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Silvia for NHS & primary care
Ten minutes with a menopause patient.
You cover hot flushes and periods.
Because that's all there's time for.
And a clinical picture that resets every time they walk in.
Silvia structures the complete 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.
Consultation overview - concept view
Sarah Mitchell, 48
Perimenopausal - First consultation - GP referral
Patient-reported symptoms
Patient priorities
Improve sleep quality
Reduce anxiety
Health domains captured
Patient-reported information - 18 domains captured
Patient priorities documented
Built for primary care
Everything a menopause consultation should cover - structured before it begins.
Menopause touches cardiovascular risk, bone health, mental health, genetic cancer risk, obstetric history, heritage-informed considerations, genitourinary symptoms and more. Most consultations don't have time to cover all of it.
Silvia captures it across 18 clinical domains before the patient walks in - so nothing gets missed because there wasn't time.
The complete picture. Not just the presenting complaint.
QOF aligned
The QOF documentation is already done.
Every Silvia assessment captures smoking status and records whether cessation support has been offered - aligned to QOF SMOK002 and SMOK003.
The data is in the structured summary, ready to be entered into the clinical record. No extra step. No missed indicator.
SMOK002
Smoking status captured in every assessment
SMOK003
Cessation support offer documented
Better care and better QOF compliance. From the same workflow.
How it works
Works with what you already have. Built for what's coming.
Right now, Silvia works alongside your existing clinical system without any integration. Your admin team sends the assessment link when the appointment is booked. The patient completes it before they arrive. The structured summary is downloaded and uploaded to the patient record in EMIS or SystmOne - the same way any clinical letter arrives.
The GP opens the consultation with the full picture already there.
Admin sends the link
Your admin team sends a secure assessment link when the appointment is booked. No integration needed.
Patient completes the assessment
On their phone, laptop, or with support over the phone or video call from your practice team.
Summary uploaded to the record
The structured summary is downloaded and uploaded to EMIS or SystmOne - the same way any clinical letter arrives.
GP opens with the full picture
The consultation starts with structured context, not questions. Full clinical judgement retained throughout.
Between appointments
Patients track symptoms and changes as they happen. Every follow-up starts with the full picture of what changed.
We're currently working through DTAC assessment for full EPR integration. Early adopters are helping shape how that works in practice.
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 exactly what changed. What worked. What didn't. What needs attention now.
No starting from scratch. No relying on what the patient can remember to tell you.
Care timeline
Week 1
Assessment completed
Full clinical context captured
Week 2
Treatment commenced
HRT initiated
Week 4
Symptoms improving
Vasomotor severity reducing
Week 6
Bleeding change noted
Irregular pattern reported
Week 8
Continued improvement
Sleep and mood stabilising
Week 12
Follow-up review
Summary generated
Week 1
Assessment completed
Full clinical context captured
Week 2
Treatment commenced
HRT initiated
Week 4
Symptoms improving
Vasomotor severity reducing
Week 6
Bleeding change noted
Irregular pattern reported
Week 8
Continued improvement
Sleep and mood stabilising
Week 12
Follow-up review
Summary generated
12-week symptom trend
Adherence
Self-reported adherence tracked across 12-week programme.
Early Access Programme
See what Silvia looks like in your practice.
We're working with a small number of NHS practices now. Talk to us about your clinic and we'll show you exactly how Silvia would work in your setting - and how it fits your existing workflow.
Regulatory notice
Silvia is designed to support clinical judgement — not replace it. It captures and organises patient-reported information across 18 clinical domains for clinician review. It does not diagnose, prescribe, or automate clinical decisions. Silvia Health does not consider Silvia to meet the definition of a medical device under current UK regulations. Silvia Pro is in development and is not commercially available.