My care
Your concerns are part of your care information.
Open loops
3 open- 1. Birth-plan questionsCurrent stage TELL
- 2. Emotional wellbeing supportCurrent stage CHECK
- 3. Postnatal referralCurrent stage OWN
Single view of unfinished workflow. Fictional demonstration data.
- Current open loop: Birth-plan discussion
- Current stage: ACT
- What is happening: A senior clinician review is outstanding.
- Who owns it: Obstetric team
- After that: The plan should be discussed with you.
- Then we will check: Whether you understand the plan and whether your questions have been answered.
Simulated example. Not clinical advice and not for clinical use.
How are you feeling compared with earlier?
Are you worried something isn’t right?
Are you waiting for something a member of staff said would happen?
I would like someone to review my care
I need someone with me
These are communication and support signals. Pathscription does not diagnose distress, anxiety or trauma, and does not judge clinical urgency.
What happens next?
- Now · Waiting for: Senior clinical review · owner: Obstetric team
- Next · A clinician will discuss: Your birth plan
- After that · Your plan and next steps should be documented and explained to you.
- Still to do · Answer your questions
Do you understand what happens next?
No timing is promised unless a member of staff has recorded one.
What I have told the team
Being heard is not the same as information being recorded. A concern is only truly heard when somebody acknowledges it, responds to it, and closes the loop with the patient.
“I am frightened about the anaesthetic.”
- Status: ACKNOWLEDGED
- Owner: Anaesthetic team
- Next step: Clinician will discuss your concerns before the procedure
We heard you
Your concern: “I am frightened about the anaesthetic.”
Acknowledged by Dr Alex Morgan · Anaesthetic clinician · 08:42
What happens next: Dr Alex Morgan will discuss this with you before the procedure.
“I do not feel my birth preference has been understood.”
- Status: OPEN
- Owner: No owner
- Next step: Review required
A response does not automatically mean the patient felt heard.
Do you feel heard?
Is there something important you feel the team has not understood?
Illustrative workflow logic only. Pathscription does not diagnose, recommend treatment or judge clinical urgency.
Do you feel supported right now?
Responses are recorded as support needs. They are never interpreted as a diagnosis.
- Previous maternity experienceRecorded
- What makes care difficultRepeatedly recounting previous experience
- Communication preferenceClear explanations before procedures
- Current priorityBirth plan remains visible
- What matters today“I am frightened about the anaesthetic.”
- Support personJames Green
- Emotional wellbeingSupport requested
- Unresolved concerns1
Is anything here wrong or missing?
What matters to me today
- “I am very anxious about the anaesthetic.”
- “Please explain what is happening before touching me.”
- “I want my husband with me for important conversations.”
- “I do not want to have to recount my previous birth again.”
Patient-stated priorities — not clinical instructions.
Shown before routine secondary information at: Antenatal appointment · Admission · Labour ward · Anaesthetic view · Theatre handover · Recovery · Postnatal ward · Discharge planning.
Is there anything we haven’t heard?
A few quick questions can help make sure nothing important has been lost between conversations, teams or handovers.
Do you understand what happens next?
Is there something you are worried about that you do not think the team knows?
Are you waiting for something you were told would happen?
Do you feel your important preferences have been heard?
Is there anything you need the next person caring for you to know?
Illustrative workflow logic only. Pathscription does not diagnose, recommend treatment or judge clinical urgency.
I’m waiting for…
If somebody said something would happen, Pathscription can track whether it did.
Closed-loop workflow
Patient reports waiting → Verify → Identify responsible team → Assign → Acknowledge → Action → Patient updated → Complete
- 11:42Patient reports waiting for senior review
- 11:44Review request identified
- 11:45Assigned to obstetric team
- 11:49Acknowledged
- 12:03Clinician review completed
- 12:06Patient updated
- 12:07Workflow complete
Illustrative timings only.
My current plan
- What the team currently understandsPlanned Caesarean at 38+3 (simulated)
- My preferencePlanned Caesarean, with explanations before each step
- What has been decidedPlanned Caesarean documented
- What is still being discussedAnaesthetic approach
- What has changedDate brought forward — simulated
- WhyScheduling change recorded by the obstetric team
- Questions I still have“What happens if the plan changes again?”
Tell us if this does not reflect your understanding.
- Current coordinating role: Labour ward coordinator
- Named clinician: Anna Lewis
- Shift: 08:00–20:00 simulated
- Status: ACTIVE
Individual actions may have different owners. The care coordinator provides an identifiable point of coordination for the overall pathway.
- Named midwifeAnna Lewis · With you today
- Current obstetric clinicianDr Alex Morgan · Reviewed your context
- Anaesthetic clinicianUpcoming · Has not met you yet
- Care coordinatorAnna Lewis · Coordinating your pathway
- Support personJames Green · Present
- Current care coordinatorAnna Lewis
- For my current concernObstetric team
- For emotional wellbeingMaternity support team
- For an urgent concernSpeak to the clinical team caring for you now.
- Name: James Green
- Relationship: Partner
I have chosen to share
- ✓ Current care plan
- ✓ What happens next
- ✓ Important communication information
- ✕ Detailed clinical record
- ✕ Sensitive notes
I’m worried about her
If something does not feel right, raise a concern with the care team.
Future pathways could be configured to align with local patient and family escalation processes. This prototype does not implement Martha’s Rule and makes no clinical judgement.
Is there anything important you want the team caring for you today to know?
This is what the team sees before they meet you. You can correct it or add to it.
Before you care for me
Trauma-informed care plan active
Important context
Patient describes previous birth as severely traumatic.
Communication preference
Repeatedly recounting the previous experience is distressing.
Please
- Review existing care context before asking patient to repeat history
- Explain procedures before beginning where circumstances allow
- Explain significant changes to the agreed plan
- Give patient an opportunity to ask questions
- Check understanding
- Keep existing birth preferences visible
“Please review my existing care context before asking me to explain my previous experience again.”This does not prevent clinically necessary questions. It asks that existing information is read first.
Clinicians may still ask questions when clinically necessary. This summary does not replace clinical history taking, consent, assessment or professional judgement. Simulated patient information.
Simulated demonstration. If you feel unwell or unsafe, speak to a member of staff now.
What you have told us
- Previous birth
- Patient reports severe traumatic experience
- Current concern
- Fear of repeat experience
- Current preference
- Requests discussion of planned Caesarean
- First recorded
- 12 weeks
- Raised again
- 20 weeks
- Raised again
- 28 weeks
- Current status
- Senior decision discussion still outstanding
Your birth preference
“I would like to discuss having a planned Caesarean for this birth.”
Status: Discussion with a senior clinician is still outstanding
Who is responsible: Not yet assigned
You should not have to repeat your history to be heard. If this still feels unresolved, you can tell the team.
Your emotional wellbeing is part of your care.
How are you feeling emotionally?
Would you like to talk to someone about your birth or care?
Do you feel you understand what happened during your birth?
Would you like someone to explain what happened?
Would you like information about emotional or psychological support?
Your answers are recorded as care information. They are not interpreted, scored or used to make any diagnosis.
This prototype does not contact an NHS service. Simulated information only — not for clinical use.