Alcidion Group Limited

August 10, 2026 | Miya Precision

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June 19, 2026

The success of an EPR programme depends on people as much as technology.

As EPR adoption continues across the NHS, one factor consistently separates programmes that succeed from those that struggle: the people driving change on the ground.

This white paper, produced by the UK EPR Network

and convened by the Healthcare Innovation Consortium (HIC)

, examines the critical role clinical champions and super users play in digital transformation, from deployment through to sustained adoption and optimisation.

Drawing on insights from NHS partners and digital health suppliers including Alcidion, CLEO Systems, Enovacom, First DataBank (FDB), Ready Computing and System C, the report makes the case for why peer-led, grassroots clinical leadership is becoming essential to EPR success.

Inside the report:

• Why EPR programmes depend on people as much as technology

• How clinical champions and super users drive adoption and organisational change

• Case studies from acute, community, emergency and integrated care settings

• How peer-led support improves engagement, workflow design and digital confidence

• Practical approaches to building sustainable digital capability across NHS organisations

• Why investing in clinician-led support pays off long after go-live

May 18, 2026

Melbourne, 18 May 2026 – Alcidion announces that it has signed an agreement to acquire the business and assets of Kyra Patient Flow Manager, Kyra Queue Manager and Kyra IQ (collectively, the ‘Kyra flow products’) from Telstra Health.

This acquisition further strengthens Alcidion’s position as a leading provider of enterprise patient flow solutions across Australia, New Zealand and the UK.

Highlights:

• The Kyra flow products are a proprietary set of digital solutions that address patient flow and data access challenges across hospital inpatient and outpatient settings.

• This acquisition expands Alcidion’s presence across Australia, notably into Queensland where Kyra Patient Flow Manager and Queue Manager products are used by the majority of Hospital & Health Services, and adds several new customers in Victoria, WA and Tasmania, across both public and private sectors

• Only two of the Kyra flow products customers are existing Alcidion customers, expanding Alcidion’s footprint into more than 30 customers.

Alcidion is a market leader in patient flow in ANZ and the UK, with its Miya Precision platform enabling healthcare providers to digitise bed allocation, optimise progression of care, and use clinical decision support to enhance the delivery of patient care and eliminate administrative burden for care workers.

The acquisition of Telstra Health’s Kyra flow products expands Alcidion’s footprint to more than 30 additional healthcare providers across Australia building upon Alcidion’s patient flow presence at Hume, Peninsula Health, Western Health and Alfred, among others.

The Kyra flow products business have customers in five of six Australia states with a significant presence across the Queensland market, a strategically important market noting Alcidion’s recent 5-year contract with Gold Coast Health and several customers in Victoria.

Alcidion CEO and Managing Director, Kate Quirke said:

“This acquisition is highly complementary to our core business and further consolidates our market position in the Australian patient flow market.  We see strong strategic and financial alignment as we continue to build a scaled, recurring revenue‑driven health technology company.”

“We look forward to building on Telstra Health’s long-standing customer relationships and believe Alcidion, as an international leader in patient flow, is one of the few industry players with the infrastructure, credibility and expertise to continue delivering the level of support that enterprise government and private health service customers expect.”

“Patient flow continues to be a critical pain point across the healthcare setting with an aging population and increasing rates of hospital admission expected to only further compound the need for validated enterprise digital solutions that both simplify decision support and also remove administrative burden.”

“Alcidion looks forward to welcoming the Kyra customers to our community and to providing continued, excellent service alongside an opportunity to share what Alcidion can offer them as they look to evolve the value they receive from their digital investments for patients and staff.”

“We also look forward to maintaining a relationship with Telstra Health, to leverage the complimentary nature of our respective product suites.”

Telstra Health Managing Director, Elizabeth Koff AM added:

“Telstra Health is building a care intelligence ecosystem, one that connects care, patients and clinicians across the care continuum. 

To support that, we’re making clear choices about where we focus, where we invest, and where we partner.  

Telstra Health’s Kyra Flow products are a strong set of hospital patient flow and operational solutions, however they do not align with our future roadmap for connecting care. Choosing the right owner for this product suite to continue to support hospital care was critical and required careful consideration. Alcidion fulfilled the criteria comprehensively.

Alcidion brings strong capability, deep industry expertise and a proven track record supporting hospitals. We are confident they are well placed to continue to evolve these products for customers.

For Telstra Health, our new care intelligence ecosystem will serve, connect and enable clinicians and care providers from primary, community and aged care, to hospitals and government services – across every health journey.

Our priority is to ensure a smooth transition for the Kyra Flow products to Alcidion, with continuity of service and support for customers and their teams.”

About Kyra Flow Products

The Kyra flow products include three complementary inpatient and outpatient hospital focused patient flow solutions:

• Kyra Patient Flow Manager – provides clinicians and administrative teams real-time access and oversight of a patient’s hospital journey from admission through to discharge. It enables proactive decision making to streamline bed management and internal resourcing.

• Kyra Queue Manager – is a comprehensive outpatient solution enabling patient check-ins, wayfinding, referral management, triage and billing capability.

• Kyra IQ – is a data warehouse that consolidates health data from multiple disparate systems into real-time operational dashboards and administrative reports.

April 27, 2026 | Miya Precision, Modern Modular EPR, NHS

at the Birmingham NEC this year made one thing clear: For many NHS organisations, rather than simply going digital, the next step is making digital infrastructure more useful, more connected and more responsive to the realities of care delivery.

The challenge is no longer about getting digital into the system – and that marks a meaningful shift in the conversation. The first wave of NHS digital was rightly focused on putting core systems in place. Much of the work was about replacing paper, building digital foundations and establishing the electronic patient record as a critical part of modern care delivery. That work matters and – in many organisations – it is still evolving.

