Alpha — clinician testing environment. Autonomous consultation · senior-clinician approval. Not for emergencies or unsupervised clinical deployment. Synthetic demo data only.

COS GP

Consultation Operating System

Private beta — access by approval only

COS GPThe Consultation Operating System for Clinicians

Autonomous consultation. Senior-clinician approval.

COS GP independently conducts an end-to-end GP-style consultation: focused history, relevant red flags and urgency, provisional clinical reasoning and working differentials, management options, agreed next steps and personalised safety-netting. It does not action a diagnosis, prescription, investigation, referral or plan.

Every conclusion and proposed action is a provisional draft requiring review, amendment or approval and sign-off by an appropriately qualified senior clinician before clinical use.

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Consultation workspace

Synthetic product preview

Step 1Patient narrative
Step 2Safety & reasoning
Step 3Clinician review

Presentation

Recurrent unilateral headache with visual aura — synthetic example

Established facts

Two-week history, ~3 headaches per week
Unilateral, left supraorbital, throbbing
Visual aura ~20 minutes, fully resolving

Information gaps

Blood pressure not established
Hormonal contraceptive use not established

Safety-netting

Sudden severe (thunderclap) headache — emergency care
Fever with neck stiffness, or new weakness — emergency care

Draft prepared for clinician review. No diagnosis made, no medicine prescribed.

Awaiting sign-off

Fixed synthetic example. Not a live model run and not patient data.

Clinician-ledHuman oversight requiredNot for emergenciesAudit-readyPrivate beta

How it works

A consultation operating system, not a chatbot.

Voice and text consultations run through the same clinical engine, producing a consistent, auditable workflow rather than isolated answers.

Step 1
Voice or text history
Structured history-taking that follows the patient narrative, capturing symptoms, context, ideas, concerns and expectations.
Step 2
Safety and structure engine
Deterministic safety and closure safeguards sit outside the language model, surfacing red-flag prompts, unresolved probes and information gaps.
Step 3
Clinician review and sign-off
An editable summary with established facts, explicit negatives, unknowns, considerations and safety-netting — nothing is final until signed off.

Evidence at this build

What we can actually evidence today

2,390+: Engineering test suite passing at this build.
Outside the model: Deterministic safeguards run outside the language model, not as prompt instructions.
End to end: Consultation, summary and sign-off events are reviewable after the fact.

These are engineering measures, not clinical validation. COS GP has been evaluated on synthetic cases only. It is not clinically validated and carries no NHS approval, regulatory clearance or medical-device certification. No claim of diagnostic accuracy, completed pilot or measured time saving is made.

Why COS GP?

Built for clinical workflow

COS GP helps clinicians capture better histories, organise information more effectively and generate structured consultation outputs without losing clinical control.

Structured documentation

Editable GP-grade consultation summaries, timelines, relevant negatives, plans and follow-up actions.

Clinical reasoning support

Differential considerations, information gaps, uncertainty and red-flag prompts in a clinician-facing workspace.

Safety-first design

Every output remains a draft until reviewed by a clinician.

Full auditability

Clinical actions, edits and AI outputs are traceable and reviewable.

Safety

Clinician oversight by design

COS GP conducts the consultation and forms a provisional working assessment. Clinical action and finalisation remain with a senior clinician.

No diagnosis is finalised without senior-clinician approval.
No prescription, investigation or referral is issued by the system.
No management plan is actioned or entered into the record before sign-off.
No emergency triage and no unsupervised clinical deployment.
Uncertainty and information gaps surfaced rather than hidden
Full audit trail of system outputs and clinician actions
Not for emergencies and not for unsupervised clinical deployment. Evaluated on synthetic cases only.

Who is COS GP for?

Clinical evaluation and research

COS GP is currently being evaluated by clinicians and healthcare professionals. It is not available for unsupervised patient use, and private beta access is granted by application and review.

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