How CAREFUL Works
CAREFUL organises clinical work around actions — not messages, not documents, not lists. Every feature in the platform either creates an action, tracks an action, or hands one over.
Teams and patients
Clinicians belong to teams. Patients belong to teams. A patient can be in multiple teams simultaneously — medicine, cardiology, pharmacy, discharge — and each team sees their own view of that patient alongside a shared record.
Teams can be wards, specialties, services or any grouping that makes clinical sense. There is no limit on size. Patients can be added manually or automatically via an ADT feed from PAS.
Actions
An action is a specific task assigned to a named person: "chase MRI result", "refer to cardiology", "review medication with pharmacy". Actions have owners, due dates and status. They are visible to the whole team and transfer with the patient at handover.
Actions can be created from four sources: secure chat (@mention a patient, describe the task), referrals (incoming referral generates actions for the receiving team), handover (outgoing clinician assigns outstanding work), and ambient voice (AI-suggested actions from a recorded consultation).
Referrals
Any team member can refer a patient to any other team. The referral creates a structured record with a conversation thread. The receiving team can accept, reject or discuss. Push notifications replace bleeps. The entire exchange is auditable.
Handover
At shift change, the outgoing clinician hands over patients to the incoming team. CAREFUL transfers not just names but context — actions, referral history, team notes, current status. The incoming clinician picks up exactly where the previous shift left off.
Secure messaging
Team-based chat with @mentions for users and patient links. Messages carry context — tap a patient link to see their full record. Read receipts confirm delivery. Push notifications reach on-duty staff only.
On-duty / off-duty
Clinicians toggle their status at login. On-duty staff receive push notifications. Off-duty staff do not — but retain full access to view and respond. This respects work-life boundaries while ensuring communications reach those who need them.
Audit trail
Every transaction is timestamped, attributed and recorded. The activity log is visible at patient, team and organisation level — for clinical governance, incident investigation and compliance.