Built in general practice, for general practice ยท Easter Ross, Scotland

A practice that keeps getting better โ€” run by everyone in it

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.

๐Ÿฉบ Practice health6.9 avg of 33 rated areas ยท example data
๐Ÿšช

Reception & care navigation

Front of house
โ˜… Team health score6.4

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.

Listenโ†’Detectโ†’Prioritiseโ†’Improveโ†’Measureโ†’Embedโ†’Monitor โ€” the improvement loop the whole Hub is built around
โœจ New in September 2026

Care navigation on every pathway, the duty traffic light, practice health over time, replies on ideas โ€” and quality improvement with no approval step.

๐Ÿ—บ๏ธ The Living Practice Map new

See the whole practice breathe

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.

QI โ€” Living Practice Map โ€” Health lens, Reception selected
The Living Practice Map with the Health lens on and Reception selected, showing its team health score, sub-areas and how it works

Tap a node: its team score, the areas behind it, how it works, the objective measures โ€” and every idea and project already attached.

๐Ÿฉบ Practice health over time6.9vs 30 days ago โ–ฒ 0.4 ยท since May โ–ฒ 1.3 ยท example

Tap the score on the map or the QI dashboard for this graph. One point a day, aggregates only โ€” never who rated what.

๐Ÿ”Five lenses. Patient journey, Health, QI projects, Suggestions, External partners โ€” and โœจ Ideal, which shows the practice as it would look with everything green, so the target is something you can see.
๐Ÿ“ˆHealth over time. Every day the whole-practice score is remembered. Tap the number and watch four months of change; overlay any single area to see whether the work is landing.
๐Ÿ’ฌSay why, not just a number. Optional comments with every score โ€” private by default and read only by Ernie, or shared with the team if you choose.
๐ŸงญThe map is a front door. Select Mental health and every mental-health pathway in the hub is one tap away; select Reception and its ideas, projects and scripts are right there.
๐Ÿค–Ernie's insights. Once enough of the team have rated, Ernie turns scores and comments into anonymised themes and the three things most worth doing next โ€” each one tap from becoming a project.
๐ŸŽฏ Quality improvement, minus the permission slip

Anyone can start a project. Nobody has to approve it.

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.

QI projects โ€” leaderboard, dashboard, milestones
QI projects view: improvement leaderboard, dashboard with practice health, milestones, the describe-a-problem button and an active project

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

A project Ernie drafted
A QI project with aim, measures, Gantt timeline and dated steps

Aim, measures, Gantt timeline and dated steps โ€” drafted from one spoken sentence.

๐ŸŽคSay the problem, get the project. โ€œReception keep getting urine samples handed in and nobody knows why.โ€ Ernie drafts the aim, outcome measures with targets, and dated PDSA-style steps that begin with measuring the baseline. You edit every word, then it's live.
๐Ÿ†The improvement leaderboard. 5 points for a completed project, 3 for leading or helping, 1 for an idea. Small, public, and surprisingly motivating.
๐Ÿ“ˆRun charts prove it worked โ€” a number a week draws the chart, markers show when each change landed, and a ๐ŸŽ‰ when the target is hit. Automatic 1, 3, 6 and 12-month check-ins make sure it stuck; if it slipped, the project reopens itself.
๐Ÿ–จ๏ธOne-tap reports โ€” a finished project becomes a formatted QI report with charts: appraisal evidence, CQC evidence, done.
๐ŸคMeetings run themselves โ€” Ernie drafts the agenda from overdue actions, new suggestions and struggling areas, then turns dictated notes into minutes, decisions and owned actions.
๐Ÿ™Œ How to get involved

Three things, ten minutes, this week

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.

1

Rate what you know

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.

โฑ 3 minutes ยท QI โ†’ Map
2

Say something โ€” or reply

Drop 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 ๐Ÿ•ถ๏ธ anonymous โ€” your choice each time.

โฑ 2 minutes ยท QI โ†’ Suggestions, or the map's Ideas tab
3

Start one thing

Pick the idea that bugs you most and tap โšก. It's a live project with you as lead. Ask two people to help. Measure one number a week. That's QI.

