Every digital health project rebuilds the same foundations
Identity management. Consent tracking. Clinical safety cases. Data provenance. Each project treats these as bespoke problems, burning budget and time on infrastructure that should exist as shared capability.
The result: stalled innovation, repeated assurance cycles, and clinician trust that erodes with every failed deployment.
Fragmented foundations
No shared infrastructure for identity, consent, or safety across NHS digital initiatives.
Assurance bottlenecks
Clinical Safety Officers (CSOs) overwhelmed by manual compliance. Safety as paperwork, not continuous system.
Interoperability theatre
Point-to-point integrations that don't preserve provenance or governance.
Innovation stalls
Promising pilots die in procurement because governance can't scale.
A coherent infrastructure stack
Six core components that work together. Each addresses specific governance flows while maintaining interoperability across the complete framework.
FHIR Plane
The national-scale interoperability and routing layer that governs how clinical data moves safely between systems, organisations, and care settings.
FHIR Cube
A provenance-preserving clinical data substrate that turns fragmented records into analysable, auditable patient timelines.
Semantic Factory
Terminology and meaning services that ensure data, protocols, and AI reason consistently across systems and organisations.
Protocol Factory
A governed system for defining, versioning, and executing clinical protocols across organisations and pathways.
Consent Graph
A dynamic, graph-based consent and permissions engine that governs who can do what, with which data, and under what lawful basis.
Hazards Engine
Clinical safety infrastructure that continuously identifies, tracks, and mitigates risk across digital pathways in line with Data Coordination Board (DCB) 0129/0160.
SteadyTrace
A clinically-designed remote monitoring application that proves the platform in real patient use — starting with cardiac and autonomic signals.
Not a standalone app. A wedge product that exercises identity, consent, safety, protocols, and data flows end-to-end.
- PPG to validated heart rate & HRV
- Dysautonomia and AF pathways
- UK Core FHIR R4 native output
- Protocol-driven data collection
- Clinician oversight dashboards
- Full provenance chain
Every component maps to the Seven Flows
The platform isn't a collection of tools — it's a coherent implementation of the governance substrate.
| Flow | Plane | Cube | Semantic | Protocol | Consent | Hazards |
|---|---|---|---|---|---|---|
| 01 Identity | ||||||
| 02 Consent | ||||||
| 03 Provenance | ||||||
| 04 Clinical Intent | ||||||
| 05 Alert & Responsibility | ||||||
| 06 Service Routing | ||||||
| 07 Outcome |
Expertise to implement
Platform infrastructure gets you capability. Professional services help you deploy, integrate, and operationalise.
Governance Assessment
Map your current state against the Seven Flows. Identify gaps, risks, and priority interventions.
Clinical Safety
DCB0129/0160 implementation, hazard workshops, Clinical Safety Case development.
Technical Integration
FHIR implementation, UK Core profiling, system integration architecture.
Training
CSO training, governance workshops, team capability development.
From clarity to delivery
Platform infrastructure is powerful. But it requires careful implementation. We've designed a deliberate approach that protects both sides.
Discovery
Clarity before commitment. Map current state against the Seven Flows. Surface gaps. Determine fit. No obligation to proceed.
Learn about Discovery →Delivery
Safety-critical systems delivered without harm. Shadow modes, progressive assurance, and evidence-based confidence before clinical impact.
Learn about Delivery →Ready to explore the platform?
Start with Discovery. We'll map your current governance state and show you where the infrastructure fits.
Start with Discovery