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Outcome-Driven Digital Change

Fortrus partners with organisations operating in regulated, high-accountability environments to modernise operations, reduce risk, and deliver measurable outcomes. We design flexible, modular digital environments that improve decision-making, strengthen critical workflows, and support long-term operational performance across complex systems, assets, and service delivery models.

Our approach balances innovation with control, compliance, and delivery confidence. By combining user-centred design, intelligent automation, and implementation methods, Fortrus helps organisations move faster without disruption, building resilient digital foundations that scale, adapt to change, and deliver sustained value across large-scale, mission-critical operations.

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The Agyle Platform Ecosystem

A continually expanding suite of integrated solutions, designed to deliver true, end-to-end digital transformation across your organisation.

Learn more about our Agyle platform

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A Practical, Outcomes-Led Blueprint for Digital Enablement

Our Digital Transformation Blueprint lays out a clear, practical roadmap for digitising healthcare organisations — not as an abstract strategy, but as a structured, step-by-step guide to modernisation. It provides clear direction at each stage of change, ensuring digital initiatives are grounded in real clinical and operational needs and deliver measurable, sustainable results.

 

Embedded within the Agyle platform, the blueprint guides leaders and frontline teams through every phase of change, from early readiness and prioritisation through implementation, adoption, optimisation, and continuous improvement. It aligns technology, people, and processes around shared clinical and operational goals, supports confident decision-making, and enables organisations to achieve measurable gains in efficiency, patient care quality, and operational resilience over time.

Like respected national models that support peer-to-peer learning and the spread of good practice, our blueprint captures not just what to do, but how to do it in a way that’s scalable and tailored to local reality. It’s grounded in real-world clinical and operational experience — developed in collaboration with leading NHS Trusts and seasoned operational leaders — and designed to be practical, adoptable, and relevant to day-to-day healthcare delivery rather than theoretical.

 

Every stage of the blueprint reflects how digital enablement must think holistically: from leadership and culture, through clinical and staff engagement, to workflow redesign and technology adoption — so digital change delivers tangible, lasting value both at service level and across the wider organisation.

Our 4D-UXD Process

All Fortrus solutions are developed using our UXD (User Experience Design) 4D process, which actively involves users throughout the design and development journey. This approach ensures continual enhancement and innovation, with new releases delivered at least annually and fully aligned with each client’s change management processes and implementation timelines.

Discover

Behaviour-led design research via workshops

Design

Rapid prototyping stakeholder review sessions

Develop

Building solutions using our Agyle platform

Deploy

Testing, go live, maintenance and support

Fortrus AI – Intelligence That Matters

Fortrus AI delivers actionable intelligence that transforms the way healthcare operates. Our advanced AI capabilities are seamlessly embedded within the Agyle platform, empowering clinicians with real-time insights, automating complex workflows, and enabling predictive analytics that enhance both patient outcomes and operational efficiency.

 

Developed in collaboration with leading academic and NHS partners, including Oxford University, Fortrus (Factual, Value-Oriented Modelling) is a data-science initiative grounded in real-world clinical and operational challenges rather than abstract research, ensuring every innovation delivers measurable value at the point of care.

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Learn more about our AI capabilities

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Liverpool University Hospitals NHS Foundation Trust

Paper-Free Health Record programme featuring automated capture and classification of clinical documentation

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Essex Partnership University NHS Foundation Trust

Mental health digital transformation with 3,000+ monthly care forms and better outcomes via streamlined workflows.

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St George's University Hospitals NHS Foundation Trust

Enterprise EDM and case-note digitisation with secure mobile access for clinical staff across all departments, ensuring faster, safer information flow

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Nottingham  University Hospitals NHS Trust

Enterprise Digital Health Record managed service with migration and digitisation of over 1.5 million patient records, delivering seamless access and continuity of care

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NHS Dorset Integrated Care System (ICS)

Emergency Department digital transformation with AI-powered patient flow optimisation and real-time clinical decision support systems deployed in University Hospitals Dorset NHS Foundation Trust covering three hospitals and Dorset County Hospital. Our solution is the only region-wide ED system in the UK

Our solutions are trusted by some of the largest healthcare organisations in the world, delivering measurable improvements in efficiency, patient care, and operational performance.

Benefits That Transform Healthcare

30

30 Day Discovery Sprint

Rapid assessment of priorities and integration pathways

55K

Maternity Records

Used to validate our AI predictive models

3.5bn

Patient Documents

Across NHS organisations nationwide

Lower Risk

Outcome-focused delivery with proven methods

Clinician-Centred

Built with frontline users for real-world workflows

Faster Time-to-Value

Modular approach avoids rip-and-replace disruption

Future-Proof

Open standards, FHIR APIs, and AI-readiness

Proven Savings

Reduced storage, retrieval, and admin overheads

Secure & Compliant

NHS IG, Cyber Essentials, ISO-certified

Our Trusted Technology Partners

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Who We Are

Fortrus delivers outcome-focused digital transformation for the NHS and wider public sector. With deep clinical and operational experience, we design and implement modular, interoperable systems that fit real-world workflows and reduce day-to-day strain on staff.

 

Our cloud-ready Agyle platform and managed services help organisations modernise legacy estates, digitise records, deploy modular EPR and AI solutions, and achieve measurable improvements—without the disruption or cost of traditional rip-and-replace approaches. We bring together world-class engineering and pragmatic delivery to enable organisations to evolve at their own pace.

Founded 2005

For almost two decades, we’ve been a trusted partner to NHS Trusts and public-sector organisations across the UK, supporting them with dependable, innovative solutions and driving sustainable, measurable, long-term digital improvement.

Outcomes-Led Approach

We focus on delivering measurable results: greater efficiency, reduced reliance on paper, faster access to clinical information, improved patient experiences, enhanced staff satisfaction, and clear, demonstrable financial savings that make a meaningful difference to day-to-day operations.

User-Centred Design

We co-design every workflow with frontline teams to ensure intuitive, efficient experiences.

Modular & Interoperable

Our technology adapts to your systems, lowering risk and increasing flexibility.

Outcome-Focused

Every programme is measured against real clinical and operational improvement.

Let's Plan Your Next 30 Days

We start every engagement with a 30-day Discovery Sprint to identify priority clinical or operational challenges, integration pathways and data readiness, and commercial and governance frameworks.

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Identify Priorities

Clinical and operational challenges

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Integration Pathways

Data readiness assessment process

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Governance Framework

Commercial and compliance structure

Start Your Transformation

Tell us about your priorities and what you’re trying to achieve. We’ll help identify the most appropriate next step and get back to you shortly.

Which area best reflects your current priority?
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