All your questions, answered.

Automatically considers patient demographics and history. Personalised prescribing optimisation relies on having the right information at the right time. Super-fast clinical codes search and a certified Electronic Health Record integration API give prescribers instant access to the patient information needed to make an accurate prescribing decision.

Ensures compliance with gold-standard guidelines. Medicines are the most common intervention in healthcare, and prescribing is complicated — especially when treating multiple conditions in one patient. ExpertCare’s digital, protocol-driven optimisation and intensification helps translate evidence-based guidance into common practice, ensuring cost-effective treatment outcomes.

Boosts task-shifting and lightens the GP load. ExpertCare takes the strain of chronic-condition medicines management off GPs by empowering nurses and pharmacists to undertake complex prescribing. It bridges gaps in knowledge of evidence-based therapeutic guidelines and reduces variation in care — improving outcomes and avoiding unnecessary costs.

Clinical safety, data accuracy and security are vital to our approach. Co-designed with frontline clinicians and health system partners through iterative development and independent usability studies. Standards-compliant APIs integrate seamlessly with leading Electronic Health Records, and ExpertCare meets NHS data and regulatory requirements including NHSE, MHRA and DTAC.

Cost-saving in both the short and long term. Independent evaluations show ExpertCare halves the cost of hypertension and cholesterol reviews. Across thousands of patients it consistently improves blood pressure control — an average 20mmHg systolic reduction in uncontrolled patients — achieves an ROI of £2.60 per £1 spent, and reduces vascular events.

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.

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.

• They have a significant impact on hypertension treatment decisions
• NICE makes recommendations on appropriate prescribing for them
• Hypertension management needs to consider the wider risks conferred by comorbidity

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.

The prescriber can continue a hypertension drug for any indication, and is asked for a reason that is recorded for future users. Further recommendations take the retained drug into account — for example, clonidine retained for migraine prophylaxis.

ExpertCare doesn’t duplicate the GP record’s interaction checking when a new drug is added. The next version will add warnings for the risk of bradycardia with certain drug combinations, and indicate when there is an increased likelihood of hyperkalaemia.

ExpertCare records the reason to inform future consultations, and the clinician can ask for a further recommendation — always one that supports the management of relevant comorbidity. For example, a patient with hypertension and atrial fibrillation who opts not to take a beta-blocker will be recommended a rate-limiting calcium channel blocker instead.

ExpertCare can indicate a drug that belongs to a local formulary.