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02Healthcare & Legal202516 weeks

MEDICO

Client

MEDICO

A purpose-built case management platform for medical-legal expert witnesses — from multi-tenant architecture and AI-powered report drafting to full NHS compliance documentation.

The Journey

Phase 1

Platform Architecture & Multi-Tenancy

We laid the foundation with a multi-tenant architecture that gives each medical practice its own fully isolated environment — separate data, separate configurations, separate branding. Row-level security ensures one practice can never see another's data.

  • Multi-tenant architecture with complete data isolation per practice
  • Row-level security enforced at the database layer
  • Four role-based permission tiers tailored to medical-legal workflows
  • Tenant provisioning that onboards new practices with zero infrastructure changes
Medico — Case Intelligence Dashboard
Overview
Cases
Invoicing
Routes
Doctors
AI Reports
Active Cases
148
↑ 12 this month
Outstanding
£42k
↑ £8k pending
Avg. Turnaround
4.2d
↓ 0.8d faster
Case / ClaimantDoctorInvoiceStatus
Thompson v Insurers
MC-2024-1182 · Orthopaedic
Dr. Patel
£1,250
Active
Chen, M. — RTA Neck
MC-2024-1179 · Neurology
Dr. Singh
£875
Review
Harris v NHS Trust
MC-2024-1176 · Psychiatry
Dr. Okafor
£2,100
Draft
AI generating report for Thompson v Insurers — orthopaedic findings transcribed

Phase 2

Case Management & Workflow Engine

The heart of the platform is a visual Kanban board that tracks every case through up to 20 workflow stages — from initial instruction through examination, report drafting, review, and final submission. Each case maintains a full audit trail.

  • Visual Kanban board tracking cases through 20 workflow stages
  • Full audit trail for every case action — status changes, uploads, and communications
  • Automated notifications to solicitors and team members at key milestones
  • Practice CRM with solicitor and referring party management
  • Appointment scheduling with calendar integration
Medico — Case Workflow Board
Active Cases24 cases
Filter by doctor ▾
This week ▾
New Instruction4
Walker v Transport Ltd
MC-2024-1190
Dr. Patel1d ago
Brown, S. — Workplace
MC-2024-1189
Dr. Singh2d ago
Examination6
Thompson v Insurers
MC-2024-1182
Dr. Patel3d ago
Davies, R. — Clinical
MC-2024-1185
Dr. Okafor5d ago
Report Drafting8
Chen, M. — RTA Neck
MC-2024-1179
Dr. Singh4d ago
Harris v NHS Trust
MC-2024-1176
Dr. Okafor6d ago
Submitted6
Evans, P. — RTA Spine
MC-2024-1170
Dr. Patel8d ago

Phase 3

AI Transcription & Report Generation

The feature that changes everything. Doctors upload consultation audio, and the AI pipeline produces a structured medico-legal report draft in minutes — not hours. OpenAI Whisper handles transcription with custom medical vocabulary, then GPT-4o formats the output into a court-ready report structure.

  • AI transcription pipeline turning consultation audio into structured report drafts
  • Custom medical vocabulary per tenant — the system learns specialist terminology
  • Version-controlled reports with full revision history
  • Doctor signature support for court-ready PDF generation
  • Correction learning — the pipeline improves from practitioner edits over time
Medico — AI Transcription Pipeline
Audio Input
Thompson_consultation_240312.mp3
42:18 duration18.4 MBProcessing
Audio received0.2s
Whisper transcription3m 12s
Medical vocabulary matching1.4s
GPT-4o report formatting...
PDF generation
Generated Report Draft
Medico-Legal Report
Thompson v Insurers — MC-2024-1182
Orthopaedic Assessment · Dr. Patel · 12 March 2024
1. History of Injury
2. Clinical Findings
Cervical spine: reduced range of motion (flexion 30°, extension 20°). Tenderness noted over C5-C6 spinous processes. Right shoulder: positive impingement signs.
3. Prognosis
With appropriate physiotherapy, symptoms expected to resolve within 12–18 months. Full recovery is anticipated with no long-term sequelae.
Draft v1 — AI GeneratedAwaiting Review

Phase 4

Financial Management & Integrations

We connected the platform directly to the business side of each practice. Xero integration keeps invoicing and accounting in sync without double entry. The financial dashboard gives practice managers real-time visibility into outstanding invoices, revenue by case type, and payment timelines.

  • Two-way Xero integration for invoicing and accounting
  • Configurable fee schedules per practice and case type
  • Financial dashboard with real-time revenue and payment visibility
  • Automated invoice generation tied to case milestones
  • Background job processing via BullMQ for reliable sync and report generation
Medico — Financial Overview
Revenue (MTD)
£28.4k
↑ 18% vs last month
Outstanding
£42k
12 invoices pending
Avg. Fee
£1,340
↑ £120 this quarter
Xero Sync
Live
Last sync: 2m ago
Monthly Revenue6 month view
Jul
Aug
Sep
Oct
Nov
Dec
Recent InvoicesSynced with Xero
Thompson v Insurers
£1,250Paid
Chen, M. — RTA Neck
£875Sent
Harris v NHS Trust
£2,100Draft
Evans, P. — RTA Spine
£950Overdue

Phase 5

NHS Compliance & Security

Healthcare software in the UK must meet some of the strictest regulatory standards in any sector. We delivered the full compliance documentation pack — NHS DSPT, DCB0129 and DCB0160, and 14 formal compliance documents — all without engaging separate compliance consultants.

  • NHS Data Security and Protection Toolkit (DSPT) compliance
  • DCB0129 and DCB0160 clinical risk management documentation
  • 14 formal compliance documents delivered as part of the project
  • Encryption at rest and in transit across all data
  • Comprehensive audit logging and configurable data retention policies
Medico — Compliance & Security
Compliance Score
94%
↑ 6% this quarter
Documents
14/14
All delivered
Last Audit
Mar 24
Next: Sep 24
NHS Compliance Framework
NHS DSPT Submission
Data Security and Protection Toolkit — annual self-assessment
Passed
DCB0129 Clinical Risk Management
Clinical safety case report for health IT systems
Passed
DCB0160 Clinical Risk Management
Health organisation clinical safety — deployment and use
Passed
UK GDPR Impact Assessment
Data protection impact assessment for patient data processing
Passed
Penetration Testing
External security audit — OWASP Top 10 2025 coverage
In Progress
Security Controls
Encryption at Rest
AES-256 encryption for all stored data including backups
Passed
Encryption in Transit
TLS 1.3 enforced on all endpoints and API communications
Passed
Row-Level Security
Database-enforced tenant isolation — zero cross-tenant access
Passed
Audit Logging
Immutable audit trail for all data access and modifications
Passed
Data Retention Policies
Configurable per-tenant retention with automated purge scheduling
In Progress

Results

0%

Faster report drafting

0

Case workflow stages

0

Compliance documents delivered

0

Staff permission tiers

01

Report drafting time cut from hours to minutes — freeing practitioners to focus on clinical judgment instead of admin

02

Replaced a patchwork of spreadsheets and generic tools with one purpose-built system covering the entire case lifecycle

03

Full compliance documentation pack delivered — NHS DSPT, DCB0129/DCB0160, and 14 formal compliance documents — without engaging separate consultants

04

Multi-tenant architecture onboards new practices with complete data isolation, zero infrastructure changes per tenant

05

Version-controlled reports with doctor signature support produce court-ready PDFs to professional medico-legal standards

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