Each can be sold independently, to a different buyer, on a different budget. None requires us to displace an EPR first.
The Data (Use and Access) Act 2025 (Royal Assent June 2025) and the SPR 2028 mandate require every ICS to implement DSPA management, opt-out registries, NRL registration and PRSB compliance scoring. This is not optional. Orgs doing it on spreadsheets pay 3 months of manual work per annual cycle.
Graphnet CareCentric holds 20+ ICS contracts and serves ~17M patients — but it is a read-only viewer. Clinicians can see a problem but cannot act on it. commvita adds MDT action menus to every timeline entry: raise a task, make a referral, update a care plan, escalate — without leaving the record.
NHS orgs pay £50k–£500k/year for Mirth Connect, Rhapsody or Iguana middleware to route HL7 and FHIR messages between systems. commvita has a native HL7 v2 engine, FHIR R4, GP Connect, BaRS, NRL and a visual transformation studio — all in one licence with no per-channel fees.
The entry is compliance-first: the lowest-risk, mandate-driven step that requires no competitive displacement and no EPR change. Everything else follows from there.
IG Lead / CIO completes a 15-minute self-assessment. Gets a 5-dimension score, national benchmark, 90-day gap plan and a board-ready PDF.
DSPT evidence pack, DSPA Manager, opt-out registry, NRL registration, PRSB scoring, SPR Readiness Toolkit. No EPR replacement needed.
Add primary & community care, QOF intelligence, connector dashboard (Mirth out), AI embedding. PCN and vertical pack pull-through.
Vertical packs (Maternity, Social Care, Mental Health, US ACO) run in parallel at any step — pulled in by a specific buyer on their own budget line (£25k–£250k/yr each).
Three target conversations that open in weeks, not months. Each has a mandate-driven urgency hook.
| Who | Where they work | Their pain today | Opening line | What to demo | Phase |
|---|---|---|---|---|---|
| IG Lead / SIRO | NHS Trust / ICB | DSPT toolkit is a 3-month manual cycle on spreadsheets. DUA Act opt-out is unclear. DSPA across 8 orgs is a mess. | "We auto-generate your DSPT evidence pack from live data. It takes one click instead of three months." | DSPA Manager → Opt-Out Registry → one-click DSPT export | Now |
| ICS CIO | Integrated Care System | CareCentric contract renewal imminent. SPR 2028 — no plan. Paying £150k+/yr for Mirth Connect on top of it. | "Our free ShCR Maturity Scorecard takes 15 minutes. Most ICS score 'Developing'. We'll show you what that means for your 2028 deadline." | Free ShCR Maturity (score + benchmark PDF) → NRL Connector active → SPR Readiness Toolkit | Now |
| ICS Transformation Director (ConCR) | NHS England ConCR programme | No visibility of which 8 member orgs are SPR-ready. Cannot submit ConCR return. Board reporting is manual narrative. | "We give the ICS a live dashboard of contributing-org readiness — the exact data you need for the ConCR national return." | SPR Readiness Toolkit (Phase gauge) → NRL Connector PRODUCER ACTIVE → ICS Population Analytics | Now |
| PCN Clinical Director / GP Partner | Primary Care Network | QOF gaps cost thousands/year. GP Connect pull is manual. eConsult sits outside the EPR — triage re-keyed by hand. | "When your GP prescribes metformin, commvita surfaces the DM006 QOF gap inline — before they close the consultation." | Prescriptions → QOF inline alert → Smart Cohort NLP "T2DM HbA1c > 75 not reviewed 12m" → 847 patients in seconds | Phase 3 |
| Director of Adult Social Care | Local Authority | NHS and social care records have never talked. Care Act cost cap (live Oct 2025) needs tracking no system provides. | "We bring the NHS discharge summary and medication list into social care on admission — and track the £86k care cap automatically." | Whole Person Record Social Care tab → Care Act Cost Cap register → Direct Payments ledger | Vertical pack |
| Care Home Chain Manager | Care Home Group (HC-One / Barchester type) | No NHS record access on admission. DNACPR not shared with NHS paramedics. CQC Reg 17 evidence is paper. | "Your staff can see a resident's NHS meds, DNACPR and ACP the moment they arrive — and export the CQC Reg 17 evidence pack." | Care Homes Shared Record → DNACPR banner → observation log → CQC evidence tab | Vertical pack |
Graphnet CareCentric is the incumbent in 20+ ICS contracts. It is a read-only viewer. This one comparison closes Phase 2 conversations.
Copy-paste the sequence. Each is a 10–15 minute live walkthrough that ends with a "how do we get started?" conversation.
The timing is not optional. The SPR 2028 mandate creates a procurement wave that has already started.