Helping urgent and emergency care departments improve care, efficiencies and outcomes in a pressured environment.


  • Increase efficiency with direct appointment bookings from NHS 111 & 111online 
  • Improve clinical safety with real-time access to patients’ GP records at the point of care

  • Enhance communication with other departments through system interoperability

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A system for all urgent care settings

Symphony is the market leading clinical system for urgent and emergency care, supporting patient management, tracking and clinical workflow. By providing busy teams with the information they need at the point of care, Symphony enables faster, safer and more efficient working.

Electronic appointment booking functionality enables the 111 service to book directly into multiple departments and the built in GP Connect Viewer provides access to patients’ complete medical history. All these work together to quickly flow patients through the urgent care footprint, and avoid funnelling all pathways through the emergency department.

Transfer of Care  

The ability to provide a standard electronic Emergency Care Discharge  Summary Document containing Transfer of Care information supporting a discharge typically between an emergency care department and a GP practice.

Supporting same day emergency care

Symphony supports same day emergency care, helping patients be rapidly assessed, diagnosed and treated without being admitted to a ward, and if clinically safe to do so, sent home the same day.

Bespoke tracking grids support each departments specific workflow and vital information electronically follows the patient as they move between teams - improving patient safety, reducing the reliance on paper, and enabling more efficient working. The enhanced clock functionality also tracks patients’ total time in the system and allows the clock to be paused or stopped if required.

"We never expected that going digital would transform everything about the department"

Andrew Adair, chief clinical information officer and emergency medicine consultant

Find out how Symphony is helping A&E clinicians meet NHS targets

Improved integration for more joined-up working

System integration and interfacing with other clinical systems provides secondary care clinicians with access to a higher quality of data and a wider real-time view of their patients’ information. This allows them to make more informed, accurate and safer clinical decisions as well as joining-up care, improving communication, saving time and reducing the risk of data entry inaccuracies.

Real-time GP record access at the point of care

GP Connect Viewer in Symphony enables urgent and emergency care clinicians to access the primary care records of patients in their care, regardless of the clinical system used in the GP practice.

Access to a patient’s compete medical history at the point of care supports safer decision making - improving quality, efficiency and patient experience.

Scheduling unscheduled care with 111 appointment booking

Symphony is the first urgent and emergency care system accredited by NHS Digital to accept electronic referrals directly from the 111 service, enabling patients to be booked in to scheduled appointments with any of the same day emergency care teams.

Alongside appointment booking, clinical teams receive a detailed summary of what was discussed by the 111 call handler, supporting better care planning and triage.

Improving care for vulnerable children and young people

Integration with Child Protection Information Sharing (CP-IS), automatically alerts clinicians when at-risk children attend urgent care departments, and provides contact details for the relevant social care team. This helps clinicians to make more informed decisions and deliver the most appropriate care, helping to protect vulnerable children and young people.

Supporting national programmes

Symphony also integrates with the Patient Demographic Service (PDS) and Summary Care Record (SCR) to further improve communication and care across sectors. This allows clinicians to access a patient’s relevant medical history and ensures that appropriate and effective care can be delivered in a timely manner.

Make informed clinical decisions 

Symphony is equipped with everything you need to make safer and more accurate clinical decisions.

  • SNOMED Coding Used in electronic health records, SNOMED offers clinical IT systems a single shared language, which makes exchanging information between systems easier, safer and more accurate.
  • Emergency Care Data Sets (ECDS) is updated throughout the patient journey, ensuring complete data collection and helping teams to work more efficiently. We work closely with the National ECDS team.
  • National Early Warning Score (NEWS2) helps to identify acute deterioration such as sepsis at an early stage to improve patient outcomes. The system uses a standardised score so that clinicians and organisations across the NHS can use it to triage responses to patients. This helps to reduce hospital mortality and cardiac arrest rates.
  • Sepsis pathways warnings highlight at-risk patients and directs them to the appropriate clinical pathways, which has resulted in 100% compliance at South Tees NHS Foundation Trust. 
  • Venous Thromboembolism (VTE) Risk Assessment helps clinicians to assess, identify and record patients at risk of VTE to improve early deduction and preventative care. This reduces the risk of these patients becoming hospitalised for long periods of time.
  • Waterlow enables clinicians to make accurate clinical judgements when assessing a patient's risk of pressure ulcers using a validated scale.  
  • Paediatric Early Warning System (PEWS) supports early identification of triggers to deterioration in children and young people.
  • Paediatric Observation Priority Score (POPS) is a clinical checklist which quickly scores (between 0-16) acutely ill children on a combination of physiological, behavioural and risk identifiers using easy to collect data. This enables staff (even if inexperienced) to assess, prioritise and treat acutely ill children, and manage risk in busy clinical areas.
  • ABCD2 improves the prediction of short-term stroke risk after a transient ischemic attack (TIA).
  • Frailty Scoring helps you to assess patient frailty to identify risks to improve patient independence and reduce mortality and the need for long-term care. 

Better quality of data

With so much rich data available for both local and national reporting, Symphony supports evidence based service improvements, helping you provide the highest quality, efficient care. Symphony is able to provide and meet daily reporting requirements for ECDS.  

Coming soon! 

Symphony will be able to provide visibility to documents available in the patients GP record. The system is currently undergoing NHS Accreditation process. 

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