Interoperability-as-a-service
The fastest path to NHS Spine integration.
Production-grade Spine integrations, HSCN-connected hosting, and 20 years of NHS integration expertise — delivered as a managed service.
Two decades of NHS integration, at scale
We've spent 20 years connecting clinical systems to NHS national services — and the numbers speak for themselves.
2,500+
sites across England & Wales
1.5M+
messages processed daily
25+
NHS Trusts & healthcare system vendors
Every major Spine service, production-ready
We've built, shipped, and operated integrations for every major NHS Spine service — delivered over FHIR, live in 25+ NHS Trusts and system vendors today.
Integration-as-a-Service
Run NHS Spine integrations on our HSCN-connected hosting platform. No on-premise software to install, patch, or maintain — we operate the infrastructure.
NHS API integration
Production-grade integrations for every major Spine service — built once, battle-tested across 25+ NHS Trusts and system vendors, and delivered over FHIR.
Patient identification
Match records against the NHS Personal Demographics Service. Our algorithms safely identify the canonical patient record even when supplied demographics are poor quality — delivered as SaaS.
Production Spine integrations
Hosted integration isn't a preference — it's the only model that works.
After two decades running both hosted and on-prem NHS integrations, we've landed on a clear conclusion.
Remote support is getting harder, not easier.
NHS organisations are locking down remote access. Hosted infrastructure sits on our side of the perimeter, where we can actually operate it.
Vulnerability cadence is accelerating.
A hosted platform gets patched once, centrally, within hours — not per-site, over weeks, with change control at every Trust.
Defence-in-depth wraps your systems.
Your exposure to the Internet and HSCN sits behind multiple layers of security — our network controls, identity layer, and monitoring.
Why teams pick us
Everything you get, without building it yourself
The managed service isn't just infrastructure. It's everything around an NHS integration that you don't want to build, staff, or keep up to date.
NHS API changes, absorbed for you
We track the NHS APIs and the evolving Spine contracts. In most cases we can make the changes in our layer without your systems being affected.
Compliance, guided end-to-end
We simplify and guide you through NHS compliance — from onboarding paperwork to go-live assurance — so your team isn't learning the process from scratch.
A full suite of CIS2 endpoints
System provisioning, authentication, authorisation, key creation and distribution — the CIS2 surface you need, ready to plug into.
DCB0129 clinical safety cover
We operate under DCB0129 with a named Clinical Safety Officer. Leverage our clinical safety case to simplify your own, rather than writing it from scratch.
Secure networking, including HSCN
HSCN circuits, firewalling, and internal segmentation are ours to run. You consume a secure API; we handle the wire.
Dev and UAT environments, ready to go
Full-fidelity test environments for dev and UAT, complete with realistic NHS-shape test data sets — so your team can build against live-like data from day one.
NHS integration experts on call
Not sure which APIs to use for a given clinical or operational goal? Our NHS integration experts can advise on the right approach before you commit to a design.