But at Rewired 2026, the tone felt different, and with around 93% of trusts now having an EPR, the harder questions are coming to the surface

. How do NHS organisations get more value from the digital estate they already have? How do they connect systems, improve usability, support staff under pressure and turn digital investment into something that genuinely helps care delivery?

That is the context for the next phase of NHS digital. It is the shift from getting digital in, to making digital work.

Why this second wave matters

This next phase is more demanding than the first because it is less about implementation milestones and more about operational and clinical impact. It is about whether technology is helping teams solve real problems. This includes improving flow, supporting decisions in real time, reducing friction in workflows and helping services coordinate care across settings.

That was reflected across the event. Conversations at Rewired repeatedly returned to productivity, patient flow, staff experience, interoperability, non-acute care and the practical realities of delivery. There was a clear sense that NHS organisations are looking beyond big transformation narratives and focusing more closely on what technology is enabling on the ground.

In that environment, digital maturity is not defined by how many systems are in place. It is defined by how well those systems work together, how effectively they support frontline teams and how quickly they can respond to changing service needs.

Patient flow is a test of whether digital is delivering value

One of the clearest examples of this second-wave thinking is patient flow. At Rewired, flow was not discussed as a narrow operational issue – it came through as a system-wide challenge tied to safety, productivity, discharge, capacity and experience.

Patient flow is also where the gap between digitising a process and improving it becomes most visible. Organisations do not need more technology for its own sake – they need better visibility, better coordination and better decision-making across increasingly complex pathways. It is not enough to know what is happening. Teams need to know what to do next: which patients are ready for discharge but awaiting coordination, where capacity is opening up and where risks are escalating.

That requires more than digital tools – it takes the right leadership, culture and mindset. It is why we chose Rewired to launch FLOW: A Handbook to Creating the Right Conditions for Patient Flow, written by Nick White and Dr Paul Deffley. The book draws on systems thinking and continuous improvement principles to help hospital leaders create the conditions that make flow work – from measuring the right indicators to driving cultural and behavioural change on the ground.

Effective patient flow demands all of these things at once – connected systems, real-time intelligence, the right leadership and a culture of continuous improvement. That is what makes it such a clear test of whether digital is delivering real value, and why getting it right has implications well beyond flow itself.

Real world examples reinforce this. Herefordshire and Worcestershire Health and Care NHS Trust

has shown how digital patient flow tools can help improve visibility of bed capacity, discharge activity and community hospital pathways. University Hospital Southampton

has also shown what happens when digital supports the realities of emergency care workflows, giving teams better real-time visibility and a more usable, less paper-heavy environment.

Making the most of existing digital investments

If the first wave of NHS digital was about getting core systems in place, the second wave is about making them work harder. For most organisations that does not mean starting again. It means connecting what is already there, closing functional gaps and improving how technology supports frontline teams in practice. It is another sentiment we heard at Rewired – building on existing digital estates rather than replacing them, adding targeted capability and supporting incremental change without creating unnecessary disruption.

Meeting that need, we believe, calls for a platform approach – one that can connect into existing systems rather than compete with them. Miya Precision is well placed at this stage, not simply because it is modular, but because that modularity sits within a broader, standards-based platform.

For many NHS organisations, the next step is not wholesale reset. It is about improving what already exists, adding targeted capability, closing functional gaps, connecting workflows and supporting incremental change without creating unnecessary disruption.

This requires technology that works with existing estates rather than against them, with the flexibility to operate across care settings, enable interoperability across organisational boundaries and deploy capability where it will have the greatest practical impact.

In other words, the value of Miya Precision is not just that it can be deployed module by module, but that it helps organisations move from fragmented digital infrastructure towards a more connected, responsive and effective operating model for care delivery.

The shift to non-acute settings

Another strong theme from Rewired was that the next phase of digital will not be defined by acute settings alone. Speaking in the opening keynote, NHS England National CCIO, Alec Price-Forbes

, highlighted that future central funding will increasingly focus on non-acute and community settings. With more ownership and spending power also being given to local providers, organisations and ICSs, it represents a clear signal for the market.

As attention shifts further into community, non-acute and cross-system models of care, organisations will need technology that can adapt to different operational contexts and support coordination beyond the hospital.

Usability also remains central. If digital is going to deliver meaningful value, it has to work for frontline teams in the real environments they operate in. Poor usability slows adoption and creates friction, but good usability supports safer workflows, faster decisions and better day-to-day performance.

Rewired showed where the NHS is heading

Thank you to everyone who spent time with us at Rewired. It was fantastic to speak with so many delegates, leaders, clinicians, operational teams and innovators over the two days, and to see so many customers, colleagues and partners from across the NHS and supplier community. We came away enthused by the conversations, encouraged by the progress being made across the NHS and clear about the challenges still to solve.

Rewired did not simply reinforce that digital matters, it showed more clearly where the NHS is heading next, and that direction aligns with how Miya Precision was designed. The goal is not to ask organisations to start again. It is to help them make digital work better, in the right place, for the right problem, at the right time.

Want to learn more about what we do? See more info on the power of Miya Precision

or get in touch

March 24, 2026 | Miya Precision, NHS, Patient Flow

This article originally featured in Digital Health

news.

Herefordshire and Worcestershire Health and Care NHS Trust has implemented Miya Precision from Alcidion to streamline bed management and patient flow across seven community hospitals in Worcestershire.

• Herefordshire and Worcestershire Health and Care NHS Trust has reported improvements in patient flow through its digital transformation programme

• The average patient length of hospital stay reduced by around five days during the first phase of the programme

• It has been supported by Alcidion’s Miya Precision platform, which provides visibility of patient flow within community hospital services

Herefordshire and Worcestershire Health and Care NHS Trust has reported improvements in patient flow following the first phase of a digital transformation programme.

