commvita at a glance — clinical, operational and governance, in three editions
commvita is one connected care platform spanning three domains — the clinical record and care, operational flow and resources, and governance and assurance — packaged as three editions (Community, Governance & Assurance, Population Platform) so an organisation adopts what it needs first. Everything is aimed at the same five outcomes: better health, better access, less inequality, better value, and a better experience for the workforce.
Module-level “live vs demonstrated” detail lives in the themed explainers (system flow, governed AI, elective recovery, long-term conditions, RBAC, interoperability, Community Edition …). This overview shows how the pieces fit and what they are for.
Three domains, one platform
The same person, the same data, three lenses — so a decision in one domain is visible in the others (an incident becomes a risk; a delayed discharge becomes a flow action; a care gap becomes a recall).
Clinical
Whole Person Record, consultations & prescribing, diagnostics & results, long-term-condition and specialty hubs, mental health, community nursing, AHPs, maternity, and the patient portal — a cross-setting record, not a GP-only one.
Operational
commvita Flow & the Health Flow Canvas, OPEL & on-call, EPRR, safe staffing & CHPPD, bank/agency control, beds, theatres, discharge and winter planning — the whole system run as one production line, with closed-loop action.
Governance
The incident-to-board golden thread, BAF & corporate risk, CAPA, board management, register of interests, RBAC & information governance, policy-to-process, commvita Sign, compliance and AI governance — assurance in evidence, on a tamper-evident audit.
| Edition | Primary domain | Starts you with |
|---|---|---|
| 1 · Community Edition | Data, integration & ops | Integration hub, reporting, FDP-parity products, flow & OPEL, bed board, winter — no clinical record |
| 2 · Governance & Assurance | Assurance & command | Golden thread, board, risk, IG, on-call & EPRR, safe staffing, bank & agency |
| 3 · Population Platform | Clinical record + population | The record across primary care, social care, mental health, pharmacy, dentistry, community |
The three editions
Editions are packages of the one platform, sequenced by adoption risk rather than by functionality — not separate products to integrate later. They are additive: each includes the one before it.
| Edition | Domain focus | What it bundles | Note |
|---|---|---|---|
| 1 · Community Edition “own your platform” | Data, integration & operational hub | A data & integration hub (PulseGrid assurance, EPR Hub, HL7/FHIR/GP Connect/NRL connectors), reporting & analytics, the FDP-parity operational products (RTT PTL, cancer pathways, diagnostics DM01, theatres/GIRFT, supply chain, A&E demand) and operational management — commvita Flow and OPEL, bed board, discharge, winter pressures — plus strategic-commissioning analytics and federated secondary-use reporting. Deliberately excludes primary care and the clinical record: it is a hub, not an EPR, and the clinical capability the national data platform does not have is the differentiator. | £1 / instance · optional support |
| 2 · Governance & Assurance “govern your organisation” | Assurance, risk & command | Incident-to-board golden thread, BAF & corporate risk, CAPA & duty of candour, board management, register of interests, IG spine & RBAC, policy-to-process, commvita Sign, compliance & AI governance — with statutory readiness and operational command: On-Call Manager, EPRR & business continuity, major incident, handover clock, and workforce assurance — safe staffing / CHPPD, bank & agency cascade, appraisal & revalidation, training and accreditation. | Sold to boards, not clinicians — no clinical workflow |
| 3 · Population Platform “run your health economy” | Clinical record + population | The clinical record across the whole health economy — primary care, adult social care, mental health, pharmacy, dentistry and other community services — with clinical operations, population segmentation & open phenotypes, allocative value & inequalities (deprivation / CORE20PLUS5), LTC/QOF registers & recall, condition hubs, clinical studies (secure data environment) and federated cohort discovery. Includes governance and assurance in full. | The destination edition |
What’s in — and out — of the Community Edition
The Community Edition is a data & reporting hub with just enough operational management to be ahead of the current FDP / Palantir offer — and it deliberately stops short of care delivery. It is a hub, not a clinical system: no primary care, no clinical record. Those sit in the Population Platform, the third edition, added only when an organisation wants care delivery, not reporting.
