diff --git a/package-lock.json b/package-lock.json
index 22207c745..e1fb9d94e 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -2515,11 +2515,12 @@
       }
     },
     "node_modules/@middy/input-output-logger": {
-      "version": "5.5.1",
-      "resolved": "https://registry.npmjs.org/@middy/input-output-logger/-/input-output-logger-5.5.1.tgz",
-      "integrity": "sha512-Ikiwhm0nqcymPlo8q0tBV7+VEOWd4GE2CF4LsHwsspJqthzJgt99jw88+WAZ7/CiO0ySjoL9rFVvuv86FMJ7Kw==",
+      "version": "6.0.0",
+      "resolved": "https://registry.npmjs.org/@middy/input-output-logger/-/input-output-logger-6.0.0.tgz",
+      "integrity": "sha512-CGxcuTD0LkBb67gBhe+awaPn6UMk0dpJ1qoU6oG+P16KQhqCrAcEhMY33X0Pqn2+J1g0Aj8AdqkTxSayNe81kw==",
+      "license": "MIT",
       "engines": {
-        "node": ">=18"
+        "node": ">=20"
       },
       "funding": {
         "type": "github",
@@ -16100,7 +16101,7 @@
         "@aws-lambda-powertools/commons": "^2.11.0",
         "@aws-lambda-powertools/logger": "^2.10.0",
         "@middy/core": "^5.5.1",
-        "@middy/input-output-logger": "^5.5.1",
+        "@middy/input-output-logger": "^6.0.0",
         "@nhs/fhir-middy-error-handler": "^2.1.11"
       },
       "devDependencies": {
@@ -16118,7 +16119,7 @@
         "@aws-sdk/lib-dynamodb": "^3.698.0",
         "@middy/core": "^5.5.1",
         "@middy/http-header-normalizer": "^5.5.1",
-        "@middy/input-output-logger": "^5.5.1",
+        "@middy/input-output-logger": "^6.0.0",
         "@PrescriptionStatusUpdate_common/middyErrorHandler": "^1.0.0"
       },
       "devDependencies": {
@@ -16152,7 +16153,7 @@
         "@aws-sdk/util-dynamodb": "^3.693.0",
         "@middy/core": "^5.5.1",
         "@middy/http-header-normalizer": "^5.5.1",
-        "@middy/input-output-logger": "^5.5.1",
+        "@middy/input-output-logger": "^6.0.0",
         "@middy/validator": "^5.5.1",
         "json-schema-to-ts": "^3.1.1",
         "pratica": "^2.3.0",
@@ -16176,7 +16177,7 @@
         "@aws-sdk/lib-dynamodb": "^3.698.0",
         "@aws-sdk/util-dynamodb": "^3.693.0",
         "@middy/core": "^5.5.1",
-        "@middy/input-output-logger": "^5.5.1",
+        "@middy/input-output-logger": "^6.0.0",
         "@middy/validator": "^5.5.1",
         "@PrescriptionStatusUpdate_common/middyErrorHandler": "^1.0.0",
         "json-schema-to-ts": "^3.1.1"
@@ -16188,7 +16189,7 @@
       "dependencies": {
         "@aws-lambda-powertools/logger": "^2.10.0",
         "@middy/core": "^5.5.1",
-        "@middy/input-output-logger": "^5.5.1",
+        "@middy/input-output-logger": "^6.0.0",
         "@nhs/fhir-middy-error-handler": "^2.1.11"
       }
     },
@@ -16212,7 +16213,7 @@
         "@aws-lambda-powertools/logger": "^2.10.0",
         "@aws-lambda-powertools/parameters": "^2.11.0",
         "@middy/core": "^5.5.1",
-        "@middy/input-output-logger": "^5.5.1",
+        "@middy/input-output-logger": "^6.0.0",
         "@nhs/fhir-middy-error-handler": "^2.1.11",
         "axios": "^1.7.7"
       },
@@ -16231,7 +16232,7 @@
         "@aws-sdk/util-dynamodb": "^3.693.0",
         "@middy/core": "^5.5.1",
         "@middy/http-header-normalizer": "^5.5.1",
-        "@middy/input-output-logger": "^5.5.1",
+        "@middy/input-output-logger": "^6.0.0",
         "@nhs/fhir-middy-error-handler": "^2.1.11"
       },
       "devDependencies": {
diff --git a/packages/capabilityStatement/package.json b/packages/capabilityStatement/package.json
index af893ef57..9a9a8be0d 100644
--- a/packages/capabilityStatement/package.json