The programme is helping services move patients through care and support the transfer of patients from acute hospitals into community services by improving the visibility of discharge planning and bed availability across seven community hospitals.

This has been supported by Alcidion’s Miya Precision platform

, which provides visibility of patient flow within community hospital services and supports more effective discharge planning.

The trust reports that the average patient length of hospital stay reduced by around five days (more than 15%) between March 2025 and March 2026, alongside improvements in discharge planning and fewer estimated discharge date breaches.

Marisa Manning, deputy associate director at Herefordshire and Worcestershire Health, said: “We want patients to spend the least amount of time in hospital that is clinically appropriate, supporting their wellbeing and enabling them to return home safely.

“By providing staff with clear and accessible information in a fast-paced care environment, teams can better plan discharges and quickly identify whether medication, transport and onward care arrangements are in place.

“Operational leaders also now have greater visibility of patient flow across wards, enabling teams to coordinate care more effectively and address potential delays earlier.”

During the first phase of the programme, wards introduced Miya Flow digital journey boards configured to reflect the trust’s community care pathways.

Discharge information such as transport arrangements, social care provision, take-home medications and destination details, is now presented in a single view for staff, enabling them to identify potential delays earlier.

Jane Howells, digital PMO manager at Herefordshire and Worcestershire Health, said: “Working closely with Alcidion, we have configured the technology to reflect the way our services operate.

“Digital tools supporting patient flow are helping reduce administrative burden and support clinicians to spend more time focusing on patient care.”

The trust has entered the second phase of the programme in mid 2025, introducing Miya Command, which provides a live view of bed capacity, discharge activity and patient flow across services.

Karen Hancocks, senior IT business analyst at Herefordshire and Worcestershire Health, said: “Digital tools that support patient flow help teams respond more effectively during periods of increased demand.

“For example, winter pressures create additional bed demands, making this an imperative for our ability to support neighbouring organisations and as many patients as possible.”

Herefordshire and Worcestershire Health plans to extend the use of the Miya Precision platform in 2026 to introduce digital patient flow tools within mental health services.

It is also planning interoperability with the trust’s electronic patient record

 to support alignment with wider integrated care system priorities.

Paul Deffley, chief medical officer and UK managing director at Alcidion, said: “Herefordshire and Worcestershire Health and Care NHS Trust is a pioneer, as the first community trust to use our platform.

“We have worked together to ensure that technology responds to real needs, learning lessons that will undoubtedly be transferable to many community trusts in the NHS.”

March 19, 2026 | Miya Precision, Remote Patient Monitoring, Virtual Care

Alcidion to deliver remote patient monitoring solution for Gold Coast Health

This article also featured in Pulse+IT News

, Health Services Daily

, HiNZ

and Healthcare IT News.

Melbourne, 16 March 2026 – Alcidion has signed a contract with Gold Coast Health to implement its Miya Precision platform to support remote patient monitoring (RPM).

The agreement will see Alcidion deliver an end-to-end remote patient monitoring solution, enabling the health service to extend virtual care into patients’ homes. The initiative is designed to support patients who can be safely monitored outside the hospital, reducing unnecessary admissions and freeing up capacity for those who need it most.

Gold Coast Health operates three hospitals and a network of community health facilities, serving one of Australia’s fastest-growing regions. With demand for healthcare services continuing to rise, the health service has been at the forefront of exploring virtual care models – recognising that the future of healthcare isn’t just about building more beds, but about delivering care in smarter, more flexible ways.

Virtual care approaches that gained traction during the pandemic are now maturing into core components of how health services operate, and Gold Coast Health is building them into its long-term care model. It’s an approach that aligns with the health service’s “Always Care” philosophy, which places person-centred care at the heart of everything it does.

The Miya Precision platform will integrate with Gold Coast Health’s existing electronic medical record system to provide clinicians with real-time access to patient data captured through remote monitoring devices. Built to scale, the platform can grow alongside Gold Coast Health’s needs and connect with existing and future systems as they evolve. The solution supports a range of devices, including third-party options and patients’ own devices, capturing vital signs and biometric data that feed directly into clinical workflows.

Beyond data collection, the platform provides clinical decision support and configurable care pathways, enabling clinicians to spot early warning signs before they escalate to empower patients to take an active role in managing their health from the comfort of home. Initial applications are expected to focus on areas such as post-acute care and chronic condition management, where remote monitoring can have the greatest impact.

Dom Girolamo, Executive Director of Digital and Innovation at Gold Coast Health, said: “Digital‑enabled virtual care is a core enabler of the next generation of person‑centred models under development.

“The ongoing enhancement of traditional hospital-based services into the home and community, is supporting a broader transformation of care delivery – creating a smarter, more flexible and digitally connected health service for the future.”

Alcidion CEO Kate Quirke said: “Remote patient monitoring is transforming the way health services think about capacity – it’s no longer just about hospital beds, but about meeting patients where they are. We’re proud to partner with Gold Coast Health on this initiative, which reflects a growing momentum across the sector toward virtual care models that are better for patients and more sustainable for health systems.

“With Miya Precision, we’re giving clinicians the visibility they need to intervene early and keep patients safely on track – turning data from the home into real-time, actionable insights at the point of care.”

March 19, 2026 | Clinical Workflow, Miya Precision, Patient Flow

_This article originally featured in Canadian Healthcare Technology.

_

Across Canada, patient flow is commonly framed as an operational challenge: bed capacity, emergency department overcrowding, alternate level of care patients occupying acute beds and system-wide pressure. These measures matter, but they are symptoms, not causes, and they only tell part of the story. Patient flow is a patient safety issue. And increasingly, it is a clinical leadership issue, one that clinical digital leaders must actively own.

