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Right care. Right time.

Timely, appropriate care—built from the clinical encounter.

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What we do

Decision support & pathways

Referral and pathway tools for primary care.

EMIS & SystmOne

Automation and integration, safety-first.

Data quality & governance

Coding, quality, and governance-aware build.

Prototypes & exploration

Early-stage ideas and non-clinical pilots.

Selected Work

Real-world clinical informatics projects delivered for UK primary care. Status and maturity stated clearly; no NHS endorsement implied.

Delivered2025EMIS Web

QRISK3 Cardiovascular Risk Calculator (EMIS Web)

QRISK3 implemented inside EMIS Web — faster consultations, fewer transcription errors, and a validation-first approach.

What this demonstrates

  • Translating published clinical algorithms into production-ready tooling within real GP systems
  • Safety-by-design thinking: transparency, disclaimers, and validation/traceability
  • Workflow empathy: reducing clicks and context switching for time-pressured clinicians
  • Pragmatic handling of missing/variable-quality data (with clear user choice and limitations)

Delivered with Primary Care IT Limited

Platform detail and client configuration are not disclosed.

QRISK3 calculator flow diagram showing inputs, calculation, and risk score output
Free tool2025–2026Web browser

FairShare Workload Allocator

Fair workload allocation for practices; matching staff capacity to incoming work.

What this demonstrates

  • Building practical tools from open statistical datasets (ONS NHS Central Register)
  • Deterministic, auditable logic with explainable outputs
  • Clean, print-ready outputs for immediate practice use
  • Low-barrier tools can still be rigorous — no patient data, no installation required

Delivered with Kairos Medical Informatics

How it works

The surname alphabet is divided into proportional ranges — each patient always routes to the same person.

AaZz
  • Dr AdamsAa – Go(7 sessions)
  • Dr BrownGp – Ma(5 sessions)
  • Dr ChenMb – Va(8 sessions)
  • Dr PatelVb – Zz(2 sessions)
Band widths reflect real UK surname frequency — not equal alphabet splits

Example only — your team and ranges will differ

Active delivery2025–2026NHS primary care workflowsClinician-facing web platform

CASES Referrals Navigator

Referral decision support for primary care teams — structured prompts, clearer rationale, fewer bounced referrals.

What this demonstrates

  • Decision support built around the patient and clinical scenario, not the other way round
  • Decision support that reduces new risks
  • Structured content governance to keep information reliable
  • Delivery plan & design within existing NHS tooling

Delivered with Kairos Medical Informatics Limited

Implementation details and client configuration are not disclosed.

CASES Referrals Support Tool showing the referral guidance panel with pre-referral checklist
Delivered2024EMIS WebTPP SystmOne

KFRE Renal Risk Tools

A renal risk tool that brings KFRE calculation and CKD staging into the GP consultation, without leaving the clinical system.

What this demonstrates

  • Turning published clinical risk models into usable, governance-aware decision support
  • Balancing usability with safety constraints in real EHR environments
  • Translating guidance into prompts without creating 'alert fatigue'
  • Delivered with input across clinical, pathway, and technical teams

Delivered with Primary Care IT Limited

Decision support only — not diagnostic. No patient data exported.

KFRE kidney risk stratification showing eGFR and ACR inputs flowing to risk bands
Delivered2021-2025EMIS Web

Women's Health Clinical Support Pack (EMIS Web)

Menopause pathways, HRT and GSM prescribing support, contraception data quality, and pregnancy cohort tooling — all inside EMIS Web.

What this demonstrates

  • Turning guidance into practical in-system tools without overclaiming
  • Safety-by-design: cautious language, transparent assumptions, and 'review needed' patterns
  • Data quality craft: robust cohort definitions, deduplication, and audit-friendly outputs

Delivered with Primary Care IT Limited

Decision support only — not diagnostic. Follow local medicines governance.

Women's health pathway overview showing menopause, HRT, and contraception pathways
Delivered2021-2025EMIS WebTPP SystmOne

Anticholinergic Burden (ACB) Calculator

Point-of-care decision support that quantifies anticholinergic burden from active prescriptions and highlights the medications driving risk.

What this demonstrates

  • Fast to use: total score on screen with a breakdown of contributing medicines
  • Medication mapping kept current as codes change over time
  • Supports polypharmacy review and deprescribing conversations
  • Available in both EMIS Web and TPP SystmOne

Delivered with Primary Care IT Limited

No external patient data storage. Implementation details are not disclosed.

ACB calculator score breakdown showing medication contributors and associated risks
Delivered2021-2025EMIS Web

FIB-4 Liver Fibrosis Risk Calculator + Alert (EMIS Web)

In-EMIS FIB-4 calculator + alert to surface fibrosis risk from routine bloods, safely and auditably.

What this demonstrates

  • Clinical decision support design that respects real GP workflow and avoids hidden automation
  • Safe, explainable rule design (clear thresholds, clear exclusions, clear caveats)
  • Practical implementation in constrained clinical systems (EMIS Web), with auditability built in

Delivered with Primary Care IT Limited

Decision support only — not diagnostic. Follow local pathways.

FIB-4 workflow diagram showing blood results (AST, ALT, platelets, age) flowing to calculation and risk categorisation
DeliveredMay-July 2024EMIS Web

Reasonable Adjustments Digital Flag (RADF) Toolkit

Clinical system searches and prompts that help practices record and maintain RADF information consistently, with consent-aware wording and low-noise outputs.

What this demonstrates

  • Translating national requirements into pragmatic GP workflows
  • Building decision support that is cautious, explainable, and consent-aware
  • Designing maintainable search structures that can evolve as datasets and guidance change
  • Accessibility and inclusion (AIS/RADF aligned)

Delivered with Primary Care IT Limited

Implementation details and client configuration are not disclosed.

RADF signal categories visualization showing structured reasons to consider with consent awareness

Showing project 1 of 8: QRISK3 Cardiovascular Risk Calculator (EMIS Web)

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Credibility

Sheffield · GP-led since 2002 · Clinician first. Working towards accreditation; no endorsements claimed.

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