Referral routes
Fourteen referral routes with indications, how to refer and who to contact.
One calm place for the busy morning: what to tell the patient, what to offer when there's no appointment, the protocol to follow. And a living map of the whole practice that anyone can rate, comment on, and improve โ no permission needed.
The first human contact. Reception listens, signposts safely and routes each patient to the right person first time.
This is live โ drag to pan, tap a node. Switch to Health: dots take the colour and speed of the team they leave โ amber at Reception, red at Appointments.
Care navigation on every pathway, the duty traffic light, practice health over time, replies on ideas โ and quality improvement with no approval step.
The patient walks in on the left and every route they can take unfolds across the map โ reception, appointments, GPs, nurses, tests, referrals, the hospital, the pharmacy, mental health, social services โ with dots flowing along the connections. Thirty-three areas of the practice sit behind the nodes. Everyone scores the ones they know, anonymously, against a written standard. The dots move at the speed of each team's score: emerald and fast where things are healthy, rose and slow where they're stuck.

Tap a node: its team score, the areas behind it, how it works, the objective measures โ and every idea and project already attached.
Tap the score on the map or the QI dashboard for this graph. One point a day, aggregates only โ never who rated what.
We took the approval step out. See something that could be better? Start the project โ from a suggestion, from the map, or by saying the problem out loud and letting Ernie draft the whole thing. You're the lead; ask whoever you like to help. The practice manager can still delete anything that shouldn't be there, but they don't stand between you and getting on with it.

The leaderboard first โ because improvement should be visible and a bit competitive.

Aim, measures, Gantt timeline and dated steps โ drafted from one spoken sentence.
Improvement isn't a committee. It's the receptionist who knows exactly why the Monday phones are bad, the nurse who's been quietly fixing the recall list, the HCA with the idea nobody asked for. The Hub is built so that all of that lands somewhere โ and turns into something.
Open the map, tap the areas you work in, score them out of 10 against the written standard. Anonymous โ no names, no ids. Add a line on why, if you like.
โฑ 3 minutes ยท QI โ MapDrop an idea in the suggestion box, react to someone else's, or reply to a comment. Every post asks whether you want your name on it or ๐ถ๏ธ anonymous โ your choice each time.
โฑ 2 minutes ยท QI โ Suggestions, or the map's Ideas tabPick the idea that bugs you most and tap โก. It's a live project with you as lead. Ask two people to help. Measure one number a week. That's QI.
โฑ 5 minutes ยท QI โ Projects, or ๐ค tell Ernie

On a phone, swipe โ



โWater infectionโ, โfunny turnโ, โcan't sleepโ โ one search box covers 189 pathways, every protocol and policy, referral routes, blood-test messages, 444 support services and the practice phone book. Lay language becomes clinical terms automatically, and red-flag results float to the top. Press / anywhere.



Tap-through protocols that branch on each answer โ with warnings where safety matters.
Ask โwhat do I say when we have no appointments left?โ and Ernie answers from the Hub's own content โ your pathways, your protocols, your agreed way of working โ with links to check the source. If the Hub doesn't cover it, he says so plainly rather than making something up.


Post an update for everyone, just the GPs, or just reception. It sits on those home screens until seen, then gets out of the way.
Fourteen referral routes with indications, how to refer and who to contact.
444 vetted support services โ local, Highland, national โ linked straight from clinical pathways and the care-navigation cards.
Twenty call scripts for the hard conversations: totally full, chest pain, angry callers, the anxious caller with no appointment.
The numbers the team actually rings โ tap to call.
Who's who, with roles, photos and a fun fact โ new starters feel at home on day one.
Agendas drafted from what's actually going on; dictated notes become minutes and owned actions.
Two minutes, four times a year, to keep the map honest โ without nagging.
Phone, tablet or desktop, light or dark โ installable like an app, updated for everyone at once.
Data lives in a London-region database. Staff-only sign-in with emailed codes โ no passwords to forget or leak.
Map scores are protected at the database level: only aggregates ever leave it. Private comments are readable by no one โ not even managers.
Ernie suggests; people approve. Clinical content ships as a โ๏ธ draft until a clinician has reviewed it.
The Hub holds how the practice works โ never patient records. Staff are reminded at every AI touchpoint.