The scale of the problem demands it. According to CIHI, in 2024–25, more than 16.1 million unscheduled emergency department visits were recorded across Canada. Half of all patients admitted from an ED spent more than 16 hours waiting, one in 10 spent more than 48 hours.

Nationally, nearly one in six hospital days is consumed by alternate level of care patients who no longer require acute care but have nowhere else to go – in Ontario alone, this equates to more than 4,000 beds occupied every day. Meanwhile, 62 percent of Canadian ED directors describe overcrowding as a major or severe problem.

When flow breaks down, harm can follow. Access block – the inability to transfer admitted patients to an appropriate inpatient bed – can force hospitals to place patients on clinically inappropriate wards where there is a bed is available.

In a recent study in the UK, off-service patients are reported to have greater than twice the length of stay compared to patients managed on their home ward. Prolonged stays can expose patients to deconditioning, infection and medication-related harm and further compound hospital capacity issues.

Fragmented transitions can create gaps in oversight and missed opportunities for early intervention. These are not abstract consequences; they are daily realities in every Canadian province and territory.

We recently published Flow: A Handbook to Creating the Right Conditions for Patient Flow, in which we observe that improving patient flow requires a combination of technology, process improvement and cultural change. Drawing on that framework, this article explores seven levers that can drive meaningful improvement: achieving interoperability within and across care settings; building system-wide visibility of patients and resources; digitising clinical workflows and decision support; reducing unwarranted clinical variation; enabling new models of care; reducing administrative burden; and embedding clinical digital leadership to make changes enduring.

Interoperability – the foundation: With more than 10 different EMR systems in use in Ontario alone and limited interoperability between provincial and territory systems, clinical information frequently fails to follow the patient. But fragmentation also occurs within hospitals, with clinical data often siloed across laboratory, radiology, pharmacy and specialty applications that were never designed to share information in real time.

Canada has begun to recognise this must change. Canada Health Infoway estimates that improved interoperability could save $2.4 billion annually.

The Connected Care for Canadians Act (Bill C-72), introduced in June 2024, and recently re-introduced in February of 2026 as Bill S-5, signalled clear legislative intent to require system interoperability and prohibit data blocking.

The Pan-Canadian Interoperability Roadmap, CA Core+ FHIR standard and PS-CA patient summary specification all confirm the direction of travel.

All healthcare leaders need to navigate multi-vendor environments. The practical question is how interoperability layers complement rather than compete with existing investments. The answer lies in platform architectures that consolidate data from disparate systems into a coherent, longitudinal view using open FHIR APIs, without requiring wholesale system replacement.

Visibility, workflows and variation: Interoperability creates the conditions for visibility, but visibility must extend beyond the patient record. Effective flow management requires real-time insight into two dimensions: the trajectory of every patient across their journey, and the availability of critical healthcare resources – most importantly staffed beds but also knowing other flow constraints such as imaging and pathology capacity.

When both views are connected, clinical and operational leaders can move from reactive to proactive capacity management across facilities and regions.

That visibility must be enabled and the value realised through digitised clinical workflows at the point of care. The goal is not simply to store information electronically, but to surface the right information to the right clinician at the right time. This includes structured documentation aligned to agreed clinical pathways, standardised assessments that surface risk early and consistent definitions of escalation and discharge readiness.

These same digitised workflows establish the data foundation for responsible AI. As the CMAJ has noted, a lack of reliable data is currently a bottleneck in developing AI technologies for healthcare. Without a standardised, interoperable data layer, AI risks amplifying the very fragmentation it is intended to resolve.

New models of care change the equation: Nowhere is the convergence of flow and safety more apparent than in virtual care. Globally remote patient monitoring, hospital in the home programs and virtual EDs are changing how care is delivered. The Ontario government continues to expand support for the HITH program, and programs in British Columbia and Quebec have reported positive engagement from patients.

These models shift the definition of flow. It is no longer solely about moving patients through beds; it is about maintaining clinical oversight across settings. If patients become digitally invisible once they leave the hospital, if documentation is incomplete or data does not follow them, early deterioration signals may be missed.

Without interoperability and visibility of the longitudinal record across the continuum of care, virtual care inherits the same fragmentation risks experienced in inpatient settings, potentially with greater safety consequences.

From operational metric to safety discipline: The missing lever in many digital strategies is clinical leadership itself. Patient flow remains trapped in the language of bed management and operational metrics. In reality, it is a clinical safety function, one that demands the same rigour in documentation standards, data visibility and system design as any other patient safety domain.

For healthcare leaders, this represents both an opportunity and an obligation. The clinician who understands alert fatigue, who has navigated the politics of documentation standardisation and who can bridge the gap between clinical governance and IT architecture is precisely the leader patient flow demands.

Canada is at a defining moment. The interoperability standards being developed, the legislative direction of Bill S-5 and the growing adoption of virtual care all point towards a more connected health system. But connectivity without clinical purpose is not sufficient.

Interoperability must be accompanied by platforms that translate connected data into safer clinical workflows, more reliable patient journeys and the conditions for AI to augment decision-making responsibly.

Patient flow, once measured in beds and wait times, is increasingly best understood as the ability to maintain safe, continuous oversight across the entire care pathway. When designed as a safety function, digital investment stops being about technology and starts being about outcomes.

