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Around ten minutes back on every patient.
Two hours back across the clinic.

The history is organised before the appointment and the paperwork is ready to approve, not to write. Finish the consultation, approve with a couple of clicks, move on.

That time converts directly at the same fee per patient: another patient on the list, or a clinic that finishes when it should. The letter, investigation requests, coding and follow-up plan are prepared to fit the tools and practice team you already use.

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

The benefits

Around 10 minutes back per patient

Post-consultation admin drops from 5 to 10 minutes per patient to a 2-minute review and approve, and the history is done before they arrive. A twelve-patient clinic gets roughly two hours back.

The appointment freed for the work only you do

The story arrives organised, so the consultation is spent on examination, judgement and the plan, not on gathering the history or writing it up afterwards.

The follow-up runs itself

PROMs go out, come back scored and appear in the record. No one has to send or chase them.

Works with your scribe. Works with your practice system. Works with the rest.

Keep what you already use.

Ambient capture
HeidiNuance DragonTortus
Practice systems
SembleMedesk

What changes and what stays the same

What happens nowWith Sagence
Dictate or type the clinic letter after the patientLetter prepared on your template, ready to approve
Secretary formats and rebuilds the documentPatient, consultant and clinic details already in place
Investigation requests are written up after clinicRequests prepared from the history and consultation
Pre-authorisation and coding are assembled separatelyRelevant information and suggested codes brought together for review
PROMs are sent and chased manuallySent, reminded, scored and returned automatically

A twelve-patient clinic at 10 minutes of combined admin per patient is two hours returned across the surgeon and practice team.

See what you receive

Presenting complaint, mechanism, symptom progression, medication, prior investigations, functional impact and red-flag screening responses, organised before the appointment.

How Sagence works

1
The patient receives one link
With a connected practice system, it goes automatically after booking. Otherwise the secretary sends it by WhatsApp, SMS or email.
2
The history is completed before arrival
The patient completes a structured orthopaedic interview from home. No app or account is required, and they can pause and return.
3
You start with the story already organised
Review the relevant history before the appointment rather than spend the opening minutes gathering it from scratch.
4
The paperwork is ready before they leave
The letter, investigation requests, coding and follow-up plan are prepared from the history and consultation, working alongside whatever you already use in the room.
5
PROMs are sent automatically
PROMs and patient updates go out at the intervals you choose. Reminders, scoring and filing happen automatically, and the results return together for review.

Start with the history and letters. Add PROMs and patient check-ins later if useful.

Common questions

Yes. Keep it. Sagence handles the history before the appointment and the follow-up afterwards, and your paperwork comes out of both.

Built for orthopaedics

The pathway covers arthroplasty, arthroscopy, fracture follow-up, spinal, shoulder and sports medicine. The interview adapts to the presentation rather than forcing every patient through the same form.

Post-operative outcomes

Oxford Knee Score, Oxford Hip Score, EQ-5D and other measures sent and scored at the intervals you choose.

Insurance and coding

Pre-authorisation information and suggested CCSD codes assembled for review rather than gathered from several places.

Patient check-ins

Recovery updates and concerns collected between visits without a manual phone or email sequence.

Built by orthopaedic pathway leaders

Prof Andy Metcalfe

Professor of Orthopaedic Surgery, University of Warwick.

NICE guideline committee.

Clinical advisor to Sagence Health.

Mr Matthew Dodd

Consultant Orthopaedic and Trauma Surgeon, Swansea Bay University Health Board.

Hip and knee specialist.

Clinical advisor to Sagence Health.

Dr Lianne Wood

Clinical academic advanced practice spinal physiotherapist.

Research Officer, Advanced Physiotherapy Practitioner Network.

Clinical advisor to Sagence Health.

Less work for the practice team

We prepare the letterhead, templates and five-patient trial with the practice team. With a connected system, the patient link and reminders go automatically.

The secretary only needs to act when a patient has not completed the history. Prepared letters, requests and tasks can be approved and processed without retyping or reformatting.

Secretary and admin seats are included at no extra cost.

You remain in control

You decide what is collected and approve what is sent. Sagence handles the repetitive assembly in between.

It does not diagnose, triage or make clinical decisions. Every statement in the history links back to what the patient said. The clinician reviews the information and decides what happens next. Sagence never acts on it automatically.

Class I medical device registered with the MHRA. UK-hosted. ICO registered. Cyber Essentials Plus certified.

Read our Trust Centre

Try it with five patients

We set up the trial around your letterhead, existing tools and practice team.

Free for five patients. Then simple monthly pricing with a per-patient overage beyond the included allowance, and you see the price before you decide anything.