unit of product usage" },
+
+            "BATCH_NUMBER": { "S": "688346" },
+            "EXPIRY_DATE": { "S": "20280212" },
+
+            "DATE_AND_TIME": { "S": "20260212T17443700" },
+            "RECORDED_DATE": { "S": "20260212" },
+
+            "SITE_CODE": { "S": "B0C4P" },
+            "SITE_CODE_TYPE_URI": {
+              "S": "https://fhir.nhs.uk/Id/ods-organization-code"
+            },
+
+            "LOCATION_CODE": { "S": "X99999" },
+            "LOCATION_CODE_TYPE_URI": {
+              "S": "https://fhir.nhs.uk/Id/ods-organization-code"
+            },
+
+            "PRIMARY_SOURCE": { "S": "TRUE" },
+            "ACTION_FLAG": { "S": "NEW" },
+
+            "CONVERSION_ERRORS": { "L": [] }
+          }
+        },
+
+        "Operation": { "S": "CREATE" },
+        "PK": { "S": "a841e2c1dd0ecd2f60113890cc02b130" },
+        "ExpiresAt": { "N": "1773510337" },
+        "Source": { "S": "IEDS" }
+      },
+
+      "SequenceNumber": "42400003126610103283304",
+      "SizeBytes": 1463,
+      "StreamViewType": "NEW_IMAGE"
+    },
+
+    "eventSourceARN": "arn:aws:dynamodb:eu-west-2:345594581768:table/imms-pr-1203-delta/stream/2026-02-12T17:32:56.589"
+  },
+
+  "attributes": {
+    "ApproximateReceiveCount": "1",
+    "SentTimestamp": "1770994394616",
+    "SenderId": "AROAVA5YK2MEDW5XLAPXH:634b0edba98233009bdd0a31c220a880",
+    "ApproximateFirstReceiveTimestamp": "1770994394620"
+  },
+
+  "messageAttributes": {},
+  "md5OfBody": "f89442a426edfc37ca55f86e9cbb61bb",
+  "eventSource": "aws:sqs",
+  "eventSourceARN": "arn:aws:sqs:eu-west-2:345594581768:pr-1203-mns-outbound-events-queue",
+  "awsRegion": "eu-west-2"
+}
diff --git a/lambdas/mns_publisher/tests/test_create_notification.py b/lambdas/mns_publisher/tests/test_create_notification.py
new file mode 100644
index 0000000000..179b1ee28b
--- /dev/null
+++ b/lambdas/mns_publisher/tests/test_create_notification.py
@@ -0,0 +1,362 @@
+import copy
+import json
+import unittest
+from unittest.mock import MagicMock, patch
+
+from constants import IMMUNISATION_TYPE, SPEC_VERSION
+from create_notification import (
+    _unwrap_dynamodb_value,
+    calculate_age_at_vaccination,
+    create_mns_notification,
+    get_practitioner_details_from_pds,
+)
+from test_utils import load_sample_sqs_event
+
+
+class TestCalculateAgeAtVaccination(unittest.TestCase):
+    """Tests for age calculation at vaccination time."""
+
+    def test_age_calculation_yyyymmdd_format(self):
+        birth_date = "20040609"
+        vaccination_date = "20260212"
+        age = calculate_age_at_vaccination(birth_date, vaccination_date)
+        self.assertEqual(age, 21)
+
+    def test_age_calculation_with_time(self):
+        birth_date = "20040609T120000"
+        vaccination_date = "20260212T174437"
+        age = calculate_age_at_vaccination(birth_date, vaccination_date)
+        self.assertEqual(age, 21)
+
+    def test_age_calculation_after_birthday(self):
+        birth_date = "20040609"
+        vaccination_date = "20260815"
+        age = calculate_age_at_vaccination(birth_date, vaccination_date)
+        self.assertEqual(age, 22)
+
+    def test_age_calculation_on_birthday(self):
+        birth_date = "20040609"
+        vaccination_date = "20260609"
+        age = calculate_age_at_vaccination(birth_date, vaccination_date)
+        self.assertEqual(age, 22)
+
+    def test_age_calculation_infant(self):
+        birth_date = "20260609"
+        vaccination_date = "20260915"
+        age = calculate_age_at_vaccination(birth_date, vaccination_date)
+        self.assertEqual(age, 0)
+
+    def test_age_calculation_leap_year_birthday(self):
+        birth_date = "20000229"
+        vaccination_date = "20240228"
+        age = calculate_age_at_vaccination(birth_date, vaccination_date)
+        self.assertEqual(age, 23)
+
+    def test_age_calculation_same_day_different_year(self):
+        birth_date = "20000101"
+        vaccination_date = "20250101"
+        age = calculate_age_at_vaccination(birth_date, vaccination_date)
+        self.assertEqual(age, 25)
+
+
+class TestCreateMnsNotification(unittest.TestCase):
+    """Tests for MNS notification creation."""
+
+    @classmethod
+    def setUpClass(cls):
+        cls.sample_sqs_event = load_sample_sqs_event()
+
+    def setUp(self):
+        self.expected_gp_ods_code = "Y12345"
+        self.expected_immunisation_url = "https://int.api.service.nhs.uk/immunisation-fhir-api"
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    @patch("create_notification.uuid.uuid4")
+    def test_success_create_mns_notification_complete_payload(self, mock_uuid, mock_get_service_url, mock_get_gp):
+        mock_uuid.return_value = MagicMock(hex="236a1d4a-5d69-4fa9-9c7f-e72bf505aa5b")
+        mock_get_service_url.return_value = self.expected_immunisation_url
+        mock_get_gp.return_value = self.expected_gp_ods_code
+
+        result = create_mns_notification(self.sample_sqs_event)
+
+        self.assertEqual(result["specversion"], SPEC_VERSION)
+        self.assertEqual(result["type"], IMMUNISATION_TYPE)
+        self.assertEqual(result["source"], self.expected_immunisation_url)
+        self.assertEqual(result["subject"], "9481152782")
+
+        expected_dataref = f"{self.expected_immunisation_url}/Immunization/d058014c-b0fd-4471-8db9-3316175eb825"
+        self.assertEqual(result["dataref"], expected_dataref)
+
+        filtering = result["filtering"]
+        self.assertEqual(filtering["generalpractitioner"], self.expected_gp_ods_code)
+        self.assertEqual(filtering["sourceorganisation"], "B0C4P")
+        self.assertEqual(filtering["sourceapplication"], "TPP")
+        self.assertEqual(filtering["immunisationtype"], "HIB")
+        self.assertEqual(filtering["action"], "CREATE")
+        self.assertEqual(filtering["subjectage"], 21)
+
+        self.assertIn("id", result)
+        self.assertIsInstance(result["id"], str)
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    def test_create_mns_notification_missing_nhs_number(self, mock_get_service_url, mock_get_gp):
+        sqs_event_data = copy.deepcopy(self.sample_sqs_event)
+
+        body = json.loads(sqs_event_data["body"])
+        body["dynamodb"]["NewImage"]["Imms"]["M"]["NHS_NUMBER"]["S"] = ""
+        sqs_event_data["body"] = json.dumps(body)
+
+        with self.assertRaises(ValueError) as context:
+            create_mns_notification(sqs_event_data)
+        self.assertIn("NHS number is required", str(context.exception))
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    def test_create_mns_notification_calls_get_practitioner_real_payload(self, mock_get_service_url, mock_get_gp):
+        mock_get_service_url.return_value = self.expected_immunisation_url
+        mock_get_gp.return_value = self.expected_gp_ods_code
+
+        create_mns_notification(self.sample_sqs_event)
+
+        mock_get_gp.assert_called_once_with("9481152782")
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    def test_create_mns_notification_invalid_json_body(self, mock_get_service_url, mock_get_gp):
+        mock_get_service_url.return_value = self.expected_immunisation_url
+        mock_get_gp.return_value = self.expected_gp_ods_code
+
+        invalid_event = {"messageId": "test-id", "body": "not valid json {"}
+
+        with self.assertRaises(json.JSONDecodeError):
+            create_mns_notification(invalid_event)
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    def test_create_mns_notification_pds_failure(self, mock_get_service_url, mock_get_gp):
+        mock_get_service_url.return_value = self.expected_immunisation_url
+        mock_get_gp.side_effect = Exception("PDS API unavailable")
+
+        with self.assertRaises(Exception):
+            create_mns_notification(self.sample_sqs_event)
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    def test_create_mns_notification_gp_not_found(self, mock_get_service_url, mock_get_gp):
+        mock_get_service_url.return_value = self.expected_immunisation_url
+        mock_get_gp.return_value = None
+
+        result = create_mns_notification(self.sample_sqs_event)
+
+        self.assertIsNone(result["filtering"]["generalpractitioner"])
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    def test_create_mns_notification_required_fields_present(self, mock_get_service_url, mock_get_gp):
