Most NHS IT systems were designed for a world that no longer exists. Built in the 1990s and incrementally patched since, they impose prohibitive transformation costs, deliver poor user experiences, and create the very fragmentation and data silos that modern healthcare needs to eliminate. Clinicians spend time battling their own systems instead of caring for patients. Administrators manage manual workarounds for processes that should be automated. And patients interact with a digital experience that falls far short of what they encounter everywhere else in their lives.
OX.DH was built to change this. Our cloud-native solutions are purpose-built for today's NHS - designed not to replicate legacy platforms in the cloud, but to replace them with something genuinely modern, intuitive, and built for the future.
The NHS Microsoft Foundation: An Asset Most Organisations Are Under-Using
In 2023, the NHS committed £800 million over five years to its Microsoft partnership - a substantial investment in cloud infrastructure, security, and productivity tools that already underpins the day-to-day working lives of NHS staff across the country. OX.DH's solutions are built directly on this existing foundation, enabling NHS organisations to start their digital journey incrementally - by pathway, clinic, or care setting - without separate infrastructure procurement or complex on-premise deployments.
Because OX.DH operates within the NHS's existing Microsoft Azure environment, organisations avoid duplicating user logins, licensing costs, and hardware overheads. Clinical staff work in interfaces they already recognise. Patients access care through their browser, without downloading any application. And the security and compliance framework is Microsoft's enterprise-grade architecture - one of the most robust available anywhere in the world.
OX.DH's Core Solutions: What Each One Delivers
OX.gp - Next-Generation Primary Care
OX.gp is OX.DH's NHS England Tech Innovation Framework-approved electronic patient record system for GP practices. It was designed from the ground up as a modern alternative to the legacy systems - EMIS, TPP - that have dominated primary care IT for decades, and which were not built for the data-driven, population-health-focused NHS of today.
OX.gp offers real-time reporting dashboards, seamless interoperability with other care settings, smart automation including built-in messaging and reminders, and a customisable architecture that adapts to different practice workflows. It was developed in direct collaboration with GP practices and PCNs, and is faster to implement and easier to scale than any of its legacy predecessors.
OX.Waiting Room - Virtual Consultation Infrastructure
OX.Waiting Room enables NHS organisations to deliver secure, verified, integrated virtual consultations via the NHS Microsoft national tenant. It manages the complete patient engagement workflow - scheduling, confirmation, reminders, consultation, follow-up, and PROMs collection - in one place, integrated with existing EPRs through HL7, FHIR, and other standard formats.
Somerset NHS Foundation Trust, Barnsley Hospital NHS Foundation Trust, and healthcare organisations in Italy are already live with OX.Waiting Room. NHS organisations with an NHS.Net account can access a free one-month trial via the Microsoft App Source.
OX.Patient Consent - Digital Consent at Scale
OX.Patient Consent is a scalable digital platform for secure consent management, covering both clinical and research applications. It has been deployed for school vaccination programmes, neuroscience research consent, and fertility clinic consent workflows - each time replacing paper-heavy, error-prone manual processes with a digital, auditable, patient-centred alternative.
OX.ar - Fertility Clinic Management
OX.ar is OX.DH's end-to-end solution for fertility clinics, covering everything from patient registration and digital HFEA consent through to treatment scheduling, test result integration, folliculogram management, and regulatory reporting. Monash IVF in Australia went live with OX.ar in 2024, eliminating approximately 50,000 paper forms annually. Kingston Hospital NHS FT and the Bristol Centre for Reproductive Medicine are among the UK organisations that have adopted the platform.
The Common Thread: Start Small, Scale Fast
A critical design principle across all OX.DH solutions is the ability for organisations to start their digital journey incrementally. Rather than committing to a large-scale transformation programme, NHS organisations can adopt OX.DH solutions pathway by pathway, clinic by clinic, or care setting by care setting - realising early value quickly while building towards a more comprehensive digital infrastructure over time.
This approach reflects a realistic understanding of how digital change actually works in the NHS: constrained budgets, workforce capacity pressures, and the operational risk of large-scale system changes mean that incremental adoption is not a compromise - it is the most effective route to sustainable digital transformation.
Real-World Results from the OX.DH Community
- Somerset NHS Foundation Trust goes live with OX.DH virtual consultations
- Case Study: Barnsley Hospital - improved patient and clinician experience with Microsoft Teams and OX.DH
- Case Study: Bristol Centre for Reproductive Medicine - digital innovation with OX.ar
- The Male Fertility Clinic: streamlined appointment booking and test results
- Monash IVF goes live with OX.ar digital patient onboarding
- Rotherham NHS Foundation Trust: electronic vaccination consent - £30,000 saved in administration time
Begin Your Digital Journey with OX.DH
Whether you are a GP practice exploring a modern EPR, an NHS trust looking to improve virtual consultation delivery, or a fertility clinic ready to move beyond paper, OX.DH has a solution that can be live and delivering value faster than you might expect. Book a demo or contact our team to start the conversation.
About the Author
John Kosobucki is CEO and Founder of OX.DH (Oxford Digital Health). Learn more about OX.DH's founders.