| Capability area | Community Edition | Detail |
|---|---|---|
| Integration & data hub | ● In | PulseGrid assurance, EPR Hub, HL7 v2 / FHIR / GP Connect / NRL connectors — bring the data together |
| Reporting & analytics | ● In | Operational & population-level dashboards, data quality, board/commissioner reporting |
| FDP operational products | ● In | RTT PTL, diagnostics DM01, theatres/GIRFT, winter pressures, A&E demand, supply chain |
| Basic operational management | ● In | System-flow / OPEL visibility, bed board, discharge dashboards — the “ops basic” that puts it ahead of FDP |
| Closed-loop actions | ● In — ahead of Palantir | Act on the binding constraint (discharge task, GP notify, transport, TTA), not just display it |
| Federated secondary-use reporting | ● In | Cohort discovery, federated query, OHDSI / OMOP node — aggregate-only, data stays at source |
| Primary care | ◯ Out | GP consultations, prescribing, QOF workflow — not in the hub |
| Clinical record & care delivery | ◯ Out | Whole Person Record, medications, care plans, community nursing, mental health, AHP, maternity |
| Condition-management hubs | ◯ Out | Diabetes / respiratory / cardiac / stroke / MSK / neurology — clinical layer |
| Patient portal & clinical-safety tooling | ◯ Out | Care-delivery and patient-facing surfaces — the Population Platform |
Bringing data to life
commvita's defining choice is to render data as something you can see and act on, not rows in a table. The whole health system becomes a production line; a population becomes a risk pyramid; a waiting list becomes an ageing swarm; a ward becomes a live floor-map. Every visual is drill-through — click the picture and you reach the exact people or events behind it, keyboard-accessible and with the numbers reconciling.
See the system
The Health Flow Canvas, a whole-system Patient Flow Sankey, a live-ward Hospital Digital Twin and a demand-vs-capacity reservoir board — operational pressure made visible and actionable.
See the population
A risk-stratification pyramid and cohort bubble field, a hex-tile inequalities map (CORE20PLUS5), and the RTT ageing beeswarm — who needs proactive care, and where deprivation makes need greatest.
See the governance
A 5×5 risk bubble map with residual→target movement, a maturity radar, a delivery Gantt, and the golden thread from event to board — assurance you can see, drill and evidence.
The visualisation suite spans all three domains — each is a real, drill-through page, not a static chart:
| Visual | What it renders | Domain |
|---|---|---|
| Health Flow Canvas | The whole system as one production line; binding constraint; act-on-flow | Operational |
| Patient Flow Sankey | Weekly patient flow arrivals → front door → discharge, with back-pressure | Operational |
| Hospital Digital Twin | Live ward floor-map; every bed lights by state / acuity / NCTR | Operational |
| Demand vs Capacity Reservoir | Services as tanks filling with demand, draining at capacity, spilling on breach | Operational |
| Population Risk Pyramid | Whole-population segmentation by risk & cost; cohort-to-action | Population |
| Geospatial Inequalities Map | Hex-tile choropleth by IMD / prevalence / care-gap; CORE20PLUS5 drill | Population |
| RTT Waiting Swarm | Every waiter as a dot ageing toward the 18- & 52-week breach lines | Clinical + operational |
| Referral Network Graph | Provider referral relationships; out-of-network leakage | Operational |
| Life-Course Timeline | A person’s cross-setting history in swim-lanes, with source pills | Clinical |
| Governance & Delivery Boards | 5×5 risk bubble map, maturity radar, delivery Gantt | Governance |
| Golden Thread Explorer | Event → theme → systemic issue → risk → board, bidirectional | Governance |
Connected by design
The reason the visuals reconcile is that they are lenses over one record, not separate reports. A single fact travels across the domains:
An event becomes a risk
An incident reported on the ward is triaged, themed with others, promoted to a systemic issue and onto the Board Assurance Framework — each step carrying its evidence links, never re-keyed. The board risk drills all the way back to its constituent events, counts reconciling.