+        mock_get_service_url.return_value = self.expected_immunisation_url
+        mock_get_gp.return_value = self.expected_gp_ods_code
+
+        result = create_mns_notification(self.sample_sqs_event)
+
+        required_fields = ["id", "source", "specversion", "type", "time", "dataref", "subject"]
+        for field in required_fields:
+            self.assertIn(field, result, f"Required field '{field}' missing")
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    def test_create_mns_notification_missing_imms_data_field(self, mock_get_service_url, mock_get_gp):
+        mock_get_service_url.return_value = self.expected_immunisation_url
+        mock_get_gp.return_value = self.expected_gp_ods_code
+
+        incomplete_event = {
+            "messageId": "test-id",
+            "body": json.dumps({"dynamodb": {"NewImage": {"ImmsID": {"S": "test-id"}}}}),
+        }
+
+        with self.assertRaises((KeyError, TypeError, ValueError)):
+            create_mns_notification(incomplete_event)
+
+    @patch("create_notification.get_practitioner_details_from_pds")
+    @patch("create_notification.get_service_url")
+    def test_create_mns_notification_with_update_action(self, mock_get_service_url, mock_get_gp):
+        mock_get_service_url.return_value = self.expected_immunisation_url
+        mock_get_gp.return_value = self.expected_gp_ods_code
+
+        update_event = copy.deepcopy(self.sample_sqs_event)
+
+        body = json.loads(update_event["body"])
+        body["dynamodb"]["NewImage"]["Operation"]["S"] = "UPDATE"
+        update_event["body"] = json.dumps(body)
+
+        result = create_mns_notification(update_event)
+
+        self.assertEqual(result["filtering"]["action"], "UPDATE")
+        mock_get_service_url.assert_called()
+        mock_get_gp.assert_called()
+
+
+class TestGetPractitionerDetailsFromPds(unittest.TestCase):
+    """Tests for get_practitioner_details_from_pds function."""
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_success(self, mock_logger, mock_pds_get):
+        """Test successful retrieval of GP ODS code."""
+        mock_pds_get.return_value = {"generalPractitioner": [{"identifier": {"value": "Y12345"}}]}
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertEqual(result, "Y12345")
+        mock_pds_get.assert_called_once_with("9481152782")
+        mock_logger.warning.assert_not_called()
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_no_gp_details(self, mock_logger, mock_pds_get):
+        """Test when generalPractitioner is missing."""
+        mock_pds_get.return_value = {"name": "John Doe"}
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertIsNone(result)
+        mock_logger.warning.assert_called_once_with("No GP details found for patient")
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_gp_is_none(self, mock_logger, mock_pds_get):
+        """Test when generalPractitioner is None."""
+        mock_pds_get.return_value = {"generalPractitioner": None}
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertIsNone(result)
+        mock_logger.warning.assert_called_once()
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_no_value_field(self, mock_logger, mock_pds_get):
+        """Test when value field is missing from identifier."""
+        mock_pds_get.return_value = {"generalPractitioner": [{"identifier": {}}]}
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertIsNone(result)
+        mock_logger.warning.assert_called_with("GP ODS code not found in practitioner details")
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_empty_value(self, mock_logger, mock_pds_get):
+        """Test when value is empty string."""
+        mock_pds_get.return_value = {"generalPractitioner": [{"identifier": {"value": ""}}]}
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertIsNone(result)
+        mock_logger.warning.assert_called_with("GP ODS code not found in practitioner details")
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_no_end_date(self, mock_logger, mock_pds_get):
+        """Test successful retrieval when no end date (current registration)."""
+        mock_pds_get.return_value = {
+            "generalPractitioner": [{"identifier": {"value": "Y12345", "period": {"start": "2024-01-01"}}}]
+        }
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertEqual(result, "Y12345")
+        mock_logger.warning.assert_not_called()
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_future_end_date(self, mock_logger, mock_pds_get):
+        """Test successful retrieval when end date is in the future."""
+        mock_pds_get.return_value = {
+            "generalPractitioner": [
+                {"identifier": {"value": "Y12345", "period": {"start": "2024-01-01", "end": "2030-12-31"}}}
+            ]
+        }
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertEqual(result, "Y12345")
+        mock_logger.warning.assert_not_called()
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_expired_registration(self, mock_logger, mock_pds_get):
+        """Test when GP registration has ended (expired)."""
+        mock_pds_get.return_value = {
+            "generalPractitioner": [
+                {"identifier": {"value": "Y12345", "period": {"start": "2020-01-01", "end": "2023-12-31"}}}
+            ]
+        }
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertIsNone(result)
+        mock_logger.warning.assert_called_with("No current GP registration found for patient")
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_no_period_field(self, mock_logger, mock_pds_get):
+        """Test when period field is missing entirely."""
+        mock_pds_get.return_value = {"generalPractitioner": [{"identifier": {"value": "Y12345"}}]}
+
+        result = get_practitioner_details_from_pds("9481152782")
+
+        self.assertEqual(result, "Y12345")
+        mock_logger.warning.assert_not_called()
+
+    @patch("create_notification.pds_get_patient_details")
+    @patch("create_notification.logger")
+    def test_get_practitioner_pds_exception(self, mock_logger, mock_pds_get):
+        """Test when PDS API raises exception."""
+        mock_pds_get.side_effect = Exception("PDS API error")
+
+        with self.assertRaises(Exception) as context:
+            get_practitioner_details_from_pds("9481152782")
+
+        self.assertEqual(str(context.exception), "PDS API error")
+
+
+class TestUnwrapDynamodbValue(unittest.TestCase):
+    """Tests for _unwrap_dynamodb_value helper function."""
+
+    def test_unwrap_string_type(self):
+        """Test unwrapping DynamoDB String type."""
+        value = {"S": "test-value"}
+        result = _unwrap_dynamodb_value(value)
+        self.assertEqual(result, "test-value")
+
+    def test_unwrap_number_type(self):
+        """Test unwrapping DynamoDB Number type."""
+        value = {"N": "123"}
+        result = _unwrap_dynamodb_value(value)
+        self.assertEqual(result, "123")
+
+    def test_unwrap_boolean_type(self):
+        """Test unwrapping DynamoDB Boolean type."""
+        value = {"BOOL": True}
+        result = _unwrap_dynamodb_value(value)
+        self.assertTrue(result)
+
+    def test_unwrap_null_type(self):
+        """Test unwrapping DynamoDB NULL type."""
+        value = {"NULL": True}
+        result = _unwrap_dynamodb_value(value)
+        self.assertIsNone(result)
+
+    def test_unwrap_map_type(self):
+        """Test unwrapping DynamoDB Map type."""
+        value = {"M": {"key": {"S": "value"}}}
+        result = _unwrap_dynamodb_value(value)
+        self.assertEqual(result, {"key": {"S": "value"}})
+
+    def test_unwrap_list_type(self):
+        """Test unwrapping DynamoDB List type."""
+        value = {"L": [{"S": "item1"}, {"S": "item2"}]}
+        result = _unwrap_dynamodb_value(value)
+        self.assertEqual(result, [{"S": "item1"}, {"S": "item2"}])
diff --git a/lambdas/mns_publisher/tests/test_lambda_handler.py b/lambdas/mns_publisher/tests/test_lambda_handler.py
index d6409ff2a4..1602e01214 100644
--- a/lambdas/mns_publisher/tests/test_lambda_handler.py
+++ b/lambdas/mns_publisher/tests/test_lambda_handler.py
@@ -1,9 +1,381 @@
-from unittest import TestCase
-from unittest.mock import Mock
+import json
+import unittest
+from unittest.mock import Mock, patch
+
+import boto3
+import responses
+from moto import mock_aws
 
