Clinical pathway automation & AI
Cut referral backlogs. Give clinicians their time back.
Toca Health builds UKCA-marked software for the NHS: referrals triaged in minutes, discharges drafted in seconds, every decision kept with a clinician.
NHS Trusts that have transformed with Toca
WHAT WE BUILD · TWO PRODUCTS, ONE PLATFORM
Built inside the NHS, on the systems Trusts already run.
Two products, both running in NHS Trusts. Working with the systems you already run, including NHS e-RS, EPR and PAS, and keeping a clinician in the loop by design. All underpinned by one powerful healthcare integration platform.
eTriageReferrals & advice
Reads incoming referrals and Advice & Guidance, checks them against your clinical criteria, and routes each one to the right clinic, before the queue forms. Integrated with NHS e-RS.
eTriage in detail →SpectralClinical documents
Discharge letters and clinical documents read, structured and written to the Trust record in seconds, with Consensus Validation, where more than one model checks every extraction and nothing lands without a clinician’s sign-off.
Spectral in detail →One platforme-RS · EPR · PAS
Both products run alongside the systems you already have, in the cloud, on-premise or on sovereign UK infrastructure. No rip-and-replace, one governance pack, one support route.
How we deploy →SECONDARY CARE TRIAGE · REFERRALS & ADVICE ARRIVING BY NHS e-RS
From the GP’s question to your clinic list.
A GP asks for advice through NHS e-RS. A consultant reviews it in eTriage with the patient’s record alongside, and when a clinic is the right answer, one action turns it into an accepted referral. Under five minutes, no round trip back to the GP.
Scroll to follow it
Arrives.
- 09:41:07ArrivesA GP asks for specialist advice through NHS e-RS. It crosses into your Trust and lands in the same eTriage worklist as every referral, one front door, secondary care side.
- 09:41:49OpenedA consultant picks it up. eTriage locks it to them and opens the patient’s record beside the letter and attachments, with every triage action already on the same screen, so there’s no hunting through the EPR.
- 09:45:58ConvertedThe decision stays the consultant’s: return it, ask for more information, assign it, move the specialty, or accept. This one needs a clinic, so Accept converts the A&G into a referral and sets priority, clinic type and appointment in the same action.
- 09:46:03Written everywhereeTriage updates e-RS, the EPR and the document store in the same moment, and clears it from the worklist. Nothing re-keyed.
Start to accepted referral: 4 min 56 s, 4 min 09 s of it clinical reading, 47 s of software · round trips back to the GP: 0 · systems written by one action: 3
Illustrative request, the patient, letter and record are invented; the workflow and the shape of the timings are what eTriage runs in deployment. Convert-to-referral updates NHS e-RS, the EPR and the document store in one action, and removes the item from the worklist.
Figures from Toca deployments in NHS Trusts: referral administration and Advice & Guidance conversion from eTriage, throughput and review rate from Spectral in live use at Royal Berkshire. Stated as “up to” where pathways vary; your specialty mix will move them, and the Trust picker below models yours.
What would eTriage release at your Trust?
Real published waiting-list data for 133 English acute trusts, and a first-pass model of what eTriage answers at the front door. Every assumption starts at your Trust’s own figures and every one of them is yours to change. The full business case takes about twenty minutes with our team.
Today, published RTT position
week 0↑ 18-week standard52+
Modelled, with eTriage at the front door
Show the workings , and the third assumption
—
Waiting-list figures: NHS England RTT incomplete pathways, March 2026, published data, unmodified. The model applies an incremental advice-&-guidance deflection to new referrals, weighted by specialty amenability, nets off the specialist time spent answering, and values what’s left at your Trust’s own cost per first appointment, derived from its published activity rather than a national average. It is a first pass, not a business case: it takes no account of your specialty mix, job planning or clinic templates, which is what the twenty-minute session is for.
CASE STUDY · ROYAL BERKSHIRE NHS FOUNDATION TRUST
Hear it from the Trust, not from us.
Consultant cardiologist Jon Swinburn and Chief Operational Information Officer Jonathan Rees, on deploying eTriage at Royal Berkshire NHS Foundation Trust, filmed on site, in the Trust’s own words.
Certified, audited, accountable.
UKCA · Class I Medical Device
Spectral, the AI engine inside Toca Health, is UKCA-marked as a Class I medical device. Clinical safety is a certification, not a claim.
ISO 42001
AI management systems, among the first teams in the UK to be certified.
ISO 27001
Information security management, audited across the platform.
Human-in-the-loop
No fully automated clinical decisions. Every output is signed off by a clinician.