+++ b/packages/capabilityStatement/package.json
@@ -17,7 +17,7 @@
     "@aws-lambda-powertools/commons": "^2.11.0",
     "@aws-lambda-powertools/logger": "^2.10.0",
     "@middy/core": "^5.5.1",
-    "@middy/input-output-logger": "^5.5.1",
+    "@middy/input-output-logger": "^6.0.0",
     "@nhs/fhir-middy-error-handler": "^2.1.11"
   },
   "devDependencies": {
diff --git a/packages/checkPrescriptionStatusUpdates/package.json b/packages/checkPrescriptionStatusUpdates/package.json
index a7111c316..9a133614a 100644
--- a/packages/checkPrescriptionStatusUpdates/package.json
+++ b/packages/checkPrescriptionStatusUpdates/package.json
@@ -20,7 +20,7 @@
     "@aws-sdk/lib-dynamodb": "^3.698.0",
     "@middy/core": "^5.5.1",
     "@middy/http-header-normalizer": "^5.5.1",
-    "@middy/input-output-logger": "^5.5.1",
+    "@middy/input-output-logger": "^6.0.0",
     "@PrescriptionStatusUpdate_common/middyErrorHandler": "^1.0.0"
   },
   "devDependencies": {
diff --git a/packages/cpsuLambda/package.json b/packages/cpsuLambda/package.json
index 5b0b690e1..6d12d2dce 100644
--- a/packages/cpsuLambda/package.json
+++ b/packages/cpsuLambda/package.json
@@ -20,7 +20,7 @@
     "@aws-sdk/util-dynamodb": "^3.693.0",
     "@middy/core": "^5.5.1",
     "@middy/http-header-normalizer": "^5.5.1",
-    "@middy/input-output-logger": "^5.5.1",
+    "@middy/input-output-logger": "^6.0.0",
     "@middy/validator": "^5.5.1",
     "json-schema-to-ts": "^3.1.1",
     "pratica": "^2.3.0",
diff --git a/packages/gsul/package.json b/packages/gsul/package.json
index 10954d392..375e39630 100644
--- a/packages/gsul/package.json
+++ b/packages/gsul/package.json
@@ -20,7 +20,7 @@
     "@aws-sdk/lib-dynamodb": "^3.698.0",
     "@aws-sdk/util-dynamodb": "^3.693.0",
     "@middy/core": "^5.5.1",
-    "@middy/input-output-logger": "^5.5.1",
+    "@middy/input-output-logger": "^6.0.0",
     "@middy/validator": "^5.5.1",
     "@PrescriptionStatusUpdate_common/middyErrorHandler": "^1.0.0",
     "json-schema-to-ts": "^3.1.1"
diff --git a/packages/sandbox/package.json b/packages/sandbox/package.json
index e737ce29b..80a3b4ef6 100644
--- a/packages/sandbox/package.json
+++ b/packages/sandbox/package.json
@@ -15,7 +15,7 @@
   "dependencies": {
     "@aws-lambda-powertools/logger": "^2.10.0",
     "@middy/core": "^5.5.1",
-    "@middy/input-output-logger": "^5.5.1",
+    "@middy/input-output-logger": "^6.0.0",
     "@nhs/fhir-middy-error-handler": "^2.1.11"
   }
 }
diff --git a/packages/statusLambda/package.json b/packages/statusLambda/package.json
index 416c52ca7..1d0ba8e57 100644
--- a/packages/statusLambda/package.json
+++ b/packages/statusLambda/package.json
@@ -17,7 +17,7 @@
     "@aws-lambda-powertools/logger": "^2.10.0",
     "@aws-lambda-powertools/parameters": "^2.11.0",
     "@middy/core": "^5.5.1",
-    "@middy/input-output-logger": "^5.5.1",
+    "@middy/input-output-logger": "^6.0.0",
     "@nhs/fhir-middy-error-handler": "^2.1.11",
     "axios": "^1.7.7"
   },
diff --git a/packages/updatePrescriptionStatus/package.json b/packages/updatePrescriptionStatus/package.json
index c06c40b35..c2196f59d 100644
--- a/packages/updatePrescriptionStatus/package.json
+++ b/packages/updatePrescriptionStatus/package.json
@@ -20,7 +20,7 @@
     "@aws-sdk/util-dynamodb": "^3.693.0",
     "@middy/core": "^5.5.1",
     "@middy/http-header-normalizer": "^5.5.1",
-    "@middy/input-output-logger": "^5.5.1",
+    "@middy/input-output-logger": "^6.0.0",
     "@nhs/fhir-middy-error-handler": "^2.1.11"
   },
   "devDependencies": {