Digital adoption for NHS clinical systems

Step-by-step guidance inside your clinical systems.

Help staff become confident on new and changing clinical systems sooner, with approved guidance at the moment they need it.

An illustration of Nova Guide’s six layers above an application: the studio where a guide is recorded, review, the portal where it is published, the guide on the screen, and PULSE.

01Studio

Recorded in the application it describes.

Guides are created by carrying out the task in the application itself. Each action is captured as a step, worded from the control’s own label, and the application responds as normal throughout.

  1. Fill in “Medicine”
  2. Fill in “Dose”
  3. Choose “Route”
  4. Choose “Frequency”
  5. Click “Confirm prescription”
Nova Guide Studio recording a prescribing task: each field is outlined as it is used, and its step appears in the studio’s list.

02Review

Approved by a named reviewer.

A named reviewer approves the exact version, and the approval is bound to a fingerprint of its content. Higher-risk guidance needs an approver other than its author.

Any later edit is a new version that goes back through review.

A guide in review in the portal. The reviewer, who is not its author, approves it, and the approval records the content fingerprint.

03Portal

Published item by item.

Each guide goes live on its own, for the wards, sites, screens and staff groups it was written for. Every change rebuilds a bundle signed with ECDSA P-256.

Unpublishing keeps the approval, so republishing needs no new review.

A guide in the portal is given its audience, a ward, a staff group and a screen, then published, and the signed bundle is rebuilt.

04Guide

On the screen staff are already using.

The browser checks the bundle’s signature before reading it. Each step then highlights the control to use next, explains it in plain words and is announced to screen readers. The application needs no integration and no change to its code or screens.

IT installs the extension through Intune or Group Policy, so staff have nothing to install.

A guide on a prescribing screen. The ring moves from field to field as each is completed, and the card explains each step.

05Certainty

It points only where it is certain.

Nova Guide identifies each control from several signals. When two controls match on every one of them, the step is shown as lost and the guide waits. The clinician can skip the step or leave the guide.

Clinical safety and governance

A second, identical Confirm button appears. The ring compares the two, declines to choose, and the step is shown as lost.

06PULSE

PULSE shows how guidance is used.

Every figure is printed beside the formula that produced it. Events record the guide, the step and the screen’s path, with no page text and no typed values, and staff identifiers are pseudonymised as they arrive.

When a step fails to find its control five times in eight hours, an alert opens, and the fix goes back through review as a new version.

PULSE, content health and alerts

PULSE in the portal: five measures count up beside their fractions, then an alert opens. The figures are illustrative.

07Withdrawal

Withdrawn in about a minute.

Anyone who works on content can withdraw a guide, with a reason recorded. Open screens stop showing it within about a minute, including a guide already in progress.

A workstation that cannot reach the withdrawal list for 15 minutes stops showing guidance, and staff carry on in the application as normal.

A guide withdrawn in the portal, and the same guide stopping on a ward screen where it was in progress. Workstations check every 30 seconds; the wait is shortened here.

Where to start

Start with the question you need answered.

See a guide recorded, approved and published.

A demonstration records a guide, takes it through review and publishing, and shows it as staff see it. It also covers how Nova Guide would be deployed and assured in your organisation.

  1. RecordingA guide recorded in Nova Guide Studio, click by click.
  2. Review and publishingApproval by a named reviewer, then the guide going live.
  3. On the screenThe guide as staff see it, started from the launcher.
  4. Withdrawal and PULSEWithdrawing a guide, and the analytics behind it.
  5. Your organisationDeployment, data protection and the clinical safety material.