Turn extracted primary care data into clear patient-level worklists and measurable improvement cycles.
DataMedic's Population Health Platform helps GP practices, PCNs and ICBs identify missed diagnoses, overdue monitoring, prevention gaps and patients requiring targeted review — using data extracts from EMIS Web and SystmOne.
Static dashboards show variation, but they often stop short of the real question: which patients need action next?
Patients may meet clinical criteria for conditions such as hypertension, CKD or diabetes without being coded on the correct register.
Patients on long-term condition registers may be missing blood tests, BP checks, annual reviews or other key monitoring.
Patients with modifiable cardiovascular risk may need assessment, treatment optimisation or follow-up.
At-risk patients may be missing vaccinations, screening support or preventive care opportunities.
Aggregated benchmarks show variation, but practices need patient-level cohorts to act consistently.
After improvement work, teams need a clear way to show what changed after the next data refresh.
DataMedic's Population Health Platform acts as the intelligence and measurement layer above existing clinical systems — helping teams identify, prioritise, act and measure improvement over time.
A structured improvement cycle — from extracted data to measurable change.
Analyse structured EMIS Web or SystmOne extracts using SNOMED-led clinical logic.
Group patients into clinically meaningful cohorts: missing diagnosis, overdue monitoring, uncontrolled risk or prevention opportunity.
Export patient-level lists for review, recall, coding checks or outreach using existing practice workflows.
After the next refresh, compare what changed, what improved and what remains outstanding.
The platform is being developed around five initial core modules, focused on the highest-impact areas in NHS primary care. Each module is designed to generate exportable patient-level worklists and support measurable improvement after data refreshes.
Identify patients who may meet criteria for long-term condition registers but are not coded appropriately.
Find patients on registers who are missing key monitoring or annual review components.
Surface patients with modifiable cardiovascular risk where review or treatment optimisation may be appropriate.
Identify patients who may benefit from coding review, monitoring, weight-management support or pathway assessment.
Identify eligible patients with missing vaccination or preventive care activity.
The platform is designed to expand over time. Initial modules focus on the highest-impact areas in primary care, with additional modules released based on clinical priorities and customer feedback.
Modules shown below beyond the core set are part of the planned roadmap and are not yet available.
The Population Health Platform does not replace EMIS Web, SystmOne, AccuRx or local recall processes. It provides the intelligence layer above them — identifying which patients need action and helping teams measure what changes after refreshes.
The platform does not send SMS messages, book appointments, write back to clinical systems or update patient records automatically. It generates patient-level worklists your team can act on using existing workflows.
Discuss How It Fits Your WorkflowData extracts from these systems feed the platform. The platform does not write back to any of them.
The platform is designed to support different tiers of primary care, with value at every level.
Many dashboards show variation. DataMedic helps teams do something about it.
Each insight results in a patient-level cohort list with a suggested action and a measurable outcome after the next data refresh.
See how DataMedic can help your practice, PCN or ICB turn extracted data into patient-level action and measurable improvement.
Designed for the realities of NHS primary care — the systems, coding, clinical logic, and governance.
NHS Primary Care Data Expertise
SNOMED-led Clinical Definitions
EMIS Web & SystmOne Extract Experience
GDPR & NHS Data Security Aligned
UK-Focused Primary Care Analytics
Patient-Level Clinical Insight & Improvement Tracking