Risk Stratification

Securely and easily identify and monitor patients at risk of a number of key outcomes and plan interventions to better manage their care

Monitor, plan and intervene to better manage patient care

Risk Stratification can help to support general practitioners and clinical commissioning groups in the management of patients and cohorts of people in their populations who are at a higher risk of a number of key outcomes. It assesses a patient’s risk of outcomes such as an emergency admission and is designed to be simple to use but flexible enough to allow practices to quickly hone in on patients of interest.

Users can view a patient timeline to understand the history of the patient’s interactions with primary and secondary care and how their risk has changed over time. The tool can be used both for population planning purposes and identifying which patients could be offered a range of tailored interventions and support.

Our Risk Stratification tool methodology is based on a large dataset of up-to-date patient records enabling a greater level of accuracy in the risk scores assigned to each patient. We are able to create the model for any geography ensuring this is tailored to the user’s specific demographic profile.

Risk stratification also includes the electronic frailty index (eFI) to score older patients’ risk of adverse outcomes based on 36 clinical signs, symptoms, diseases and disabilities. This enables treatments and services to be targeted to a person based on their frailty status rather than their chronological age. The index was developed in collaboration between a number of universities including the University of Leeds and other healthcare organisations. This meets the criteria for practices’ contractual obligation to record and review severely frail patients under the 2017/18 GP contract.

Easily identify high-risk patients

Easily identify patients at risk of a number of key outcomes.

More benefits

View patient timelines

View a timeline of a patient's history including contact with primary and secondary care and their risk score over time.

More features
  • Easily identify high-risk patients

    Easily identify patients at risk of a number of key outcomes including an emergency admission.

  • Identify patients for care provision programmes and other services

    Identify other cohorts of patients suitable for other types of care provision programmes or health and social care services based on their risk factors.

  • Quickly drilldown to patient information

    Quickly get to the patient information you need via our intuitive user interface.

  • Rapidly identify changes in patient risk

    Rapidly assess which patients’ risk has moved either up or down.

  • Effectively manage resources

    Use the information to assist in effective management of resources.

  • Co-designed with GPs and CCGs

    Co-designed with detailed feedback from CCGs and GPs in England at every stage of the development process.

  • Accessible anywhere

    Access data from anywhere via multiple devices.

  • View patient risk scores

    View a risk score per patient relative to the GP practice patient list, to the CCG and to the local population.

  • View patient timelines

    View a timeline of a patient's history including contact with primary and secondary care and their risk score over time.

  • View changes to patient risk

    Identify patients whose risk has changed from month to month.

  • Flag patients and share

    Flag any patient and these will be visible to all users in your practice.

  • Create custom lists

    Create custom lists of patients by filtering for a user-specified range of risk scores.

  • Multiple filter options available

    Filter results in numerous ways - including by change in risk, care interactions, co-morbidities, and demographic information.

  • Search for individuals or groups

    Search for patients by NHS number or by subsets of risk-stratified patients.

  • Export data for sharing and reporting

    Export the data to Excel to share with colleagues or include in practice reporting.

How to get Risk Stratification

Like a demo?

Let us know if you would like to see a demo about how Risk Stratification can help your team

Call us

Call us now if you have any questions about Risk Stratification

+44 207 332 8800

Other solutions