Bespoke healthcare software for NHS teams, designed with the clinicians and staff who use it.
Our services
We design, build and look after software for NHS clinical teams, from a single ward to a national programme. Choose what your team needs.
How a project runsEvery patient’s next step, in one shared view.
Pathways, registries and clinical forms, designed with the clinicians who use them and built around how your team already works.
What we build
Proven in
A rota your whole team can see and plan around.
Shift requests, leave and cover in one shared place, with consultant job plans and programmed activities that add up.
What we build
Proven in
Guidance your staff can find when it matters.
Service websites, staff portals and guideline libraries, with search that understands plain words and links back to the source.
What we build
Proven in
Record it once, then use it for every report.
Dashboards, audit and national returns, and clinical calculators, built from the data your team already records.
What we build
Proven in
Recognised for e-VENT, a shared discharge pathway for children on long-term ventilation, built with Royal Brompton Hospital.
Discover the project behind the award
Hospital Shared pathway Home
Clinical thinking. Recognised in practice.
NHS Innovation Award · Winner, Healthcare ICT.
Read the archived award announcement ↗Experience across healthcare
15+ years building software for healthcare.
Selected work / Built with clinical teams
From patient pathways and regional capacity to the working week of a clinical team. A closer look at the systems built around the people using them.
01 / 04 Clinical data & capacity
Paediatric critical careThe bigger picture.
From the daily detail.
Patient-level data, national returns and a shared regional view of beds. One platform for paediatric critical care teams.
Explore CAPANET
Daily records → National returns → Regional view
Next: Nursing rota02 / 04Nursing workforce
Evelina London · In live useEvery shift.
A clearer picture.
Live at Evelina London. A shared rota, coverage view and shift requests for hundreds of nursing staff.
Explore the nursing rota
Team rota → Skill mix → Staff requests
Next: LTV Tracker03 / 04 Pathways & discharge
Long-term ventilationEvery step.
Closer to home.
Follow the journey from referral to discharge, with traffic-light warnings that show what needs attention next. Commissioned by NHS England.
Explore LTV Tracker
Referral → Shared pathway → Discharge
Next: Heart ACS04 / 04 Research & registries
International collaborationDifferent sites.
Consistent records.
Electronic case report forms for an international acute coronary syndrome registry, with forms shaped for UK and Italian sites.
Explore Heart ACS
Structured forms → Shared registry → Research data
More of our workMore of our work
Clinical guidelines and decision flowcharts on a ward computer or a phone. Built for Royal Brompton and NHS Blood and Transplant.
Discuss a guideline platform
Training videos and guides for families and professionals caring for children on home ventilation.
Discuss an education hub
The hospital-to-home pathway for children on long-term ventilation that won a 2009 NHS Innovation Award.
Read the case study
Consultant scheduling with PA calculations and leave.
Explore the doctor rotaData & reporting
Behind each product is one rule: clinical teams enter data once, as part of their work, and the reports, returns and warnings follow from it. Here is how that looks in three of them.
A unit records each admission once. That same record fills the national return, updates the regional view of beds and is ready when the audit comes round, without anyone typing it again.
Read the CAPANET caseEvery step from referral to discharge has a target. LTV Tracker times each step and turns it amber or red as it nears or passes that target, so the team knows which step is keeping a child in hospital.
Read the LTV Tracker caseEngland’s median wait for treatment, by specialty
Source: NHS England referral to treatment waiting times.
NHS England’s monthly figures for every specialty, from the shortest median wait to the longest. Our free tool searches them by hospital and postcode.
Search NHS waiting timesAbout Smartmed
Smartmed began on the wards of Royal Brompton Hospital. Our founder, James Woods, built clinical systems there side by side with the clinicians who used them, and the first, e-VENT, won an NHS Innovation Award for Healthcare ICT.
We still start every project the same way: with a clinical problem, and time with the team who live with it. Fifteen years on, that has taken our software from one ward to a national programme for NHS England and a research registry shared with Italian sites.
Where our work runs
01A ward
A discharge pathway for children on long-term ventilation, designed with a paediatric intensive care consultant at Royal Brompton.
Case study02A hospital
Searchable clinical guidelines for staff on a ward computer or a phone, built for Royal Brompton and NHS Blood and Transplant.
03A region
Patient-level data from paediatric critical care units, collected once and used for national returns and a live regional bed view.
Case study04The country
Commissioned by NHS England to follow children on long-term ventilation from referral to discharge.
Case study05Two countries
An acute coronary syndrome research registry, with forms shaped for UK and Italian sites.
Case studyCommissioned platforms are owned and operated by the commissioning organisations.
Process
Four steps, and the last one keeps going.
We spend time with the people involved, map how the work happens today, and look at the systems and data you already have, so new software fits around them.
Clickable prototypes, reviewed by the people who will use them, before we build.
Built in short stages, with working software to test at each one.
Hosting, updates and changes guided by your team, long after go-live.
Free tools
Free to use, with no sign-in. What you type stays in your browser.
Search NHS England’s published waiting times by treatment, hospital and area.
Consultant-led waits for 24 specialties, from orthopaedics to gynaecology.
