cognaris.ai
NHS Healthcare AI

NHS CareGuide AI
Trusted guidance at scale

The AI-powered bridge between worried patients and their GP. Voice and text health guidance grounded exclusively in NHS.uk content, with intelligent triage and structured GP pre-briefing.

Discuss a partnership See how it works
230M
health questions asked
to ChatGPT weekly
370M
GP appointments
in 2024/25
See how it works
The Problem

Your patients are already
using ChatGPT. And it's costing the NHS.

ChatGPT has no access to NHS guidelines, no patient history, and no clinical accountability — yet it is the first place millions of Britons turn for health answers.

230M
health questions asked to ChatGPT every single week
OpenAI / Healthwatch, 2025
1 in 3
patients wait over a week for a GP appointment
Imperial College London, 2026
59%
of GPs say more patients are bypassing them for AI
GPAI-UK Survey, 2025

If just 2% of annual GP appointments were safely resolved through trusted AI-guided triage, the NHS saves £310M per year and GPs win back over 7 million appointment slots.

The Danger

ChatGPT lists worst-case conditions.
The patient panics. The GP pays.

A patient with a simple sore throat asks ChatGPT for advice. It has no access to their medical history, no NHS guidelines, and no way to assess risk — so it does what it always does: lists every possible condition, including cancer, and tells them to see a doctor.

No access to patient records or test results
Trained on global internet data, not UK clinical guidelines
No accountability — always defaults to "see a doctor"
chatgpt.com
ChatGPT
G
ChatGPT
No access to NHS records or guidelines
SP
I've had a sore throat and headache for two days. Should I see my GP?
G
A sore throat and headache can be caused by several conditions. You should consider seeing your GP to rule out:
  • Strep throat (bacterial infection)
  • Tonsillitis
  • Glandular fever (mononucleosis)
  • Peritonsillar abscess
  • In rare cases, throat cancer
I'm not a doctor. Please consult a healthcare professional.
Result: patient panics, books unnecessary GP appointment
The CareGuide Difference

Same patient, same question.
Completely different outcome.

CareGuide checks the patient's medical history and test results, recognises there's nothing to worry about, and gives clear self-care advice grounded in NHS.uk. No scary condition lists. No unnecessary GP visit. One appointment saved.

Every answer sourced from NHS.uk with inline citations
Reviews test results and medical history automatically
Hands-free voice mode for elderly and accessibility
nhs.careguide.ai
Self-resolve
NHS CareGuide
Powered by Cognaris AI
SP
I've had a sore throat and headache for two days. Should I see my GP?
CG
A sore throat with headache usually resolves within a week. I've checked your records — your last blood test was normal and there are no flagged conditions, so nothing to worry about here.nhs.uk/conditions/sore-throat
SP
What should I do in the meantime?
CG
Get plenty of rest, drink lots of fluids, and take paracetamol or ibuprofen for the pain. Gargling warm salt water can help too. If it gets worse or lasts more than a week, let me know and we'll look at it again.nhs.uk/conditions/sore-throat
CG
No GP appointment needed. I'll check in with you in a few days if you'd like a follow-up.
Triage: GREEN — self-care guidance provided
Describe how you're feeling...
When It Matters Most

When something's wrong,
CareGuide catches it.

When symptoms indicate something more serious, CareGuide cross-references medical history and test results, raises the triage level, and offers to book an appointment immediately. No condition lists, no panic — just a clear next step.

Silent triage scores urgency in real time
Cross-references history, test results, and symptoms
Offers to book a same-day or routine appointment
nhs.careguide.ai
GP referral
NHS CareGuide
Powered by Cognaris AI
RM
I've had chest tightness and I'm short of breath when I walk upstairs. It's been four days now.
CG
I can see you have a history of hypertension, diagnosed in 2021. Your last blood pressure reading was 148/94 in March. Given these symptoms alongside your history, I'd recommend seeing your GP today.
RM
I think it might be my heart. Should I be worried?
CG
With your blood pressure history and these symptoms lasting four days, it's best to get this checked today. I can book you a same-day appointment now if you'd like?
Triage: AMBER — same-day appointment recommended
Describe how you're feeling...
The GP Side

The GP is prepared
before the patient walks in.