A delayed discharge becomes an action
The Flow Canvas flags Discharge to Assess as the binding constraint; the Closed-Loop Actions tab raises the discharge task, notifies the GP via NRL/GP Connect, books transport and orders TTAs — across acute, community and social care.
A care gap becomes a recall
A cohort surfaced on the risk pyramid or a QOF register becomes a recall, a social-prescribing referral or a CDSS review — targeted by deprivation so prevention lands where need is greatest.
How commvita enhances the five aims
Everything above rolls up to five outcomes the NHS is measured on. The table maps each to the concrete commvita levers and the editions that carry them.
| Aim | How commvita enhances it | Key levers | Editions |
|---|---|---|---|
| ❤️ Health outcomes | Proactive, register-driven care and early detection — preventive nudges, QOF registers & condition hubs, CDSS prompts, NEWS2 / continuous-waveform deterioration ML, and a patient/family urgent-review safety escalation; the golden thread turns incidents into learning. | /ltc /cdss /continuous-rpm /rapid-review | Population Platform |
| 🕖 Access | Right care, sooner — total triage & advice-and-guidance, referral optimisation, RTT/elective recovery, PIFU, the digital front door and a proactive patient portal (book from a nudge), and interpreter services. | /total-triage /referral-optimisation /pifu /portal | Population Platform Community Edition |
| ⚖️ Health inequalities | Target effort where need is greatest — CORE20PLUS5 and IMD-weighted waiting-list ranking, deprivation mapping, inequalities-weighted recall, social prescribing and digital-inclusion support; k≥5-suppressed analytics. | /deprivation-mapping /rtt-swarm /social-prescribing | Population Platform |
| 💰 Value for money | Take cost out without cutting care — closed-loop flow reduces delayed discharge, bank-first cascade controls agency spend, Supply Intelligence auto-reorders, PLICS costing & QIPP, and strategic commissioning allocates resource by population need and value (TCOC, LeftShift shifts); open standards avoid lock-in and the Community Edition is £1 per instance. | /flow /bank-agency /tcoc-dashboard | Community Edition Governance & Assurance |
| 🧵 Workforce experience | Give time back and a voice on a single integrated solution — one login, one consistent experience across every setting, role and device, not a dozen disjointed systems: staff-portal self-service (leave, CPD, signatures), safe staffing & fair rostering, ambient AI to cut documentation burden (e.g. AI-drafted discharge notifications), wellbeing (PERMA+), and a confidential Freedom-to-Speak-Up route. | /staff-portal /safe-staffing /ambient-clinical-ai /ftsu | Governance & Assurance Population Platform |
Go deeper
Each area has its own branded explainer with UI screenshots and honest live-vs-demonstrated tags:
| Explainer | Covers | Domain |
|---|---|---|
| Managing System Flow | Health Flow Canvas, constraint, closed-loop actions | Operational |
| Operational Management | On-Call / OPEL, safe staffing, shift priorities | Operational |
| Elective Recovery & Waiting Well | RTT/PTL, cancer FDS, PIFU, equity lens | Clinical + operational |
| Long-Term Conditions & Prevention | QOF, population health, condition hubs | Clinical + population |
| Risk: Incident to Board (Golden Thread) | Event → theme → risk → BAF | Governance |
| Users, Hierarchy & RBAC | Permission matrix, scope, delegations, audit | Governance |
| Governed AI | ATRS, bias monitoring, impact assessments; governed AI wired to action (e.g. AI-drafted eDN) | Governance |
| Interoperability & Connectors | PulseGrid, EPR Hub, HL7/FHIR, GP Connect, NRL | Cross-cutting |
| Community Edition | Meets & exceeds the NHS Federated Data Platform | Operational + population |
| Staff & Patient Portals | Self-service; beyond PKB; enhances the NHS App | Clinical + workforce |