Built for primary care

Ten minutes with a menopause patient. You cover hot flushes and periods. Because that's all there's time for.

And eighteen months of history that's never quite in one place.

Silvia structures the patient-reported picture before the consultation begins, so the time available goes into the clinical conversation, not rebuilding context from scratch.

Built to support clinical judgement. Not replace it.

Patient symptom summary showing structured clinical context for consultation
18
clinical domains
70+
clinical considerations
8
contraindications tracked
NICE NG23
aligned
Family history and heritage-informed clinical context structured before consultation

Built for primary care

What a structured menopause assessment can capture, before the consultation begins.

Menopause touches cardiovascular risk, bone health, mental health, genetic cancer risk, obstetric history, heritage-informed considerations, and genitourinary symptoms. Most consultations don't have time to cover all of it. Silvia structures it across 18 clinical domains before the patient walks in, ready even when appointment time is short.

The patient-reported context. Not just the presenting complaint.

70+

clinical considerations, structured before every consultation

SymptomsHistoryClinical ContextPatient Context

QOF aligned

The QOF documentation is already done.

Every Silvia assessment captures smoking status and whether cessation support has been discussed, structured against QOF SMOK002 and SMOK003. It's there in the summary for the clinician to review and record.

SMOK002

Smoking status captured in every assessment

SMOK003

Cessation support offer documented

Captured alongside the consultation, ready for QOF documentation.

Practice-configured triage

Your rules. Applied to every patient. Before anyone opens the queue.

Your practice configures what's urgent, who it goes to, and what SLA applies. Silvia applies those rules to every assessment, automatically. Every patient. Without exception.

Admin triage queue showing practice-configured priority routing

An NHS practice may configure

Postmenopausal bleedingPriority 1Duty GPSame-day review window
Migraine with auraSurfacedGP to review before consultation
South Asian heritageCardiovascular factorsSurfacedReview at consultation

These are illustrative examples only. Each practice configures its own rules. Silvia applies them. No clinical pathway is recommended by Silvia.

Patient responses match criteria your practice has configured as urgent.

PRIORITY 1, Surfaced for clinician review, practice-configured SLA applied

SM
Sarah Mitchell · 48 · 6-month follow-up
Check-in completed 3 days ago · Initial assessment Jan 2025
6-month review
Symptom changes since last appointment
Vasomotor
Before
Now
↓ Improving
Sleep
Before
Now
→ Partial
Psychological
Before
Now
↓ Improving
Genitourinary
Before
Now
↑ New concern
Treatment response
Current treatment
Estradiol patch 50mcg · Utrogestan 100mg
Adherence
Consistent
Side effects
Mild bloating - noted
Patient satisfaction
Improved quality of life
“The hot flushes are much better but I'm still waking at night and I've noticed some new bladder symptoms.”
Patient voice - verbatim · submitted with check-in

Between appointments

In primary care, patients rarely see the same GP twice. The follow-up that actually follows up.

Patients track symptoms, treatment response, and changes between consultations. When they return, whether that's six weeks or six months later, the GP can see what's changed since the last review: symptoms, treatment response, and what the patient has reported.

No starting from scratch. No relying on what the patient can remember to tell you.

The structured summary means I can review a patient's full clinical picture in under two minutes. I know what I'm walking into before they sit down.

Dr Nabeel Arshad, NHS GP Partner, Brooke Surgery

Early Access Programme

See what Silvia looks like in your practice.

We're working with a small number of NHS practices now. Book a walkthrough and we'll show you exactly how Silvia would work in your setting, and how it fits your existing workflow.

NICE NG23 alignedBuilt to support clinical judgementNo automated decisionsMHRA Class I registration in preparation