To learn how Alcidion’s Miya Precision platform can support safer patient flow across your health system, connect with our team at Digital Health Canada ON26 on 19 March 2026, or reach out at [email protected]

Chief People Officer

For two decades Amanda has worked with global organisations to implement business transformation initiatives, improve the effectiveness of their workforce and to create lasting, differentiated company values.  From working across a variety of industries such as IT, CleanTech, legal, education, data-driven marketing and customer analytics, she understands the importance of creating and cultivating people-centric organisations for business success.

As Chief People Officer for Alcidion, Amanda works with our executive team to continue to foster a dynamic work environment that helps our people flourish and where ideas can spark into life.  In addition, she works closely with the business to develop robust employee programs that support growth and wellbeing and support the company’s strategic business objectives.

March 12, 2026 | Clinical Workflow, Miya Precision

An AI-assisted capability in the Miya Precision platform is now included on the Australian Register of Therapeutic Goods and registered with the UK’s MHRA.

Alcidion announces that Miya Precision Concept Detection has been included on the Australian Register of Therapeutic Goods (ARTG – #522634) as a Class 1 Medical Device. The capability has also been successfully registered as a Class 1 Medical Device with the Medicines and Healthcare products Regulatory Agency (MHRA) in the United Kingdom.

Concept Detection is an AI-assisted feature within the Miya Noting module of Alcidion’s Miya Precision platform. It analyses clinicians’ free-text notes to identify medical concepts and suggest associated SNOMED CT codes (coding system for standardising medical terminology), supporting structured clinical documentation, workflow efficiency and improved data quality.

The software is designed to support clinical decision-making by reducing cognitive load and enhancing documentation workflows, helping busy clinicians spend less time manually searching for and selecting clinical concepts. Importantly, all detected concepts require clinician oversight and validation before being added to the patient’s record.

As healthcare systems increasingly look to technology to ease the pressures on their workforce, demonstrating that these tools meet regulatory standards is essential. Registration as a medical device in both Australia and the United Kingdom provides healthcare organisations with assurance that Miya Precision Concept Detection has been developed and assessed in line with the safety, quality and performance requirements expected of software used in clinical settings.

This milestone advances Alcidion’s AI strategy and strengthens its offering to health systems across multiple markets. With healthcare providers in both regions increasingly mandating SaMD certification for AI enabled tools, Alcidion is now positioned to offer Concept Detection to its existing Miya Precision customers as well as to new health systems seeking compliant, clinician-supportive AI Capabilities.

To support the Concept Detection and future AI-enabled capabilities, Alcidion has developed a proprietary Miya AI Service module that provides a secure and controlled architecture for deploying AI functionality within healthcare environments. The Miya AI Service is specifically designed to enable accelerated adoption of AI functionality supporting Miya Precision customers to take advantage of the latest developments in AI for Healthcare.

Alcidion Managing Director and CEO Kate Quirke said:

“Achieving regulatory registration in both Australia and the United Kingdom is an important milestone that clears the path for commercial deployment of our AI assisted clinical documentation capabilities across our two largest markets. Healthcare organisations increasingly require certified medical software before adoption, and this registration allows us to deliver this capability across our existing customer base and to new customers in regulated environments.

With this foundation in place, we can now extend these capabilities across our existing Miya Precision customers and to new health systems seeking dependable, AI enabled workflows.”

**To learn more about Miya Precision, get in touch at: https://www.alcidion.com/request-consultation/

**

January 21, 2026 | Clinical Workflow, Miya Precision

Giving patients and families a voice in recognising deterioration at South Tees Hospitals NHS Foundation Trust

Overview

South Tees Hospitals NHS Foundation Trust is among the early adopters of Martha’s Rule

, the national initiative aimed at ensuring that patients and families can easily request a clinical review if they are worried about deterioration.

To support this, South Tees designed and implemented a digital Patient Wellness Questionnaire (PWQ) within Alcidion’s Miya Precision platform. The new functionality combines patient, relative, and nurse input to create a structured “early concern” assessment that automatically alerts clinicians when additional review is required.

The result is a digitally enabled, real-time safety net that empowers patients and families, supports clinical judgement, and strengthens communication between patients, relatives, and staff

Challenge

Prior to this work, South Tees already had two elements of Martha’s Rule in place, a critical care outreach service and a “Call for Concern” process for families. What was missing was a systematic way to capture patient and relative concerns on the ward, and to confirm those concerns triggered a timely, clinically appropriate response.

Traditional approaches relied on NEWS2 scoring and clinical observation alone, which risked missing subtle signs of deterioration, particularly in:

• Patients who could not communicate how they felt (due to cognitive impairment, learning disabilities, delirium, or language barriers)

• Situations where family or nursing staff might not initially recognise early change

The Trust’s nursing and digital leadership teams saw an opportunity to use Miya Precision to operationalise this first component of Martha’s Rule supporting every inpatient to have a structured opportunity to share how they feel, twice daily, as part of routine care.

Solution: The Digital Patient Wellness Pathway

Co-design and governance

Development was led by Jacqueline Jones, Lead Nurse for Acutely Ill Patients and Miya Precision, alongside Lindsay Garcia, then Deputy Director of Nursing (now Group Director of Nursing).

A Martha’s Rule Implementation Group was established, bringing together the Acutely Ill Patient team and the Critical Care Nurse Consultant, consultants from critical care and renal medicine, the Trust’s Learning Disabilities Nurse, patient experience leads and a patient representative, NHS England’s Martha’s Rule programme lead Paula Elliott, data experts from NECS and Health Innovation North East & North Cumbria, and the Trust’s digital, CNIO and CCIO teams.

Working in close collaboration with Alcidion’s development team, the group designed a dual-pathway digital form in Miya Precision:

1. Patient Wellness Questionnaire (PWQ) – based on the Bradford Patient Wellness Score for patients who can self-report.

2. Questions include: “How are you feeling today?” and “How are you feeling compared to yesterday?”

3. A score is automatically calculated, guiding next steps and escalation.

4. STOP & WATCH assessment – adapted from the North Cumbria Learning Disabilities Network tool for those unable to self-report.

