Care coordination for UK primary care
Clinical work,properly coordinated.
Consultations, medications, referrals, and risk signals — structured, reviewed, and approved by the clinician before anything reaches the record.
Clinical context
EMIS WebSystmOneDesigned for · not a live feed
CANVAS
Intake
CONDUCTOR
Orchestration hub
Parallel checks
SYNTHESIS
Documentation
GUARDIAN
Drug safety
HORIZON
Risk
PATHWAY
Referral
Clinician review
Accept · Edit · Reject
Record staging
FHIR R4
SHIELD
Audit trail
- Audit trail on every decision
- Capture, draft, approve
- Named review before the record
- Draft until a clinician decides
- UK data residency
- Built for NHS primary care
- FHIR-ready architecture
- Clinician-reviewed outputs
- Designed for EMIS Web & SystmOne
The problem
Clinical work livesacross too many systems.
A consultation happens in EMIS. A referral goes by email. A medication check requires a separate tool. A handover is typed from memory. The information exists — it is just never in one place at the right moment.
View how it worksEvery consultation becomes a structured draft.You decide what reaches the record.
Voice capture or typed input. Structured documentation, drug safety checks, and risk signals — prepared in parallel, surfaced in one queue. Accept, edit, or reject before anything is written.
View workflowStandards and governance
Built on FHIR.Governed by SHIELD.
Every approved output is structured as a FHIR R4 resource before it reaches the record. Every action — acceptance, edit, rejection — is recorded in an immutable audit trail. Nothing is assumed. Everything is attributed.
View security and safetyMr J. Patel
Today 09:40 · Review queue
SOAP draft prepared with referral recommendation awaiting clinician review.
Aksh platform
Capture → draft → approve, in one queue.
Consultation capture, documentation, drug safety, and risk signals — coordinated in one review queue. Every output is a draft until the clinician decides.
How it works
Capture
Structured from voice or text
Consultation input — typed or dictated — becomes a structured clinical draft in seconds.
Review
One queue for every output
Documentation, safety checks, and risk signals appear together. Accept, edit, or reject each one individually.
Govern
Every decision attributed and recorded
An immutable audit record is created on every clinician action. Exportable. Cannot be modified.
Integrate
Staged to your existing systems
Approved outputs are structured as FHIR R4 resources and staged to EMIS Web or SystmOne on clinician confirmation.
One platform
Purpose-built for everyrole in the care team.
The same coordination layer — different work. GPs review clinical drafts. Nurses manage handovers and observations. Pharmacists check interactions. Administrators monitor governance. ICS leads see population signals. Each role sees what it needs. Nothing it does not.
- 01 GP · clinical review and documentation
- 02 Nurse / care coordinator
- 03 Clinical pharmacist
- 04 Practice administrator
- 05 ICS / regional lead
- 06 Hospital executive
- 07 Patient (practice-invited)
- 08 Researcher / analyst
Clinician control
Every output is a draftuntil a named clinician decides.
Accept, edit, or reject before anything reaches the record. Attribution and audit sit on every decision — not after the fact.
One platform
One platform.Designed for every role.
Purpose-built workspaces for care teams, governance leads, and partners — same coordinated journey, different work.
Care delivery
- View workspace
From the moment you open an appointment, the clinical context is ready. Documentation, drug safety, and risk signals are waiting in your review queue. You approve what goes in the record.
- View workspace
Vitals, observations, and handover notes in one place. Safety alerts appear before the ward round. Handover drafts from your entries — you review and approve before the night team receives them.
- View workspace
Medication reviews and interaction checks without switching tools. Type a proposed drug and get a BNF-referenced result. Every clinical rationale is recorded with your name attached.
Governance
Systems & people
Clinical work that stays under control.
Capture consultations, coordinate care, and keep every decision attributed and auditable — across EMIS Web and SystmOne.