The history and disease activity update, organised before clinic.
A 30-minute appointment becomes about 20.
Same fee per patient. See more patients, or give complex patients longer. Your choice.
New patients complete the full history before they arrive. Follow-up patients complete the symptom, medication and side-effect update. You start prepared, the paperwork is ready afterwards, and there are no questionnaires to send, scores to calculate or letters to begin from a blank page.
Class I medical device, registered with the MHRA. UK-hosted.
The benefits
Start where you would normally be ten minutes in
Disease activity responses, symptom change, adherence and side effects arrive organised before the patient walks in, so the time normally spent drawing them out is already yours.
Letters and requests ready to approve, not to write
Clinic letters, medication monitoring summaries and investigation requests prepared on the clinic’s templates.
Progress visible without the scoring
Patient-reported activity and outcomes sit together across visits, without manual scoring or rebuilding the story from old correspondence.
Works with your scribe. Works with your practice system. Works with the rest.
Keep what you already use.
See what you receive
How Sagence works
Start with pre-clinic updates. Add letters, requests and between-visit check-ins later if useful.
Common questions
Built around rheumatology care
The pathway reflects the rhythm of rheumatology: detailed new-patient histories, repeated disease activity review, medication monitoring and care over time.
The interview adapts to the clinical picture, including joint distribution, symptom pattern, systemic features, treatment history and functional impact. It is not a static intake form.
Add only what you need
We set up the core pathway first. The following can be added without turning the clinic into a configuration project.
Disease activity over time
Outcome measures and patient-reported activity presented together across visits.
Shared-care letters
DMARD shared-care letters prepared from the existing record for review.
Biologic and insurer paperwork
Continuation and funding information assembled from the patient record rather than reconstructed manually.
Flare and symptom updates
Short digital updates between appointments, returned together for clinical review.
Built with practising specialists
Sagence is shaped by national pathway leaders, NICE guideline committee members and practising NHS specialists. Clinical governance is led by a serving NHS Chief of Medicine.
Dr Simon Merritt
Chief of Medicine, East Sussex Healthcare NHS Trust.
Co-founder and Chief Medical Officer, Sagence Health.
We set it up with the practice team
We prepare the templates and five-patient trial with the practice team. With a connected booking system, links and reminders go automatically.
The team sees who has completed the update and only acts when a patient has not. Letters, requests and next steps arrive prepared, ready to process rather than create.
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 work between those decisions.
It does not diagnose, triage or make clinical decisions. Every summary statement links back to the patient’s own words. 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 CentreTry it with five patients
We set up the trial around the way the clinic already works. Send new-patient histories, follow-up updates or a mix of both.
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.