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Status: MHRA Class IIa · in development

Safety signals

Sentinel

Sees risk before it escalates.

Sentinel reads the signals already in the record, changes in mood, sleep, engagement and observations, and surfaces them so a clinician can prioritise attention. It supports the decision. The clinician always makes it.

The problem

On the ward, the signal is there before the harm. It is just buried.

Inpatient mental health is where patients are least safe, and the warning signs are often present in notes and observation logs days before an incident. They are scattered across systems and shifts, where no single person can see the pattern. Hindsight finds it. By then it is too late.

288
deaths of detained patients notified in a single year

How it works

From scattered signals to prioritised attention.

  1. 1

    Aggregate

    Sentinel brings together signals already in the record across notes, observations and time.

  2. 2

    Surface and explain

    Patterns worth a clinician's attention are surfaced, each with a plain explanation of why.

  3. 3

    Clinician reviews

    A named clinician reviews every signal. Sentinel never acts on its own.

  4. 4

    Prioritise observation

    The team decides how to prioritise observation and care.

Concept preview · illustrative interface · not yet in clinical use

A first look at Sentinel.

An illustrative design, not live software. Synthetic data, and a clinician stays in control.

SentinelConcept
Observation priority · Acute Ward A

Signals from the record, surfaced and explained, so a clinician can prioritise observation. Not a prediction of individual events.

Bay 3, Patient AReview
Bay 1, Patient BMonitor
Bay 2, Patient DRoutine

Capabilities

What Sentinel does.

Signal aggregation

Brings together mood, sleep, engagement and observation changes across time.

Explainable by design

Every signal comes with a clear reason it was surfaced. No black box.

Observation prioritisation

Helps the team focus observation where attention is most needed.

Equity and bias monitoring

Performance is audited across ethnicity, age and language as a release criterion.

Human-in-the-loop

A clinician reviews and acts on every signal. Always.

Record-integrated

Works from the existing record rather than asking staff to enter more data.

Built safe

The guardrails, by design.

  • Decision support, never decision

    Sentinel surfaces and explains. A named clinician decides and acts, every time.

  • No suicide prediction

    We do not claim to predict individual events. The evidence does not support it, and we will not say it.

  • Explainable, not a black box

    Every signal carries a reason a clinician can interrogate.

  • Audited for equity

    Bias monitoring across groups is a condition of release, not an afterthought.

Regulatory position. Sentinel is being developed as MHRA Class IIa software as a medical device, under ISO 13485, with a clinical safety case to DCB0129 and DCB0160, a clinical safety officer, DPIA and DSPT. It is in development, not a registered or certified device, and makes no diagnostic or predictive claim.

See Sentinel in a live demo.

We walk verified NHS and independent-provider teams through a clickable demo of the platform. Tell us about your organisation and we will set one up.

This page describes software in development. It is not a medical device and not for clinical use. Product screens are illustrative concepts using synthetic data.