 from lambda_handler import lambda_handler
+from process_records import extract_trace_ids, process_record, process_records
+from test_utils import generate_private_key_b64, load_sample_sqs_event
+
+
+class TestExtractTraceIds(unittest.TestCase):
+    """Tests for extract_trace_ids helper function."""
+
+    @classmethod
+    def setUpClass(cls):
+        """Load the sample SQS event once for all tests."""
+        cls.sample_sqs_event = load_sample_sqs_event()
+
+    def test_extract_trace_ids_success_from_real_payload(self):
+        """Test successful extraction using real SQS event structure."""
+        message_id, immunisation_id = extract_trace_ids(self.sample_sqs_event)
+
+        self.assertEqual(message_id, "98ed30eb-829f-41df-8a73-57fef70cf161")
+        self.assertEqual(immunisation_id, "d058014c-b0fd-4471-8db9-3316175eb825")
+
+    def test_extract_trace_ids_missing_message_id(self):
+        """Test extraction when messageId is missing."""
+        record = {"body": json.dumps({"dynamodb": {"NewImage": {"ImmsID": {"S": "imms-456"}}}})}
+
+        message_id, immunisation_id = extract_trace_ids(record)
+
+        self.assertEqual(message_id, "unknown")
+        self.assertEqual(immunisation_id, "imms-456")
+
+    def test_extract_trace_ids_missing_body(self):
+        """Test extraction when body is missing."""
+        record = {"messageId": "msg-123"}
+
+        message_id, immunisation_id = extract_trace_ids(record)
+
+        self.assertEqual(message_id, "msg-123")
+        self.assertIsNone(immunisation_id)
+
+    def test_extract_trace_ids_invalid_json_body(self):
+        """Test extraction when body contains invalid JSON."""
+        record = {"messageId": "msg-123", "body": "not valid json"}
+
+        message_id, immunisation_id = extract_trace_ids(record)
+
+        self.assertEqual(message_id, "msg-123")
+        self.assertIsNone(immunisation_id)
+
+    def test_extract_trace_ids_missing_dynamodb_structure(self):
+        """Test extraction when DynamoDB structure is incomplete."""
+        record = {"messageId": "msg-123", "body": json.dumps({"other": "data"})}
+
+        message_id, immunisation_id = extract_trace_ids(record)
+
+        self.assertEqual(message_id, "msg-123")
+        self.assertIsNone(immunisation_id)
+
+
+class TestProcessRecord(unittest.TestCase):
+    """Tests for process_record function."""
+
+    @classmethod
+    def setUpClass(cls):
+        """Load the sample SQS event once for all tests."""
+        cls.sample_sqs_record = load_sample_sqs_event()
+
+    def setUp(self):
+        """Set up test fixtures."""
+        self.sample_notification = {
+            "id": "notif-789",
+            "specversion": "1.0",
+            "type": "imms-vaccinations-1",
+            "filtering": {"action": "CREATE"},
+        }
+        self.mock_mns_service = Mock()
+
+    @patch("process_records.create_mns_notification")
+    @patch("process_records.logger")
+    def test_process_record_success(self, mock_logger, mock_create_notification):
+        """Test successful processing of a single record."""
+        mock_create_notification.return_value = self.sample_notification
+        self.mock_mns_service.publish_notification.return_value = None
+
+        process_record(self.sample_sqs_record, self.mock_mns_service)
+
+        mock_create_notification.assert_called_once_with(self.sample_sqs_record)
+        self.mock_mns_service.publish_notification.assert_called_once_with(self.sample_notification)
+        mock_logger.exception.assert_not_called()
+
+    @patch("process_records.create_mns_notification")
+    @patch("process_records.logger")
+    def test_process_record_create_notification_failure(self, mock_logger, mock_create_notification):
+        """Test handling when notification creation fails."""
+        mock_create_notification.side_effect = Exception("Creation error")
+
+        with self.assertRaises(Exception):
+            process_record(self.sample_sqs_record, self.mock_mns_service)
+
+        self.mock_mns_service.publish_notification.assert_not_called()
+
+    @patch("process_records.create_mns_notification")
+    @patch("process_records.logger")
+    def test_process_record_publish_failure(self, mock_logger, mock_create_notification):
+        """Test handling when MNS publish fails."""
+        mock_create_notification.return_value = self.sample_notification
+        self.mock_mns_service.publish_notification.side_effect = Exception("Publish error")
+
+        with self.assertRaises(Exception):
+            process_record(self.sample_sqs_record, self.mock_mns_service)
+
+
+class TestProcessRecords(unittest.TestCase):
+    """Tests for process_records function."""
+
+    @classmethod
+    def setUpClass(cls):
+        """Load the sample SQS event once for all tests."""
+        cls.sample_sqs_record = load_sample_sqs_event()
+
+    @patch("process_records.logger")
+    @patch("process_records.get_mns_service")
+    @patch("process_records.process_record")
+    def test_process_records_all_success(self, mock_process_record, mock_get_mns, mock_logger):
+        """Test processing multiple records with all successes."""
+        mock_mns_service = Mock()
+        mock_get_mns.return_value = mock_mns_service
+        mock_process_record.return_value = None
+
+        record_2 = self.sample_sqs_record.copy()
+        record_2["messageId"] = "different-id"
+        records = [self.sample_sqs_record, record_2]
+
+        result = process_records(records)
+
+        self.assertEqual(result, {"batchItemFailures": []})
+        self.assertEqual(mock_process_record.call_count, 2)
+        mock_get_mns.assert_called_once()
+        mock_logger.info.assert_called_with("Successfully processed all 2 messages")
+
+    @patch("process_records.logger")
+    @patch("process_records.get_mns_service")
+    @patch("process_records.process_record")
+    def test_process_records_partial_failure(self, mock_process_record, mock_get_mns, mock_logger):
+        """Test processing with some failures."""
+        mock_mns_service = Mock()
+        mock_get_mns.return_value = mock_mns_service
+        mock_process_record.side_effect = [
+            None,
+            Exception("Processing error"),
+        ]
+
+        record_2 = self.sample_sqs_record.copy()
+        record_2["messageId"] = "msg-456"
+        records = [self.sample_sqs_record, record_2]
+
+        result = process_records(records)
+
+        self.assertEqual(len(result["batchItemFailures"]), 1)
+        self.assertEqual(result["batchItemFailures"][0]["itemIdentifier"], "msg-456")
+        mock_logger.warning.assert_called_with("Batch completed with 1 failures")
+
+    @patch("process_records.logger")
+    @patch("process_records.get_mns_service")
+    @patch("process_records.process_record")
+    def test_process_records_empty_list(self, mock_process_record, mock_get_mns, mock_logger):
+        """Test processing empty record list."""
+        mock_mns_service = Mock()
+        mock_get_mns.return_value = mock_mns_service
+
+        result = process_records([])
+
+        self.assertEqual(result, {"batchItemFailures": []})
+        mock_process_record.assert_not_called()
+        mock_logger.info.assert_called_with("Successfully processed all 0 messages")
+
+    @patch("process_records.logger")
+    @patch("process_records.get_mns_service")
+    @patch("process_records.process_record")
+    def test_process_records_mns_service_created_once(self, mock_process_record, mock_get_mns, mock_logger):
+        """Test that MNS service is created only once for batch."""
+        mock_mns_service = Mock()
+        mock_get_mns.return_value = mock_mns_service
+        mock_process_record.return_value = None
+
+        records = [self.sample_sqs_record, self.sample_sqs_record, self.sample_sqs_record]
+
+        process_records(records)
+
+        mock_get_mns.assert_called_once()
+
+
+class TestLambdaHandler(unittest.TestCase):
+    """Tests for lambda_handler function."""
+
+    @classmethod
+    def setUpClass(cls):
+        """Load the sample SQS event once for all tests."""
+        cls.sample_sqs_record = load_sample_sqs_event()
+
+    @patch("lambda_handler.process_records")
+    def test_lambda_handler_all_success(self, mock_process_records):
+        """Test lambda handler with all records succeeding."""
+        mock_process_records.return_value = {"batchItemFailures": []}
+
+        event = {"Records": [self.sample_sqs_record]}
+        result = lambda_handler(event, Mock())
+
+        self.assertEqual(result, {"batchItemFailures": []})
+        mock_process_records.assert_called_once_with([self.sample_sqs_record])
+
+    @patch("lambda_handler.process_records")
+    def test_lambda_handler_with_failures(self, mock_process_records):
+        """Test lambda handler with some failures."""
+        mock_process_records.return_value = {"batchItemFailures": [{"itemIdentifier": "msg-123"}]}
+
+        event = {"Records": [self.sample_sqs_record]}
+        result = lambda_handler(event, Mock())
+
+        self.assertEqual(result, {"batchItemFailures": [{"itemIdentifier": "msg-123"}]})
+
+    @patch("lambda_handler.process_records")
+    def test_lambda_handler_empty_records(self, mock_process_records):
+        """Test lambda handler with no records."""
+        mock_process_records.return_value = {"batchItemFailures": []}
+
+        event = {"Records": []}
+        result = lambda_handler(event, Mock())
+
+        self.assertEqual(result, {"batchItemFailures": []})
+        mock_process_records.assert_called_once_with([])
+
+
+@mock_aws
+class TestLambdaHandlerIntegration(unittest.TestCase):
+    """
+    Integration tests
+    """
+
+    def setUp(self):
+        """Set up mocked AWS services and test data."""
+        self.sample_sqs_record = load_sample_sqs_event()
+        self.secrets_client = boto3.client("secretsmanager", region_name="eu-west-2")
+        self.secrets_client.create_secret(
+            Name="imms/pds/int/jwt-secrets",
+            SecretString=json.dumps(
+                {"api_key": "fake-pds-api-key", "kid": "fake-kid-123", "private_key_b64": generate_private_key_b64()}
+            ),
+        )
+
+    @responses.activate
+    @patch("common.api_clients.authentication.AppRestrictedAuth.get_access_token")
+    @patch("process_records.logger")
+    def test_successful_notification_creation_with_gp(self, mock_logger, mock_get_token):
+        """
+        Test a Successful MNS Publish notification with calls to PDS for GP details, no batch failure
+        """
+
+        # Mock OAuth token response issued from Apigee
+        mock_get_token.return_value = {"access_token": "fake-token"}
+
+        # Intercepts actual request call to PDS and returns mocked responses
+        responses.add(
+            responses.GET,
+            "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9481152782",
+            json={"generalPractitioner": [{"identifier": {"value": "Y12345", "period": {"start": "2024-01-01"}}}]},
+            status=200,
+        )
+
+        mns_response = responses.add(
+            responses.POST,
+            "https://int.api.service.nhs.uk/multicast-notification-service/events",
+            json={"id": "236a1d4a-5d69-4fa9-9c7f-e72bf505aa5b"},
+            status=200,
+        )
+
+        sqs_event = {"Records": [self.sample_sqs_record]}
+        result = lambda_handler(sqs_event, Mock())
+
+        self.assertEqual(result, {"batchItemFailures": []})
+
+        self.assertEqual(mns_response.call_count, 1)
+        self.assertEqual(mns_response.calls[0].response.status_code, 200)
+        mns_payload = json.loads(mns_response.calls[0].request.body)
+        self.assertEqual(mns_payload["subject"], "9481152782")
+        self.assertEqual(mns_payload["filtering"]["generalpractitioner"], "Y12345")
+        self.assertEqual(mns_payload["filtering"]["sourceorganisation"], "B0C4P")
+        self.assertEqual(mns_payload["filtering"]["sourceapplication"], "TPP")
+        self.assertEqual(mns_payload["filtering"]["immunisationtype"], "HIB")
+        self.assertEqual(mns_payload["filtering"]["action"], "CREATE")
+        self.assertEqual(mns_payload["filtering"]["subjectage"], 21)
+
+        mock_logger.info.assert_any_call("Successfully processed all 1 messages")
+
+    @responses.activate
+    @patch("common.api_clients.authentication.AppRestrictedAuth.get_access_token")
+    @patch("process_records.get_mns_service")
+    @patch("process_records.logger")
+    def test_pds_failure(self, mock_logger, mock_get_mns, mock_get_token):
+        """
+        Test that a PDS client error results in a batch item failure and MNS is not called.
+        """
+
+        # Mock OAuth token response issued from Apigee
+        mock_get_token.return_value = "fake-token"
+
+        # Intercepts actual request call to PDS and returns mocked responses
+        responses.add(
+            responses.GET,
+            "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9481152782",
+            json={
+                "resourceType": "OperationOutcome",
+                "issue": [{"severity": "error", "code": "processing", "diagnostics": "Patient not found"}],
+            },
+            status=400,
+        )
+
+        mock_mns_service = Mock()
+        mock_mns_service.publish_notification.return_value = None
+        mock_get_mns.return_value = mock_mns_service
+
+        sqs_event = {"Records": [self.sample_sqs_record]}
+        result = lambda_handler(sqs_event, Mock())
+
+        self.assertEqual(len(result["batchItemFailures"]), 1)
+        mock_mns_service.publish_notification.assert_not_called()
+        mock_logger.warning.assert_called_with("Batch completed with 1 failures")
+
+    @responses.activate
+    @patch("common.api_clients.authentication.AppRestrictedAuth.get_access_token")
+    @patch("process_records.logger")
+    def test_successful_notification_creation_with_expired_gp(self, mock_logger, mock_get_token):
+        """
+        Test a Successful MNS Publish notification with calls to PDS for GP details, no batch failure
+        """
+
+        # Mock OAuth token response issued from Apigee
+        mock_get_token.return_value = {"access_token": "fake-token"}
+
+        # Intercepts actual request call to PDS and returns mocked responses
+        responses.add(
+            responses.GET,
+            "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4/Patient/9481152782",
+            json={
+                "generalPractitioner": [
+                    {"identifier": {"value": "Y12345", "period": {"start": "2024-01-01", "end": "2025-12-31"}}}
+                ]
+            },
+            status=200,
+        )
+
+        mns_response = responses.add(
+            responses.POST,
+            "https://int.api.service.nhs.uk/multicast-notification-service/events",
+            json={"id": "236a1d4a-5d69-4fa9-9c7f-e72bf505aa5b"},
+            status=200,
+        )
+
+        sqs_event = {"Records": [self.sample_sqs_record]}
+        result = lambda_handler(sqs_event, Mock())
+
+        self.assertEqual(result, {"batchItemFailures": []})
 
