Referral letters and Advice & Guidance requests, drafted in seconds, on hardware we own.
Give Hush a few lines of clinical context. It drafts a structured referral letter, or a clear, specialty-ready A&G question, for your clinician to review and paste into e-RS, EMIS or SystmOne. Patient data is processed on hardware we own, then wiped: no conversation or document stored, never trained on. Built by a doctor who works in the NHS.
Try it on a real letter, free →A Microsoft lawyer told the French Senate, under oath, he could not guarantee your data would never be handed to US authorities. We run on hardware we own, with no US parent, so that question does not arise here. Read what was said.
Every referral, every advice request, written by hand, again and again.
GPs lose 10+ hours a week to routine clinical correspondence (NHS Digital GP workload studies, 2024). Referrals and Advice & Guidance requests are a large part of it: high-volume, repetitive to write well, and every one takes time from patients.
The referral burden
A good referral pulls together history, examination, medications and the specific question, structured for secondary care. Written from scratch, many times a day, across every site.
The A&G opportunity
Advice & Guidance lets a GP get specialist advice before referring, avoiding unnecessary outpatient appointments. But it only works if writing a clear advice request isn't yet another job. Make it fast, and seeking advice first becomes the easy option.
For referrals and Advice & Guidance.
Drafting under clinician review, on our own hardware. Every request processed on hardware we own and never used for training.
Referral letters
A complete, structured referral from brief clinical context: history, medications, examination and the reason for referral, formatted for secondary care.
Advice & Guidance requests
Turn the clinical picture into a clear, specialty-ready advice question: the background and the specific ask a specialist needs to respond well.
Acting on the advice
When advice comes back, draft the patient message, the safety-net, or the onward referral from the same context.
Incoming letter triage
Read a hospital or clinic letter and pull out the actions, medication changes and follow-up required.
Patient information leaflets
Condition-specific handouts while a patient waits for advice or an appointment, tailored to reading level.
Grounded in your guidelines & the BNF
Share your local referral guidelines and connect your BNF access, and we set Hush up to draft in line with them, citing the specific guideline it used for the clinician to confirm. Reference material, not patient data.
Clinical coding assistance
QOF and SNOMED suggestions from free-text clinical notes. For review, not automation.
No integration. No install. Nothing for your IT supplier to approve.
Context in
Paste a few lines of clinical context, or dictate them.
Hush drafts
A structured referral letter or a clear A&G request, in seconds.
Clinician reviews
You edit and approve. You are the author of every word.
Into e-RS
Copy into the NHS e-Referral Service, EMIS or SystmOne and send.
Hush drafts; it never submits. Your clinician reviews and sends through your own systems, which is exactly why there is nothing new for IT to approve, and why the clinician stays the author of the record.
Honest boundaries, in writing.
Not an ambient scribe, not a medical device
Hush drafts documents under clinician review: referral letters, A&G requests, complaint responses, policies, leaflets. It does not listen to consultations or generate clinical notes from them. That boundary is deliberate: it keeps Hush firmly outside medical-device territory, and keeps the clinician as the author of every record.
Works alongside e-RS, EMIS and SystmOne
No integration required, nothing installed, nothing for your IT supplier to approve. Draft in Hush, review, then copy into e-RS or your clinical system as you would any document.
Before your IG officer asks.
Here is what is already true today.
Our Hardware, Our Rules
Patient data is processed on hardware we own, then wiped. No rented cloud, no third party. No conversation or document kept on our servers.
Your Content, Your Control
Chat history stays encrypted on the user's own device, never on our servers, until deleted. API content never stored. No training on patient data.
Full Audit Trail
Usage metadata logged for IG compliance. One-click export (CSV or JSON), anytime.
ICO Registered
Data controller ZC126901. DPA draft available; a signed DPA is executed before any live personal data flows. DPIA drafted.
UK GDPR Aligned
Article 28 processor terms. Data Protection Act 2018.
