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.


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.



Liverpool University Hospitals NHS Foundation Trust
Paper-Free Health Record programme featuring automated capture and classification of clinical documentation

Essex Partnership University NHS Foundation Trust
Mental health digital transformation with 3,000+ monthly care forms and better outcomes via streamlined workflows.

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

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

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






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.

Identify Priorities
Clinical and operational challenges

Integration Pathways
Data readiness assessment process

Governance Framework
Commercial and compliance structure






