5. The assessment captures subtle behavioural or physical signs of deterioration via simple yes/no prompts.

Both pathways converge at the same final steps, asking:

1. Whether the patient’s relative or carer has concerns

2. Whether the nurse caring for the patient has concerns

Miya Precision’s logic enables the greatest level of concern to always triggers escalation, even if others report “no concern”.

An exemption was added for patients receiving end-of-life or comfort care, where the assessment is not appropriate.

Implementation

The PWQ assessment was configured in Miya Precision as a twice-daily task (day and night shifts) to support continuous visibility of wellness across 24 hours and to include relative participation during visiting times.

Initial feedback about timing and workflow led to refinements in scheduling, completion flexibility, and user guidance. Clinical educators supported staff training to reinforce that the PWQ is not “another task”, but a vital patient safety check linked to Martha’s Rule.

The system is now fully embedded in routine nursing practice across pilot wards, with escalation routes integrated into existing outreach and medical review processes.

Results and Early Findings

Ongoing audit data from the Trust shows strong early impact:

| | |

| --- | --- |

| Metric | Finding |

| Monthly reviews | ~100 positive assessments audited each month |

| Total assessments reviewed to date | 301 |

| Patients unable to self-report (Stop & Watch pathway) | 56% |

| Patients self-reporting via PWQ | 44% |

| Assessments involving a relative | 227 |

| Relative concern recorded | 39 |

| Nurse concern recorded | 71 |

| Actions triggered (escalations) | 131 |

| Patients scoring highest wellness band (8) – requiring senior review | 7 |

Key insight: more than half of the positive assessments came from patients unable to speak for themselves, demonstrating the value of having both pathways.

Clinical teams also identified cases where the PWQ triggered concern before changes were reflected in NEWS2, providing an additional layer of early warning.

Staff Feedback and Cultural Change

Staff surveys have shown meaningful shifts in practice:

• 45% reported a positive impact on their clinical practice after using the PWQ.

• Several nurses said they had never previously asked structured “how do you feel?” questions, suggesting the tool encourages more compassionate and proactive care.

• Some staff initially viewed the assessment as additional workload, but this perception improved as understanding grew of its link to patient safety and Martha’s Rule.

The team continues to refine workflow timing and education to maximise engagement.

Benefits

• The solution empowers patients and families to express concern safely and visibly, giving them a formal and recognised route to raise worries about deterioration.

• Detection of deterioration is enhanced the beyond physiological scores, capturing early warning signs that numbers alone may miss.

• Vulnerable patients are protected through the adapted STOP & WATCH pathway, supporting subtle changes to be identified even when patients cannot communicate.

• Escalation is standardised using digital logic so that “the greatest concern wins,” bringing consistency and fairness to decision-making.

• Communication and situational awareness is strengthened between patients, families, nurses and doctors, creating a shared understanding of risk and need.

• Cultural change is promoted by embedding the patient voice into everyday care, shifting teams toward more collaborative and responsive practice.

• And finally, seamlessly integration within existing Miya Precision observation workflows allows clinicians to act without interruption or additional burden.

Lessons Learned

The implementation highlighted that early co-design between clinical teams, digital colleagues, and patient representatives is essential to create a tool that genuinely works at the bedside. The project also showed that simple workflow logic—allowing staff to branch and re-join pathways easily—is often far more effective than complex scoring systems. Ongoing auditing and regular feedback proved vital in refining usability and maintaining staff engagement, while clear education that explicitly links the digital tool to the principles of Martha’s Rule has been key to sustaining adoption and confidence across the organisation.

Next Steps

The Trust is extending evaluation to explore the correlation between PWQ triggers and clinical outcomes such as sepsis, escalation activity and ICU transfers, to identify where additional training may help relatives and carers recognise deterioration, and to support broader rollout across wards with future inclusion in the Trust’s patient safety dashboards, while Alcidion and South Tees continue to share their learning nationally with other early-adopter Trusts and NHS England’s Martha’s Rule community.

What clinicians say:

“This digital tool has given our patients and families a stronger voice. It helps nurses have better conversations, pick up subtle changes earlier, and gives everyone confidence that concerns will be heard and acted on.” –  Jacqueline Jones, Lead Nurse for Acutely Ill Patients and Miya, South Tees Hospitals NHS Foundation Trust

December 3, 2025 | Miya Precision, NHS, Patient Flow, Patientrack

This article originally featured in FutureScot

magazine.

Across Scotland, health boards are under pressure to improve patient flow, reduce delays, and extend safe, high-quality care into communities. Emergency Departments are crowded, beds are scarce, and delayed discharges continue to strain capacity. Meanwhile, national strategies are clear: delivering on Hospital at Home, virtual wards, and integrated care models requires digital platforms that connect teams, settings, and information seamlessly.

Alcidion’s Miya Precision platform has been designed for exactly this challenge. Miya Precision is a modular platform designed to work with existing solutions, taking advantage of investments, minimising the change impact on clinicians and releasing data ready for the adoption of modern solutions such as AI. Rather than forcing wholesale system change, this approach accelerates flow across acute, community, and virtual settings, delivering measurable impact fast.

Real Results in Emergency Departments

Emergency Departments are where flow pressures are most acute. Miya Emergency, part of the Miya Precision platform, gives clinicians and operational teams a live, shared view of every patient journey, from triage through majors, minors, and resus.

Accessible via desktop and mobile, Miya Emergency supports rapid clinical decision-making, improves safety at handover, and provides operational teams with real-time intelligence to manage demand and capacity. By surfacing the right information at the right time, Miya Emergency helps reduce breaches, improve patient experience, and create smoother transitions to inpatient care.

