System for Electronic Notification and Documentation

SEND is a system for vital-sign observations in hospital patients that was developed in the NHS in Oxford for the NHS. SEND has enhanced the clinical care of over 80,000 patients over the past two years. SEND has been rolled out throughout all the adult wards in the four hospitals of Oxford University Hospitals NHS Foundation Trust, with more than 16m observations already generated since January 2015.

A pilot study at the John Radcliffe Hospital in Oxford suggests that SEND reduces the average time to undertake a set of vital-sign observations by approximately 60 seconds. Because of the large number of observations undertaken each day, over the 65 acute areas in the NHS Trust, this equates to having an extra 3.5 nurses for each 24-hour period.

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Key Features

Intuitive Display. Charts that look like they always did.

Vital sign observations are recorded and displayed in real-time on a standard chart. This means that clinical users can view trends as they are recording a new set of observations, just like they are already used to. Seeing the context lets nurses exercise their clinical judgement to spot when a supposedly normal vital sign is actually an early marker of deterioration.

Positive Patient ID 100% Certainty

SEND identifies users and patients by barcode. This minimises the risk of misidentification - a widespread problem within healthcare organisations. Our unique 2D barcode system allows rapid identification - there is no need to waste time lining up scanners - and parsing of any symbology, no matter what your organisation’s barcode format is.

Useful Reporting. Reports designed by clinicians, for clinicians.

SEND provides real-time NICE Clinical Guideline 50 compliance data, saving time for ward managers. Reports are written so that targets are clearly and simply presented, and are designed to highlight potential problems in plain English to facilitate changing practice.



Makes deteriorating patients immediately visible to appropriate clinicians. The right patient, to the right clinician, at the right time.

Accuracy & Speed

Improves accuracy and speed of data recording.

Eliminates errors

Eliminates errors in early warning score calculation.

Appropriate care

Prompting and supporting appropriate care for each set of vital signs.

Integrated data

Integrating early warning data into the hospital’s Integrated Digital Care Record.

Supports governance

Supporting clinical governance and safety auditing.