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History before clinic. Letters and admin ready afterwards.

More patients through the clinic. Less admin after it.

The presenting problem, previous operations and investigations are ready before clinic. Letters and admin are ready afterwards.

  • More consultations. More revenue. Same clinic hours.
  • Same fee per patient.

Class I medical device, registered with the MHRA. UK-hosted.

Synthetic patient, not a real person. The product and its structure are real.
What you get

Use the consultation to examine and decide

Start with the history ready. Use the appointment for examination, explanation and the next step.

Presenting problem

Symptoms, progression, impact and patient priorities.

Previous treatment and investigations

Medication, procedures, imaging, tests and response.

Letters and admin

Clinic letters and selected requests ready after the surgeon decides the plan.

View a general surgery record (opens in a new tab)Synthetic example. Not a real patient.
NHS surgical pathway

Also available: MyPreAssess

Digital surgical pre-assessment supporting earlier risk-based triage, optimisation and proportionate pre-operative investigations, helping focus clinical capacity on patients who need it most. Aligned with GIRFT principles for early screening, standardised pre-operative pathways and proportionate testing.

Explore MyPreAssess

How Sagence works

  1. Send one linkOr forward the referral.
  2. The patient completes itIn their own time. No app. No account.
  3. Review and approveThe history is ready before clinic. Letters and admin are ready afterwards.
One way to start: forward a referral.
What happens in the recording
  1. A referral email is forwarded to a Sagence address from the clinic inbox.
  2. The referral is checked, a mobile number is added, and the pre-consultation is sent to the patient.
  3. The patient answers the specialist interview on their phone in their own words.
  4. The clinic is notified that the history is complete, with anything needing urgent attention flagged.
  5. The clinician opens the finished history before clinic, with each line traceable to the patient’s answer, and the letter drafted ready to review.

The same clinical bar. 44% fewer questions.

Each speciality starts with its own clinical map, refined with practising specialists. The interview decides what to ask, what to skip and when to stop.

Internal benchmark against a standard tuned model. The clinical-sufficiency threshold is grounded in pathway guidance and specialist refinement.

CLINICAL SUFFICIENCY THRESHOLD44% fewer questionsMyPreConsultStandard tuned modelPatient-facing questions History completeness CLINICAL SUFFICIENCYTHRESHOLD44% fewerquestionsPatient-facing questions History completeness MyPreConsultStandard tuned model

Common questions

One link. No app. No account. They can pause and return. The appointment still goes ahead if they stop.

Try it on five patients.

Start the next five consultations with the history ready.

Free. No card.