Not a bolt-on and not a third-party integration — CliniManage is the record. Every note, result, prescription, vital, vaccine, consent and referral lives on one append-only, audit-trailed patient spine, coded at entry, and exportable to any other system. The same platform that proves your CQC compliance now holds the clinical record it's proving.
Built to the medico-legal standard from day one: entries are versioned and never overwritten, amendments demand a reason and keep the original visible forever, and every view is logged — not just every write. The access log is hash-chained (ISO 27789), so "who looked at this record, and when" is always answerable and provably un-tampered.
Amend with a mandatory reason; the prior version stays. "Entered in error" flags a record without removing it. The clinical history is the record.
Every create, amend, release and read is a hash-chained event. One click verifies the whole chain and reports the first break if anyone touched it.
Notes carry SNOMED concepts alongside the narrative — coded for analytics and interoperability, never instead of the clinician's words.
Problems, allergies, medications and vitals sit above the notes so a clinician opening the record sees what matters first — and the safety checks run automatically.
SNOMED-coded active/resolved conditions with onset and significance. The clinical-summary backbone, sorted active-first.
Substance, severity and reaction, append-with-status. Drives the prescribing safety screen — never silently deleted.
What we prescribed plus GP/hospital/self meds. The whole regimen feeds the interaction check — not just our scripts.
BP, HR, SpO₂, temperature, weight with auto-BMI, banded against reference ranges with trends. Indicative, never a diagnosis.
Can't-miss banner alerts — adult/child safeguarding, risk-to-staff, vulnerable adult, DNACPR — colour-graded and audited.
Schedule 2/3 controlled drugs are hard-routed to paper FP10PCD; everything else issues electronically with an advanced e-signature and transmits to a dispensing partner (SignatureRx / CloudRx).
Every script is screened against the patient's allergies and whole medication list. A documented severe allergy hard-stops the issue until a prescriber records an override reason.
Vaccines, B12, weight-loss injections — with route, site and batch number. One call traces a batch to every patient who received it for a recall.
Compose, e-sign, and send by GP Connect, secure link or print — every disclosure audited. Letters are versioned clinical records too.
Drafted → sent → accepted → completed, including the statutory two-week-wait pathway. The in-flight list is the safety net so nothing is forgotten.
Structured procedure/photography/data-sharing consent — capacity and risks enforced for procedures, withdrawable any time, never erased.
Native booking engine (no Setmore) with self-booking, reschedule, reminders, recalls and a per-clinician diary — patient-facing under your clinic's brand.
No-password magic-link access to appointments, released results, current medications, recorded allergies and upcoming screening — plus carer proxy access, scoped and revocable.
Take payment in the record (Stripe and others), then VAT-aware invoices, receipts and credit notes — clinical care exempt by default.
Consultant and facility claims, pre-authorisation tracking, remittance reconciliation, and automatic patient invoicing of any shortfall.
A subject-access request is a single click — the complete record plus the access log — and the same data exports as a FHIR R4 bundle (Patient, Condition, AllergyIntolerance, MedicationStatement, Observation, DocumentReference) any other system can read. Role-based access, retention scheduling and the tamper-evident audit chain come as standard.
CliniManage's EHR is deployed under a clinical-safety and data-protection governance process (DCB0129/0160, DPIA). New deployments run as a validated draft until that sign-off completes.