+        self.assertEqual(mns_response.call_count, 1)
+        self.assertEqual(mns_response.calls[0].response.status_code, 200)
+        mns_payload = json.loads(mns_response.calls[0].request.body)
+        self.assertEqual(mns_payload["subject"], "9481152782")
+        self.assertEqual(mns_payload["filtering"]["generalpractitioner"], None)
+        self.assertEqual(mns_payload["filtering"]["sourceorganisation"], "B0C4P")
+        self.assertEqual(mns_payload["filtering"]["sourceapplication"], "TPP")
+        self.assertEqual(mns_payload["filtering"]["immunisationtype"], "HIB")
+        self.assertEqual(mns_payload["filtering"]["action"], "CREATE")
+        self.assertEqual(mns_payload["filtering"]["subjectage"], 21)
 
-class TestLambdaHandler(TestCase):
-    def test_lambda_handler_returns_true(self):
-        lambda_handler({"Records": [{"messageId": "1234"}]}, Mock())
+        mock_logger.info.assert_any_call("Successfully processed all 1 messages")
diff --git a/lambdas/mns_publisher/tests/test_sqs_dynamo_utils.py b/lambdas/mns_publisher/tests/test_sqs_dynamo_utils.py
new file mode 100644
index 0000000000..e69de29bb2
diff --git a/lambdas/mns_publisher/tests/test_utils.py b/lambdas/mns_publisher/tests/test_utils.py
new file mode 100644
index 0000000000..4c6a71c15f
--- /dev/null
+++ b/lambdas/mns_publisher/tests/test_utils.py
@@ -0,0 +1,32 @@
+import base64
+import json
+from pathlib import Path
+
+from cryptography.hazmat.primitives import serialization
+from cryptography.hazmat.primitives.asymmetric import rsa
+
+
+def generate_private_key_b64() -> str:
+    # Generate a real RSA private key (PKCS8) and base64 encode the PEM
+    private_key = rsa.generate_private_key(public_exponent=65537, key_size=2048)
+    pem_bytes = private_key.private_bytes(
+        encoding=serialization.Encoding.PEM,
+        format=serialization.PrivateFormat.PKCS8,
+        encryption_algorithm=serialization.NoEncryption(),
+    )
+    return base64.b64encode(pem_bytes).decode("utf-8")
+
+
+def load_sample_sqs_event() -> dict:
+    """
+    Loads the sample SQS event and normalises body to a JSON string (as SQS delivers it).
+    Expects: lambdas/mns_publisher/tests/sqs_event.json
+    """
+    sample_event_path = Path(__file__).parent / "sample_data" / "sqs_event.json"
+    with open(sample_event_path, "r") as f:
+        raw_event = json.load(f)
+
+    if isinstance(raw_event.get("body"), dict):
+        raw_event["body"] = json.dumps(raw_event["body"])
+
+    return raw_event
diff --git a/lambdas/mns_subscription/src/mns_setup.py b/lambdas/mns_subscription/src/mns_setup.py
deleted file mode 100644
index 2e3d6f3863..0000000000
--- a/lambdas/mns_subscription/src/mns_setup.py
+++ /dev/null
@@ -1,26 +0,0 @@
-import logging
-
-import boto3
-from botocore.config import Config
-
-from common.api_clients.authentication import AppRestrictedAuth, Service
-from common.api_clients.mns_service import MnsService
-from common.cache import Cache
-
-logging.basicConfig(level=logging.INFO)
-
-
-def get_mns_service(mns_env: str = "int"):
-    boto_config = Config(region_name="eu-west-2")
-    cache = Cache(directory="/tmp")  # NOSONAR(S5443)
-    logging.info("Creating authenticator...")
-    # TODO: MNS and PDS need separate secrets
-    authenticator = AppRestrictedAuth(
-        service=Service.PDS,
-        secret_manager_client=boto3.client("secretsmanager", config=boto_config),
-        environment=mns_env,
-        cache=cache,
-    )
-
-    logging.info("Authentication Initiated...")
-    return MnsService(authenticator)
diff --git a/lambdas/mns_subscription/src/subscribe_mns.py b/lambdas/mns_subscription/src/subscribe_mns.py
index 111871df0e..7fe0cd7c3c 100644
--- a/lambdas/mns_subscription/src/subscribe_mns.py
+++ b/lambdas/mns_subscription/src/subscribe_mns.py
@@ -1,7 +1,7 @@
 import logging
 import os
 
