The care is happening.
The funding isn't following.
MedE5 Solutions is a specialist NHS consultancy and digital solution focused on clinical data quality, coding accuracy, and commissioning compliance. We help trusts recover income they've already earned - and build the processes to make sure it keeps coming in.
The care is happening. The funding isn't following.
Across NHS trusts, there is a persistent and largely invisible gap between the clinical care being delivered and the income being received for it. It isn't a failure of care. It's a failure of capture.
HES Data Gaps
Submissions that don't accurately reflect clinical activity result in underpayment that rarely gets recovered retrospectively.
Coding Inaccuracies
Incomplete or incorrect clinical coding means the true complexity and cost of care delivered isn't reflected in what commissioners pay.
Missed Compliance Criteria
Eligibility for additional funding is tied to meeting defined criteria — criteria that often go unmet not through poor care, but poor documentation.
Retrospective Discovery
Problems surface in audits, long after the clinical activity — by which point recovery is difficult, costly, and incomplete.
We don't just find the gap. We close it — three ways.
Most consultancies stop at diagnosis. Every MedE5 engagement delivers three things — because a finding without a fix, and a fix without lasting change, isn't good enough.
Find
Identify exactly where income is being lost — quantified in pounds, not percentages. We analyse your HES submissions, coding output, and activity data to give your board something concrete to act on.
Fix & Train
Implement the changes and upskill your coding and clinical teams so the improvement holds. We work alongside your people to redesign processes and set documentation standards.
Sustain
Embed permanent assurance so the same gaps cannot quietly reopen over time. Monitoring frameworks and, where appropriate, our digital assurance layer in your existing clinical systems.
What a MedE5 engagement covers
From revenue assurance and clinical coding optimisation to commissioner-facing compliance — comprehensive support across the entire data-to-income chain.
Revenue Assurance Review
We reconcile activity to income, quantify underpayment, and align your data with commissioning agreements.
- HES data accuracy and submission quality
- Activity-to-income reconciliation
- Underpayment quantification
- Commissioning agreement alignment
Clinical Coding Optimisation
Audit your coding against clinical records, capture complexity and comorbidity, and improve coder workflows.
- Coding audit against clinical records
- Complexity and comorbidity capture
- Coder workflow improvement
- Ongoing quality monitoring
Commissioning Compliance
Review pathway-level compliance gaps, strengthen documentation, and deliver real-time monitoring.
- Pathway-level compliance gap review
- Eligibility criteria documentation
- Real-time compliance monitoring
- Commissioner-facing reporting
Training & Capability
Upskill clinical coding teams, set documentation standards, and deliver pathway-specific clinical education.
- Clinical coding team upskilling
- Documentation standard-setting
- Pathway-specific clinical education
- Ongoing refresher and monitoring
National Audit Review
Align with SNAP, NHFD, NELA etc audit standards and close gaps against national benchmarks.
- Submission accuracy and completeness
- Gap analysis against national benchmarks
- Action planning for underperforming metrics
Income Recovery Planning
Prioritised recovery opportunities, commissioner engagement strategy, and board-ready financial impact reporting.
- Prioritised recovery opportunity register
- Commissioner engagement strategy
- Retrospective claim assessment
- Board-ready financial impact reporting
The MedE5 Automated Guardrail & Monitoring Engine
Clinical compliance — built permanently into your existing systems. An invisible layer of intelligence across your clinical infrastructure that monitors activity in real time and locks compliance in place.
Real-Time Monitoring
Autonomous Documentation
Permanent Audit Trail
Non-Invasive Integration
Connect
Integrates with your existing EPR, EHR, and PAS via secure, non-invasive connection.
Monitor
Clinical activity is monitored continuously and in real time at the point of care.
Act
Documentation is automatically identified, completed, and attached autonomously.
Lock
Every action is permanently recorded with an immutable timestamp — sealed and defensible.
Measurable Outcomes for the C-Suite
Compliance locked in at point of care — not chased down retrospectively
Permanent, immutable audit trail across all relevant clinical activity
Minimal additional burden on clinical staff or existing workflows
Regulatory confidence — to be always audit-ready
Income protected — documentation gaps closed
Risk reduced — evidence chain unbroken and legally defensible
From first conversation to lasting improvement
Value add from Day 1. No armies of consultants. No months before anything useful happens. Just a focused, honest conversation — and then we get to work.
Discovery Call
A focused conversation with you and your key stakeholders. We ask the right questions and give you a clear sense of whether there's something worth pursuing.
