Modern healthcare generates more data than ever.
But the most important moment in medicine still happens in a small room, behind a closed door, with a clock on the wall counting down from ten minutes.
Every diagnosis, every safety decision, every patient outcome begins inside a conversation shaped by uncertainty, time pressure, and human judgement. In practice, those conversations are reduced to brief notes, occasionally sampled for audit, and usually examined only after something has gone wrong.
We think this is backwards and quietly dangerous.
Understanding, Not Documentation
There’s a fundamental difference between documenting what was said and understanding what actually happened.
Documentation tells you that a patient mentioned chest pain. Understanding tells you how that concern emerged, how the clinician’s assessment shifted as new information came to light, and whether safety-critical signals were recognised and acted upon. Documentation is text. Understanding is watching clinical reasoning evolve in real time — and knowing why it changed.
This distinction matters because healthcare doesn’t need more transcripts. It needs systems that can reconstruct consultations as the living clinical processes they really are.
Who We Are
We’re practising NHS clinicians who also build software.
Not technologists who consulted some doctors. Not an AI company that pivoted into healthcare. We’re GPs who work ten-minute clinics, who carry the cognitive load of guidelines and risk, and who know the feeling of leaving a consultation unsure whether you’ve missed something important.
We call ourselves Clinical Engineers because we believe meaningful healthcare innovation only happens when medicine and technology are designed together: not bolted onto each other after the fact.
Our team brings:
- Clinical depth
Founding GPs with experience across A&E, psychiatry, and medical and surgical specialties. Still practising. Still consulting. Still using what we build, every day. - Human insight
One of us is a professional actor with a Masters in Business. That might sound unusual for a healthcare company... until you remember that consultations are performances as much as they are clinical encounters. Empathy, timing, and what’s left unsaid often matter as much as what’s spoken. - Engineering rigour
Guidance from senior industry figures with decades of experience delivering systems at scale. Because healthcare infrastructure has to be reliable under pressure, not just clever in theory.
Together, we design, build, and use our own technology in real clinical practice.
Our Philosophy: Augment, Never Replace
Our name is intentional.
Compassion, intuition, and the ability to read between the lines remain irreducibly human skills. But the overwhelming cognitive burden, the administrative drag, and the expectation of perfect recall across thousands of guidelines are not problems clinicians should be left to manage alone.
We build systems that support clinical judgement without removing it. Advisory, not autonomous. Explainable, not opaque. Because in medicine, a system that can’t explain itself isn’t just unhelpful, it’s unsafe.
Why We’re Starting With Education
Our first product is Praxis: a medical communication skills training platform.
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Praxis allows medical students and trainees to practise consultations with AI-simulated patients in a safe environment. No real patient data. No clinical risk. Just focused practice and meaningful feedback.
But this is the important part: Praxis isn’t a standalone training tool. It’s built on the same consultation-understanding engine that powers everything else we’re developing. The technology that helps a student learn from a simulated consultation is the same technology that can understand a real one.
We’re starting with education because safety has to come before speed. Every clinician remembers a consultation they wish they could replay. Learning should allow for mistakes but not at the expense of real patients.
By the time our technology enters live clinical environments, it will have thousands of hours of validated use behind it. Trust will be earned, not assumed.
There’s much more ahead. We have a clear roadmap for where consultation understanding leads, and its applications extend far beyond training. But we’re taking a deliberate path: building evidence, proving safety, and expanding only when the foundations are solid.
UK Healthcare First
We understand the NHS because we work in it.
We know the pressures, the workflows, and the regulatory reality. Our technology is built for UK primary care, tested in UK practices, and aligned with UK governance from the outset.
Patient data stays in the UK, protected by clinicians who understand their professional obligations to confidentiality and safety. This isn’t something we added later. It’s the starting point.
What Comes Next
This is our first public post, and we wanted to begin by being clear about who we are and why we exist.
We’re building something bigger than a single product. Consultation understanding is infrastructure, and infrastructure enables possibilities we’re only just beginning to explore. If you’re curious about where this leads, we’d love for you to follow along. We’ll be sharing more as we go.
For now, our focus is simple: proving that the best healthcare innovation comes from people who understand the clinical problem and the technical solution at the deepest level.
If we do this well, fewer important moments will be lost to hindsight and more clinicians will feel supported rather than scrutinised.
That’s what we’re building.