โฑ 5 minutes ยท QI โ†’ Projects, or ๐ŸŽค tell Ernie
QI โ€” suggestions, reactions, comments and replies
The suggestion box with reactions, comments and replies
The suggestion box on a phone
๐Ÿ† Improvement leaderboard ยท example
๐Ÿฅ‡Morag2 completed ยท 1 leading13 pts
๐ŸฅˆDr Fraser1 completed ยท 2 helping7 pts
๐Ÿฅ‰Kirsty1 leading ยท 3 ideas6 pts
๐Ÿ…Anonymous ideas11 this quarterโ€”
5 pts completed ยท 3 leading or helping ยท 1 idea. Anonymous posts count for the practice, not the person.
๐Ÿ””You'll be asked, not told. Allocated to a project? A quiet prompt on your home screen; accept or decline.
๐Ÿ“ฑIt's on your phone. Installable like an app โ€” the same Hub, the same map, the same one-tap โ€œstart a projectโ€, in the car park or on the sofa.
๐ŸŽ‰Confetti is mandatory. Completing a project, hitting a target, finishing the tour โ€” the Hub celebrates, because improvement should feel satisfying.

On a phone, swipe โ†’

Home on a phone: search, the quarterly pulse, the duty traffic light
A pathway on a phone: red flags, ask, what to do
The care-navigation card on a phone
๐Ÿ” One search ยท ๐Ÿ“‹ Protocols people actually follow

Type it the way a patient says it

โ€œWater infectionโ€, โ€œfunny turnโ€, โ€œcan'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.

hub.generalpractice.ai โ€” home
Practice Hub home: universal search, the quarterly pulse prompt and the duty traffic light
Practice Hub home on a phone: search, the quarterly pulse, the duty traffic light set to amber
Protocols & policies
Interactive protocols, practice policies and how-to guides

Tap-through protocols that branch on each answer โ€” with warnings where safety matters.

๐Ÿค–Describe a protocol or a pathway out loud โ€” Ernie turns it into a step-by-step flowchart or a full pathway for a clinician to review, approve and keep editing.
๐ŸฉธBlood results, handled. Ninety-odd message templates and Docman-style result pathways, interlinked, so โ€œwhat do I send for a borderline ferritin?โ€ has one answer.
๐Ÿ› ๏ธPractice-made and editable โ€” every item can be edited in the app; changes sync to every screen instantly.
๐Ÿค– Meet Ernie

An assistant that only knows your practice

Ask โ€œwhat 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.

Ernie โ€” the practice assistant
Ernie chat panel with suggested questions
Bulletin board โ€” tell exactly the right people
Bulletin board with audience picker chips

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.

โœ๏ธErnie drafts, humans decide โ€” projects, protocols, pathways, agendas and minutes are always drafts a person reviews and approves.
๐Ÿ›ก๏ธGuard-railed โ€” no patient-specific advice, reminders never to include patient details, and a practice-wide daily AI allowance so costs can't run away.
โ€ฆand the rest of the working day

Everything else in the same calm place

๐Ÿ“ฎ

Referral routes

Fourteen referral routes with indications, how to refer and who to contact.

๐ŸŒฑ

Social prescribing

444 vetted support services โ€” local, Highland, national โ€” linked straight from clinical pathways and the care-navigation cards.

๐Ÿ—ฃ๏ธ

What to say

Twenty call scripts for the hard conversations: totally full, chest pain, angry callers, the anxious caller with no appointment.

โ˜Ž๏ธ

Useful contacts

The numbers the team actually rings โ€” tap to call.

๐Ÿ‘‹

The team

Who's who, with roles, photos and a fun fact โ€” new starters feel at home on day one.

๐Ÿค

Meetings

Agendas drafted from what's actually going on; dictated notes become minutes and owned actions.

๐Ÿ—“๏ธ

Quarterly pulse

Two minutes, four times a year, to keep the map honest โ€” without nagging.

๐Ÿ“ฑ

Works anywhere

Phone, tablet or desktop, light or dark โ€” installable like an app, updated for everyone at once.

๐Ÿ” Built carefully

Boring where it matters

๐Ÿ‡ฌ๐Ÿ‡ง

UK data residency

Data lives in a London-region database. Staff-only sign-in with emailed codes โ€” no passwords to forget or leak.

๐Ÿ•ถ๏ธ

Anonymity by design

Map scores are protected at the database level: only aggregates ever leave it. Private comments are readable by no one โ€” not even managers.

๐Ÿง‘โ€โš–๏ธ

Humans in charge

Ernie suggests; people approve. Clinical content ships as a โœ๏ธ draft until a clinician has reviewed it.

๐Ÿšซ

No patient data

The Hub holds how the practice works โ€” never patient records. Staff are reminded at every AI touchpoint.