Hospital-Wide Flow and Operational Insight

Once patients are admitted, Miya Flow provides digitisation of workflows including bed allocation, task management, referrals and results management, and hospital-wide visibility of patient movement, discharge planning, and capacity management. Predictive discharge dates, escalation alerts, and live bed-state dashboards enable site teams to identify bottlenecks early and take action.

This operational intelligence is critical for Boards seeking to optimise use of limited capacity and reduce Length of Stay. By aligning clinical and operational teams around a single, shared view of flow, Miya Flow helps drive system efficiency and patient safety in tandem.

Enabling Virtual Wards and Hospital at Home

Scotland is leading the way in scaling Hospital at Home and virtual ward models, extending safe, high-quality care into communities. The Miya Precision platform supports this ambition by integrating acute and community teams on a single digital foundation.

Our patient app (Miya Care) integrates seamlessly with Bluetooth devices and connects in real time with the Miya Precision platform. Through mobile tasking, surveys, alerts, and shared data, virtual ward teams can monitor patients remotely, respond quickly to deterioration, and avoid unnecessary readmissions. This connected approach supports earlier discharge, frees acute capacity, and delivers care in the most appropriate setting — a central aim of Scotland’s health and care reform.

Patientrack: Proven Safety That Underpins Flow

Patientrack, now part of Alcidion’s Miya Precision platform and already deployed across several NHS Scotland Boards, digitises vital signs and early warning scores. By supporting early escalation of deterioration, Patientrack helps avoid preventable transfers and delays, ensuring patients receive timely interventions and remain in the right setting for their care.

Why Boards Choose Miya Precision

• Modular and Flexible – Start with ED, Flow or Patientrack modules and expand at your own pace.

• Interoperable – Built on open standards, integrating seamlessly with TrakCare, SCI Store, and national shared care records.

• Clinically Led – Designed to make information work for clinicians, not the other way around.

• Fast, Measurable Impact – Rapid deployments deliver tangible operational and clinical benefits within months.

Alcidion is working with NHS Boards across the UK and Ireland to deliver safer, smarter patient flow. Whether you’re looking to optimise your Emergency Department, improve discharge planning, or scale Hospital at Home, our platform can help. **Contact us today

December 3, 2025 | Miya Precision, NHS, Patient Flow

On this page

November 27, 2025 | Miya Emergency, Miya Precision

This article originally featured in Digital Health

, Government & Public Sector Journal,

and Health Tech World.

• University Hospital Southampton NHS Foundation Trust (UHS) has deployed Alcidion’s Miya Emergency across Southampton General Hospital

• The solution digitises emergency department processes, integrating disparate patient data and providing visibility of patient status and A&E activity

• The ED experienced peak activity in the first week of operations, managing more than 200 patients concurrently in the system.

University Hospital Southampton NHS Foundation Trust (UHS) has deployed Alcidion’s Miya Emergency across its largest site, Southampton General Hospital.

The solution, which went live on 8 October, digitises emergency department processes, integrating disparate patient data and providing visibility of patient status and A&E activity.

It is integrated with several existing clinical systems, meaning it can expose data from various systems in a single interface, providing clinicians with a consolidated view of patient information without needing to log into and navigate between multiple applications.

Paul Deffley, UK managing director for Alcidion, said: “We are incredibly proud of the good work done by many people to provide the highest standard of care at UHS.

“The A&E is often one of the most scrutinised parts of the hospital and we applaud them for a seamless transition to digital with Miya Emergency.

“It is especially exciting to see multiple trusts in the same integrated care system successfully running on Miya Precision – this is how we really begin to unlock powerful value for patients across regions and support integrated, longitudinal care.”

UHS elected to implement Miya Emergency to deliver real time department-wide visibility of patient movements, integration with key source systems and a clear clinical overview of patient acuity ad prioritisation.

Shortly after the launch, UHS teams quickly transitioned to the new ways of working, creating more than 5000 digital documents a day. This was possible as the clinical teams were able to co-design the digital forms to meet their needs, simplifying the transition from paper processes to digital forms.

The emergency department experienced peak activity in the first week of operations, managing more than 200 patients concurrently in the system.

Feedback from clinical staff highlighted the importance of the access to information and visibility of patient movements that Miya Emergency provided in helping to manage these volumes.

Jason Teoh, chief information officer at UHS, said: “The new IT system, Miya ED from Alcidion, replaced a legacy system that had been in use in the hospital’s Emergency Department for many years.

“This implementation was a result of intense collaboration between members of an extended project management group, working together as one.

“Our project management group involved representatives from departments from across the trust, including clinical, digital, training, operations and communications working closely with Alcidion, the technology partner.”

Complementing Miya Emergency, UHS have access to operational views with Miya Command, which provides a data visualisation across the emergency department, allowing leadership and operational teams to quickly identify and address access blocks as they develop.

The go-live follows a similar deployment at neighbouring trust

 Hampshire Hospitals NHS Foundation Trust, which went live with Miya Emergency in summer 2024 at Andover War Memorial, Basingstoke and North Hampshire and Royal Hampshire County Hospitals.

November 24, 2025 | Clinical Workflow, Miya Precision

_This article originally featured in the Health Informatics New Zealand Digital Health Connect Magazine, 2025.

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In emergency departments and acute wards across New Zealand, clinicians face a familiar frustration: critical patient information exists somewhere in the system, but accessing it requires navigating multiple applications, making phone calls, or waiting for manual processes to complete.