-from mns_setup import get_mns_service
+from common.api_clients.mns_setup import get_mns_service
 
 apigee_env = os.getenv("APIGEE_ENVIRONMENT", "int")
 
diff --git a/lambdas/mns_subscription/src/unsubscribe_mns.py b/lambdas/mns_subscription/src/unsubscribe_mns.py
index 1022cea2ee..10780503ae 100644
--- a/lambdas/mns_subscription/src/unsubscribe_mns.py
+++ b/lambdas/mns_subscription/src/unsubscribe_mns.py
@@ -1,7 +1,7 @@
 import logging
 import os
 
-from mns_setup import get_mns_service
+from common.api_clients.mns_setup import get_mns_service
 
 apigee_env = os.getenv("APIGEE_ENVIRONMENT", "int")
 
diff --git a/lambdas/shared/src/common/api_clients/constants.py b/lambdas/shared/src/common/api_clients/constants.py
index 3daf003190..aa305f146f 100644
--- a/lambdas/shared/src/common/api_clients/constants.py
+++ b/lambdas/shared/src/common/api_clients/constants.py
@@ -1,5 +1,9 @@
+from typing import TypedDict
+
 """Constants used by API clients"""
 
+DEV_ENVIRONMENT = "dev"
+
 
 class Constants:
     """Constants used for the API clients"""
@@ -8,3 +12,28 @@ class Constants:
     DEFAULT_API_CLIENTS_TIMEOUT = 5
     API_CLIENTS_MAX_RETRIES = 2
     API_CLIENTS_BACKOFF_SECONDS = 0.5
+
+
+# Fields from the incoming SQS message that forms part of the base schema and filtering attributes for MNS notifications
+class FilteringData(TypedDict):
+    """MNS notification filtering attributes."""
+
+    generalpractitioner: str | None
+    sourceorganisation: str
+    sourceapplication: str
+    subjectage: int
+    immunisationtype: str
+    action: str
+
+
+class MnsNotificationPayload(TypedDict):
+    """CloudEvents-compliant MNS notification payload."""
+
+    specversion: str
+    id: str
+    source: str
+    type: str
+    time: str
+    subject: str
+    dataref: str
+    filtering: FilteringData
diff --git a/lambdas/shared/src/common/api_clients/errors.py b/lambdas/shared/src/common/api_clients/errors.py
index 5881839a66..531a7c4e41 100644
--- a/lambdas/shared/src/common/api_clients/errors.py
+++ b/lambdas/shared/src/common/api_clients/errors.py
@@ -157,6 +157,14 @@ def to_operation_outcome(self) -> dict:
         )
 
 
+class PdsSyncException(Exception):
+    """Custom exception for Pds Sync errors."""
+
+    def __init__(self, message: str):
+        self.message = message
+        super().__init__(message)
+
+
 def raise_error_response(response):
     error_mapping = {
         401: (TokenValidationError, "Token validation failed for the request"),
diff --git a/lambdas/shared/src/common/api_clients/get_pds_details.py b/lambdas/shared/src/common/api_clients/get_pds_details.py
new file mode 100644
index 0000000000..63844b3cda
--- /dev/null
+++ b/lambdas/shared/src/common/api_clients/get_pds_details.py
@@ -0,0 +1,34 @@
+"""
+Operations related to PDS (Patient Demographic Service)
+"""
+
+import os
+import tempfile
+
+from common.api_clients.authentication import AppRestrictedAuth, Service
+from common.api_clients.errors import PdsSyncException
+from common.api_clients.pds_service import PdsService
+from common.cache import Cache
+from common.clients import get_secrets_manager_client, logger
+
+PDS_ENV = os.getenv("PDS_ENV", "int")
+safe_tmp_dir = tempfile.mkdtemp(dir="/tmp")  # NOSONAR(S5443)
+
+
+# Get Patient details from external service PDS using NHS number from MNS notification
+def pds_get_patient_details(nhs_number: str) -> dict:
+    try:
+        cache = Cache(directory=safe_tmp_dir)
+        authenticator = AppRestrictedAuth(
+            service=Service.PDS,
+            secret_manager_client=get_secrets_manager_client(),
+            environment=PDS_ENV,
+            cache=cache,
+        )
+        pds_service = PdsService(authenticator, PDS_ENV)
+        patient = pds_service.get_patient_details(nhs_number)
+        return patient
+    except Exception as e:
+        msg = "Error retrieving patient details from PDS"
+        logger.exception(msg)
+        raise PdsSyncException(message=msg) from e
diff --git a/lambdas/shared/src/common/api_clients/mns_service.py b/lambdas/shared/src/common/api_clients/mns_service.py
index 32fc12344a..417fef6ad5 100644
--- a/lambdas/shared/src/common/api_clients/mns_service.py
+++ b/lambdas/shared/src/common/api_clients/mns_service.py
@@ -6,16 +6,19 @@
 import requests
 
 from common.api_clients.authentication import AppRestrictedAuth
+from common.api_clients.constants import MnsNotificationPayload
 from common.api_clients.errors import raise_error_response
 from common.api_clients.retry import request_with_retry_backoff
 
 SQS_ARN = os.getenv("SQS_ARN")
 
 apigee_env = os.getenv("APIGEE_ENVIRONMENT", "int")
-MNS_URL = (
-    "https://api.service.nhs.uk/multicast-notification-service/subscriptions"
-    if apigee_env == "prod"
-    else "https://int.api.service.nhs.uk/multicast-notification-service/subscriptions"
+mns_env = os.getenv("MNS_ENV", "int")
+env = apigee_env or mns_env
+MNS_BASE_URL = (
+    "https://api.service.nhs.uk/multicast-notification-service"
+    if env == "prod"
+    else "https://int.api.service.nhs.uk/multicast-notification-service"
 )
 
 
@@ -23,16 +26,25 @@ class MnsService:
     def __init__(self, authenticator: AppRestrictedAuth):
         self.authenticator = authenticator
         self.access_token = self.authenticator.get_access_token()
-        self.request_headers = {
-            "Content-Type": "application/fhir+json",
-            "Authorization": f"Bearer {self.access_token}",
-            "X-Correlation-ID": str(uuid.uuid4()),
-        }
-        self.subscription_payload = {
+        logging.info(f"Using SQS ARN for subscription: {SQS_ARN}")
+
+    def _build_subscription_payload(self, event_type: str, reason: str | None = None, status: str = "requested") -> dict:
+        """
+        Builds subscription payload.
+        Args:
+            event_type: Event type to subscribe to (e.g., 'imms-vaccinations-2', 'nhs-number-change-2')
+            reason: Optional description of the subscription
+            status: Subscription status (default: 'requested')
+        Returns: Subscription payload dict
+        """
+        if not reason:
+            reason = f"Subscribe SQS to {event_type} events"
+
+        return {
             "resourceType": "Subscription",
-            "status": "requested",
-            "reason": "Subscribe SQS to NHS Number Change Events",
-            "criteria": "eventType=nhs-number-change-2",
+            "status": status,
+            "reason": reason,
+            "criteria": f"eventType={event_type}",
             "channel": {
                 "type": "message",
                 "endpoint": SQS_ARN,
@@ -40,21 +52,34 @@ def __init__(self, authenticator: AppRestrictedAuth):
             },
         }
 