Built by a Clinician
Founded by a doctor, Dr W.J Carter. Understands NHS workflows and clinical confidentiality.
Our full certification status, including what we don't yet hold, such as NHS DSPT (self-assessment in progress), is public and dated at hush-ai.uk/procurement. Pilots run under your practice's own DPIA; we provide a pre-filled template your practice adopts and owns.
Everything you need to appraise us, including the gaps.
We would rather you quote an honest "in progress" than discover an overclaim later.
- What it does. Drafts referral letters and A&G requests (plus discharge/clinic-letter triage, patient leaflets, QOF/SNOMED suggestions) under clinician review.
- Data & IG. Processed on hardware we own, then wiped; never stored, never trained on; no Big-Tech cloud or AI sub-processors; structurally outside the US CLOUD Act. ICO-registered (ZC126901).
- Certification status, dated. DPA + DPIA template held; NHS DSPT in progress; Cyber Essentials in progress; DTAC not required at practice level; not a medical device. Full register at /procurement.
- Integration. Works alongside e-RS, EMIS and SystmOne: nothing installed, no IT project.
- Indicative cost. Published plans run from £39/month (individual) to Enterprise starting from £1,500/month (large organisation), by team size; PCN / federation / multi-site pricing is bespoke. Monthly, no lock-in, full data export within 24 hours.
- Evidence approach. A free two-week pilot generates your own evidence: a written usage report from your own audit log (documents drafted, active users, hours saved), yours to keep and quote either way.
- Supplier. HUSH AI LIMITED, registered in England & Wales no. 17278687; built by an NHS doctor.
Writing the paper? Email [email protected] and we will answer any question your partners or IG lead put to us, in writing. See also the referrals & A&G FAQ.
No procurement committee. No six-month rollout. Four steps.
Request in writing
Fill in the pilot form. Your workspace is provisioned instantly, no card, no calls.
Free 2-week pilot
Your clinicians use Hush on real referrals and A&G. We agree success criteria upfront, in writing.
IG review
You receive every log of every request. DPIA and DPA provided. Nothing hidden.
Decide
Continue on a founding-practice rate, or walk away with your audit log and our thanks.
Faster referrals and A&G, without a byte of patient data leaving hardware we own.
No cloud. No CLOUD Act. No compromise. The clinician stays the author of every record.
Request your free 2-week pilot, no card →Or email [email protected] directly.
Hush AI is a drafting and summarisation assistant. It is not a source of medical advice. Always verify AI-generated outputs before acting on them. Not a medical device.
AI for the NHS · AI for General Practice · Referrals & A&G FAQ · Procurement & due diligence · DSPT and AI
Frequently asked questions
Does Hush AI submit referrals or A&G requests into e-RS?
No. Hush drafts the content of a referral letter or an A&G request from the clinical context you give it. Your clinician reviews and edits the draft, then copies it into the NHS e-Referral Service, EMIS or SystmOne and submits it as they would any letter. Hush drafts; it never submits.
How does Hush AI help with Advice & Guidance specifically?
It turns a few lines of clinical context into a clear, specialty-ready advice question, with the relevant background and the specific ask a specialist needs to respond well, in seconds, for the clinician to review. When advice returns, it can draft the patient message, safety-net or onward referral from the same context.
Where is patient data processed and stored?
Processed on hardware we own, transiently, and not stored; chat history stays encrypted on the clinician's own device, never on our servers. Nothing is used for training, and usage audit logs are exportable. Hush is outside US CLOUD Act jurisdiction; its NHS DSPT self-assessment is in progress and its certification status is published openly at /procurement.
Do we need DTAC or DSPT to run a pilot?
DTAC is not required for practice-level purchases. Our NHS DSPT self-assessment is in progress; pilots run under your own DPIA, for which we provide a pre-filled template your practice adopts and owns. We publish our full, dated certification status at /procurement.