Darwinist Pitch Deck
Modernising clinical pathway development and empowering healthcare providers to build AI tools
Company Purpose
Transforming healthcare through intelligent pathway management
Modernise clinical pathway development
Replace fragmented, siloed systems with unified, FHIR-native pathway orchestration
Empower healthcare providers to build their own AI tools
Enable trusts to develop and deploy AI medical devices under health institution exemption
Create an interoperable health data landscape
Built on open standards (FHIR, DICOM) for seamless cross-system integration
Key Metrics
The Problem
Healthcare IT is broken and burning out clinicians
Clinicians spend 50% of their time doing admin, causing burnout
JAMA 2024 study shows direct correlation between poor EHR usability and increased burnout rates
Source: JAMA Network Open, 2024
Current pathway management is fragmented and disconnected
Average patient touches 7+ different systems during care journey, creating data silos
Incumbent providers' outdated systems stifle AI innovation
Legacy vendors cannot integrate modern AI workflows, leaving trusts with 1990s-era technology
Pain Points
The Solution
AI-enhanced clinical pathway platform
Complete freedom to quickly create new digital clinical pathways
No-code pathway builder with FHIR-native data integration and real-time workflow orchestration
Full control over AI-based productivity tooling
AiFMD authoring tools for safe, regulated AI deployment under health institution exemption
Open-standard architecture ensures safety and compliance
IEC 62366-1 usability engineering + WCAG 2.1 AA accessibility + FHIR UK Core interoperability
Key Differentiators
Pathway-Centric Design
Patients don't get managed in systems—they get managed in pathways
Clinician-in-the-Loop AI
AI augments, never replaces clinical decision-making
Why Now?
Perfect storm of opportunity
Massive push towards digitising healthcare
NHS Long Term Plan commits £8.1B to digital transformation, with AI clinical pathways as priority
Source: NHS Long Term Plan 2019-2029
Legacy vendors cannot adapt quickly enough
EPIC, Cerner built on 1990s architecture—fundamental AI integration requires complete rebuild
Widespread LLM adoption with unregulated use concerns
76% of clinicians use ChatGPT for patient care, but 89% want regulated, auditable alternatives
Market Drivers
Regulatory Clarity
MDR health institution exemption provides clear pathway for in-house AI development
Clinical Demand
Post-pandemic workflow optimization is top priority for trust leadership
Business Model
Simple, scalable, procurement-friendly pricing
Modular system at £1 per patient per module per year
Core platform + add-on modules (AI summaries, radiology, prescribing) scale with usage
Granular development approach for highest-need areas
Start with single pathways (ADHD, discharge planning) then expand across organization
Each project becomes platform capability
Custom development feeds back into core product, creating network effects
Pricing Structure
Core Clinical Information System
FHIR-native patient records and pathway management
AI Summary Module
Automated discharge notes and care plan generation
Radiology Module
DICOM viewer with AI integration for image analysis
Market Potential
Massive addressable market across regions
£69M TAM for UK healthcare market
Based on £3 per patient (core + 2 modules) across 23M patient encounters annually
£340M TAM for USA market
117M patient encounters in comparable healthcare settings
£40M TAM for Canada market
13.5M patient encounters in publicly-funded healthcare system
UK Market Breakdown
The Competition
Disrupting established players with modern architecture
Legacy clinical information systems struggle with AI integration
EPIC, Oracle Cerner, TPP built on proprietary architectures that resist modern workflows
Specialist pathway tools lack comprehensive integration
Civica, Olympus, Awell focus on single use cases without broader platform capabilities
Third-party AI vendors create new silos
Visiba (digital front door), Inicio (medical record summary) add point solutions rather than integrated workflow transformation
Our Advantages
Traction
Proven delivery with growing customer base
Delivering AI discharge-note tooling for RDaSH mental health trust
£85K contract for automated discharge summary generation, reducing documentation time by 60%
Private clients including UK teleradiology provider
DICOM workflow optimization serving 15+ NHS trusts through teleradiology network
Government backing through Innovate UK and RTO Catapult
£150K in grants validates technology approach and market opportunity
Key Milestones
First commercial deployment at RDaSH
60% reduction in discharge documentation time
Teleradiology platform launch
15 NHS trusts served through partner network
Customer Metrics
The Team
Experienced leadership with domain expertise
Andrew Holway – CTO with 15+ years in supercomputing and life sciences
Built data infrastructures globally, expert in DevOps, SRE, Kubernetes, and Python
Scott Marshall – Chief of Staff with startup and public sector experience
Data-driven entrepreneur with sales pipeline development and government relations expertise
Medical advisory board including Dr Alice McGee
Clinical workflow design and regulatory guidance from practicing healthcare professionals
Team Strengths
The Ask
Funding for rapid market expansion
Currently bootstrapped but generating revenue
£125K ARR with 100% customer retention and strong pipeline growth
Seeking £250K to rapidly expand operations
Fund sales team, technical staff, marketing, and regulatory compliance costs
Clear path to profitability and scale
Current unit economics support sustainable growth with additional resources
Funding Allocation - £250K
Sales & Marketing
2 sales executives, demand generation, trade shows
Technical Team
2 developers, platform enhancement, security
Regulatory & Compliance
MDR consulting, clinical validation, certifications
Projected Outcomes
Our Vision
Transforming healthcare delivery through intelligent technology
Become the de facto solution for clinical pathway management
Replace fragmented legacy systems with unified, AI-enhanced platform across UK healthcare
Spearhead new wave of in-house AI medical device design
Enable every NHS trust to develop and deploy custom AI solutions under regulatory exemption
Create healthcare landscape with dramatically lower costs
Reduce administrative overhead by 50%, enabling clinicians to focus on patient care
5-Year Impact Goals
Ready to Transform Healthcare?
Let's discuss how Darwinist can help modernize your healthcare technology infrastructure.