-        logging.info(f"Using SQS ARN for subscription: {SQS_ARN}")
+    def _build_headers(self, content_type: str = "application/fhir+json") -> dict:
+        """Build request headers with authentication and correlation ID."""
+        return {
+            "Content-Type": content_type,
+            "Authorization": f"Bearer {self.access_token}",
+            "X-Correlation-ID": str(uuid.uuid4()),
+        }
 
-    def subscribe_notification(self) -> dict | None:
+    def subscribe_notification(self, event_type: str = "nhs-number-change-2", reason: str | None = None) -> dict | None:
+        subscription_payload = self._build_subscription_payload(event_type, reason)
         response = requests.request(
-            "POST", MNS_URL, headers=self.request_headers, timeout=15, data=json.dumps(self.subscription_payload)
+            "POST",
+            f"{MNS_BASE_URL}/subscriptions",
+            headers=self._build_headers(),
+            timeout=15,
+            data=json.dumps(subscription_payload),
         )
+
         if response.status_code in (200, 201):
             return response.json()
         else:
             raise_error_response(response)
 
     def get_subscription(self) -> dict | None:
-        response = request_with_retry_backoff("GET", MNS_URL, headers=self.request_headers, timeout=10)
-        logging.info(f"GET {MNS_URL}")
-        logging.debug(f"Headers: {self.request_headers}")
+        """Retrieve existing subscription for this SQS ARN."""
+        headers = self._build_headers()
+        response = request_with_retry_backoff("GET", f"{MNS_BASE_URL}/subscriptions", headers, timeout=10)
+        logging.info(f"GET {MNS_BASE_URL}/subscriptions")
 
         if response.status_code == 200:
             bundle = response.json()
@@ -89,8 +114,8 @@ def check_subscription(self) -> dict:
 
     def delete_subscription(self, subscription_id: str) -> str:
         """Delete the subscription by ID."""
-        url = f"{MNS_URL}/{subscription_id}"
-        response = request_with_retry_backoff("DELETE", url, headers=self.request_headers, timeout=10)
+        url = f"{MNS_BASE_URL}/subscriptions/{subscription_id}"
+        response = request_with_retry_backoff("DELETE", url, headers=self._build_headers(), timeout=10)
         if response.status_code == 204:
             logging.info(f"Deleted subscription {subscription_id}")
             return "Subscription Successfully Deleted..."
@@ -111,3 +136,16 @@ def check_delete_subscription(self):
             return "Subscription successfully deleted"
         except Exception as e:
             return f"Error deleting subscription: {str(e)}"
+
+    def publish_notification(self, notification_payload: MnsNotificationPayload) -> dict | None:
+        response = requests.request(
+            "POST",
+            f"{MNS_BASE_URL}/events",
+            headers=self._build_headers(content_type="application/cloudevents+json"),
+            timeout=15,
+            data=json.dumps(notification_payload),
+        )
+        if response.status_code == 200:
+            return response.json()
+        else:
+            raise_error_response(response)
diff --git a/lambdas/shared/src/common/api_clients/mns_setup.py b/lambdas/shared/src/common/api_clients/mns_setup.py
new file mode 100644
index 0000000000..47b916653a
--- /dev/null
+++ b/lambdas/shared/src/common/api_clients/mns_setup.py
@@ -0,0 +1,32 @@
+import logging
+import os
+
+import boto3
+from botocore.config import Config
+
+from common.api_clients.authentication import AppRestrictedAuth, Service
+from common.api_clients.constants import DEV_ENVIRONMENT
+from common.api_clients.mns_service import MnsService
+from common.api_clients.mock_mns_service import MockMnsService
+from common.cache import Cache
+
+logging.basicConfig(level=logging.INFO)
+MNS_TEST_QUEUE_URL = os.getenv("MNS_TEST_QUEUE_URL")
+
+
+def get_mns_service(mns_env: str = "int"):
+    if mns_env == DEV_ENVIRONMENT:
+        logging.info("Dev environment: Using MockMnsService")
+        return MockMnsService(MNS_TEST_QUEUE_URL)
+    else:
+        boto_config = Config(region_name="eu-west-2")
+        cache = Cache(directory="/tmp")  # NOSONAR(S5443)
+        logging.info("Creating authenticator...")
+        authenticator = AppRestrictedAuth(
+            service=Service.PDS,
+            secret_manager_client=boto3.client("secretsmanager", config=boto_config),
+            environment=mns_env,
+            cache=cache,
+        )
+        logging.info("Authentication Initiated...")
+        return MnsService(authenticator)
diff --git a/lambdas/shared/src/common/api_clients/mock_mns_service.py b/lambdas/shared/src/common/api_clients/mock_mns_service.py
new file mode 100644
index 0000000000..5c922b1230
--- /dev/null
+++ b/lambdas/shared/src/common/api_clients/mock_mns_service.py
@@ -0,0 +1,34 @@
+import json
+import os
+
+import boto3
+
+from common.api_clients.constants import MnsNotificationPayload
+from common.clients import logger
+
+REGION_NAME = os.getenv("AWS_REGION", "eu-west-2")
+
+
+class MockMnsService:
+    def __init__(self, queue_url):
+        self.queue_url = queue_url
+        self.sqs_client = boto3.client("sqs", region_name=REGION_NAME)
+        logger.info(f"MockMnsService initialized with queue: {queue_url}")
+
+    def publish_notification(self, mns_payload: MnsNotificationPayload) -> None:
+        """
+        Send MNS notification payload to test SQS queue as fallback.
+        Args: payload: MNS notification payload
+        """
+        try:
+            response = self.sqs_client.send_message(
+                QueueUrl=self.queue_url,
+                MessageBody=json.dumps(mns_payload),
+                MessageAttributes={"source": {"StringValue": "mns-publisher-lambda", "DataType": "String"}},
+            )
+            logger.info(
+                "Mock MNS: Successfully sent notification to test queue", extra={"message_id": response["MessageId"]}
+            )
+        except Exception:
+            logger.exception("Mock MNS: Failed to send to test SQS queue")
+            raise
diff --git a/lambdas/shared/src/common/constants.py b/lambdas/shared/src/common/constants.py
new file mode 100644
index 0000000000..060a4ca472
--- /dev/null
+++ b/lambdas/shared/src/common/constants.py
@@ -0,0 +1,2 @@
+DEFAULT_BASE_PATH = "immunisation-fhir-api/FHIR/R4"
+PR_ENV_PREFIX = "pr-"
diff --git a/lambdas/shared/src/common/get_service_url.py b/lambdas/shared/src/common/get_service_url.py
new file mode 100644
index 0000000000..9188c07509
--- /dev/null
+++ b/lambdas/shared/src/common/get_service_url.py
@@ -0,0 +1,26 @@
+from typing import Optional
+
+from common.constants import DEFAULT_BASE_PATH, PR_ENV_PREFIX
+
+
+def get_service_url(service_env: Optional[str], service_base_path: Optional[str]) -> str:
+    """Sets the service URL based on service parameters derived from env vars. PR environments use internal-dev while
+    we also default to this environment. The only other exceptions are preprod which maps to the Apigee int environment
+    and prod which does not have a subdomain."""
+    if not service_base_path:
+        service_base_path = DEFAULT_BASE_PATH
+
+    if service_env is None or is_pr_env(service_env):
+        subdomain = "internal-dev."
+    elif service_env == "preprod":
+        subdomain = "int."
+    elif service_env == "prod":
+        subdomain = ""
+    else:
+        subdomain = f"{service_env}."
+
+    return f"https://{subdomain}api.service.nhs.uk/{service_base_path}"
+
+
+def is_pr_env(service_env: Optional[str]) -> bool:
+    return service_env is not None and service_env.startswith(PR_ENV_PREFIX)
diff --git a/lambdas/shared/tests/test_common/api_clients/test_mns_service.py b/lambdas/shared/tests/test_common/api_clients/test_mns_service.py
index 82c7c6cae7..3cc9daab9e 100644
--- a/lambdas/shared/tests/test_common/api_clients/test_mns_service.py
+++ b/lambdas/shared/tests/test_common/api_clients/test_mns_service.py
@@ -12,7 +12,7 @@
     UnhandledResponseError,
     raise_error_response,
 )
-from common.api_clients.mns_service import MNS_URL, MnsService
+from common.api_clients.mns_service import MnsService
 
