Alpha — clinician testing environment. AI-assisted copilot. Not for unsupervised clinical use, autonomous diagnosis, prescribing, or emergencies.

COS GP

Consultation Operating System

Alpha — invite-only clinician access

AI-assisted consultation workspace for clinicians

Structured history-taking, clinical reasoning, documentation support, and safer clinician-led workflows — in one calm, clinician-first workspace.

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Clinician-led · Human oversight required · Not for emergencies · Alpha testing environment

Calgary-Cambridge

Neighbour

Pendleton

Helical model

ICE

Shared decision-making

Safety-netting

Agenda setting

Why COS GP

A clinical operating system, not a chatbot.

Every consultation is structured around how experienced GPs actually work — narrative first, then exploration, reasoning, shared plans, and safety-netting.

Consultation quality

Calm, structured conversations. ICE, agenda setting, narrative exploration, shared decision-making — modelled into the flow.

Clinical reasoning

Working hypotheses, differentials with probabilistic language, information gaps and red-flag watch — visible to the clinician, never to the patient.

Structured documentation

Editable GP-grade summaries with timeline, relevant negatives, plan and follow-up — ready for sign-off.

Empathy & communication

Tone tuned to an experienced NHS GP: warm, concise, non-robotic. No machine-gun questions, no scripted disclaimers.

Safety-netting

Specific, contextual safety-netting and follow-up prompts the clinician can review, refine and action.

Clinician-controlled

AI drafts. Clinician signs off. Every output is reviewable, editable and auditable before anything reaches a patient.

Modalities

Voice or text. Same clinical engine.

Run text consultations on desktop or take voice consultations on mobile. Outputs flow into the same GP review cockpit with full transcript, reasoning and structured summary.

Open clinician dashboard Clinical safety overview

Voice consult

Listen / think / speak orb. Live transcript. Mobile-first.

Text consult

Calm chat interface with clinician-only reasoning panel.

GP review cockpit

Editable summary, plan, safety-netting, sign-off.

Testing mode

Simulated patients and prebuilt scenarios for evaluation.

Safety positioning

Clinician oversight, by design.

AI assists workflow — does not replace clinical judgement.
Every plan is a draft until a clinician signs it off.
Red flags and uncertainty are surfaced, not hidden.
Not for emergencies — patients always directed to 999 / 111.
Full audit trail of AI outputs and clinician actions.

Access

Invite-only clinician workspace.

Email + password authentication. First registered clinician becomes workspace admin. Architecture anticipates organisations, role-based permissions, NHS domain whitelisting, and future EMIS / SystmOne / FHIR integrations.

Ready to evaluate COS GP?

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