01
Solution only
The practice runs the process in-house, supported by ExpertCare, with a flat per-patient fee covering solution support and maintenance.
In-house · per patientExpertCare · CVD medicines optimisation
The right medicine,
at the right time,
in the right dose.
A high-impact CVD medicines optimisation solution for NHS primary care — integrated with EMIS and SystmOne, concordant with NICE, and proven in the real world.
Every three minutes, someone in the UK dies of a heart attack or stroke.
CVD remains a leading cause of death and disability in the UK.
Many of those deaths are premature.
Many could have been avoided if the patient had been optimally treated.
Hypertension and cholesterol control remains an unmet challenge.
CVD drives a dual burden — personal suffering, and heavy, avoidable NHS costs.
ExpertCare brings patients back under control.
Systemised, automated virtual care — optimising medicines across whole populations, one patient at a time.
Is standard care failing?
Increasing incidence of CVD, an ageing population and pressure on primary care. Leading cardiovascular organisations have acknowledged it — current approaches are no longer fit for purpose.
A new approach
Systemised, automated virtual care works.
By automating elements of decision-making and integrating seamlessly with EMIS and SystmOne, ExpertCare enhances workforce productivity, ensures NICE concordance, and enables system-level efficiencies.
EMISSystmOneCertified EHR APINICE concordant
How ExpertCare works
01 · In the workflow
At the point of care.
ExpertCare works inside the clinician’s workflow, pulling the patient’s coded record straight from EMIS or SystmOne.
02 · Context
It reads the whole patient.
Comorbidities, therapeutic history, current clinical status and guidelines — in any combination.
ComorbiditiesTherapeutic historyClinical statusGuidelines
03 · The engine
Rules-based AI optimisation.
A rules-based engine weighs every factor together — not one comorbidity at a time.
04 · The decision
A precise, NICE-concordant next step.
Personalised, evidence-based prescribing advice — the clinician stays in charge, and every reason is recorded.
05 · Delivery
Pharmacist-led, at scale.
Combined with pharmacist-led implementation to streamline and speed up CVD medicines review — and reduce variation in care.
Why ExpertCare
Supports task-shifting. Reduces variation.
Automatically considers patient demographics and history.Super-fast clinical codes search and a certified EHR integration API give prescribers the right information at the right time.
Ensures compliance with gold-standard guidelines.Protocol-driven optimisation and intensification translates evidence-based guidance into everyday practice — even across multiple conditions.
Boosts task-shifting and lightens the GP load.Nurses and pharmacists take on complex prescribing with confidence, reducing variation in care.
Clinical safety, data accuracy and security, built in.Co-designed with frontline clinicians; meets NHS data and regulatory requirements including NHSE, MHRA and DTAC.
Cost-saving in the short and the long term.Halves the cost of hypertension and cholesterol reviews, with an ROI of £2.60 per £1 spent.
ExpertCare · five reasons
The numbers
Medicines optimisation. When everyone benefits.
£0/ £1Return on investment in the Innovate UK evaluation
0mmHgAverage systolic reduction in uncontrolled patients
0sitesPrimary care sites running DXS solutions
0mPatients served by those practices
Bringing blood pressure under control
Systolic · mmHgIllustrative curve showing the average 20mmHg systolic reduction reported in uncontrolled patients.
Who it’s for
The right medicines, at the right time, in the right doses.
It’s about you, me, and the ones we love.
Lowering blood pressure and lipids reduces the risk of heart disease, stroke and death. ExpertCare ensures optimum therapeutic outcomes through improved medication use, with treatment plans built around each patient’s medication-related goals — eliminating variation and inequality in care.
Faster, more confident decisions.
ExpertCare takes the strain of chronic-condition medicines management off GPs, empowering nurses and pharmacists to undertake complex prescribing — integrated into EMIS and SystmOne, at the point of care.
Outcomes you can contract on.
Outcomes are transparent, measurable and contractually defined, with embedded tracking that provides auditable data across patient engagement, control rates, NICE compliance and practice resource utilisation.
Deployment
Flexible models, delivered at scale.
Whether a single GP practice, a Primary Care Network, a Neighbourhood or an ICS — standalone, turnkey or mentored, aligned to your resources and priorities.
GP practice→PCN→Neighbourhood→ICS
02
Turnkey service
DXS delivers a complete “virtual always” hypertension control programme using contracted clinical pharmacists, priced per registered patient.
Fully delivered · per registered patient03
Mentor mode
A blended approach: PCNs provide staff (e.g. ARRS-funded pharmacists or prescribing nurses) while DXS supplies training, mentorship and project management.
Blended · per patientOutcomes are transparent, measurable and contractually defined — with embedded tracking across patient engagement, control rates, NICE compliance and practice resource utilisation.
From evidence to action
Tested where it matters — in real practices.
Co-designed with frontline clinicians and health system partners, refined through independent usability studies, and evaluated in the real world.
2023/24
The Innovate UK evaluation
An 18-month, real-world evaluation with Health Innovation East and Innovate UK across 10 GP practices and 2,000 patients — evidencing ExpertCare’s efficacy and cost-effectiveness in bringing uncontrolled hypertensive patients to BP control.
£2.60 returned for every £1 invested — before savings from heart attacks and strokes prevented2023
The NIHR evaluation
A formal real-world evaluation funded by the NIHR i4i FAST programme, in collaboration with Health Innovation East — 300 patients across 4 GP practices.
NICE Patients treated in concordance with NICE guidance were more likely to have controlled BP2022
The beta test
An ExpertCare beta with six hypertension specialists across five practices.
Iterate User feedback drove improvements to the innovation and the workflowWhat users say
ExpertCare allows for faster, more confident decisions and saves valuable clinician time. With the time saved, I was able to switch my focus to more complex patients.
ExpertCare is fast, accurate, and reliable. It is a game changer.
I can confidently say that it has drastically reduced the time required to make clinical decisions in hypertensive patients.
ExpertCare has changed our practice for the best. We now save time and money. We can’t imagine life without ExpertCare.
Frequently asked
All your questions, answered.
What is ExpertCare?
DXS ExpertCare is an expert system which provides prescribing advice with the dual objectives of controlling the patient’s blood pressure to an appropriate target, whilst also achieving conformance with treatments recommended by NICE for the management of hypertension and relevant comorbidities.
What is unique about ExpertCare?
Unlike clinical decision support that makes recommendations one comorbidity at a time, ExpertCare makes a recommendation based on any combination of:
- Diabetes (all types)
- Proteinuria (ACR › 30)
- Angina
- Myocardial infarction — recent (‹ 1 year) and past (› 1 year)
- Atrial fibrillation
- Heart failure
It overcomes one of the main criticisms of NICE guidance — that it is monothematic, and hard to apply to real patients with comorbidities.
Does ExpertCare provide prescribing advice?
ExpertCare interprets the patient’s coded record to infer any condition that might influence hypertension treatment, and provides context-sensitive advice from the SPC of all drugs used to treat hypertension. The clinician is notified of:
- Drug indications, cautions and contraindications
- Advice on initiation, monitoring and discontinuation
- Routine dosage advice
- Dose adjustments for renal or hepatic impairment
It is up to the prescriber to evaluate this in clinical context — childhood asthma might be a caution for a beta-blocker, whereas current asthma would be a contraindication.
Book a demo
See ExpertCare in your workflow.
Book a demo and we’ll walk your team through a real CVD medicines optimisation review — integrated with EMIS or SystmOne.