 SQS_ARN = "arn:aws:sqs:eu-west-2:123456789012:my-queue"
 
@@ -138,18 +138,34 @@ def test_check_subscription_creates_if_not_found(self, mock_request):
         self.assertEqual(result, {"subscriptionId": "abc123"})
         self.assertEqual(mock_request.call_count, 2)
 
-    @patch("common.api_clients.mns_service.requests.request")
-    def test_delete_subscription_success(self, mock_delete):
+    @patch("common.api_clients.mns_service.request_with_retry_backoff")
+    def test_delete_subscription_success(self, mock_retry_request):
+        """Test successful subscription deletion."""
         mock_response = MagicMock()
         mock_response.status_code = 204
-        mock_delete.return_value = mock_response
+        mock_retry_request.return_value = mock_response
 
         service = MnsService(self.authenticator)
         result = service.delete_subscription("sub-id-123")
-        self.assertTrue(result)
-        mock_delete.assert_called_with(
-            method="DELETE", url=f"{MNS_URL}/sub-id-123", headers=service.request_headers, timeout=10
-        )
+
+        self.assertEqual(result, "Subscription Successfully Deleted...")
+
+        # Verify the request was made correctly
+        mock_retry_request.assert_called_once()
+
+        # Get call arguments
+        args, kwargs = mock_retry_request.call_args
+
+        # Verify method and URL
+        self.assertEqual(args[0], "DELETE")
+        self.assertIn("/subscriptions/sub-id-123", args[1])
+
+        # Verify headers exist
+        self.assertIn("headers", kwargs)
+        self.assertIn("Authorization", kwargs["headers"])
+
+        # Verify timeout
+        self.assertEqual(kwargs["timeout"], 10)
 
     @patch("common.api_clients.mns_service.requests.request")
     def test_delete_subscription_401(self, mock_delete):
@@ -277,6 +293,49 @@ def test_unhandled_status_code(self):
         self.assertIn("Unhandled error: 418", str(context.exception))
         self.assertEqual(context.exception.response, {"resource": 1234})
 
+    @patch("common.api_clients.mns_service.requests.request")
+    def test_publish_notification_success(self, mock_request):
+        """Test successful notification publishing."""
+        mock_response = Mock()
+        mock_response.status_code = 200
+        mock_response.json.return_value = {"status": "published"}
+        mock_request.return_value = mock_response
+
+        notification_payload = {
+            "specversion": "1.0",
+            "id": "test-id",
+            "type": "imms-vaccinations-2",
+            "source": "test-source",
+        }
+
+        service = MnsService(self.authenticator)
+        result = service.publish_notification(notification_payload)
+
+        self.assertEqual(result["status"], "published")
+
+        # Verify the request was made correctly
+        mock_request.assert_called_once()
+        call_args = mock_request.call_args
+
+        headers = call_args[1]["headers"]
+        self.assertEqual(headers["Content-Type"], "application/cloudevents+json")
+        mock_request.assert_called_once()
+
+    @patch("common.api_clients.mns_service.requests.request")
+    @patch("common.api_clients.mns_service.raise_error_response")
+    def test_publish_notification_failure(self, mock_raise_error, mock_request):
+        """Test notification publishing failure."""
+        mock_response = Mock()
+        mock_response.status_code = 400
+        mock_request.return_value = mock_response
+
+        notification_payload = {"id": "test-id"}
+
+        service = MnsService(self.authenticator)
+        service.publish_notification(notification_payload)
+
+        mock_raise_error.assert_called_once_with(mock_response)
+
 
 if __name__ == "__main__":
     unittest.main()
diff --git a/lambdas/mns_subscription/tests/test_mns_setup.py b/lambdas/shared/tests/test_common/api_clients/test_mns_setup.py
similarity index 79%
rename from lambdas/mns_subscription/tests/test_mns_setup.py
rename to lambdas/shared/tests/test_common/api_clients/test_mns_setup.py
index 53aa67941a..06fe1959cf 100644
--- a/lambdas/mns_subscription/tests/test_mns_setup.py
+++ b/lambdas/shared/tests/test_common/api_clients/test_mns_setup.py
@@ -1,13 +1,13 @@
 import unittest
 from unittest.mock import MagicMock, patch
 
-from mns_setup import get_mns_service
+from common.api_clients.mns_setup import get_mns_service
 
 
 class TestGetMnsService(unittest.TestCase):
-    @patch("mns_setup.boto3.client")
-    @patch("mns_setup.AppRestrictedAuth")
-    @patch("mns_setup.MnsService")
+    @patch("common.api_clients.mns_setup.boto3.client")
+    @patch("common.api_clients.mns_setup.AppRestrictedAuth")
+    @patch("common.api_clients.mns_setup.MnsService")
     def test_get_mns_service(self, mock_mns_service, mock_app_auth, mock_boto_client):
         # Arrange
         mock_auth_instance = MagicMock()
diff --git a/lambdas/shared/tests/test_common/api_clients/test_mock_mns_service.py b/lambdas/shared/tests/test_common/api_clients/test_mock_mns_service.py
new file mode 100644
index 0000000000..13e22deeda
--- /dev/null
+++ b/lambdas/shared/tests/test_common/api_clients/test_mock_mns_service.py
@@ -0,0 +1,96 @@
+import json
+import unittest
+
+import boto3
+from moto import mock_aws
+
+from common.api_clients.mock_mns_service import MockMnsService
+
+
+@mock_aws
+class TestMockMnsService(unittest.TestCase):
+    """Tests for MockMnsService (dev environment)."""
+
+    def setUp(self):
+        """Set up mocked SQS queue and test payload."""
+        # Create mock SQS queue
+        self.sqs = boto3.client("sqs", region_name="eu-west-2")
+        response = self.sqs.create_queue(QueueName="mns-test-notifications-dev")
+        self.queue_url = response["QueueUrl"]
+
+        self.mns_payload = {
+            "specversion": "1.0",
+            "id": "236a1d4a-5d69-4fa9-9c7f-e72bf505aa5b",
+            "source": "https://int.api.service.nhs.uk/immunisation-fhir-api",
+            "type": "imms-vaccinations-2",
+            "time": "20260212T174437+00:00",
+            "subject": "9481152782",
+            "dataref": "https://int.api.service.nhs.uk/immunisation-fhir-api/Immunization/d058014c-b0fd-4471-8db9-3316175eb825",
+            "filtering": {
+                "generalpractitioner": "Y12345",
+                "sourceorganisation": "B0C4P",
+                "sourceapplication": "TPP",
+                "subjectage": 21,
+                "immunisationtype": "HIB",
+                "action": "CREATE",
+            },
+        }
+
+    def test_publish_notification_success(self):
+        """Test MockMnsService successfully publishes to SQS queue."""
+        # Create mock service with queue URL
+        mock_service = MockMnsService(queue_url=self.queue_url)
+
+        # Publish notification
+        mock_service.publish_notification(self.mns_payload)
+
+        # Verify message was sent to queue
+        messages = self.sqs.receive_message(
+            QueueUrl=self.queue_url, MaxNumberOfMessages=1, MessageAttributeNames=["All"]
+        )
+
+        # Assert message exists
+        self.assertIn("Messages", messages)
+        self.assertEqual(len(messages["Messages"]), 1)
+
+        # Verify message body
+        message_body = json.loads(messages["Messages"][0]["Body"])
+        self.assertEqual(message_body["id"], "236a1d4a-5d69-4fa9-9c7f-e72bf505aa5b")
+        self.assertEqual(message_body["subject"], "9481152782")
+        self.assertEqual(message_body["filtering"]["generalpractitioner"], "Y12345")
+        self.assertEqual(message_body["filtering"]["sourceorganisation"], "B0C4P")
+        self.assertEqual(message_body["filtering"]["sourceapplication"], "TPP")
+        self.assertEqual(message_body["filtering"]["immunisationtype"], "HIB")
+        self.assertEqual(message_body["filtering"]["action"], "CREATE")
+        self.assertEqual(message_body["filtering"]["subjectage"], 21)
+
+        # Verify message attributes
+        attributes = messages["Messages"][0]["MessageAttributes"]
+        self.assertEqual(attributes["source"]["StringValue"], "mns-publisher-lambda")
+
+    def test_publish_notification_multiple_messages(self):
+        """Test MockMnsService handles multiple publications."""
+        mock_service = MockMnsService(queue_url=self.queue_url)
+
+        # Publish multiple notifications
+        payload1 = {**self.mns_payload, "id": "notification-1"}
+        payload2 = {**self.mns_payload, "id": "notification-2"}
+
+        mock_service.publish_notification(payload1)
+        mock_service.publish_notification(payload2)
+
+        # Verify both messages in queue
+        messages = self.sqs.receive_message(QueueUrl=self.queue_url, MaxNumberOfMessages=10)
+
+        self.assertEqual(len(messages["Messages"]), 2)
+
+        message_ids = [json.loads(msg["Body"])["id"] for msg in messages["Messages"]]
+        self.assertIn("notification-1", message_ids)
+        self.assertIn("notification-2", message_ids)
+
+    def test_publish_notification_sqs_failure(self):
+        """Test MockMnsService raises exception on SQS failure."""
+        # Use invalid queue URL
+        mock_service = MockMnsService(queue_url="queue_url=invalid_queue_url")
+        with self.assertRaises(Exception):
+            mock_service.publish_notification(self.mns_payload)
diff --git a/lambdas/id_sync/tests/test_pds_details.py b/lambdas/shared/tests/test_common/api_clients/test_pds_details.py
similarity index 86%
rename from lambdas/id_sync/tests/test_pds_details.py
rename to lambdas/shared/tests/test_common/api_clients/test_pds_details.py
index 442cda106a..f833c10d07 100644
--- a/lambdas/id_sync/tests/test_pds_details.py
+++ b/lambdas/shared/tests/test_common/api_clients/test_pds_details.py
@@ -1,8 +1,8 @@
 import unittest
 from unittest.mock import MagicMock, patch
 
