Outcome-Driven Digital Change
Fortrus partners with health systems to modernise care, reduce risk, and deliver measurable outcomes. We create flexible, modular digital environments that improve decision-making, strengthen clinical workflows, and support long-term operational gains. Our approach brings together user-centred design, intelligent automation, and low-risk delivery to enhance the entire patient journey.
Fortrus partners with health systems to modernise care, reduce risk, and deliver measurable outcomes. We create flexible, modular digital environments that improve decision-making, strengthen clinical workflows, and support long-term operational gains. Our approach brings together user-centred design, intelligent automation, and low-risk delivery to enhance the entire patient journey.

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

Agyle
DocStore
Unified patient data platform with timeline-based clinical views and mobile access

Agyle
AI Forms
Automated workflows that streamline clinical data capture and processing.

Agyle
e-RS
Electronic Referral Service (e-RS) for streamlined patient referrals and care coordination

Agyle
BaRS
Standardised Booking and Referral Service (BaRS) workflows for smoother care.

Agyle
Indexing Engine
Advanced document classification and intelligent content organisation

Agyle
Shift
Staff scheduling and workforce management solution for smoother team operations

Agyle
ED
Emergency Department (ED) workflow optimisation and patient tracking

Agyle
Carebridge
Care coordination platform connecting primary and secondary care

Agyle
Intelligent Dashboards
Real-time analytics and performance monitoring across all systems

Agyle
Digital Health Record
Comprehensive digital health record system integrating all patient data sources

Agyle
Digital Growth Charts
Advanced pediatric growth monitoring and analytics with AI-powered insights

Agyle
Virtual Wards
Remote patient monitoring and care at home with AI-driven clinical supervision

Agyle
EPR
Modular EPR with AI support and intelligent workflows for efficient, streamlined care.

Agyle Business Process Management
Intelligent workflow and process optimisation platform with AI analytics.

Agyle
Carehome App
Digital care management for residential and community care.

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.

Modular EPR Foundations
Transform Step by Step
Fortrus enables trusts to modernise without disruptive, all-or-nothing system replacements. Our modular EPR components integrate seamlessly with existing systems, allowing organisations to evolve gradually.

Intelligent Workflows & AI Support
Smart Assistance, Real-world Benefit
AI enhances accuracy, highlights key changes, and reduces documentation load. Workflows feel faster, safer, and more consistent across teams, improving clarity and everyday clinical confidence.

Co-Design & UX
Designed Around Your Teams
We collaborate directly with clinicians, admin staff, and operational groups to refine every workflow. This ensures adoption, consistency, and a smooth transition.

Low-Risk Delivery
A Safer Path to Change
Our incremental, tested approach protects live services and ensures improvement. From pilots to trust-wide rollout, each step stays transparent and predictable.
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.


Maternity AI
Predictive models improving due date accuracy and identifying preterm risk, validated on 55,000+ Liverpool Women’s NHS records.

Ophthalmology AI
Image-based diagnostics for myopia progression and corneal analysis, developed with the Singapore National Eye Centre and validated in clinical settings.

Operational Intelligence
Algorithms optimising patient flow and resource allocation in Emergency Departments for safer, faster, and more efficient care.

Smart Operations
Automate administrative burdens and streamline clinical workflows, freeing up valuable staff time to focus on direct patient care

Predictive & Proactive Care
Use AI to identify patient risk, forecast demand, and optimise resources to enable proactive, personalised care at scale across health systems.

NHS-Compliant & Sovereign Data
Built with full data sovereignty and robust NHS-compliant security, ensuring trusted and ethical AI integration within the healthcare ecosystem


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.​
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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
Contact Us
Email: info@fortrus.com
Phone: +44 (0)1438 310 179
Operations Centre
B. T. C.
Bessemer Drive
Stevenage
SG1 2DX
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Agyle – Advanced EPR
Developed in collaboration with NHS clinicians, Agyle represents the next generation of EPR design. It delivers modular, interoperable components covering ED, Inpatient, Outpatient, Maternity, and Order Comms workflows.
Agyle Digital Health Record
Agyle unifies all forms of patient data, scanned legacy records, structured data, and real-time inputs, into a single longitudinal record. This clinically validated platform accelerates paperless and records-destruction programmes whilst providing timeline-based clinical views, high-speed search, and full mobile access.
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The platform improves case-note availability and data governance across departments, proven at scale in major NHS Trusts including Nottingham University Hospitals, Liverpool Women's, and St George's University Hospitals.

Fortrus AI – Intelligence That Matters
Applied Artificial Intelligence for Real Clinical Impact
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.