- Genuine diagnostic conversation — no slides or pitch decks
- NDA available before the call if preferred
- We'll tell you honestly if we can't help
Initial Assessment
We conduct a structured review — clinical coding, HES submissions, pathway compliance, national audit alignment — and identify exactly where income is being lost and why.
- Scoped to the areas of highest likely impact first
- Works with your existing data — no new systems required
Findings Report
A clear, prioritised report: income at risk, root causes identified, and what needs to happen next. Built for a board conversation — specific, prioritised, and actionable.
- Income at risk quantified and prioritised
- What can be recovered now vs structural change
- Board-ready — no jargon, no unnecessary complexity
Implementation & Training
We work alongside your coding and clinical teams to implement changes — and train the people who need to carry them forward. The goal is capability that stays.
- Coding process redesign and documentation improvement
- Clinical team education on pathway-specific criteria
- Monitoring frameworks embedded in existing workflows
Ongoing Assurance
Regular compliance health checks, early warning on emerging gaps, and a specialist on hand as your systems and pathways evolve. Or we step back once the work is done. Either works.
- Regular health checks and exception reporting
- No lock-in — retained arrangements are flexible
Executive Briefing
We walk through what the engine does — in the context of your specific EPR, EHR, and PAS environment. Bring your CIO and CISO.
- NDA available before the conversation
- We'll tell you honestly if your environment isn't ready
- No commitment required
Environment Assessment
A structured review of your current clinical system landscape. We identify the integration pathway, governance requirements, and what implementation would realistically involve. No changes made at this stage.
- IG and data governance requirements scoped in full
- Your IT team involved throughout — no black box
- Output: a scoped implementation plan with realistic timelines
Phased Implementation
Implementation is phased and collaborative. We connect the assurance layer, validate it against your live data, and confirm it operates correctly before any broader rollout.
- Start with one pathway or one system — expand from there
- Rigorous validation before each phase goes live
- No disruption to clinical workflows at any stage
Live Assurance
The engine operates continuously — monitoring clinical activity, autonomously attaching documentation, and building an immutable audit trail in real time. Revenue recovery begins immediately.
Ongoing Partnership
We provide ongoing support to ensure the assurance layer adapts — keeping your compliance current and your revenue protected as your organisation grows.
- Engine monitoring and performance reporting
- Pathway and regulatory change management
- System update and integration maintenance
Who we work with
Our work is designed for the people responsible for financial sustainability, clinical governance, and technology infrastructure within NHS trusts.
Finance Directors & CFOs
We find income your trust has already earned but hasn't been paid for. We frame everything in financial terms your board can act on.
Medical Directors & Clinical Governance
We ensure the care your teams deliver is properly evidenced and recognised — in funding, in compliance, and in national data.
Chief Executives
We give you an honest picture of your trust's financial and compliance exposure — and a credible, deliverable path to addressing it.
What drives us
We believe in patient-centric excellence, impactful innovation, and genuine partnership with every trust we serve.
🎯 Patient-Centric Excellence
Every feature and every decision is designed to support clinicians in delivering the highest quality of care, with the patient at the very heart of our purpose.
💡 Impactful Innovation
We don't just create technology; we build solutions that deliver specific, measurable results. Our innovation is guided by the need to solve complex problems, providing clear return on investment.
🤝 Partnership & Trust
We operate as a trusted partner, not just a vendor. We listen to the unique needs of each department and work collaboratively to implement solutions that empower clinicians.
🛡️ Accountability & Integrity
We are accountable for our platform's performance and the promises we make. Our business is built on transparency, maintaining the highest ethical standards with clinical data.
What we are — and what we're not
We're a specialist practice with deep, focused expertise in exactly this problem — the gap between care delivered and income received — and a genuine commitment to leaving your organisation better than we found it.
NHS Trusts
We help you capture the income you have already earned, ensuring financial sustainability and compliance.
Integrated Care Systems
We provide the tools and insights to enable seamless, compliant, and efficient patient care across all settings.
Industry Innovators
We are at the forefront of health tech innovation, constantly evolving to meet the needs of the NHS.
Our Leadership
A team of passionate healthcare and technology experts dedicated to making a difference.
Natasha Williams-Farr
Founder & CEO
Passionate about healthcare innovation with 15 years of experience in the NHS.
Justin Pilkington
Head of Technology
CTO with a focus on quality, scalable and secure solutions.
Find out what your trust might be missing
We offer a no-cost, no-obligation diagnostic conversation for NHS trusts. In 45 minutes, we'll give you an honest sense of where the risks are likely to sit — and what the opportunity looks like.