When a patient is referred, CareGuide generates a structured pre-brief and delivers it to the GP system before the consultation. Symptoms, duration, medical history, the patient's own concern, and a shortlist of conditions to review — all in one glance. No re-explaining. No wasted minutes.

Structured summary auto-generated from conversation
Delivered to GP system before the appointment
Triage flag and condition matches included
GP Pre-Brief — Delivered Before Appointment
Symptoms:
Chest tightness, shortness of breath on exertion
Duration:
4 days — worsening since yesterday morning
History:
Hypertension (2021). Last BP: 148/94 (Mar '25)
Concern:
'I think it might be my heart'
Triage flag:
AMBER — Same-day appointment recommended
Matches:
Angina, Hypertensive episode, Anxiety — for GP review
Auto-generated from patient conversation. Delivered to GP system before consultation.
Capabilities

Built for NHS,
ready for scale

Voice & Text

Hands-free voice for elderly and accessibility

NHS-Only Sources

Grounded in NHS.uk with inline citations

Silent Triage

Red, amber, green scoring in background

GP Pre-Brief

Structured summary before patient arrives

Booking

Offers appointments when clinically indicated

NHS App Ready

Embeds into NHS App or any Trust platform

CareGuide clinical pathway example — eye irritation triage flow
Clinical Pathways

Get patients to the
right place first time.

What makes CareGuide fundamentally different from generic AI is the combination: conversational AI grounded in the entire NHS.uk knowledge base, combined with controlled clinical pathways that the NHS can design, edit, and fine-tune. Today, a patient with sore eyes books a GP appointment, waits days in discomfort, only to be told they need a pharmacist. CareGuide follows an NHS-authored pathway to direct them there immediately.

NHS-designed decision trees

Each condition or area of treatment has its own guided pathway, designed by clinicians and editable by any NHS department to match local services.

No more waiting in pain

Patients get directed to the right service straight away instead of waiting days for a GP appointment only to be referred elsewhere.

Self-referral services surfaced

Many NHS services accept self-referral — physiotherapy, talking therapies, sexual health, optometry. CareGuide knows which ones are available and routes patients directly.

Relieves pressure across the system

Every patient routed correctly first time is a GP slot freed, a waiting list shortened, and a specialist appointment given to someone who actually needs it.

Telephone Access

No smartphone needed.
Just pick up the phone.

Not every patient has a smartphone or internet access. For the elderly, disabled, or digitally excluded, CareGuide is available as a freephone or national telephone number — similar to calling 111. Patients speak naturally and get the same NHS-grounded guidance, the same clinical pathways, and the same triage intelligence as the app.

Freephone or national number

Patients call a dedicated number, just like dialling 111. No app to download, no account to create, no internet required.

Registered patients recognised automatically

Patients registered by phone number simply call and chat — no passwords, no menus. Their GP can be notified automatically when the triage indicates it.

Same intelligence, different channel

The same NHS.uk knowledge base, the same clinical pathways, the same triage logic and GP pre-briefing — delivered over a standard phone call.

Escalation to 111 or 999

Any caller — registered or not — can be forwarded directly to 111 or 999 when symptoms indicate an emergency. No delay, no barrier.

Care homes and isolated patients

Ideal for care home residents, housebound patients, and anyone without digital access. A familiar interface — the telephone — delivering modern AI-guided care.

0800 NHS CARE
Illustrative example
CareGuide
Hello, this is NHS CareGuide. How can I help you today?
Patient
My eyes have been really sore and itchy for a couple of days. I was going to try and get a doctor's appointment.
CareGuide
I'm sorry to hear that. Let me ask you a few questions so we can work out the best next step. Is there any discharge or crusting around your eyes?
Patient
Yes, they're quite sticky in the morning.
CareGuide
That sounds like it could be conjunctivitis. Your local pharmacist can examine your eyes and give you treatment today — no GP appointment needed. Shall I find your nearest pharmacy?
Privacy by Design

Zero personal data
stored on our servers.

Data security is the single biggest barrier to NHS AI adoption. While CareGuide authenticates patients securely via NHS Login, personal data is stripped on the patient's own device before it ever leaves. It never reaches Cognaris servers, and it never reaches the AI. The AI only ever processes clinical content — symptoms, conditions, medications — with no way to identify the patient.