15 tests including MRI, CT, ultrasound, endoscopy and hearing tests.
The 28-day diagnosis, 31-day and 62-day treatment standards, by cancer type.
Share of patients seen within four hours, and 12-hour waits for a bed.
Loading the published NHS England dataset…
Waiting-list snapshots, not a forecast for a new referral. Provider distances use registered addresses.
Open the full finder ↗Group a day of paediatric critical care activity into its HRG, with the reasoning shown.
Separate codes with ^, commas or spaces. Updates as you type.
Start with an example
No activity codes match your search.
These inputs can change the result. Match them to the coded record.
XB07Z
Basic Critical Care
Oxygen or high flow, with ECG monitoring and pulse oximetry.
Paediatric critical care · HRG4+ 2025/26 logic
Example loaded: XB07Z, Basic Critical Care.
Compare how the logic responds to another intervention. Only use codes supported by the actual record.
Every line uses the clinical context set above. Enter activity codes only.
| Day | Activity codes | HRG | Step | Description | Inspect |
|---|
Day-level flowchart explorer, based on NHS England’s HRG4+ 2025/26 Chapter XB. Age checks, full record validation and XB08Z transport grouping are outside this tool’s scope. Confirm production coding with the official grouper.
NHS England documentation ↗
The 2026/27 grouper release is postponed; this explorer uses the 2025/26 flowchart.
Calculate PIM3 from admission physiology and see what each input contributes.
Use the first eligible observations, from first specialist contact to one hour after PICU arrival.
Original PIM3 equation with explicit missing-value defaults.
Use a contemporaneous arterial pair on eligible oxygen delivery, following the PIM3 coding rules. SpO₂ is not a substitute for PaO₂.
Choose the highest qualifying diagnostic category for the selected model, using its coding rules. Fixed pupils exclude findings due to drugs, toxins or local eye injury. Refer to the linked coding rules for full definitions.
—
An explained model estimate.
For case-mix and audit exploration. This is not a personal prognosis.
| Component | Input | Coefficient | Contribution |
|---|
Research / educational showcase. PIM3 is intended for group-level risk adjustment; use trained coding and independently validated software for clinical or audit submissions.
Original PIM3 equation, plus a separately labelled 2024 recalibration comparison. Educational model exploration; not an individual prognosis.
Score adult physiology, age and chronic health, with every point explained.
Use the value giving the most points during the first 24 hours. This standard score is distinct from the ICNARC prediction model.
At FiO₂ below 50%, enter arterial PaO₂. At 50% or above, enter the A–a oxygen gradient instead, from a paired assessment.
Measured haematocrit is used directly. Bicarbonate replaces pH; the two are never counted together. Changing oxygenation or acid–base type clears that input.
Use an assessable GCS, following the scoring definitions. With qualifying chronic disease, elective postoperative admissions receive 2 points; non-operative and emergency postoperative admissions receive 5.
—/ 71
Complete sample scenario.
The total combines physiology, age and qualifying chronic health points.
| Component | Input | Points |
|---|
Educational score checker for adult critical care. The point score alone does not provide a validated individual mortality percentage. This is not the ICNARC v4 mortality prediction model.
Standard APACHE II point score using the worst-scoring first-24-hour measurements. This is distinct from the ICNARC prediction model. No individual mortality percentage is inferred.
Introducing Beacon
A clearer starting point for your guidance.
Explore an example of a question, answer and linked source.
See how an answer can keep
the source within reach.
Follow a document through its review stages.
A sample view of document review and publication in Beacon.
Clinical knowledge for your team,
searchable in plain English.
Built around your guidance
Ask a question in plain English and get an answer drawn from your own guidance, with the documents it came from one click away.
Let’s explore it together
Talk us through your document library and review process. We’ll explore the possibilities together.
Questions
There is no need to arrive with a finished specification. A clear description of the problem is a useful first step.
Tell us what you have in mindYes. A spreadsheet is a good place to start: its columns, forms and reports already show what the team records and what it needs back. We look at the work behind it, then scope a system the whole team can share and report from.
See CAPANET in practiceOften, yes. Tell us what the system does, what still works and where it gets in the way. From there we can say whether it is better to improve it, build around it or replace it.
The NHS platforms on this site are owned and operated by the organisations that commissioned them. On a new project, who owns the software, who is responsible for the data and how handover works are settled at the start, before anything is built.
On the NHS network, among other options. CAPANET and LTV Tracker both run on the NHS Health and Social Care Network, and we advise on the right hosting for each new system.
We stay involved. Maintenance, updates and improvements carry on once the system is in use, guided by the people using it. How much support you need, and how changes are requested, is agreed with you.
More about ongoing supportMainly four things: how many people will use it, how complex the workflow is, the data and reporting it needs, and where it is hosted. Tell us who it is for, what it must do and any deadline, and Discovery turns that into a scope we can estimate from.
An example form or screenshot helps. Please use test data and never send patient information.
Tell us what your team needs to do and what gets in the way. A few lines are enough — you don’t need a specification.
Write an enquiryWe’ll reply by email to arrange a conversation, then agree the next step with your team.
We will reply by email to arrange a conversation. If it is urgent, email info@smartmed.tech.
