Pathscription · Clinical pathway intelligence

Turn clinical decisions into completed care.

Pathscription identifies the open loops between patients, clinical teams, decisions and actions — and helps carry them through to completion.

Prototype · not for clinical use

Check·The loop only closes when the completion condition is known. Otherwise it stays visible, owned and reopenable.

The problem

Care breaks at the joins.

A note is not an action. An alert is not a completed workflow. A referral being sent does not mean care happened. The gaps appear between people, shifts and systems.

Patient

Concern not carried forward

Clinician

No owner

Team

Waiting for review

Shift

Plan changed

System

Patient not updated

Care setting

Referral sent — outcome unknown

Pathscription closes the gaps.

Product

See an open loop close.

“I am frightened about the anaesthetic.”

One sentence, spoken once. Pathscription treats it as an open loop with an owner, a next action and a completion condition — and keeps it visible until somebody confirms what happened.

Fictional illustration · prototype

  1. Hear

    Concern recorded

  2. Know

    Important care context surfaced

  3. Own

    Anaesthetic team owns response

  4. Act

    Discussion completed

  5. Tell

    Patient updated

  6. Check

    “Did that address what you were worried about?”

  7. PartlyLoop remains open

    Responded is not the same as resolved. The loop stays owned, and a further action is created until the patient confirms the concern was addressed.

Heard & Held

Being recorded is not the same as being heard.

  • “I don’t feel heard.”
  • “I am frightened.”
  • “I don’t understand what is happening.”
  • “I was told somebody would come back.”
  • “I don’t want to explain this again.”
Patient speaksTeam seesSomeone ownsTeam respondsPatient updatedPatient confirms

Responded ≠ resolved.

A concern remains open until the patient has been updated and the completion condition is known.

See Heard & Held →

Tell us once

The next clinician should start with context — not make the patient start again.

Booking

Context transferred ✓

Antenatal

Context transferred ✓

Triage

Context transferred ✓

Admission

Context transferred ✓

Labour

Context transferred ✓

Theatre

Context transferred ✓

Recovery

Context transferred ✓

Postnatal

Context transferred ✓

Important care context

Conceptual research only. No current NHS system integration is implied.

One engine

PregnancyBirthNewbornInfantChild

Different stage. Different workflow.
Same Pathscription engine.

Platform architecture

Built around the real clinical workflow.

  1. EPR / maternity systemFuture / proposed
  2. Patient context + clinical signals
  3. Pathscription
  4. Workflow orchestration
  5. Owner + next action + escalation
  6. Clinical team
  7. Patient / family
  8. Audit + assurance
FHIRRole-based accessAuditabilityClinical safetyExplainabilityHuman approval

Pathscription is designed to sit alongside the clinical record rather than replace it. Integrations are proposed, not live. No NHS endorsement is implied and no NHS identity is used.

Evidence

Designed to be measured.

01Time to ownership
02Time to acknowledgement
03Open actions at handover
04Patient concerns resolved
05Repeated history
06Workflow completion
07Clinician time released

Proposed research metrics · no outcome improvements are claimed

The questions Pathscription asks

  • What is still unfinished?
  • Who owns the next action?
  • Did the patient hear back?
  • Did the referral actually lead somewhere?
  • Does the next clinician have the context?

Pathscription

Clinical pathway intelligence.

HearKnowOwnActTellCheck

Nothing missed.

Nothing unheard.

Tell us once.

Close the loop.

Prototype — not for clinical use. All patients, medicines, doses, guidance and maternity scenarios are fictional demonstration data. Pathscription does not diagnose, recommend treatment or make autonomous clinical decisions.