Client-side anonymisation

Personal identifiers are detected and redacted on the patient's device before any message is transmitted. Cognaris never sees or stores the original data.

Clinical content only

Symptoms, conditions, medications, and duration pass through because they are the functional payload. Everything that could identify a patient is removed.

Irreversible by design

Cognaris never holds the mapping between placeholders and real values. Even in the event of a breach, there is no personal data to leak.

GDPR and DSPT aligned

Processing anonymised data falls outside the scope of personal data regulation. This substantially simplifies compliance with GDPR, DSPT, and NHS data residency requirements.

How patient data flows through CareGuide
1
Patient authenticated via NHS Login
Identity, NHS number, and GP registration held securely within the NHS session — never passed to the AI
2
Patient describes symptoms
"I've had chest pain for three days and my GP put me on amlodipine last year"
3
Only clinical content reaches the AI
Symptoms, conditions, and medications are the functional payload. Any incidental personal details mentioned are stripped before transmission
Identity → never sent NHS number → never sent
4
Clinical content processed normally
Symptoms, conditions, medications, and triage logic work on the clinical payload — no personal data needed
No personal data stored on Cognaris servers
Interested in piloting CareGuide AI within your ICB or Trust? Book a discovery call
Saving Lives

Pattern recognition
across conversations catches what a single appointment cannot.

Repeated symptom flagging

Multiple sessions alert clinicians to patterns invisible in a single appointment.

Test result + symptom correlation

History combined with new symptoms surfaces risk indicators — flagged automatically to the GP.

Elderly voice-first access

Patients with no smartphone served via voice device at home, enabling remote health monitoring.

Population health signals

Trust-level triage data supports resource planning and preventative care commissioning.

54.4%
of cancers in England diagnosed at stage 1-2. NHS target: 75% by 2028.
Cancer Research UK / NHS
12%
more cancers detected by AI-assisted radiologists in NHS Aberdeen Trial.
Royal College of Radiologists / NHS England
20-40%
of interval cancers caught by AI that human readers miss.
Nature Medicine, cited by NHS
Deployment

Four deployment models
from pilot to national scale

Flexible integration options designed to meet every NHS organisation where they are today.

Recommended

NHS App Integration

Embedded directly into the NHS App as a named feature. 71M logins — instant reach to the entire registered population. No new download required.

Pilot Path

ICB / Trust Branded App

Deployed as a white-labelled app for a specific ICB or Trust. Branded to local NHS identity. Full control over content, triage thresholds and GP booking.

Fastest to Deploy

Web Widget Embed

A conversational AI widget embedded on any NHS Trust or GP practice website. No download. Works on any device. Elderly-optimised voice mode available.

Care Home Pilot

Dedicated Voice Device

A single-button device with mic and speaker for elderly or isolated patients. Press and speak — it talks back. No screen. No app. No login.

Regulatory Path

A clear path to
NHS-approved deployment

Phase 1
Now

Live Platform

  • NHS.uk content indexed into RAG knowledge base
  • Voice conversation + triage logic operational
  • GP summary output live and demonstrated
  • Platform proven at scale across multiple deployments
Phase 2
With ICB Partner

NHS Pilot

  • DTAC assessment initiated
  • DCB0129 Clinical Safety Case with CSO
  • NHS Login OAuth integration
  • GP Connect / FHIR test results access
Phase 3
Regulated Scale

National Deployment

  • MHRA SaMD Class IIa registration
  • DSPT (Data Security & Protection Toolkit)
  • NHS App Library listing
  • ICB / national scale rollout
CareGuide AI is built on the Cognaris platform, already live and serving real users at scale. We are seeking an NHS ICB or Trust partner to co-design the pilot. Regulatory readiness is built in from day one, not retrofitted.
Next Steps

The next step
is simple.

A 30-minute discovery call to walk through your ICB's biggest primary care pressures. We'll demo the live Cognaris platform and map what CareGuide AI looks like for your organisation.

Book a discovery call

Cognaris Ltd, 2nd Floor, College House, 17 King Edwards Road, Ruislip, London HA4 7AE