Anticoagulation Clinical Decision Support System (CDSS)

Background

Frimley Health NHS Foundation Trust is seeking to engage with the market in relation to the provision of a Clinical Decision Support System (CDSS) for anticoagulation management.

The Trust is seeking a proven, fully integrated Clinical Decision Support System (CDSS) to support the safe and effective management of patients receiving anticoagulation therapy across two acute hospital sites.

The replacement solution must support a high-volume, clinically critical service currently managing more than 800 patients, with approximately 200 anticoagulation dosing decisions undertaken each week. Given the high-risk nature of anticoagulant medicines, the Trust requires a mature, clinically validated system capable of supporting safe prescribing, efficient clinic operations, and robust governance arrangements.

The Trust currently utilises the RAID anticoagulation system, which will be unsupported from 30th November 2026. A replacement system is therefore required to ensure continuity of a critical clinical service managing high-risk patients.

The service currently supports

• Over 800 anticoagulated patients
• Approximately 200 dosing decisions per week
• Multi-site delivery across two hospital locations

Requirements

The Trust is seeking a system capable of delivering end-to-end anticoagulation management, including (but not limited to):

Core Functional Requirements

• Management of the full anticoagulation patient pathway, including:
• Patient registration and demographic management
• Recording of treatment indications and target INR ranges
• Dose calculation and prescribing support
• Scheduling of follow-up tests and appointments
• Clinically validated, algorithm-based warfarin dosing
• Patient tracking, recall, and monitoring functionality
• Clinic scheduling and workload management
• Full audit trail and reporting capability
• Real-time dashboards (e.g. TTR, safety metrics)

Integration Requirements

• Integration with NHS pathology systems (automated INR result transfer)
• Full interoperability with EPIC Electronic Patient Record systems is mandatory to allow the transfer and recording of test results, dosing decisions and clinical notes.
• Compliance with NHS interoperability standards

Clinical & Governance Requirements

• Evidence of clinical safety and validation (e.g. DCB0129 / DCB0160 compliance)
• Established use within NHS organisations or comparable healthcare environments, with demonstrable reference sites.
• Functionality to support medicines governance, audit, and regulatory compliance, including requirements of the Care Quality Commission.

Frimley Health NHS Foundation Trust is particularly interested in solutions that are already established within the NHS, demonstrate a strong track record of safe anticoagulation management and can be implemented within the required timeframe to ensure continuity of this critical clinical service.