Can my patient go home sooner?

Clinical decision support, from diagnosis to discharge, in your back pocket.

The workflow

Take the History (Hx) and make the call.

Care can continue beyond hospital walls, at home.

01
Diagnose
Validated risk scores
02
Stratify
SDEC / H@H eligibility
03
Flag
Red flags & senior review
04
Document
Referral & discharge text
05
Safety-net
Patient advice
06
Audit
Anonymous logs
Built for the bedside

Made for the clinicians who carry the decision.

From the ward round to the front door: risk scores, eligibility and the words for the referral, right where the decision happens. In your back pocket, on the device you already carry.

The difference

How we're different from other healthcare apps.

Guideline apps
View the document
  • Show the guideline
  • No risk-score calculators
  • No eligibility logic
  • No referral or discharge text
  • No audit trail
EPR pathways
Static order sets
  • Sit inside the EPR
  • Locked to one Trust
  • No portability for rotating staff
  • No social or transport prompts
  • Audit by EPR analyst only
AI scribes
Generate notes after the call
  • Capture the conversation
  • Only after the decision
  • No pathway logic
  • No senior-review prompts
  • No referral routing
HxSurg
Diagnosis to discharge
  • Risk scores at point of decision
  • Active eligibility & exclusion logic
  • Social, transport & home checks
  • Editable referral & discharge text
  • Anonymous audit: who, why, why not
Value for money

A few extra referrals. Major savings for every Trust.

Just 10 additional appropriate H@H referrals per month could save a Trust £216,000 per year.

£216,000
estimated annual saving per Trust
from just 10 additional appropriate H@H referrals per month
£216,000
Trust-level saving, per year
from 10 additional appropriate H@H referrals per month
£100m
Potential national opportunity from appropriate ambulatory / SDEC general surgery care
based on GIRFT’s case for expanding same-day emergency care and ambulatory pathways in general surgery
~£133 H@H bed-day
vs
~£600 Acute bed-day

Every appropriate patient managed safely outside an acute bed releases capacity and reduces cost.

See calculation assumptions
  • H@H / virtual ward bed-day: approximately £133 per day
  • Acute hospital bed-day: approximately £600 per day
  • Acute bed cost is therefore around 4–5× higher than H@H
  • Estimated net saving per bed-day shifted from hospital to H@H: approximately £450
  • 10 additional referrals per month × 4 avoided acute bed-days × 12 months = 480 acute bed-days released per year
  • 480 bed-days × £450 net saving per bed-day = £216,000 estimated saving per Trust per year

Illustrative. National figure based on GIRFT General Surgery guidance on same-day emergency care and ambulatory pathways.

Our partners

Built together with the NHS.

Royal United Hospitals Bath is our first pilot site. Strategic partner with Flexicare, domiciliary care providers. Supported by Health Innovation West of England.

First pilotRoyal United Hospitals Bath NHS Foundation Trust
Strategic partnerFlexicare, domiciliary care providersDomiciliary care
InnovationHealth Innovation West of England
2026 FinalistHSJ Partnership Awards 2026 FinalistHSJ Partnership Awards, Finalist
Built byJJB Innovations
What's next

Coming to a hospital near you.

  1. 2026 H1 · Now

    First pilot at RUH Bath

    Pancreatitis, diverticulitis, post-op robotic colorectal.

  2. 2026 H2

    Scale across general surgery

    Pathway expansion, configurable per Trust.

  3. 2027

    Expand to other acute specialties

    Acute medicine, cardiology, gynaecology, urology.

  4. Beyond

    From rules to learning

    Anonymised decision data supporting smarter eligibility; clinician always in the loop.

Work with us

We want to hear from you.

Whether you've used Hospital at Home, wish you could, or want to help shape the next pathway.

Pilot interest list

Bring HxSurg to your Trust.

Two minutes. We'll be in touch within 48 hours.