Alertive connects people, information and priorities in real time. Urgent work reaches the right role, escalates if it isn’t picked up in time, and everyone can see who has seen it and who is responding. That’s the clarity teams need to work as one.

But disconnected teams and systems create friction and delay, keeping patients and staff from the support they need. We know those pressures first-hand, as colleagues, family members and citizens navigating the same system we serve.
Bleeping, waiting, bleeping again. Finding out who is on shift takes time away from patients.
Scores, results and pressures stay in systems until someone happens to log in and find them.
Without a clear record, teams can’t tell whether anyone has responded or is on their way.
"You had to bleep the doctor, wait for their response, then bleep the outreach team and wait again. That takes 15–20 minutes away from a very critical situation – one that could save someone's life."
Hardeep Singh, Acute Assessment Unit Team Leader, West Hertfordshire Teaching Hospitals NHS Trust
Alertive starts with how your people communicate. It then connects the systems around them, and turns everything that happens into insight. Each layer builds on the last.
The base layer your teams use every day to communicate in urgent, time-critical situations. Secure, role-based messaging and alerting replaces pagers, bleeps and fragmented tools with one auditable way to reach the right person, across teams, sites and partner organisations.

Workflows are system-generated communications that extend from the technology around your teams. They act as the escalation channel for urgent cases, following your own escalation policy.
By an agreed event in your EPR or another system, such as a score crossing a threshold, or by a colleague.
To the role on shift, in or out of hours, with patient details and location where your systems provide them.
If it isn’t acknowledged within the set time, the next tier is alerted automatically. No more constant chasing.
Everyone sees who has seen it and who is responding, with a timestamped record for governance.
Over six months at West Hertfordshire, 37,275 patient episodes met the trust’s escalation criteria, but only 7,000 had a documented escalation. In a 35-day pilot on the Acute Assessment Unit, alerts reached the ward and response team in under a minute from observations entering the EPR, routed to the right roles and escalated to the next tier if not acknowledged in time.
The same approach supports pathology results, ED and handover pressure, specialty referrals and maternity pathways.

Work intelligence takes the data from Workforce and Workflows to help improve safety, reduce risk and improve productivity.
Every alert and response is linked to a role and a time, so the data comes from the work itself, with no extra data entry. Over time, it helps organisations move from reacting to pressure towards more informed, proactive decisions.
Who holds each role, and which roles nobody is covering
Where delays form, so pathways can be improved
Response patterns and workload across teams, sites and times of day, to balance capability, capacity and demand

Dashboards are one way teams see this today, from a simple overview to views built around one pathway. This New Patient Opinion dashboard shows whether each referral was delivered, who answered, and how quickly a decision was made.
Alertive integrates with EPRs and other hospital systems like PAS, TIE, and telephony to bring patient, clinical and operational context into the conversations where decisions happen, while also generating data that supports reporting, audit and operational insight.
We agree the right approach with each trust, so you can consolidate tools rather than add another.
Integrations bring the right information into the workflow. Data helps teams review what happened, where delays form and how pathways can improve.
Bring key information into the conversation so teams can understand what needs attention.
Send alerts or discussions to predefined roles, teams or services based on the pathway.
Record response type, timing, recipient role and workflow activity where configured.
Use workflow data to review patterns, identify bottlenecks and support continuous improvement.
A few of the pathways Alertive supports today.
EPR-integrated referral pathways enable emergency teams to quickly seek specialist input, capture decisions, and improve patient flow from ED.
Discern Notifications for deteriorating patients are routed and escalated through Alertive, ensuring high-risk patients are acted on quickly, with clear ownership and full auditability.
The Timely Handover Process enables ED teams to rapidly alert key decision-makers when ED pressures risk ambulance handover breaches.
Alertive integrates with hospital systems to deliver real-time pathology result updates through Alertive, helping clinical staff review and respond faster.
OPAL escalation alerts notify key decision-makers in real time when ED pressures rise, helping hospitals coordinate action to support patient flow.
Maternity services can assemble emergency obstetric surgery briefings through Alertive, ensuring the right clinicians receive critical information.
Automated maternity alerts support safer handovers, huddles and pre-term transfer requests by improving coordination, visibility and attendance tracking.