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SBRI HEALTHCARE

Primum Digital Health

Innovation

Primum Digital Health - CrossCover

Competition

Competition 17 - Urgent and Emergency Care

Clinical Need

It is challenging to translate consistency of best practice into the everyday patient workflow of NHS
frontline staff.

The Innovation

CrossCover is cloudbased and provides a complete clinical pathway development and operations
platform. It supports NHS leaders to design, build, test, deploy and monitor optimal clinical decision support pathways across an integrated primary and secondary care system. Patients get the right decisions made for them first time with minimal waste of NHS resources

Traction

Health economic assessment suggests:

  • A saving of £100 per patient. The average Trust will use the platform on 150 patients per day
  • A reduction of fracture clinics by up to 50% and elective outpatient appointments by up to 70%
  • Available for Procurement on the G-Cloud 13 Framework
  • Nathan Moore (CEO) is an NHS Clinical Entrepreneur Programme alumnus

NHS Impact

The platform has been deployed across 8 NHS Trusts, supporting the optimal pathways of care for over 80,000 NHS patients. An optimised pathway is evidenced to save the NHS £100 per patient and improve the quality of patient care. The initial module, OrthoPathway, which covers Musculoskeletal problems has optimised workflows mapped out for 21% of all NHS activities, and optimised workflows for 20 other specialties are being developed.

OrthoPathway brings best practice use up from 27% in usual care to 96%, reduced consultation times by 40%, reduces the chance of an unnecessary referral or investigation by 80% and reduces the carbon cost by 3kg CO2 per patient.

CrossCover has been purchased by 8 secondary care sites and 24 minor injury units. It has reached 80,000 patients through real-world testing and sales and has saved over 600,000 care miles to date.

"OrthoPathway was extremely helpful. It streamlined the pathway. There’s less intervention or the intervention is different and earlier" General Clinician

"It’s very good for making decisions. It’s very systematic because it goes through the examination of findings you should look out for and then it goes to the decision that needs to be taken based on what you find on the x-ray and the client’s examinations, so it’s very good, I find it very useful." General Clinician

"I can make decisions faster on who needs to come in and who needs to go based on what I see from OrthoPathway" General Clinician

"Guides Junior Doctors who are new to Orthopaedics and gives them confidence" General Clinician

Date Published

March 2023

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