For Digital & Virtual Care

Governance infrastructure that scales with your patient volume

CQC expects the same standards whether you're seeing 100 patients or 100,000. Manual safety processes don't scale. Inference Clinical provides the infrastructure to govern care continuously — across consultations, handovers, and remote monitoring.

Growth creates governance gaps

Governance doesn't scale

You launched with robust processes for a small clinical team. Now you're at 50x the volume. Manual safety management can't keep up.

Context drops at handover

Patient has a virtual consultation, gets referred for in-person care, and you lose visibility. When they return, everyone starts from scratch.

RPM liability is unclear

Who's responsible when a reading is missed? When a device malfunctions? When the patient doesn't comply? Liability sits with you — visibility often doesn't.

Clinician time wasted

Your clinicians spend too much time on admin, chasing records, and documenting for compliance. Time not spent on patients — driving burnout.

Governed by the Seven Flows

Digital care at scale requires governance invariants that hold regardless of volume: consistent identity, explicit consent, traceable provenance, clear responsibility. Our infrastructure implements these flows for digital-first care delivery.

Learn about the Seven Flows

01 Identity
Patient identity verified across virtual and physical touchpoints
02 Consent
Dynamic consent for consultation, data sharing, and remote monitoring
03 Provenance
Full audit trail from device reading to clinical decision
04 Clinical Intent
Why was this ordered, what outcome expected, what protocol applies
05 Alert & Responsibility
Clear accountability when thresholds breach or escalation required
06 Service Routing
Patient directed to appropriate care setting with full context
07 Outcome
Closed-loop tracking from intervention to measured result
Clinical Safety

Hazards Engine

Clinical safety infrastructure that continuously tracks hazards, mitigations, and residual risk across your digital pathways — in line with DCB 0129/0160 methodology.

  • Hazard log maintained as living system, not static document
  • Risk assessments linked to specific features and pathways
  • Mitigation status tracked through development to production
  • Evidence packages structured for CQC inspection
  • CSO time focused on judgement, not documentation admin
Use Case

New triage pathway deployment

You're deploying a new symptom triage pathway. Hazards Engine maintains the hazard log for the pathway — what could go wrong, likelihood, severity, mitigations in place. When you update the pathway, the hazard assessment updates. When CQC asks about your clinical safety governance, the evidence is already structured.

Patient State + Pathways

FHIR Cube + Protocol Factory

Longitudinal patient state meets codified clinical pathways. FHIR Cube maintains the patient record across providers. Protocol Factory defines what should happen, when, and in what order.

  • Patient context travels with them across settings
  • Clinical pathways codified, versioned, and executable
  • Gap detection: what steps were missed, what's overdue
  • Visibility into referral outcomes when patients return
  • UK Core FHIR R4 throughout, NHS integration ready
Use Case

Referral continuity

A patient has a video consultation with your GP service, is referred to a private dermatologist, then needs NHS follow-up. FHIR Cube maintains patient state across all three settings. Protocol Factory tracks where they are in the pathway. When they return to your service, you see what happened — not a blank slate.

Remote Monitoring

SteadyTrace

Remote patient monitoring with clinical-grade governance. Device data validated before it reaches clinicians. Protocols define what's collected, when, and who's responsible.

  • Quality validation catches noise before clinical review
  • Protocol-driven collection with defined thresholds
  • Clear responsibility chain from device to clinician
  • Works with consumer wearables and medical-grade devices
  • Full provenance for every reading and alert
Use Case

Post-discharge cardiac monitoring

You're offering cardiac monitoring for patients post-discharge using their own devices. SteadyTrace validates data quality, enforces the monitoring protocol, and ensures the right clinician is alerted when thresholds breach. Liability is clear because responsibility is explicit at every step.

Permissions

Consent Graph

Dynamic consent and permissions that govern data access across your platform — who can see what, under what conditions, with what lawful basis.

  • Consent as living state, not point-in-time checkbox
  • Time-bound access for specific purposes
  • Auditable consent decisions at query time
  • Patient-facing consent visibility when required
  • GDPR lawful basis tracked per data use
Use Case

Referral consent management

Patient consents to share their consultation notes with a specialist for 30 days. Consent Graph enforces time-bound access. When the specialist queries patient data after 30 days, access is denied. When CQC asks how you manage consent, you can show the decision logic and audit trail.

CQC expectations for digital providers

CQC's emerging framework for digital health providers expects governance that scales with volume. Our infrastructure is designed around these expectations — not as compliance theatre, but because good governance is good care.

Clinical governance at scale

Structures that work at 100 patients and 100,000

Safety designed in

Evidence that safety is architectural, not retrofitted

Care pathway visibility

Demonstrable tracking of handovers and transitions

Remote monitoring accountability

Clear responsibility chains for RPM and AI-assisted decisions

Works alongside your existing stack

We're infrastructure, not a platform replacement. Standard APIs, portable data, no proprietary lock-in.

NHS Systems

GP Connect Summary Care Record NHS Login

Clinical Platforms

EHR systems Consultation platforms Booking engines

Device Ecosystems

Apple Health Google Fit Medical-grade RPM

Standards

UK Core FHIR R4 SNOMED CT REST APIs

Governance that scales with you

We're working with digital health providers who want to grow without compromising safety. Start with a 30-minute discovery call.

Book a discovery call