-from exceptions.id_sync_exception import IdSyncException
-from pds_details import get_nhs_number_from_pds_resource, pds_get_patient_details
+from common.api_clients.errors import PdsSyncException
+from common.api_clients.get_pds_details import pds_get_patient_details
 
 
 class TestGetPdsPatientDetails(unittest.TestCase):
@@ -11,27 +11,27 @@ def setUp(self):
         self.test_patient_id = "9912003888"
 
         # Patch all external dependencies
-        self.logger_patcher = patch("pds_details.logger")
+        self.logger_patcher = patch("common.api_clients.get_pds_details.logger")
         self.mock_logger = self.logger_patcher.start()
 
         self.secrets_manager_patcher = patch("common.clients.global_secrets_manager_client")
         self.mock_secrets_manager = self.secrets_manager_patcher.start()
 
-        self.pds_env_patcher = patch("pds_details.get_pds_env")
+        self.pds_env_patcher = patch("os.getenv")
         self.mock_pds_env = self.pds_env_patcher.start()
         self.mock_pds_env.return_value = "test-env"
 
-        self.cache_patcher = patch("pds_details.Cache")
+        self.cache_patcher = patch("common.api_clients.get_pds_details.Cache")
         self.mock_cache_class = self.cache_patcher.start()
         self.mock_cache_instance = MagicMock()
         self.mock_cache_class.return_value = self.mock_cache_instance
 
-        self.auth_patcher = patch("pds_details.AppRestrictedAuth")
+        self.auth_patcher = patch("common.api_clients.get_pds_details.AppRestrictedAuth")
         self.mock_auth_class = self.auth_patcher.start()
         self.mock_auth_instance = MagicMock()
         self.mock_auth_class.return_value = self.mock_auth_instance
 
-        self.pds_service_patcher = patch("pds_details.PdsService")
+        self.pds_service_patcher = patch("common.api_clients.get_pds_details.PdsService")
         self.mock_pds_service_class = self.pds_service_patcher.start()
         self.mock_pds_service_instance = MagicMock()
         self.mock_pds_service_class.return_value = self.mock_pds_service_instance
@@ -94,7 +94,7 @@ def test_pds_get_patient_details_pds_service_exception(self):
         self.mock_pds_service_instance.get_patient_details.side_effect = mock_exception
 
         # Act
-        with self.assertRaises(IdSyncException) as context:
+        with self.assertRaises(PdsSyncException) as context:
             pds_get_patient_details(self.test_patient_id)
 
         exception = context.exception
@@ -116,7 +116,7 @@ def test_pds_get_patient_details_cache_initialization_error(self):
         self.mock_cache_class.side_effect = OSError("Cannot write to /tmp")
 
         # Act
-        with self.assertRaises(IdSyncException) as context:
+        with self.assertRaises(PdsSyncException) as context:
             pds_get_patient_details(self.test_patient_id)
 
         # Assert
@@ -137,7 +137,7 @@ def test_pds_get_patient_details_auth_initialization_error(self):
         self.mock_auth_class.side_effect = ValueError("Invalid authentication parameters")
 
         # Act
-        with self.assertRaises(IdSyncException) as context:
+        with self.assertRaises(PdsSyncException) as context:
             pds_get_patient_details(self.test_patient_id)
 
         # Assert
@@ -207,18 +207,3 @@ def test_pds_get_patient_details(self):
         # Assert - function should extract the value from first identifier
         self.assertEqual(result, mock_pds_response)
         self.mock_pds_service_instance.get_patient_details.assert_called_once_with(test_nhs_number)
-
-    def test_get_nhs_number_from_pds_resource(self):
-        """Test that the NHS Number is retrieved from a full PDS patient resource."""
-        mock_pds_resource = {
-            "identifier": [
-                {
-                    "system": "https://fhir.nhs.uk/Id/nhs-number",
-                    "value": "123456789012",
-                }
-            ]
-        }
-
-        result = get_nhs_number_from_pds_resource(mock_pds_resource)
-
-        self.assertEqual(result, "123456789012")
diff --git a/lambdas/shared/tests/test_common/test_get_service_url.py b/lambdas/shared/tests/test_common/test_get_service_url.py
new file mode 100644
index 0000000000..e7d7fc03c9
--- /dev/null
+++ b/lambdas/shared/tests/test_common/test_get_service_url.py
@@ -0,0 +1,29 @@
+"""Tests for the search_url_helper file"""
+
+import unittest
+
+from common.get_service_url import get_service_url
+
+
+class TestServiceUrl(unittest.TestCase):
+    def test_get_service_url(self):
+        """it should create service url"""
+        test_cases = [
+            ("pr-123", "https://internal-dev.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
+            (None, "https://internal-dev.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
+            ("preprod", "https://int.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
+            ("prod", "https://api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
+            ("ref", "https://ref.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
+            ("internal-dev", "https://internal-dev.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
+            ("internal-qa", "https://internal-qa.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"),
+        ]
+        mock_base_path = "immunisation-fhir-api/FHIR/R4"
+
+        for mock_env, expected in test_cases:
+            with self.subTest(mock_env=mock_env, expected=expected):
+                self.assertEqual(get_service_url(mock_env, mock_base_path), expected)
+
+    def test_get_service_url_uses_default_path_when_not_provided(self):
+        self.assertEqual(
+            get_service_url(None, None), "https://internal-dev.api.service.nhs.uk/immunisation-fhir-api/FHIR/R4"
+        )
diff --git a/tests/e2e_automation/utilities/error_constants.py b/tests/e2e_automation/utilities/error_constants.py
index 5293d166ae..e416023706 100644
--- a/tests/e2e_automation/utilities/error_constants.py
+++ b/tests/e2e_automation/utilities/error_constants.py
@@ -31,7 +31,7 @@
     },
     "invalid_DiseaseType": {
         "code": "INVALID",
-        "diagnostics": "-immunization.target must be one or more of the following: ROTAVIRUS, RSV, SHINGLES, 6IN1, MMR, FLU, 3IN1, PERTUSSIS, MENB, HIB, MMRV, BCG, MENACWY, 4IN1, COVID, PNEUMOCOCCAL, HPV, HEPB",
+        "diagnostics": "-immunization.target must be one or more of the following: ROTAVIRUS, RSV, SHINGLES, 6IN1, MMR, HIBMENC, FLU, 3IN1, PERTUSSIS, MENB, HIB, MMRV, BCG, MENACWY, 4IN1, COVID, PNEUMOCOCCAL, HPV, HEPB",
     },
     "invalid_DateFrom": {
         "code": "INVALID",