Is this your organisation?
Urgent and Emergency Care services are under unprecedented pressure. As, as the complexity of demand continues to grow, urgent pathways need to support earlier, informed triage and data needs to flow between providers allowing more efficient and safer handovers. improving operational efficiency requires more than process changes—it requires seamless digital integration across organisations. Many care providers Trusts continue to rely on manual processes and paper to transfer patient information between ambulance services and hospital systems. This can lead to:
Patients waiting in queues for the wrong service
Delays in patient handover with longer ambulance turnaround times impacting ambulance response times
Risk of transcription errors and duplicate data entry
No clinical visibility before arrival at emergency department, without diversion to any more suitable alternative endpoints
Pressure on emergency department capacity
Our Approach
Integrella specialises in understanding pathways and how to improve for both patient and clinician. This often involves starting with a clear understanding of current and future process,, then connecting healthcare systems to enable the right information to reach the right clinician at the right time to improve patient outcomes.
Workflow Discovery & Service Design
Work alongside clinicians and operational teams to understand existing processes, identify bottlenecks and design improved pathways.
Integration Architecture & Delivery
Design and implement scalable, cloud-based integration platforms that support multiple EPR vendors and future service expansion.
Clinical Systems Integration
Connect ambulance services, EPRs, regional or shared care records and other clinical systems using HL7 and FHIR standards.
Digital Transfer of Care
Enable structured patient information to flow securely from ambulance services into hospital Electronic Patient Record (EPR) systems before the patient arrives.
Clinical Safety & Deployment
Deliver repeatable implementations with governance, testing, clinical safety assurance and rollout support.
Why choose Integrella?
Unlike traditional integration providers, we combine deep technical expertise with operational understanding of urgent and emergency care clinical workflows. We don't simply integrate systems—we help organisations redesign critical pathways that improve patient care and operational performance. Our team has experience delivering:
Large-scale healthcare integration programmes
Large-scale pathway optimisation, re-design and transformation
Proven complex programme management
Future proofed enterprise architecture that survive and flex as requirements evolve
Standards based HL7 and FHIR interoperability
Epic, Dedalus, Altera, Alcidion, Oracle systems integration
Cloud-native healthcare integration platforms
Workflow redesign and digital transformation
Multi-organisation interoperability across regional health systems
Proven at scale
Integrella was commissioned by NHS England to design and deliver the integration architecture supporting London's 999 Transfer of Care programme. Working alongside London Ambulance Service and multiple acute Trusts, we enabled structured clinical information to flow directly into hospital EPRs before patients arrive helping reduce handover delays, improve Emergency Department flow and increase ambulance availability.
Could your system benefit?
If your organisation is looking to do any of these, we'd love to discuss how our services can support your objectives:
Redesign urgent and emergency care pathways
Reduce ambulance handover delays
Improve Emergency Department flow
Eliminate duplicate data entry
Increase operational efficiency
Improve data quality and patient safety
Maximise the value of your EPR investment
Delivering measurable outcomes
The programme is already demonstrating significant operational improvements across London.
Supporting over 590,000 patient handovers every year
Helping digitise more than 1,620 ambulance conveyances every day. This ensure the accurate information is embedded in the hospital EPR/EHR allowing the clinical conversation to focus on the salient points for a safer, secure handover.
2–5 minutes saved per patient handover
When multiplied the number of handovers in a medium sized ED department, with 175 Handovers per day this saves over 14 hours a day. Giving clinicians more time to focus on patient care.
197,000+ frontline hours returned annually
Equivalent to approximately £4.4 million of operational efficiency across NHS London.