This fragmentation doesn’t just waste time; it increases clinical risk. Delayed or incomplete information contributes to missed diagnoses, duplication of investigations, medication errors, and delayed escalation of care. In acute settings, where deterioration can be rapid, these gaps can have serious consequences for patient outcomes and clinicians’ confidence, it compromises clinical decision-making at the precise moments when comprehensive information matters most.

Many New Zealand healthcare providers have acquired point solutions over time – excellent applications for specific purposes, however often not designed to work together. The result is a mixed analogue and digital landscape that mirrors the physical filing cabinets of decades past: information siloed by department, system and setting.

The platform paradigm: orchestration, not replacement

Clinical excellence is supported by reducing cognitive load for frontline staff. When clinicians must mentally stitch together patient stories from multiple sources, the risk of error rises and burnout accelerates. A platform approach reduces this burden by presenting relevant, contextualised information at the point of care. This supports decision making without forcing clinicians to act as data integrators.

Traditional approaches to this challenge have typically involved either living with fragmentation or pursuing wholesale system replacement with costly monolithic EMRs. Platform thinking offers a fundamentally different path.

In this context, we refer to platforms as standards-based systems that operate as an orchestration layer, enabling diverse applications to work together. Rather than replacing existing systems, a platform becomes the conductor of an orchestra, ensuring that individual instruments – no matter their origin – play in harmony to support clinical care. Solutions like Miya Precision exemplify this orchestration approach, designed specifically for the kind of complexity we see in New Zealand’s healthcare environment.

When a patient arrives in ED, an aggregated and comprehensive patient record is available via the platform, with the patient’s information brought together from hospital systems, primary care records, pathology results, imaging reports, and community services, presenting it through a unified interface to their attending clinician.

Leading health data platforms don’t just display information – they actively support clinical decision making:

• Contextual Intelligence: Rather than overwhelming clinicians with every piece of available data, platforms surface information relevant to the current clinical situation.

• Proactive Intervention: By continuously analysing patient data against clinical pathways and risk factors, platforms alert teams to deteriorating patients before crisis points.

• Care coordination: Platforms break down information barriers so when patients move between departments, their complete care journey flows with them.

• Evidence-based practice: Integrated data enables clinical decision support that accounts for the full complexity of patient circumstances, not just isolated data points.

From operational visibility to clinical intelligence

Many healthcare organisations have implemented systems that provide operational visibility – dashboards showing bed status, patient locations, and workflow queues. Platform approaches build upon this foundation but extend significantly beyond it. The distinction lies in how deeply the platform integrates with clinical workflows and how actively it supports clinical decision-making.

Consider the difference between an operational dashboard that shows a patient has been in ED for four hours, and a platform that shows that information plus pending troponin results, requested cardiology consultation, relevant previous ECGs, and medications suggesting cardiovascular history. The difference can be life saving, and supports clinicians to consider the best care pathways from all available information. Evolving from passive display to active clinical support; this represents the true value of platforms in acute care.

Building longitudinal records without monolithic systems

For rural and remote communities, fragmented information systems compound inequities in access and continuity of care. A platform approach supports equitable clinical decision making by ensuring that critical patient information is available wherever care is delivered – from urban emergency departments to rural hospital and community settings. This helps clinicians make safer and more informed decision regardless of location.

A platform approach enables longitudinal health records spanning care settings and time – transformative in New Zealand where patients receive care from multiple organisations.

A platform can aggregate information from every touch point (previous admissions, GP encounters, specialist consultations, community services), creating a comprehensive view of the patient’s health journey. Rather than treating each acute presentation as isolated, clinicians can identify patterns suggesting underlying issues or medication non-adherence.

Importantly, platforms achieve this without requiring every organisation to use the same systems. Through standards-based interoperability – FHIR and SNOMED CT – platforms consume and harmonise data from diverse sources. The Miya Precision platform demonstrates how this interoperability can work in practice, connecting disparate systems whilst respecting existing technology investments.

“When clinicians must mentally stitch together patient stories from multiple sources, the risk of error rises and burnout accelerates.”

Practical implementation in resource-constrained environments

Taking a platform approach to digitising clinical workflow isn’t just theoretically appealing – it’s practically achievable even in resource-constrained environments.

Because platforms work with existing systems rather than replacing them, they reduce the disruption and the cost when compared with wholesale change. Solutions like Miya Precision have been deployed successfully in this fashion, proving that transformation doesn’t require wholesale system replacement.

Looking forward: platforms as enablers of continuous improvement

As medical knowledge evolves, platforms can incorporate innovations without foundational restructuring. New clinical decision support algorithms and data sources integrate into the existing ecosystem. As AI matures, platforms provide the data infrastructure necessary for safe deployment.

Platforms also provide the data backbone for clinical governance. By capturing structured, longitudinal information, they enable audit, quality improvement, and learning health system initiatives.

Recent New Zealand developments in AI-assisted clinical documentation demonstrate growing appetite for such tools, but their effectiveness depends on comprehensive, well-structured clinical data – precisely what platforms enable. Organisations building on platform foundations invest in flexibility, ensuring new tools can be implemented thoughtfully and their impact measured rigorously.

Platform thinking in practice

For New Zealand healthcare organisations grappling with fragmented systems and limited resources, the Miya Precision platform offers a practical path forward. By connecting disparate systems, surfacing relevant intelligence and supporting end-to-end workflows, it transforms point solutions into integrated clinical ecosystems.

This shift represents more than technical evolution – it’s a strategic reorientation that puts clinical needs at the centre, building digital infrastructure that serves those needs flexibly and sustainably. The question for New Zealand healthcare leaders isn’t whether to embrace platform thinking, but how quickly to begin.

_Visit the Alcidion team at HiNZ Digital Health Week, Booth 71 to learn more – or get in touch here.

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