CrossCover

CrossCover from Primum Digital Ltd - Simplifying complex healthcare wrokflows

Dr Nathan Moore, CEO, CrossCover (Primum Digital Ltd)
LinkedIn: CrossCover

CrossCover is a comprehensive AI-assisted Clinical Pathway Development and Operations Platform that optimises healthcare delivery across the NHS. It addresses fragmented care by connecting primary care, secondary care and patients throughout the entire patient journey, regardless of specialty or setting.
The platform streamlines the referral process with integrated management systems that connect to NHS Mailboxes and e-RS and has FHIR interoperability with Primary/Secondary Care Electronic Patient Records.

CrossCover helps ensure standardised, evidence-based, high quality care through customisable clinical pathways and decision support and facilitates active patient participation through digital forms, notifications and shared decision aids.

It delivers comprehensive analytics on outcomes, budget impact and carbon costs and provides real-time carbon impact analysis, helping reduce unnecessary patient journeys and resource use. The platform saves approximately 940 tonnes CO2e per specialty per ICS for optimised primary to secondary care pathways.

By optimising care pathways, CrossCover helps identify issues earlier and supports preventative interventions. The platform's ability to embed best practice at the first point of care ensures patients receive appropriate management sooner, preventing condition deterioration and unnecessary treatments. Patient-facing tools enable self-management and earlier engagement with health services.
Evidence shows CrossCover can reduce unnecessary emergency department referrals by 40% and secondary care referrals by 50%, supporting the shift toward community-based care. It can reduce the time staff take to review a patient and make decisions on care by 30%.

CrossCover helps healthcare systems achieve earlier diagnosis and treatment initiation - improving survival rates for the biggest killers, and by standardising care pathways reduces health inequalities and unwarranted variation.

CrossCover cuts service provision financial and carbon costs by 20-30%. It saves £57-£136 per patient pathway episode for modelled direct efficiency savings, excluding additional potential savings from reduced litigation claims, reduced training time for staff to be deployed to front line roles and reduced staff stress as they are supported with tools embedded in their workflows.

• UKCA-marked Class 1 Medical Device software platform registered with the MHRA

• Deployed in more than 50 NHS Sites

• 450,000 patients benefitted to date

• The Eye Single Point of Access (SPoA), hosted by Moorfields Eye Hospital, The Royal Free Hospital and North Central London ICB, won the Acute Sector Innovation of the Year award at the HSJ Award 2024. The SPoA service runs on the CrossCover referral management system

• CrossCover reduces carbon emissions by 18% (22.5kg vs 18.28kg CO2e per patient)

• Keele University's RCT demonstrated doubled best practice adherence in primary care, 40% reduction in routine referrals from primary to secondary care, and decreased prescribing (2.1 vs 1.79 per patient). The system maintained excellent safety with no high-risk issues identified. (Unpublished findings)

"From a patient’s perspective they are going to get the most constructive, least invasive, least inconvenient treatment"

"If I didn’t know how to manage a case I would usually call my seniors any time of the day. CrossCover reduces my frequency of having to call for assistance"

"Guides Junior Doctors who are new to Orthopaedics and gives them confidence"

"Using CrossCover makes you more thorough and reminds you of things that you might have missed"

Clinicians using CrossCover

October 2025